IHE 2008 Radiology

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  • MAMMO image is a content profile similar to NM Image.
    Defined actors are:
    Acquisition modality
    Image manager
    Image display
    Print composer
    Print server
    Most of the « work » is on the image display side. Other actors are merely required to support existing IHE transaction (including sometimes some modifications) and/or generate data according to a defined set of DICOM attributes.
  • (80 tested an IT Profile)
  • Specifies transactions that function to maintain the integrity of patient, image, and order information across systems
    Integrates modalities with information and imaging systems
    Biggest Value of IHE
    Smooth flow of patient, image and order information across systems
    Status updates of orders
    Integrates modalities with information and imaging systems
  • IHE 2008 Radiology

    1. 1. 1September, 2005 What IHE Delivers Chris Lindop, GE HealthcareChris Lindop, GE Healthcare Co-chair IHE Radiology Planning CmteCo-chair IHE Radiology Planning Cmte IHE Radiology -IHE Radiology - 2007 Update2007 Update
    2. 2. 3 IHE RadiologyIHE Radiology Scope:  Radiology • including Nuclear Medicine & Mammography  Imaging and Departmental Information Systems • Including Modalities, RIS, PACS, Workstations, Displays Printers Established 1998 (first IHE domain) Sponsor: RSNA
    3. 3. 4 IHE Radiology - AchievementsIHE Radiology - Achievements Now entering 9th year  Robust Vendor Participation at Connectathons  Over 200 IHE Integration Statements published  Over 1000 Actors in Radiology implemented  IHE Profiles appearing in User Purchasing Processes Have addressed basic radiology workflows  Acquisition, Post-Processing, Reporting, Teaching Files/Clinical Trials Have addressed imaging content handling  Measurements, CAD Results, NM, Mammo, Presentation States, Reports, Key Image Notes Have addressed distribution of imaging information  on CDs, to enterprise, to EHRs, keeping Audit Trails
    4. 4. 5 Radiology ProfilesRadiology Profiles Access to Radiology Information - Consistent Presentation of Images Evidence Document Key Image Notes Simple Image & Num Reports Presentation of Grouped Procedures Post- Processing Workflow Reporting Workflow Charge Posting PatientInfo.Reconciliation Scheduled Workflow Portable Data for Imaging NM Image Mammo Image Audit Trail & Node Authentication – Radiology Option Image Fusion Teaching Files & Clinical Export Import Recon- ciliation Workflow Cross-Enterprise Document Sharing for Imaging
    5. 5. 6 2007 Connectathon Status2007 Connectathon Status North American Connectathon 2007  16-20 January 2007, Oakbrook, IL  77 Vendors, 164 products IHE-J Connectathon 2006  5-9 February 2007, Tokyo, Japan  36 Vendors, 60 systems European Connectathon 2007  20-26 April 2007, Berlin , Germany  72 Vendors, 120 products China Connectathon 2007  TBA
    6. 6. 7 Demonstrations & Presentations - NADemonstrations & Presentations - NA North America Radiological Society of North America - RSNA 2006  2006. November26-30 Chicago, IL IHE Users Conference  2006 January 16, Chicago, IL, HIMSS - HIMSS 2007  2007 February 25-Mar1 New Orleans, LA Society for Breast Imaging  2007.05.09-12 Hollywood, FL SIIM 2007 (formally SCAR)  2007.06.07-10 Providence, RI AHRA 2007  2007.07.08-12 Orlando, FL
    7. 7. 8 Demos & Presentations EU/AsiaDemos & Presentations EU/Asia Japan  JRC 2007 • 2007 April 13-15, Yokohama, Japan China  China PACS Conference • 2006 June 02, Shanghai  Europe  DRKDeutscherRöntgenkongress 2007 • 2007 May 16-19, Berlin
    8. 8. 9 Radiology - DeploymentRadiology - Deployment Top implemented Profiles  Scheduled Workflow • 282 Actors successfully implemented for Connectathons  Consistent Presentation of Images • 173 Actors successfully implemented for Connectathons  Portable Data for Imaging • 157 Actors successfully implemented for Connectathons  Cross-Enterprise Document Sharing, for Imaging • 58 Actors successfully implemented for Connectathons
    9. 9. 10 images stored patient information RIS examination orders images retrieved HIS PACS procedure scheduled Prefetch any relevant prior studies modality worklist report report Scheduled Workflow ProfileScheduled Workflow Profile Registration Orders Placed Orders Filled Film Film Folder Image Manager & Archive Film Lightbox report Report Repository Diagnostic Workstation Modality acquisitionacquisition in-progressin-progress acquisition completed acquisition completed images printed Acquisition Modality
    10. 10. 11 How the image isHow the image is prepared:prepared: How it appears later:How it appears later: Grayscale Calibration & Presentation State Original Image Window Level Flip Zoom Area Of Interest Annotate Transformations Are Lost Original Image Area Of Interest Prepared Image Original Image Consistent Presentation of ImagesConsistent Presentation of Images
    11. 11. 12 Media Creator Printer [Media Reader] Image Display [Media Reader] PACS [Media Importer] John Doe CD DICOM Data Web Data (Optional) DICOM DICOM DICOM PC BrowserWeb Data Required to cleanup Patient ID, Acc#, etc. Portable Data for ImagingPortable Data for Imaging
    12. 12. 13 XDS-I to access Radiology Reports andXDS-I to access Radiology Reports and ImagesImages HospitalHospital Imaging CenterImaging Center Physician PracticePhysician Practice Between Radiology and :Between Radiology and : • IImaging specialistsmaging specialists • Non-imaging cliniciansNon-imaging clinicians PACS Y PACS Z Radiology -to-Radiology -to- RadiologyRadiology Radiology -to-Radiology -to- PhysiciansPhysicians Same XDS Infrastructure (Registry and Repositories) for medical summaries and imaging information !
    13. 13. 14 IHE RadiologyIHE Radiology Current Activities/DirectionCurrent Activities/Direction IHE Clinical Deployment  Mammography Users Handbook (2007) Development  Content Integration Profile • Radiologist-Technologists Communication (RTC)  National Extensions • Japan, Spain, Canada, others Strategic/Planning  Reporting 2.0 Whitepaper for 2008/09  IHE Integration Profile Adoption Review  HL-7 Versioning/Re-factoring
    14. 14. 15 IHE Radiology – Plan for 2007IHE Radiology – Plan for 2007 • Development Schedule:Development Schedule: • New Profile Selection:New Profile Selection: Oct 2006Oct 2006 • Issue Public Comment version:Issue Public Comment version: Mar 20 2007Mar 20 2007 • Public Comment Due:Public Comment Due: April 20 2007April 20 2007 • Issue Trial Implementation version:Issue Trial Implementation version: May 2007May 2007 • IHE WorkshopIHE Workshop Jun 2007Jun 2007 • RSNA Demo:RSNA Demo: Nov 2007Nov 2007 • IHE Connectathon:IHE Connectathon: Jan 2008Jan 2008 • HIMSS Demo:HIMSS Demo: Feb 2008Feb 2008 • New Profile For 2007New Profile For 2007 • Radiologist/Technologist CommunicationRadiologist/Technologist Communication
    15. 15. 16 Radiologist – TechnologistRadiologist – Technologist Communication ProfileCommunication Profile Use Case 1  Radiologist provides: • Graphical Markups on Image, indicating geographic location of specific physiology • Specific Acquisition Protocol and planning information  Technologist uses: • Marked up image and the Specified Acquisition Protocol to plan and perform new acquisition Use Case 2  Technologist provides: • Graphical Markups on Image, indicating specific physiology • Specific question regarding retake necessity and protocol  Radiologist uses: • Specific question and marked up image to advise Technologist on retake and specific protocol
    16. 16. 17 Radiologist – TechnologistRadiologist – Technologist Communication ProfileCommunication Profile Mechanism : DICOM, (OID selection is in progress) Point –to-point DICOM C-Store Benefits : Full fidelity Images for re-plan, if necessary Acquisition Protocol request readable by Non- imaging systems Non-imaging documents, for re-plan, if necessary Extensible to Workflow Enablement
    17. 17. 18 ParticipatingParticipating Vendors  Implement IHE Profiles in your products  Test your products at the IHE Connectathon  Publish IHE Integration Statements Users  Learn about the IHE Profiles  Include specific IHE Profiles in your RFPs IHE Process  Review Draft Profiles during Public Comment phase  Participate on Committees • Radiology Planning Committee: – Kevin O’Donnell (Toshiba) & Chris Lindop (GE Healthcare) • Radiology Technical Committee: – Cindy Levy ( Cedara) & Ellie Avraham (Kodak) • Chris Carr (RSNA) – ihe@rsna.org
    18. 18. 19 IHE Website: www.IHE.netIHE Website: www.IHE.net  Frequently Asked QuestionsFrequently Asked Questions  User Handbooks & Introductory MaterialsUser Handbooks & Introductory Materials  Integration Profiles in Technical Frameworks:Integration Profiles in Technical Frameworks:  CardiologyCardiology  IT InfrastructureIT Infrastructure  LaboratoryLaboratory  Patient Care CoordinationPatient Care Coordination  RadiologyRadiology  Connectathon ResultsConnectathon Results  Vendor Product Integration Statement LinksVendor Product Integration Statement Links  Participation in Committees & ConnectathonsParticipation in Committees & Connectathons
    19. 19. 20September, 2005 What IHE Delivers

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