Ver Presentación IHE-RO

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Ver Presentación IHE-RO

  1. 1. 1September, 2005 What IHE Delivers IHE-ROIHE-RO Radiation OncologyRadiation Oncology IHE Workshop 2006IHE Workshop 2006 Scott Johnson, Keith La PlainScott Johnson, Keith La Plain
  2. 2. 2 AgendaAgenda SponsorsSponsors RO TeamRO Team Road MapRoad Map ActorsActors Connectathon 2006Connectathon 2006 Connectathon 2007Connectathon 2007 Future DirectionFuture Direction
  3. 3. 3 Primary Membership SponsorsPrimary Membership Sponsors Radiation Oncology VendorsRadiation Oncology Vendors  Delivery Devices – Linacs, Cobalt, BrachytherapyDelivery Devices – Linacs, Cobalt, Brachytherapy  SimulatorsSimulators  Treatment Planning SystemsTreatment Planning Systems  Oncology Information SystemsOncology Information Systems Physician Associations & CollegesPhysician Associations & Colleges  ASTROASTRO  AAPM (American Association of Physicists in Medicine)AAPM (American Association of Physicists in Medicine)  ATC (Advanced Technology Consortium)ATC (Advanced Technology Consortium)
  4. 4. 4 RO Team – Who’s WhoRO Team – Who’s Who Planning CommitteePlanning Committee Keith La Plain (Varian)Keith La Plain (Varian) Jay Cooper, MDJay Cooper, MD Prabhakar Tripuraneni, MDPrabhakar Tripuraneni, MD (ASTRO)(ASTRO) Jatinder Palta, PhDJatinder Palta, PhD (U Florida)(U Florida) Technical CommitteeTechnical Committee Bruce Curran (U Mich)Bruce Curran (U Mich) Stuart Swerdloff (Impac)Stuart Swerdloff (Impac) Dave Murray (Tomotherapy)Dave Murray (Tomotherapy) Bill Bennett (CMS)Bill Bennett (CMS) Ulrich Busch (Varian)Ulrich Busch (Varian) Jaap Pijpelink (Nucletron)Jaap Pijpelink (Nucletron) Brian Frederiksen (Siemens)Brian Frederiksen (Siemens) Colin Winfield (Elekta)Colin Winfield (Elekta) Scott Johnson (Philips)Scott Johnson (Philips) Jeff Szuhay (NOMOS/NAS)Jeff Szuhay (NOMOS/NAS) Walter Bosch (Wash U ATC)Walter Bosch (Wash U ATC) Stephen Vastagh (NEMA)Stephen Vastagh (NEMA) Alan Gay (ASTRO)Alan Gay (ASTRO)
  5. 5. 5 Profile RoadmapProfile Roadmap Year 2005-2006 (Initial Implementation)Year 2005-2006 (Initial Implementation)  Image Set ContouringImage Set Contouring  Storage & RetrievalStorage & Retrieval • Structure SetStructure Set • Geometric PlanGeometric Plan • Dosimetric PlanDosimetric Plan • DoseDose  Multi Series Image ReviewMulti Series Image Review  Combined CT StorageCombined CT Storage Year 2006-2007Year 2006-2007  RT Plan – enlarging scope of objects : wedges, arcsRT Plan – enlarging scope of objects : wedges, arcs  Scheduling of Treatment Delivery - GPWLScheduling of Treatment Delivery - GPWL  Fusion (Multi-modality)Fusion (Multi-modality)  Query / RetrieveQuery / Retrieve FutureFuture  Further RT Plan enlargementFurther RT Plan enlargement  4D Support for gating, breath-hold, adaptive therapy4D Support for gating, breath-hold, adaptive therapy
  6. 6. 6 Domain Visibility & SupportDomain Visibility & Support ASTRO Annual ConferenceASTRO Annual Conference  2006 ASTRO : Inaugural IHE-RO Showcase2006 ASTRO : Inaugural IHE-RO Showcase Other Potential ConferencesOther Potential Conferences  AAPMAAPM  HIMSSHIMSS  RSNARSNA
  7. 7. 7 ActorsActors ArchiveArchive ContourerContourer Geometric PlannerGeometric Planner Dosimetric PlannerDosimetric Planner Dose DisplayerDose Displayer
  8. 8. 8 Connectathon 2006Connectathon 2006 TimingTiming Week of September 25Week of September 25thth , 2006, 2006 LocationLocation “undetermined”“undetermined” Use CasesUse Cases  Single Contoured/Image Series RetrievalSingle Contoured/Image Series Retrieval  Structure Set StorageStructure Set Storage  Geometric Plan StorageGeometric Plan Storage  Dosimetric Plan StorageDosimetric Plan Storage  Dose StorageDose Storage  Multi Series Image ReviewMulti Series Image Review  Structure Set RetrievalStructure Set Retrieval  Geometric Plan RetrievalGeometric Plan Retrieval  Dosimetric Plan RetrievalDosimetric Plan Retrieval  Dose RetrieveDose Retrieve  Combined CT StorageCombined CT Storage
  9. 9. 9 Single Contoured/Image Series RetrievalSingle Contoured/Image Series Retrieval Description:Description: In the Single/Contoured ImageIn the Single/Contoured Image Series Retrieve transaction, the Archive sends aSeries Retrieve transaction, the Archive sends a series of CT-Images to theseries of CT-Images to the ContourerContourer,, GeometricGeometric PlannerPlanner, or, or Dosimetric PlannerDosimetric Planner.. Actor:Actor: ArchiveArchive Role:Role: Transmit CT Series toTransmit CT Series to ContourerContourer,, GeometricGeometric PlannerPlanner, or, or Dosimetric PlannerDosimetric Planner Actor:Actor: ContourerContourer,, Geometric PlannerGeometric Planner, or, or Dosimetric PlannerDosimetric Planner Role:Role: Receives and stores CT Series from ArchiveReceives and stores CT Series from Archive
  10. 10. 10 Structure Set StorageStructure Set Storage Description:Description: In the Structure Set StorageIn the Structure Set Storage Transaction, theTransaction, the ContourerContourer stores a Structure Set on anstores a Structure Set on an Archive to make it available.Archive to make it available. Actor:Actor: ContourerContourer Role:Role: Sends Structure Set to ArchiveSends Structure Set to Archive Actor:Actor: ArchiveArchive Role:Role: Stores Structure Set received fromStores Structure Set received from ContourerContourer
  11. 11. 11 Geometric Plan StorageGeometric Plan Storage Description:Description: In theIn the Geometric PlanGeometric Plan StorageStorage transaction, thetransaction, the Geometric PlannerGeometric Planner sends thesends the newly creatednewly created Geometric PlanGeometric Plan to the Archive.to the Archive. Actor:Actor: Geometric PlannerGeometric Planner Role:Role: Transmit generatedTransmit generated Geometric PlanGeometric Plan toto the Archivethe Archive Actor:Actor: ArchiveArchive Role:Role: Receives and stores Geometric PlansReceives and stores Geometric Plans from thefrom the Geometric PlannerGeometric Planner
  12. 12. 12 Dosimetric Plan StorageDosimetric Plan Storage Description:Description: In this transaction, theIn this transaction, the Dosimetric PlannerDosimetric Planner sends the plan containing thesends the plan containing the references to the structure set to the Imagereferences to the structure set to the Image Archive.Archive. Actor:Actor: Dosimetric PlannerDosimetric Planner Role:Role: Transmit generated plan to ImageTransmit generated plan to Image Archive.Archive. Actor:Actor: ArchiveArchive Role:Role: Accept and store plan fromAccept and store plan from DosimetricDosimetric PlannerPlanner..
  13. 13. 13 Dose StorageDose Storage Description:Description: In the Dose Storage transaction,In the Dose Storage transaction, the Dose planner sends the newly created Dosethe Dose planner sends the newly created Dose to the Archive.to the Archive. Actor:Actor: Dosimetric PlannerDosimetric Planner Role:Role: Transmit generated Dose to theTransmit generated Dose to the ArchiveArchive Actor:Actor: ArchiveArchive Role:Role: Receives and stores Doses from theReceives and stores Doses from the Dosimetric PlannerDosimetric Planner
  14. 14. 14 Multi Series Image ReviewMulti Series Image Review Description:Description: In the Multi-Series Image RetrieveIn the Multi-Series Image Retrieve Transaction, the Archive stores CT Images fromTransaction, the Archive stores CT Images from multiple series (but a single study) on amultiple series (but a single study) on a ContourerContourer toto make these Images available for contouring.make these Images available for contouring. Actor:Actor: ArchiveArchive Role:Role: Sends CT Images to theSends CT Images to the ContourerContourer Actor:Actor: ContourerContourer Role:Role: Stores CT Images received from ArchiveStores CT Images received from Archive
  15. 15. 15 Structure Set RetrievalStructure Set Retrieval Description:Description: In the Structure Set RetrievalIn the Structure Set Retrieval Transaction, the Archiver stores a Structure Set on aTransaction, the Archiver stores a Structure Set on a ContourerContourer,, Geometric PlannerGeometric Planner,, Dosimetric PlannerDosimetric Planner, or, or Dose Displayer.Dose Displayer. Actor:Actor: ArchiveArchive Role:Role: Sends Structure Set toSends Structure Set to ContourerContourer,, GeometricGeometric PlannerPlanner,, Dosimetric PlannerDosimetric Planner, or Dose Displayer, or Dose Displayer Actor:Actor: ContourerContourer,, Geometric PlannerGeometric Planner,, DosimetricDosimetric PlannerPlanner, or, or Dose DisplayerDose Displayer Role:Role: Stores Structure Set received from ArchiveStores Structure Set received from Archive
  16. 16. 16 Geometric Plan RetrievalGeometric Plan Retrieval Description:Description: In theIn the Geometric PlanGeometric Plan RetrieveRetrieve Transaction, the requestedTransaction, the requested Geometric PlanGeometric Plan isis transferred from the Archive to thetransferred from the Archive to the DosimetricDosimetric PlannerPlanner.. Actor:Actor: Dosimetric PlannerDosimetric Planner Role:Role: Receives requestedReceives requested Geometric PlanGeometric Plan from the Archivefrom the Archive Actor:Actor: ArchiveArchive Role:Role: Sends requestedSends requested Geometric PlanGeometric Plan instance to theinstance to the Dosimetric PlannerDosimetric Planner
  17. 17. 17 Dosimetric Plan RetrievalDosimetric Plan Retrieval Description:Description: In this transaction, the doseIn this transaction, the dose displayer retrieves the plan containing thedisplayer retrieves the plan containing the references to the structure set to the Imagereferences to the structure set to the Image Archive.Archive. Actor:Actor: Dose DisplayerDose Displayer Role:Role: Accepts plan from Archive.Accepts plan from Archive. Actor:Actor: ArchiveArchive Role:Role: Transmits plan toTransmits plan to Dose ViewerDose Viewer..
  18. 18. 18 Dose RetrieveDose Retrieve Description:Description: In the Dose Retrieve Transaction,In the Dose Retrieve Transaction, the requested Dose is transferred from thethe requested Dose is transferred from the Archive to the Dose Displayer.Archive to the Dose Displayer. Actor:Actor: Dose DisplayerDose Displayer Role:Role: Receives requested Dose from theReceives requested Dose from the ArchiveArchive Actor:Actor: ArchiveArchive Role:Role: Sends requested Dose instance to theSends requested Dose instance to the Dose DisplayerDose Displayer
  19. 19. 19 Combined CT StorageCombined CT Storage Description:Description: In the Resampled/Combined CTIn the Resampled/Combined CT Series Storage Transaction, theSeries Storage Transaction, the ContourerContourer storesstores CT Images which have been combined orCT Images which have been combined or resampled into a single series on the Archive.resampled into a single series on the Archive. Actor:Actor: ContourerContourer Role:Role: Sends CT Images to the ArchiveSends CT Images to the Archive Actor:Actor: ArchiveArchive Role:Role: Stores CT Images received fromStores CT Images received from ContourerContourer
  20. 20. 20 Connectathon 2007Connectathon 2007 Worklist / Scheduling & GP WorklistWorklist / Scheduling & GP Worklist Query/Retrieve Extensions to support RTQuery/Retrieve Extensions to support RT ObjectsObjects Complete External Beam Definition of RTComplete External Beam Definition of RT PlanPlan Multi-Modality Registration/FusionMulti-Modality Registration/Fusion
  21. 21. 21 GP WorklistGP Worklist Treatment Delivery includingTreatment Delivery including Selecting a Treatment from the Oncology InformationSelecting a Treatment from the Oncology Information System (OIS)System (OIS) Sending Treatment to Treatment Delivery SystemSending Treatment to Treatment Delivery System Setup & Position Verification including Imaging and OtherSetup & Position Verification including Imaging and Other DevicesDevices Image Acquisition Including CTImage Acquisition Including CT Delivering TreatmentDelivering Treatment Saving Treatment RecordSaving Treatment Record Updating the OISUpdating the OIS IODs Documented in DICOM Draft Supplement 74 :IODs Documented in DICOM Draft Supplement 74 : Utilization of Worklist in Radiotherapy Treatment DeliveryUtilization of Worklist in Radiotherapy Treatment Delivery
  22. 22. 22 Query/Retrieve ProfilesQuery/Retrieve Profiles Support Query/Retrieval of RT ObjectsSupport Query/Retrieval of RT Objects from PACS, et alfrom PACS, et al RT Objects have richer set of referencesRT Objects have richer set of references than radiology objectsthan radiology objects Required query elements includeRequired query elements include referenced objectsreferenced objects Modalities themselves (Planners,Modalities themselves (Planners, Contourers) may also support Q/R of RTContourers) may also support Q/R of RT ObjectsObjects
  23. 23. 23 RT Plan ProfilesRT Plan Profiles Profiles will be specified in terms of beamProfiles will be specified in terms of beam delivery types.delivery types. Each beam type supports a subset ofEach beam type supports a subset of modifiers.modifiers. Conformance will be specified withConformance will be specified with respect to the beam type profile andrespect to the beam type profile and supported modifiers.supported modifiers.
  24. 24. 24 RT Plan ConformanceRT Plan Conformance      Jaws MLC Bolus Block Compensator Static Wedge Electron Cone Electron Trimmer Stereo Collimator Static       Motorized Wedge      Virtual Wedge      Arc    Conformal Arc    Step and Shoot      Sliding Window      Electron      Stereotactic    Beam ModifiersBeam Modifiers BeamProBeamPro
  25. 25. 25 Registration/FusionRegistration/Fusion Affine, Deformable, Global, LocalAffine, Deformable, Global, Local CT, MR, PET, US, SPECTCT, MR, PET, US, SPECT Multiple (~30) Volume DatasetsMultiple (~30) Volume Datasets CBCT SupportCBCT Support Contour redefinition vs Contour PastingContour redefinition vs Contour Pasting
  26. 26. 26 Future DirectionFuture Direction Brachytherapy (LDR & HDR)Brachytherapy (LDR & HDR) Clinical Trials SubmissionsClinical Trials Submissions 4D : gating, breath hold, adaptive, fluoroscopic monitoring4D : gating, breath hold, adaptive, fluoroscopic monitoring Plan transfer to treatment delivery devicePlan transfer to treatment delivery device Enhanced dose exchangeEnhanced dose exchange Enhanced worklist : Dose Calculation Scheduling, PlanningEnhanced worklist : Dose Calculation Scheduling, Planning Scheduling (Simulation, Contouring, Planning)Scheduling (Simulation, Contouring, Planning) Multiple-independent delivery devices – Micro MLCsMultiple-independent delivery devices – Micro MLCs ION SupportION Support

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