What to see at theRSNA annual meeting?RADIOLOGY IT 2011David S. Mendelson, M.D.Professor of RadiologyChief of Clinical Inf...
Major Radiology IT Themes-Meaningful Use for the Radiologist  Radiation Exposure        Aggregating and monitoring patie...
RSNA Informatics Radiology Informatics  Committee (RIC) RSNA Annual  Meeting     IHE Showcase      (Technical Exhibit  ...
IHE Connectathon 2011
Radiation Exposure   Evaluating legacy dose information       OCR solutions   Evaluating dose today       Within the i...
REM   Actors and Transactions to move dose         information stored as DICOM SR
REM
MIRC - Teaching Files     Medical Imaging Resource Center  Ease of installation  Brand new user interface - more   intui...
CTP- Clinical Trials Processor  Again, ease of installation and configuration  Best anonymizer in the business!  Audit ...
TCE- Teaching File andClinical Trial Export    IHE profile    How to get images directly out of     PACS as a part of yo...
TCE       Image Selector       Image Exporter       Receiver
TCE
TCE – Actors andTransactions
Reporting   Structured reporting      Standardization of content      Quality      Data mining      Decision support ...
RADLEX The Radlex playbook for CT orderables will be released by the annual show The ACR Dose Registry is employing the ...
IMAGE SHARING  • Version 1.1 is in production  • Review and Update 2011
IHE-XDS (Cross-Enterprise    Document Sharing)  XDS.a  XDS- I.a  XDS.b     ?? XDS-I.b  a vs. b     Related to web st...
XDS-I
NIBIB/RSNA Image SharingProject  A Standards Based Solution
Goals of Contract  NIBIB contract  Bootstrap an IHE based network     Primary emphasis is Consumer Control      through...
NIBIB contract summary Consumer Control            5 Academic Institutions                                 Mayo Clinic...
Image Sharing/Elements ofSolution  Edge Server      Register a patient      Listens to a Radiology Information System (...
Project design assumptions  Security is paramount     Restrictive policy     PHI is never unsecured  Consumer controls...
Image Enabled PHR
Report
Future Directions  Refine Workflow     Initial workflow is to replace a CD     Exam updates     Download DICOM data an...
Live Q&A Session                                                To Submit a                                               ...
Radiology IT 2011
Radiology IT 2011
Radiology IT 2011
Radiology IT 2011
Radiology IT 2011
Radiology IT 2011
Radiology IT 2011
Radiology IT 2011
Radiology IT 2011
Radiology IT 2011
Radiology IT 2011
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Radiology IT 2011

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Radiology IT 2011

  1. 1. What to see at theRSNA annual meeting?RADIOLOGY IT 2011David S. Mendelson, M.D.Professor of RadiologyChief of Clinical InformaticsThe Mount Sinai Medical CenterCo-chair IHE International Board
  2. 2. Major Radiology IT Themes-Meaningful Use for the Radiologist  Radiation Exposure  Aggregating and monitoring patient and population exposure  Image Sharing  Quality  Diminished inappropriate utilization  IHE XDS; Personal Health Records as a vehicle  Reporting  Decision Support  Teaching and Research  MIRC  CTP  IHE- TCE  Radlex as a fundamental tool  Playbook  Meaningful Use – ONC/CMS
  3. 3. RSNA Informatics Radiology Informatics Committee (RIC) RSNA Annual Meeting  IHE Showcase (Technical Exhibit floor)  Scientific Sessions  Scientific Posters / Education Center  Vendors
  4. 4. IHE Connectathon 2011
  5. 5. Radiation Exposure  Evaluating legacy dose information  OCR solutions  Evaluating dose today  Within the institution  Comparing multiple instruments  Patient  Site comparison  IHE-REM profile  ACR registry  Site to Site comparison as well as within an enterprise  Radlex terms
  6. 6. REM Actors and Transactions to move dose information stored as DICOM SR
  7. 7. REM
  8. 8. MIRC - Teaching Files Medical Imaging Resource Center  Ease of installation  Brand new user interface - more intuitive, easier to operate  TCE compatible - of course!!  Improved conferencing capabilities  Automatic conversion utility to bulk import entire static image collections into the system with a few clicks
  9. 9. CTP- Clinical Trials Processor  Again, ease of installation and configuration  Best anonymizer in the business!  Audit trail repository - 21CFR11 compliance for FDA- work in progress  Plug-in architecture, customizable pipelines  Extremely efficient - will easily process millions of images  De-facto image management tool for NCI and other large trials
  10. 10. TCE- Teaching File andClinical Trial Export  IHE profile  How to get images directly out of PACS as a part of your normal workflow
  11. 11. TCE  Image Selector  Image Exporter  Receiver
  12. 12. TCE
  13. 13. TCE – Actors andTransactions
  14. 14. Reporting  Structured reporting  Standardization of content  Quality  Data mining  Decision support  Trigger events  RSNA Templates  Incorporation of RADLEX
  15. 15. RADLEX The Radlex playbook for CT orderables will be released by the annual show The ACR Dose Registry is employing the Radlex ontology for its exam dictionary  ideally a site would use this exam dictionary  the ACR has a tool to map other exam dictionaries to the RADLEX playbook
  16. 16. IMAGE SHARING • Version 1.1 is in production • Review and Update 2011
  17. 17. IHE-XDS (Cross-Enterprise Document Sharing)  XDS.a  XDS- I.a  XDS.b  ?? XDS-I.b  a vs. b  Related to web standards and transactions
  18. 18. XDS-I
  19. 19. NIBIB/RSNA Image SharingProject A Standards Based Solution
  20. 20. Goals of Contract  NIBIB contract  Bootstrap an IHE based network  Primary emphasis is Consumer Control through PHRs  Can be extended to other forms of sharing  HIE  Security and Confidentiality are drivers  Replacement / Alternative to CD
  21. 21. NIBIB contract summary Consumer Control  5 Academic Institutions  Mayo Clinic Employ IHE solutions  Mount Sinai Medical whenever possible Center  IHE generally has not  University of California focused on San Francisco consumer- driven  University of Chicago solutions, but rather on institutional and  University of Maryland enterprise workflow  Establish a clearinghouse  Engage PHRs  300,000 patients over 2 years
  22. 22. Image Sharing/Elements ofSolution  Edge Server  Register a patient  Listens to a Radiology Information System (RIS) - looking for a complete exam  Retrieves Image set from PACS and Report from RIS  Send both to clearinghouse  PHI hidden; an RSNA ID and 2nd factor security token are used to identify the patient  Clearinghouse (XDS-I) – functions as a secure router  Transiently hold encrypted patient data  PHR  Consumer controls upload and future access  Must have RSNA ID available and know answer to 2nd factor question  Develop web based viewers  Download full DICOM data set  Misc Consumers
  23. 23. Project design assumptions  Security is paramount  Restrictive policy  PHI is never unsecured  Consumer controls the flow of information by placing it in the PHR  Diminishes the need for BAAs between enterprises  Imaging Site to Clearinghouse  Clearinghouse to PHR
  24. 24. Image Enabled PHR
  25. 25. Report
  26. 26. Future Directions  Refine Workflow  Initial workflow is to replace a CD  Exam updates  Download DICOM data and archive in a local PACS  Edge server as a platform  Radiation Monitoring  Peer Review  Quality Metrics
  27. 27. Live Q&A Session To Submit a Question: • Type your question in theDavid Mendelson white “Q and A” box.Professor of Radiology & Chief of Clinical Informatics • Hit “SUBMIT” toThe Mount Sinai Medical Center; Co-chair IHE deliver your question to theInternational Board speaker.david.mendelson@mountsinai.orgMary TierneyVP, Chief Content Officer, Health Imagingmtierney@healthimaging.com All presentations will be available OnDemand within 48 hours. To view this presentation again, please login into the conference and visit the Auditorium.
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