1 / 23

User Success Stories

User Success Stories. Johannes Gutenberg-University Department of Radiology , Mainz, Germany Peter Mildenberger. Topics. Infrastructure ( Hospital / Radiol. Department) IT - responsibility IHE Profiles used Further developments Conclusions.

elyse
Télécharger la présentation

User Success Stories

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. User Success Stories Johannes Gutenberg-University Department of Radiology , Mainz, Germany Peter Mildenberger

  2. Topics • Infrastructure (Hospital / Radiol. Department) • IT - responsibility • IHE Profiles used • Further developments • Conclusions

  3. University Hospital Mainz and Department of Radiology • 1500 beds, ~100 wards • 53.000 inpatients/year, 190.000 outpatients • >30 examination rooms • ~ 500 exams / d • ~ 15 clinical conferences / d • RIS since 1988 • PACS since 1996 (Radiology and Neurorad.) • >25 modalities (e.g. 5 CTs, 5 MRs, 4 CRs, 2 DRs..) • 12 - 15 GB / d new data • ~ 15 TB online (>27 million images)

  4. Internal 210 Orthopedics503 Surgery 505 Internal701 Radiotherapy Ward 401-2b Department Structure Dept. of Radiology Angiogr. Skeletal R Angiogr. CT Radiotherapy Ward CT CT DL DL DL DL MRT MRT Neuroradiology MRT Thorax Mammography Thorax Angiogr. Skelett Thorax Skeletal R CT ICU Skelett ICU DL Ward US Chest US Skeletal R Archive/ Workstation

  5. HIS (Administration) IT Depart in Administration SAP/R3 and IS-H* productive General IT Concept • PACS • Radiology • all DICOM - Objects • central server , RAID + long time storage • DICOM-Viewer • seperated workgroup-servers with on demand access • productive HL7 • Digitizing of paperbased Patient Files • Inst. Med. Informatics • Microfiche plus Web-Access • not available yet! • EPR • IT Department in Administration • may become IS-H*med • not available yet!

  6. The IHE Radiology Workflow X N, Wisrz, PhD, Siemens

  7. Status Dec 2002

  8. Status Dec 2002

  9. Status Dec 2002

  10. Modality Worklist / Performed Procedure Step Name, Date of Birth Accession number UIDs et al. MWL: RIS (gap it!, GAP) Acq. modality (Integris, PMS) Exposure Time Total dose Exposure dose Fluoro dose Number frames Fluoro time Number series MPPS with auto- matic transfer of:

  11. Pitfalls in documentation • Exposure data *10-100 • incomplete document. • Diff. in Fluorotime >20%

  12. Consistency and Completeness of Image Archiving • ~ 25000 images / d • ~ 500 studies / d • manual control takes 5 - 15 min / modality • ~ 3h/d for the complete department

  13. Storage Commitment – Push Model Please take responsibility for safekeeping of data O.k., commitment for archiving images permanently PACS (ImageDevices) P A C S DVD Acq modality

  14. Ophthalmology Gastroenterology Urology Cardiology Onkology Dermatology Dental Imaging ... Total (outside Radiology) 300 GB / year 300 GB / year 250 GB / year 900 GB / year 400 GB / year 750 GB / year 700 GB / year ... 5 TB / year Survey in different Departments (est.)

  15. Image Sources • Radiography, CT, MRT, DSA • Sonography • Szintigraphy, PET • Visible Light • Endoscopy, Ophthalmology, Digital Photography, microscopic slides) • Cardiology

  16. Endocrin. Gastroent. (Viewpoint) Urology (Sienet) Ophthalmo. Pediatrics Vascular Center PACS Status (outside Radiology)Gastroenterology, Urology, Ophthalmology,... Sono 1 Sonogr. Sonogr. RF Sono 2 Dig. Photo Fundoscopy Dig. Photo Sono Sono Neurology Enteroscopy Fundoscopy Gastroscopy Dig. Photo Sono Angiology Colography Dig. Photo Lapara-scopy Archive/ Workstations

  17. Integrated Presentation

  18. Conclusions • Standards allow a flexible implementation of different applications independant from vendor • MWL, MPPS, StComm improve clinical workflow, data consistency, quality of documentation,... • IHE is a pragmatic model for the clinical scenarios • IHE profiles should become regular part of RFPs • IHE Profiles could be used outside Radiology, new profiles will become necessary (Labarotory, OR) • Improved interest from vendors to support institutions (e.g., pre-ß-tests for new software releases or functionality)

More Related