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Anniversary Conference and Workshop Summary

Anniversary Conference and Workshop Summary. PACS. DICOM services supporting PACS Realities of deploying DICOM in a PACS Transport between PACS Internationalization challenges. Expanding Modality Coverage. Widely accepted Radiology Cardiology Radiotherapy

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Anniversary Conference and Workshop Summary

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  1. Anniversary Conference and Workshop Summary

  2. PACS • DICOM services supporting PACS • Realities of deploying DICOM in a PACS • Transport between PACS • Internationalization challenges

  3. Expanding Modality Coverage • Widely accepted • Radiology • Cardiology • Radiotherapy • Growing in terms of use of standards • Dentistry • Video for visible light modalities • (and Ophthalmology, and …) • New technology • Enhanced MR ( and CT, and XA, and …)

  4. Integration of Standards • HL7 • V2.x • V3 • CDA (<->DICOM SR) • IHE • Beyond radiology • Internationally • The web and ISO TC215 • Web Access to DICOM Objects (WADO) • AAPM TG18 • Image quality and consistency

  5. Standards and Reporting • Narrative versus structured ? • Integration of speech recognition • Persistent forms: DICOM, CDA, other ? • Standard versus proprietary ? • Complexity of workflow • Challenges of distribution & externalization

  6. Infrastructure • Auditing and logging • Security and privacy across standards boundaries • Configuration management • Towards holy grail of “Plug and Play” • Conformance Requirements • Perhaps one of DICOM’s greatest strengths

  7. Future Challenges • Information overload … huge data sets • New visualization paradigms - role of DICOM ? • Interaction with datasets, point-of-care delivery • New vision for interaction with fused imagery • Minimally/non invasive computer-assisted intervention • Increased demand for care & quality • Yet there is a workforce challenge - need for automation • Reporting of errors/stats - federal standards requirements • “Re-invention” of modalities • More functional imaging, planning & localization • Into the hands of ordinary physicians, more screening

  8. Whither goest DICOM ? • Remain focused on appropriate scope • Challenge of the demand for an ExR • What should be standard and what left up to the application ? • Where are the interface boundaries ? • Moving to a world of software-only PACS and commodity storage solutions • Greater user participation to define direction

  9. Thanks • Charles Parisot and Program Committee • Howard Clark and the NEMA team • Speakers and guests • All of you …

  10. Thanks • Charles Parisot and Program Committee • Howard Clark and the NEMA team • Speakers and guests • All of you …Follow-up … Steve Drew of RSNA

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