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ACR TRIAD IMAGE MANAGEMENT SYSTEM

An Overview of. ACR Image Management System for Clinical Trials. Jim Gimpel RT (R)(MR). Imaging Analyst ACRIN Imaging Core Laboratory. ACR TRIAD IMAGE MANAGEMENT SYSTEM. COLLECT. ANONYMIZE. ARCHIVE. PUBLISH. TRIAD. Image Management System for Clinical Trials.

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ACR TRIAD IMAGE MANAGEMENT SYSTEM

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  1. An Overview of ACR Image Management System for Clinical Trials Jim Gimpel RT (R)(MR) Imaging Analyst ACRIN Imaging Core Laboratory ACRTRIADIMAGE MANAGEMENT SYSTEM

  2. COLLECT ANONYMIZE ARCHIVE PUBLISH TRIAD Image Management System for Clinical Trials • TRANSFEROFIMAGESANDDATA • Core Functions: • SEND – from your modality or PACS • ANONYMIZE – your data on submission • BROWSE – the central archive for images* * with appropriate permissions

  3. DICOM • Digital Imaging and Communications in Medicine • Developed by ACR and NEMA ~1985 • File format and communications standard (TCP/IP) • Standards established for classifying, ‘grouping’ and authoring metadata

  4. TRIAD- History • Version 2.0 – June 2008 • First Production Version • Robust submission and anonymization capability • Query and retrieve introduced • Display, markup and measurement layer functionality • Version 2.5 sp1– March 2009 • Full GCP Compliance! • Full Audit Trail functionality • Lockout after inactivity • Tighter Integration with CTMS • Support of individual projects and groups • RTOG, PCS/QRRO, ACOSOG, ACCORD,VIEW • Clinical Trial information populated in the DICOM header on submission • Submissions can be clarified at point of entry as “Clinical Trial”, “Test” or “QA” • UI Improvements • Filter application for sorting through voluminous DICOM metadata

  5. TRIAD-OAUser Perspective • Eliminates the need to $hip media • SECURE transfer • AUTOMATED anonymization • Image transfer status confirmed in real time • Successful • Unsuccessful • AUTOMATED transmittal forms (future feature) • Firewall friendly

  6. TRIAD Structure TRIADCentral Archive

  7. TRIAD Structure

  8. SCANNER SITE SERVER PACS MD’s Workstation TRIAD CLIENT TRIAD On-site

  9. TRIAD Display Display Tools: • Window / Level, Zoom • Tile • Cine Viewing and measurement tools: • Distance, Area, Angle • Edge Detection • Angle • Uni/Bi-directional Polygon • Annotation

  10. image image image image image image image image image i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i Series Series Series Series Series Series TRIAD-Imaging Hierarchy Series Exam Series Series Case/Subject Exam Exam Published – series has been locked by ACRIN and cannot be appended or edited Non-published – not yet locked and may still be appended

  11. TRIAD - Data Integrity Check SUBMI T Series Published? Exam Already Sent? NO YES YES NO NO Delete/Append Existing Data on Central Server Same Case/Trial? YES UID’s are logged for all images submitted for clinical trials NO continue Warning cancel OK

  12. TRIAD Clients Web Rich GUI Browse, Download, Submit Browse, Download

  13. TRIAD Web Client • Thin client • My Downloads “shopping cart” style allows one- stop browsing and download • Comprehensive ZIP file prepared for download

  14. TRIAD Rich GUI Client Data Submission

  15. TRIAD How do I get started?? https://triad.acr.org

  16. TRIAD-Software Request

  17. TRIAD-Account Registration

  18. TRIAD-Account Registration

  19. TRIAD-User Guides

  20. TRIAD Development • Version 3.0 & beyond… • DICOM C-STORE • Easier trafficking of images to reader workstation environments • Reader Worklist Implementation • Performance Improvements • Attachments and Support of Non-DICOM object handling • JPEG/JPEG 2000 • RAW Data • ZIP files • PDFs, etc, etc

  21. TRIAD-OAUser Perspective • Version 3.0 & beyond… • Optimized help-desk / site support • More robust anonymization, BEYOND GCP standards • Private tag encryption • Form-specific integration with patient calendar & CTMS • Application hosting • Ability to launch 3rd party commercial software from within • AIM, BIRADs, RadLex, & other layered reporting • Further integration with ACR initiatives

  22. TRIAD-OAUser Perspective • https://triad.acr.org • Support:Monday through Friday, 9:00am - 5:00pm (Eastern Time). • TRIAD-Support@phila.acr.org • Phone: 215-940-8820

  23. TRIAD-OAUser Perspective Jim Gimpel RT (R)(MR) Imaging Analyst ACRIN Imaging Core Laboratory

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