REM Profile demo at JFR’2009

1. REM Profile demo at JFR’2009 Philippe Puech Joël Chabriais

2. Actors and Vendors involved

4. Scenario (in 2 parts) • Image acquisition : • A patient is referred to the hospital for an abdominal bleeding. He has an angiography. • Siemens Artis Zee can connect to EDL’s worklist, simulate the irradiation and generate a new DICOM SR object. • Dose storage • Siemens Artis Zee pushes DICOM SR objects to the AGFA and WAID PACS, as well as the EDL RIS • Record consultation (Dose Info Consumer) • A radiologist reviews the patient’s study on the PACS and dictates on the RIS. He views the presence of a DOSE object and can read the report as well on the PACS that on the RIS. • Ideally, the RIS would be able to compare current dose with recommended values, but was not possible at the demo. • Reporting • Each time a study is dictated, the RIS pushes an anonymized DOSE SR to the registry using FTPS. (Dose Information reporter). This can be performed using a mass query. • Dose management for public health • All doses reports, coming from different modalities are centralized in the registry. [RAD-63]Using FTPS to receive dose EMR QC software Dose Information Reporter QC software RIS HIS Dose Register [RAD 65]Receiving dose [RAD 64]Querying a dose [RAD 64]Querying a dose [RAD 65]Receiving dose PACS [RAD 62]Store dose Image Archive Image Manager [RAD 62]Sotre dose [RAD 10]Receipt EMR Dose InformationConsumer HIS RIS CT, CR, XA, MG Acquisition Modality

5. Conclusions • Required regular contacts with the actors. • Good -to very good- frequentation. 9 demos ; continuous presence on the booth ; about 40 people watched it completely ; 500 A4 flyers went away; more industrials /physicists/biomed.eng. than « simple » radiologists. All authorities representatives came. • RIS/PACS vendors need help on how to use the dose information • What should be reported on the screen depending on the examination => DoseDatamed ? • Difficulty to find partners for the registry, because it usually depends of local authorities (Krucom withdrawed 2 months before the demo ; we had to develop an experimental registry) • Authorities in charge of the registry need a clear information on the body part (DICOM cp722_ft ?) to calculate Eff.Dose. • Acquisition modalities manufacturers should advertize on the IHE website, and updates of semi recent modalities should be proposed ; not only for the « to come » devices.