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Solution for a Vendor Independent Integration of PACS Clients with MIRC According to IHE TCE AHLERS C, KLOS G, WUNDER K, SCHNEIDER J, DÜBER C, MILDENBERGER P. Situation. Conventional film archives obsolete Digital content resource for teaching and education in Radiology needed
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Solution for a Vendor Independent Integration of PACS Clients with MIRC According to IHE TCE AHLERS C, KLOS G, WUNDER K, SCHNEIDER J, DÜBER C, MILDENBERGER P
Situation Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie • Conventional film archives obsolete • Digital content resource for teaching and education in Radiology needed • Electronic systems for storage, retrieving, viewing of radiological images and teaching files are available • Problem: Poor interoperability between clinical workspace and teaching database
Purpose of this project Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie • Development of a software tool for vendor independent integration of PACS clients with radiologic teaching files • Time saving creation of teaching files in clinical routine • Assessment and evaluation of the tool
Methods Implementation of the IHE TCE integration profile (Teaching file and clinical trial export): „Export Selector – A system that allows a user to select one or more instances, series or studies for export… „ TCE Selector: • Image display and selection in PACS client • DICOM send to TCE Selector • GUI to enter keywords and information • Anonymize / pseudonymize • Processing of DICOM instances and content • Generate additional teaching file information (ATFI) and TCE manifests • Send teaching cases with DICOM instances, TCE manifests and ATFI to MIRC for automated generation of teaching files Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie
Methods • Implementation of RadLex categorization system • RSNA project since 2003 • Based on established systems like: ACR Index, SNOMED, UMLS, Fleischner Society Glossaries, DICOM. • All aspects of diagnostic imaging represented:modalities, technique, imaging features, anatomy, pathology. • http://radlex.org Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie
Methods • RadLex is still work in progress and currently not featuring all relevant aspects for breast imaging • Dedicated breast TCE Selector. • Implementation of breast specific indexing system Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie
Architecture MIRC TCE Selector PACS workstation client computer DICOMsend Content (ATFI/TCE) web browser DICOM file system web browser web browser MIRC server Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie
Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie
Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie
Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie
Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie
Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie
Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie
Results Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie TCE Selector • Compliant with IHE TCE profile • Compatible/adaptable to different teaching file systems • Vendor independent integration with any PACS viewer • Implementation of a widely accepted categorization system • Dedicated version for breast cases • Open source • Robust, simple, easy to use, set up and configure
Results Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie User acceptance: • Over 500 teaching files within few month parallel to clinical routine, number increasing daily • Additional time consumption of about 5 minutes per case • High user acceptance for personal study, research and teaching purposes
Integration with e-learning PACS workstation client computer Public MIRC mirc.gesit.de Private MIRC Visit Education Exhibit LL-IN5203-B ILIAS e-learningwww.e-learning.uni-mainz.de E-learning content Intranet TCESelector Internet URL ZIPSubmit Service Image content Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie
Conclusion Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie Visit Education Exhibit LL-IN5203-B • TCE Selector provides vendor independent integration of PACS and teaching files according to IHE TCE. • Implements established categorization systems for efficient keyword based retrieval • Proved high user acceptance • Further potential for development, e.g. E-learning, worldwide MIRC community
Visit Education Exhibit LL-IN5203-B Thank you! mirc@radiologie.klinik.uni-mainz.de Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie