1 / 20

Note to IHE Committees:

Note to IHE Committees: This is my draft of the IHE Mammography Image Integration Profile talk for the workshop. If I have the time between now and the final draft, my intention is to add a few more examples of the problems customers face w/o the profile and to review my topics for coverage.

saxton
Download Presentation

Note to IHE Committees:

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Note to IHE Committees: This is my draft of the IHE Mammography Image Integration Profile talk for the workshop. If I have the time between now and the final draft, my intention is to add a few more examples of the problems customers face w/o the profile and to review my topics for coverage. I also will add a little animation in stepping through bulleted points. I tried to follow Kevin’s basic outline, but took a few liberties with it to share the info that I felt was important for the time allotted. I welcome your feedback which you can send me at creynolds@hologic.com Thanks, Carolyn Reynolds

  2. Mammography Image Integration Profile Carolyn Reynolds Hologic, Inc. Vendor co-chair, IHE Mammography Committee

  3. What’s the big deal? Full Field Digital Mammography (FFDM) is just another modality to PACS Most existing PACS will handle FFDM fine once: the FDA approves the monitor hardware, and workstations have 510K approval for FFDM applications Mammography Image IntegrationThe Problem/Assumptions

  4. Mammography Image IntegrationNot just another modality! • What makes it different or challenging: • Image layout & orientation • Variances among vendors in image data and attributes • Two types of image data • Common use of CAD (Computer Aided Detection) • Importance of prior study comparisons • Regional governance such as MQSA (Mammography Quality Standards Act – USA)

  5. Mammography Image IntegrationTypical components & data Modality Workstation Archive “For Processing” Image Data “For Presentation” Image Data CAD Mammo CAD Structured Rpt

  6. Display in order of images taken • Image orientation as acquired • Stacked series example R L L R Generic Image Display LayoutsApplied to Mammo Images

  7. R L L R R L R L Example Preferred Layout • Hanging protocol determined by: • View Type • Laterality • Patient Orientation vs. or

  8. R L Variances in FFDM Vendor DataDetector Size Example Typical “Fit to Viewport” effect L R Prior Exam from Vendor A’s system L R R L Current Exam from Vendor B’s system

  9. Mammography Image IntegrationValue proposition • Initiated by Radiologist’s challenges of having multiple FFDM vendors and desire to use PACS vendor’s workstation • Ensures that FFDM modalities provide adequate information to facilitate downstream applications

  10. Mammography Image IntegrationValue proposition • Ensures components support required data objects for interoperability • Defines image display and printing operations required for effective and efficient diagnoses

  11. Mammography Image IntegrationScope • Based upon existing actors and transactions • Expanded requirements within each transaction

  12. Mammography Image IntegrationScope

  13. Mammography Image IntegrationExpanded Requirements • Acquisition Modality • Send both for processing and for presentation images with reference that ties them together • Additionally required DICOM attributes • Detection and indication of tissue vs. air gap • Partial View Option (breast is larger than detector) • Modified requirements for film digitizers

  14. Mammography Image IntegrationExpanded Requirements • Image Display • Hanging protocols based upon view, laterality, patient orientation, and specialty views • Maintain a black air gap during window/center operations and inverted pixel data • Sizing • Same relative size • True size • 1:1 detector pixels to display pixels

  15. Mammography Image IntegrationExpanded Requirements • Image Display cont’d • Measurement calculation requirements • Display calibration and grayscale rendering • Labeling requirements • Mammo CAD Structured Report rendering on “for presentation” images • Partial View Option (breast larger than detector)

  16. Mammography Image IntegrationExpanded Requirements • Image Manager • Storage and retrieval of For Presentation and For Processing SOP Classes for Digital Mammography X-Ray • Storage and retrieval of Mammography CAD Structured Report SOP Class

  17. Mammography Image IntegrationExpanded Requirements • Evidence Creator (CAD) • No specifics on how CAD obtains mammography images • Support for Mammography CAD SR SOP Class and Storage Commitment

  18. Mammography Image IntegrationExpanded Requirements • Print Composers/Print Servers • True Size printing • Justify chestwall and print with 5mm borders or less • Render VOI LUTS if present • Specify maximum density • Specify Presentation LUT • Labeling requirements • Support for 12 bit pixel depth

  19. Mammography Image Integration Questions???

More Related