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How to Author Teaching FilesDraft
Medical Imaging Resource Center
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MIRC Objective
Support the production, storage, indexing and distribution of medical imaging resources:
– Teaching files– Scientific & technical documentation– Research images & datasets– Clinical trials data
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MIRC Concepts
The key concepts:–MIRC is a community of cooperating libraries
on the Internet.– The libraries cooperate by supporting a
common query mechanism.– The query mechanism allows users to find
information wherever it is stored.
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MIRC Information Formats
Images: DICOM, GIF, JPEG, PNG
Anything that is displayable by a web browser
Hyperlinks to other web content
Pointers to files for downloading
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The MIRC Community
InternetInternet
ServerServer
IndexMIRC Sites
ServerServer
Index
RSNA
User
ServerServerIndexMIRC Storage Service:- Document Authoring- Document Storage- Document Indexing- Web Server
MIRC Query Service:- Access to the community
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The RSNA MIRC Software
Query Service
Storage Service
- Storage Service - XML Server
- Submit Service - Author Service
- DICOM Service - Admin Service
File ServicePrivate and public file cabinets
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Query Service
Standard query form31 defined query fields:
Free text Clinical content
Document attributes Image attributes
Document content Patient attributes
Links to Storage Service Functions
Queries a single site, selected sites, or the entire community
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Query Service
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Query Service
Two display formats for query results:Standard query results
Title (hyperlink)
Author
Abstract
Case NavigatorRandom or ordered
Known and unknown presentations
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Standard Query Results
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The Case Navigator
Intended for teaching file cases
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Storage Service
Stores and indexes documents
A single MIRC site can have multiple Storage Services for different purposes
– Teaching files for each department/specialty
– Individual services for each clinical trial
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Display Formats
Page
Tab
MSTF
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Submit Service
Allows users to upload MIRC documents to a storage service
– Supports connections from client-side authoring tools
– Supports uploading documents via a browser– Accepts uploads in the format exported by
the XML Server
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Author Service
Allows users to create MIRC documents directly on the Storage Service
Supports multiple templates to allow for the creation of different kinds of documents
Links to the File Service for inserting links to images and other documents
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What goes in a teaching file case?
Whatever you want:History Differential Diagnosis
Findings Discussion
Diagnosis Quizzes
References
Images, drawings, videos, audios, …
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File Service
Each authenticated user has a private file cabinet for storage of files of any kind
One public file cabinet for the site
Public file cabinet receives DICOM objects from PACS, modalities, workstations
– Separate anonymizer
Author Service connection
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The File Service
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Demonstration
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DICOM Service
Receives DICOM objects from PACS, workstations, modalities, …Automatic document generation
– Images grouped into documents by study– Template-driven– Automatic JPEG generation from DICOM– Programmable anonymization (de-
identification and re-identification)
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DICOM Service
Automatic trial patient ID generationConnection to other DICOM Services for clinical trials
– Support for encrypted communications (SSL)
DICOM import / DICOM exportHTTP(S) import / HTTP(S) exportDatabase export
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Anonymization
Removal of Protected Health Information (PHI)
Remapping of PHI to trial-specific identifiers
Central vs. distributed remapping tables are an issue in a multi-site trial
Metadata anonymization may also be required in some trials
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The RSNA MIRC Software
Available on the RSNA MIRC site (mirc.rsna.org)– Click the Downloads link in the header
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The RSNA MIRC Software
Runs on Mac, Windows, LinuxThree components:
Java / Tomcat / MIRC
All components are freeMIRC Users Group meetings:
11/28 1:30 - 3:3012/1 12:30 - 2:30
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Questions/Answers & Help
RSNA Forums:– http://forums.rsna.org
– User Comments, Questions and Answers– RSNA MIRC Software Announcements– MIRC Implementers’ Corner– MIRC Technical Review Committee
Subscribe on the Forums site
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Templates
• Defines the look and feel of teaching file documents
• What sections can be in the document
• Makes it easier to author documents
• Can make new templates for different types of documents
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Sections
• Used to organize documents
• Used to display specific information
• Image sections can only display images
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File Cabinet
• Personnel
• Shared
• Used to store images to author teaching files documents
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Image Section
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Images
• Can load images into personnal and shared file cabinets
• Can load images directly into documents using the DICOM storage service
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Index Content Section
• Information that is used to index documents but is not displayed
• Used for none free text searches
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Permissions
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Document Section
• Select the display mode
• Set backgound color
• Set first tab to be displayed
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PHI section
• Used to log access to patient specific information
• Only works if the document is not public
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MIRC InfoRad Courses
How to Set Up a System for Teaching Files and Clinical Trials
How to Author MIRC Teaching Files
MIRC Case Studies: Using MIRC for Education and Research
Web Classroom Sessions
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Authoring
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Image Section
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Image Section with Hidden Elements
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Title
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Title with hidden elements
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Protected Health Information
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Deleting a portion of a section
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Document Properties
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Title
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Image section
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Adding Images
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Adding new section title
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New section
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Annotations
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Image display without annotations
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Image display with annotations