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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 IHE 2008 Radiology Presentation Transcript

  • Chris Lindop, GE Healthcare Co-chair IHE Radiology Planning Cmte IHE Radiology - 2007 Update
  • Agenda
    • Scope of the Domain, Sponsors
      • Radiology, Nuclear Medicine, Mammography
    • Domain Status
      • Connectathon Results
      • Existing Profiles
    • Current Plan
      • Plan for 2007
      • Review of New Profile
        • Use Case, Value/Benefit, Scope, Standards
    • More Information
      • How to join, Who to Contact, How to Contribute
      • How to Buy, Recap of Radiology Users Handbook
  • IHE 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
  • IHE 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
  • Radiology Profiles - Consistent Presentation of Images Evidence Document Key Image Notes Simple Image & Num Reports Presentation of Grouped Procedures Post-Processing Workflow Reporting Workflow Charge Posting Patient Info. Reconciliation Scheduled Workflow NM Image Mammo Image Image Fusion Import Recon-ciliation Workflow Access to Radiology Information Portable Data for Imaging Audit Trail & Node Authentication – Radiology Option Teaching Files & Clinical Export Cross-Enterprise Document Sharing for Imaging
  • 2007 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
  • Demonstrations & Presentations - NA
    • North America
    • Radiological Society of North America - RSNA 2006
      • 2006. November 26-30 Chicago, IL
    • IHE Users Conference
      • 2006 January 16, Chicago, IL,
    • HIMSS - HIMSS 2007
      • 2007 February 25-Mar 1 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
  • Demos & Presentations EU/Asia
    • Japan
      • JRC 2007
        • 2007 April 13-15, Yokohama, Japan
    • China
      • China PACS Conference
        • 2006 June 02, Shanghai
    •   Europe
      • DRK Deutscher Röntgenkongress 2007
        • 2007 May 16-19, Berlin
  • Radiology - 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
  • Scheduled Workflow Profile Registration Orders Placed Orders Filled Film Film Folder Image Manager & Archive Film Lightbox report Report Repository Diagnostic Workstation Modality acquisition in-progress acquisition completed acquisition completed images printed Acquisition Modality
  • Consistent Presentation of Images How the image is prepared: 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
  • Portable Data for Imaging Media Creator Printer [Media Reader] Image Display [Media Reader] PACS [Media Importer] John Doe CD DICOM Data Web Data (Optional) DICOM DICOM DICOM PC Browser Web Data Required to cleanup Patient ID, Acc#, etc.
  • XDS-I to access Radiology Reports and Images Hospital Imaging Center Physician Practice
    • Between Radiology and :
      • I maging specialists
      • Non-imaging clinicians
    PACS Y PACS Z Radiology -to- Radiology Radiology -to- Physicians Same XDS Infrastructure (Registry and Repositories) for medical summaries and imaging information !
  • IHE Radiology Current 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
  • IHE Radiology – Plan for 2007
    • Development Schedule:
      • New Profile Selection: Oct 2006
      • Issue Public Comment version: Mar 20 2007
      • Public Comment Due: April 20 2007
      • Issue Trial Implementation version: May 2007
      • IHE Workshop Jun 2007
      • RSNA Demo: Nov 2007
      • IHE Connectathon: Jan 2008
      • HIMSS Demo: Feb 2008
    • New Profile For 2007
      • Radiologist/Technologist Communication
  • Radiologist – Technologist Communication 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
  • Radiologist – Technologist Communication 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
  • Participating
    • 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
  • IHE Website: www.IHE.net
    • Frequently Asked Questions
    • User Handbooks & Introductory Materials
    • Integration Profiles in Technical Frameworks:
      • Cardiology
      • IT Infrastructure
      • Laboratory
      • Patient Care Coordination
      • Radiology
    • Connectathon Results
    • Vendor Product Integration Statement Links
    • Participation in Committees & Connectathons
  •