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DICOM and NM Taking the next step

DICOM and NM Taking the next step. Jerold Wallis, MD. DICOM in Nuclear Medicine. SNM DICOM Working Group. SNM DICOM Demo 2001. SNM DICOM Demo 2002. Joint IHE Demo 2003 SNM ASNC ACC RSNA. Integrating the Healthcare Enterprise.

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DICOM and NM Taking the next step

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  1. DICOM and NMTaking the next step Jerold Wallis, MD

  2. DICOM in Nuclear Medicine SNM DICOM Working Group SNM DICOM Demo 2001 SNM DICOM Demo 2002 Joint IHE Demo 2003 SNMASNCACCRSNA

  3. Integrating the Healthcare Enterprise Achieving Real-World Interoperability( & What’s in it for NucMed? )IHE slides edited from a presentation byKevin O’Donnell, Toshiba Corp.Co-chair IHE Planning Committee

  4. NM Image NM PACS

  5. NM Image NM PACS

  6. NM Image Problem NM PACS

  7. NM Image Problem Click and move mouse down to adjust window level, right to adjust window center

  8. SPECT NM PACS

  9. SPECT NM PACS

  10. PET NM PACS

  11. Cardiac NM PACS

  12. Gated Cardiac NM PACS

  13. Gated Cardiac NM PACS

  14. Color image transfers Vendor independent labeling of Cardiac SPECT files Cardiac DICOM Easy export of statics Export of gated Window level controls Consistency of image presentation Three-plane tomographic image display Gated cardiac display Color tables Areas for Improvement NM PACS

  15. Past and Future Joint IHE Demo 2003 SNMASNCACCRSNA SNM DICOM Demo 2001 SNM DICOM Demo 2002 PACS NM NM NM NM

  16. Integrating the Healthcare Enterprise Achieving Real-World Interoperability

  17. What is IHE about? • IHE is an initiative promoting and supporting the integration of systems in the healthcare enterprise. • Goal: Improve the efficiency and effectiveness of clinical practice by: • Improved Information Flow • Advanced Multi-System Functions

  18. How is IHE related to Standards? • Standards provide tools & technologies • HL7 and DICOM provide dictionaries • IHE specifies how to apply them to real world scenarios & integration problems • IHE defines a “phrasebook”

  19. What Does IHE Do? • Users and vendors work together to identify and design solutions for integration problems • Intensive process with annual cycles: • Identify key healthcare workflows and integration problems • Research & select standards to specify a solution • Write, review and publish IHE Technical Framework • Perform cross-testing at “Connectathon” • Demonstrations at tradeshows (HIMSS/RSNA)

  20. SNM, Vendor & IHE Cooperation • Integrate NM into IHE demos • Use established IHE “network” to help distribute and get support for all parts of NM DICOM standard • Work with PACS vendors on display issues unique to NM

  21. Key Areas • General NM • Cardiac • PET

  22. General NM • Add support for consistent presentation of images at NM end • Comply with consistent presentation of images at PACS end • Add support for 3-view tomographic imaging on PACS

  23. Cardiac • Support DICOM cardiac view codes • Support for gated screen DICOM output by all • Easy export of DICOM screens 3rd party cardiac software authors Camera vendors systems and databases PACS systems and databases Low cost generic viewers Other NM systems

  24. PET • Transmission between NM systems • PACS displays • PET-CT displays • on NM systems • on PACS systems

  25. What’s Next? • Commit to concept of an IHE NM profile • Work toward achieving it for the October connect-a-thon • Continue cooperative efforts within the NM community

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