ihe digital mammography update. agenda welcome and introduction: margarita zuley, md goals of the...

IHE Digital Mammography Update

AgendaWelcome and Introduction: Margarita Zuley, MD

Goals of the IHE Mammography Subcommittee Clinical Perspective:

Margarita Zuley, MDDeborah Ikeda, MD

Technical Perspective: David Clunie, MBBSIT 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

• 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

• ACRIN results will spur significant digital equipment purchases this year

500

600

700

800

900

1000

1100

1200

Nov-04

Dec-04

Jan-05

Feb-05

Mar-05

Apr-05

May-05

Jun-05

Jul-05 Aug-05

Sep-05

Oct-05

Nov-05

# facilities

# FFDM Unitswww.fda.gov/CDRH/MAMMOGRAPHY/scorecard-statistics.html

774

855

1089

IHE Tech Framework Supplement4.16.4.2.2.1.1

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

• 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

• 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

Image orientation

Image justification

• 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

• 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

2003 Vendor A 2005 Vendor C2004 Vendor B

Image Contrast Adjustment

VOI LUT

Linear LUT

Sigmoid presets

Linear presets

• 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

MQSA Image Identification for FFDM

• 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

• 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

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

• 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

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)