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DICOM and the Future of Medicine

DICOM and the Future of Medicine. Charles E. Kahn, Jr., MD, MS Medical College of Wisconsin Milwaukee, Wisconsin, USA Professor of Radiology – representing the American College of Radiology (ACR). Introduction.

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DICOM and the Future of Medicine

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  1. DICOM and the Future of Medicine Charles E. Kahn, Jr., MD, MS Medical College of Wisconsin Milwaukee, Wisconsin, USA Professor of Radiology – representing the American College of Radiology (ACR)

  2. Introduction This presentation explores DICOM’s impact on clinical medical practice – today and tomorrow - Why do physicians work on DICOM? - How can DICOM improve medical practice? August 2014 DICOM Chengdu Workshop Charles Kahn DICOM and the Future of Medicine2

  3. An Example • Radiology Reporting • An international effort • Led by the Radiological Society of North America (RSNA) • Soon to include the European Society of Radiology (ESR) • Goals • Improve the communication of radiology procedures • Allow “data mining” of radiology results August 2014 DICOM Chengdu Workshop Charles Kahn DICOM and the Future of Medicine3

  4. Radiology Reporting • Library of “best practice” templates • RadReport.org • Standard for report templates • Integrating the Healthcare Enterprise (IHE) • “Management of Radiology Report Templates” (MRRT) profile August 2014 DICOM Chengdu Workshop Charles Kahn DICOM and the Future of Medicine4

  5. radreport.org

  6. Observations section (RID28486) Findings Heart Normal Lungs No acute disease [Mild biapical scarring is unchanged.] Bones Degenerative changes [Unchanged.] [The pacemaker is unchanged.] Heart (RID1385) Normal (RID13173) Lungs (RID13437) Set of bones (RID28569)

  7. Why Templates? • Reduce variability of reports • Improve completeness • Encourage best practices • Improve interoperability • Support automation of report production • Support validation of report content • Promote data extraction August 2014 DICOM Chengdu Workshop Charles Kahn DICOM and the Future of Medicine8

  8. “Bone Age” template 骨龄 KemikYaşı Impression (RID13170) Normal (RID13173) Turkish Chinese

  9. Multiple layers of constraint • Professional Content • Specific content for specialized procedures • DICOM (Sup 155) • Additional requirements, templates, • and business names for radiology reports CDA r2 Refined Data Classes and structures for clinical documents HL7 v3 RIM Abstract Data Classes v3 XML ITS Data Encoding Courtesy of H. Solomon

  10. CDA Report Instance Templates Authoring Template Element Structure Business Names Element CDA Structure IHE MRRT Report Authoring Template Clinical Knowledge RSNA RadReport Report Formatting Process Report Authoring Process Business Name Production Logic CDA Imaging Report Document Imaging Study Data Clinician Interpretation Courtesy of H. Solomon

  11. DICOM’s Role • New “Work Item” • Proposed to DICOM Standards Committee • Assigned to Work Group 8 (Structured Reporting) • Harry Solomon (GE Healthcare), co-chair • Charles Kahn (ACR), co-chair August 2014 DICOM Chengdu Workshop Charles Kahn DICOM and the Future of Medicine12

  12. Working Group 8 • DICOM Supplement 155 • Defines how radiology reports are exported into HL7 Clinical Document Architecture (CDA) • CDA provides a universal format for clinical results • Integrates radiology results with entire health record • Allows “data mining” for research and quality improvement August 2014 DICOM Chengdu Workshop Charles Kahn DICOM and the Future of Medicine13

  13. Why do physicians work on DICOM? • Technical expertise • Advocacy and communication with physician communities • Contribution to international effort August 2014 DICOM Chengdu Workshop Charles Kahn DICOM and the Future of Medicine14

  14. How can DICOM improve medical practice? • Standards foster competition to create better products • DICOM helps advance the worldwide adoption of new medical imaging technology August 2014 DICOM Chengdu Workshop Charles Kahn DICOM and the Future of Medicine15

  15. Author Information 谢谢 • Prof. Charles Kahn • ckahn@mcw.edu • Dept. of RadiologyMedical College of Wisconsin9200 W. Wisconsin Ave.Milwaukee, WI 53226USA August 2014 DICOM Chengdu Workshop Charles Kahn DICOM and the Future of Medicine16

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