RSNA 2012 - IHE Image Sharing Demonstration

IHE Image Sharing Demonstration
PURPOSE/AIM
The IHE Image Sharing Demonstration will showcase developments in radiology informatics, standards-based interoperability and image sharing. The demonstration will include: Exchange The IHE Image Sharing Demonstration will showcase developments in radiology informatics, standards-based interoperability and image sharing. The demonstration will include: Exchange of medical images and reports using personal health record (PHR) accounts as in the RSNA Image Share pilot project, funded by the National Institute of Biomedical Imaging and Bioengineering (NIBIB). The image exchange architecture is based on the IHE Cross-enterprise Document Sharing for Imaging (XDS-I) profile.Patient radiation dose monitoring in local and national settings based on DICOM Dose Structure Reports (SRs) and the IHE Radiation Exposure Monitoring (REM) profile.Ordering and scheduling of radiology procedures using procedure names from the RSNA RadLex Playbook.Generation of radiology diagnostic reports using structured templates developed by the RSNA Reporting Committee and including RadLex terminology.Exporting image data exported from PACS using the IHE Teaching File and Clinical Trial Export (TCE) profile and using this data to author teaching files and processing of images for clinical trials using the RSNA MIRC software.

RSNA 2012 - New and Improved Features and Functionality of the RSNAMIRC Teaching File Software(LL-INE1201)

New and Improved Features and Functionality of the RSNA MIRC Teaching File Software
William Weadock, MD , Sarah Abate, BS

Over the past few years, the RSNA MIRC system has undergone significant improvements in functionality. Installation, creation and display of teaching file, and conferencing have been significantly improved. The MIRC system has become the standard format for teaching file software. The software is free to download and use and is supported by the RSNA. This exhibit will show how the system can be incorporated in daily workflow.

Key inprovements in functionality shown at the demonstration at RSNA are the ability to further anonymize or de-identify the DICOM data not only by de-identification of DICOM fields but also by removing parts of the image that could possibly contain patient related information such as in ultrasound captures or secondary captures. Another feature is the ability to export directly to powerpoint of one or more cases to construct a presentation on a certain topic.

IHE TCE Selector demonstration with Mirc

At the Dutch radiologists days we demonstrated the IHE TCE Selector profile together with a central Mirc server. Besides a KPacs implementation, three companies on the exhibit floor also connected to the server using either the freely available TCE selector or their own implementation (Rogan Delft, Sectra and Alphatron).
It proved to be an easy setup that could be configured quickly with high stability. A lot of interest from the participants in the RSNA Mirc teaching file software with special interest for the implementation of more structural setup of teaching files using RadLex (a radiology lexicon also developed by RSNA).

RSNA: IHE Image Sharing Demo

During RSNA, the IHE has an image sharing demo demonstrating the application of IHE profiles with a large number of different vendors that connect to each other and RSNA software.

In this demonstration they show how IHE can be employed to enhance clincal care by sharing information under patient control using personal health records. Doing this improves radiation safety and facilitates radiological research and aducation by appropriate sharing of images and related data.

Implementing the IHE profiles should also reduce costs by eliminating the need of publishing paper and CDs or DVDs both for patient care and clinical research.

For links to the documentation related to this demonstration see my earlier, pre-RSNA post on this topic.

RSNA: Decoding the Alphabet Soup

The RSNA is involved in many informatics activities and projects including IHE, MIRC, and RadLex. During this session more information on these activities is provided.

The tools are all developed part of the RSNA and freely available from the RSNA website.

MIRC is the RSNA teaching file system. Besides the system itself, the MIRC workgroup also developed other tools. CTP (clinical trial processor) can be used for data transfer for clinical trials including high level anonymization and firewall penetration.

A new, 2011, version of MIRC was shown which includes a rewrite of the software and also has a new and improved interface. One of the new possibilities are the 'shopping cart' to select cases for conferences.

RadLex is an encoding system which is complementing the existing coding systems including radiology oriented terms. In RadLex imaging methods (playbook) and diagnosis are included. The first version of the playbook for CT was launched this RSNA.

IHE TCE profile in combination with Mirc

A couple of weeks ago we threw a setup together to demonstrate the TCE profile for setting up teaching files.
By combining a TCE Selector and Mirc (both to be obtained from the RSNA Mirc wiki) together with KPacs ( free PACS archive and viewer) running on a couple of simple PCs we got a easy setup for making teaching files. From the PACS viewer a direct DICOM send can be done to the locally installed TCE selector which allows additional information entry in a pop-up. Subsequently, the data is tranfered to the Mirc system and instantly available in the teaching file.