ihe 2008 radiology
TRANSCRIPT
1September, 2005 What IHE Delivers
Chris Lindop, GE HealthcareChris Lindop, GE HealthcareCo-chair IHE Radiology Planning CmteCo-chair IHE Radiology Planning Cmte
IHE Radiology -IHE Radiology -2007 Update2007 Update
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IHE RadiologyIHE Radiology
Scope: Radiology
• including Nuclear Medicine & Mammography Imaging and Departmental Information Systems
• Including Modalities, RIS, PACS, Workstations, Displays Printers
Established 1998 (first IHE domain)
Sponsor: RSNA
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IHE Radiology - AchievementsIHE Radiology - AchievementsNow entering 9th year Robust Vendor Participation at Connectathons Over 200 IHE Integration Statements published Over 1000 Actors in Radiology implemented IHE Profiles appearing in User Purchasing Processes
Have addressed basic radiology workflows Acquisition, Post-Processing, Reporting, Teaching Files/Clinical Trials
Have addressed imaging content handling Measurements, CAD Results, NM, Mammo, Presentation States, Reports,
Key Image Notes
Have addressed distribution of imaging information on CDs, to enterprise, to EHRs, keeping Audit Trails
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Radiology ProfilesRadiology Profiles
Access to Radiology Information
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Consistent Presentation
of Images
EvidenceDocument
KeyImageNotes
Simple Image & Num
Reports
Presentation of Grouped Procedures
Post-Processing Workflow
Reporting Workflow
Charge Posting
Patien
t Info
. Reco
nciliatio
n
Scheduled Workflow
Portable Data for Imaging
NMImage
MammoImage
Audit Trail & Node Authentication – Radiology Option
Image Fusion
Teaching Files & Clinical Export
Import Recon-ciliation
Workflow
Cross-Enterprise Document Sharing for Imaging
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2007 Connectathon Status2007 Connectathon StatusNorth American Connectathon 2007 16-20 January 2007, Oakbrook, IL 77 Vendors, 164 products
IHE-J Connectathon 2006 5-9 February 2007, Tokyo, Japan 36 Vendors, 60 systems
European Connectathon 2007 20-26 April 2007, Berlin , Germany 72 Vendors, 120 products
China Connectathon 2007 TBA
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Demonstrations & Presentations - NADemonstrations & Presentations - NANorth America
Radiological Society of North America - RSNA 2006 2006. November 26-30 Chicago, IL
IHE Users Conference 2006 January 16, Chicago, IL,
HIMSS - HIMSS 2007 2007 February 25-Mar 1 New Orleans, LA
Society for Breast Imaging 2007.05.09-12 Hollywood, FL
SIIM 2007 (formally SCAR) 2007.06.07-10 Providence, RI
AHRA 2007 2007.07.08-12 Orlando, FL
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Demos & Presentations EU/AsiaDemos & Presentations EU/Asia
Japan JRC 2007
• 2007 April 13-15, Yokohama, Japan
China China PACS Conference
• 2006 June 02, Shanghai
Europe DRK Deutscher Röntgenkongress 2007
• 2007 May 16-19, Berlin
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Radiology - DeploymentRadiology - Deployment
Top implemented Profiles Scheduled Workflow
• 282 Actors successfully implemented for Connectathons
Consistent Presentation of Images• 173 Actors successfully implemented for Connectathons
Portable Data for Imaging• 157 Actors successfully implemented for Connectathons
Cross-Enterprise Document Sharing, for Imaging• 58 Actors successfully implemented for Connectathons
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imagesstored
patientinformation
RIS
examination orders
imagesretrieved
HIS
PACS
procedurescheduled
Prefetch any relevantprior studies
modalityworklist
report
report
Scheduled Workflow ProfileScheduled Workflow Profile
Registration
Orders Placed
Orders Filled
Film
FilmFolder
Image Manager& Archive
FilmLightbox
report ReportRepository
DiagnosticWorkstation
Modality
acquisitionacquisitionin-progressin-progressacquisitioncompleted
acquisitioncompleted
imagesprinted
AcquisitionModality
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How the image isHow the image isprepared:prepared: How it appears later:How it appears later:
Grayscale Calibration& Presentation State
Original Image
Window Level
Flip
Zoom
Area Of
Interest
Annotate
Transformations Are Lost
Original Image
Area Of
Interest
Prepared Image
Original Image
Consistent Presentation of Images Consistent Presentation of Images
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MediaCreator
Printer[Media Reader]
Image Display[Media Reader]
PACS[Media Importer]
John Doe
CD
DICOM Data
Web Data(Optional)
DICOM
DICOM
DICOM
PC BrowserWeb Data
Required to cleanup Patient ID, Acc#, etc.
Portable Data for ImagingPortable Data for Imaging
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XDS-I to access Radiology Reports and XDS-I to access Radiology Reports and ImagesImages
HospitalHospital
Imaging CenterImaging CenterPhysician PracticePhysician Practice
Between Radiology and :Between Radiology and :• IImaging specialistsmaging specialists• Non-imaging cliniciansNon-imaging clinicians PACS Y
PACS Z
Radiology -to-Radiology -to-RadiologyRadiology
Radiology -to-Radiology -to-PhysiciansPhysicians
Same XDS Infrastructure (Registry and Repositories) for medical summaries and imaging information !
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IHE RadiologyIHE RadiologyCurrent Activities/DirectionCurrent Activities/Direction
IHE Clinical Deployment Mammography Users Handbook (2007)
Development Content Integration Profile
• Radiologist-Technologists Communication (RTC) National Extensions
• Japan, Spain, Canada, others
Strategic/Planning Reporting 2.0 Whitepaper for 2008/09 IHE Integration Profile Adoption Review HL-7 Versioning/Re-factoring
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IHE Radiology – Plan for 2007 IHE Radiology – Plan for 2007
• Development Schedule:Development Schedule:• New Profile Selection:New Profile Selection: Oct 2006Oct 2006• Issue Public Comment version: Issue Public Comment version: Mar 20 2007Mar 20 2007• Public Comment Due:Public Comment Due: April 20 2007April 20 2007• Issue Trial Implementation version: Issue Trial Implementation version: May 2007May 2007• IHE WorkshopIHE Workshop Jun 2007Jun 2007• RSNA Demo: RSNA Demo: Nov 2007Nov 2007• IHE Connectathon: IHE Connectathon: Jan 2008Jan 2008• HIMSS Demo:HIMSS Demo: Feb 2008Feb 2008
• New Profile For 2007New Profile For 2007• Radiologist/Technologist CommunicationRadiologist/Technologist Communication
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Radiologist – Technologist Radiologist – Technologist Communication ProfileCommunication Profile
Use Case 1 Radiologist provides:
• Graphical Markups on Image, indicating geographic location of specific physiology
• Specific Acquisition Protocol and planning information Technologist uses:
• Marked up image and the Specified Acquisition Protocol to plan and perform new acquisition
Use Case 2 Technologist provides:
• Graphical Markups on Image, indicating specific physiology • Specific question regarding retake necessity and protocol
Radiologist uses: • Specific question and marked up image to advise Technologist on retake and
specific protocol
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Radiologist – Technologist Radiologist – Technologist Communication ProfileCommunication Profile
Mechanism :
DICOM, (OID selection is in progress)
Point –to-point DICOM C-Store
Benefits :
Full fidelity Images for re-plan, if necessary
Acquisition Protocol request readable by Non-imaging systems
Non-imaging documents, for re-plan, if necessary
Extensible to Workflow Enablement
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ParticipatingParticipatingVendors Implement IHE Profiles in your products Test your products at the IHE Connectathon Publish IHE Integration Statements
Users Learn about the IHE Profiles Include specific IHE Profiles in your RFPs
IHE Process Review Draft Profiles during Public Comment phase Participate on Committees
• Radiology Planning Committee: – Kevin O’Donnell (Toshiba) & Chris Lindop (GE Healthcare)
• Radiology Technical Committee: – Cindy Levy ( Cedara) & Ellie Avraham (Kodak)
• Chris Carr (RSNA) – [email protected]
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IHE Website: www.IHE.netIHE Website: www.IHE.net Frequently Asked QuestionsFrequently Asked Questions
User Handbooks & Introductory MaterialsUser Handbooks & Introductory Materials
Integration Profiles in Technical Frameworks:Integration Profiles in Technical Frameworks: CardiologyCardiology IT InfrastructureIT Infrastructure LaboratoryLaboratory Patient Care CoordinationPatient Care Coordination RadiologyRadiology
Connectathon ResultsConnectathon Results
Vendor Product Integration Statement LinksVendor Product Integration Statement Links
Participation in Committees & ConnectathonsParticipation in Committees & Connectathons
20September, 2005 What IHE Delivers