IHE Digital Mammography Update

1. IHE Digital Mammography Update

2. Agenda • Welcome and Introduction: Margarita Zuley, MD • Goals of the IHE Mammography Subcommittee • Clinical Perspective: • Margarita Zuley, MD • Deborah Ikeda, MD • Technical Perspective: David Clunie, MBBS • IT Perspective: Gordon Smith, MBA • Technical Project Manager Update: Gary Nicolas • ACR Perspective: Priscilla Butler, MS • Discussion of Goals and Objectives: • Moderators: • Margarita Zuley, MD, Judith Wolfman, MD, • Dianne Georgian-Smith, MD, David Clunie, MBBS

3. July 2005 Meeting • IHE Mammo Working Group formed • Dave Channin: authored white paper • David Clunie: co-authored • October 2005 • White paper available for public comment • DICOM WG 15 reviewed paper and commented • November 2005 • T con call of subcommittee to discuss preliminary testing for this year

4. ACRIN results will spur significant digital equipment purchases this year

5. 1089 855 774 www.fda.gov/CDRH/MAMMOGRAPHY/scorecard-statistics.html

6. IHE Tech Framework Supplement 4.16.4.2.2.1.1 Display of digital Mammography Images • Skin Detection and Demarcation • Image Orientation and Justification • Image Size • Image Contrast Adjustment • Annotation of Identification Information • Annotation of Technical Factor Information • Display of CAD Marks

7. Skin Detection and Demarcation • Image Orientation and Justification • Image Size • Image Contrast Adjustment • Annotation of Identification Information • Annotation of Technical Factor Information • Display of CAD Marks

10. Skin Detection and Demarcation • Image Orientation and Justification • Image Size • Image Contrast Adjustment • Annotation of Identification Information • Annotation of Technical Factor Information • Display of CAD Marks

11. Image orientation

12. Image justification

15. Skin Detection and Demarcation • Image Orientation and Justification • Image Size • Image Contrast Adjustment • Annotation of Identification Information • Annotation of Technical Factor Information • Display of CAD Marks

19. Skin Detection and Demarcation • Image Orientation and Justification • Image Size • Image Contrast Adjustment • Annotation of Identification Information • Annotation of Technical Factor Information • Display of CAD Marks

20. 2003 Vendor A 2005 Vendor C 2004 Vendor B

22. Image Contrast Adjustment VOI LUT Linear LUT

23. Linear presets Sigmoid presets

25. Skin Detection and Demarcation • Image Orientation and Justification • Image Size • Image Contrast Adjustment • Annotation of Identification Information • Annotation of Technical Factor Information • Display of CAD Marks

26. Name ID Number Study Date Study Time View Code Sequence Image Laterality Manufacturer Manufacturer’s Model Name Device Serial Number Institution Name Institution Address Detector ID Operator’s Name MQSA Image Identification for FFDM

27. Skin Detection and Demarcation • Image Orientation and Justification • Image Size • Image Contrast Adjustment • Annotation of Identification Information • Annotation of Technical Factor Information • Display of CAD Marks

28. Annotation of Technical Factor Information for FFDM • KVP • Exposure • Exposure time • Filter material • Compression force • Body part thickness • Positioner primary angle • Relative x-ray exposure

30. Skin Detection and Demarcation • Image Orientation and Justification • Image Size • Image Contrast Adjustment • Annotation of Identification Information • Annotation of Technical Factor Information • Display of CAD Marks

31. Display of CAD Marks • PACS/Display needs to store marks • Apply marks corresponding to DICOM Mammo CAD SR objects • User option for when to display CAD marks (turn on/off at any time)