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IHE Radiology - 2007 Update

IHE Radiology - 2007 Update. Chris Lindop, GE Healthcare Co-chair IHE Radiology Planning Cmte. IHE Radiology. Scope: Radiology including Nuclear Medicine & Mammography Imaging and Departmental Information Systems Including Modalities, RIS, PACS, Workstations, Displays Printers

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IHE Radiology - 2007 Update

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  1. IHE Radiology -2007 Update Chris Lindop, GE HealthcareCo-chair IHE Radiology Planning Cmte

  2. 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

  3. 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

  4. Teaching Files & Clinical Export Access to Radiology Information Cross-Enterprise Document Sharing for Imaging Audit Trail & Node Authentication – Radiology Option Portable Data for Imaging Radiology Profiles Charge Posting Patient Info. Reconciliation Scheduled Workflow - Import Recon-ciliation Workflow Post-Processing Workflow Presentation of Grouped Procedures Reporting Workflow NMImage MammoImage Image Fusion EvidenceDocument Consistent Presentation of Images KeyImageNotes Simple Image & Num Reports

  5. 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

  6. 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

  7. 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

  8. 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

  9. Scheduled Workflow Profile report Registration Film Lightbox Image Manager & Archive Orders Filled Film Folder Diagnostic Workstation Film Report Repository Orders Placed AcquisitionModality acquisitioncompleted acquisitionin-progress imagesprinted Modality acquisitioncompleted

  10. Grayscale Calibration & Presentation State Area Of Interest Area Of Interest Flip Zoom Annotate Prepared Image Original Image Original Image Window Level Original Image Transformations Are Lost Consistent Presentation of Images How the image isprepared: How it appears later:

  11. DICOM CD Media Creator DICOM Data DICOM Web Data(Optional) Required to cleanup Patient ID, Acc#, etc. PACS [Media Importer] PC Browser Image Display [Media Reader] Printer [Media Reader] DICOM John Doe Web Data Portable Data for Imaging

  12. XDS-I to access Radiology Reports and Images Between Radiology and : • Imaging specialists • Non-imaging clinicians Hospital PACS Y Radiology -to-Radiology Radiology -to-Physicians PACS Z Imaging Center Physician Practice Same XDS Infrastructure (Registry and Repositories) for medical summaries and imaging information !

  13. IHE RadiologyCurrent 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

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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

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