mirc: case study using mirc software for education and research

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MIRC: Case Study MIRC: Case Study Using MIRC Software for Education and Research

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Page 1: MIRC: Case Study Using MIRC Software for Education and Research

MIRC: Case StudyMIRC: Case Study

Using MIRC Software for Education and Research

Page 2: MIRC: Case Study Using MIRC Software for Education and Research

The Children’s Hospital The Children’s Hospital of of PhiladelphiaPhiladelphia

Since CHOP is a teaching hospital, our main focus is using the MIRC Teaching File system for Educational purposes

Page 3: MIRC: Case Study Using MIRC Software for Education and Research

Basic Setup OverviewBasic Setup Overview

At CHOP we have a designated server for the Teaching File which resides in our data center.

We have used the Teaching File Software to create two storage services:– Primary Storage(containing teaching files)– Secondary Storage(containing normal cases)

Page 4: MIRC: Case Study Using MIRC Software for Education and Research

Why Normal Cases?Why Normal Cases?

Normal Cases are a valuable tool to Non-Radiology Personnel

By giving access to cases that are considered “normal”, a ER resident can decipher where a problem area exists.

Page 5: MIRC: Case Study Using MIRC Software for Education and Research

Image on the left is technically inadequate as the patient is swallowing

during the exposure, giving the false impression of pre-vertebral

soft tissue thickening.

Page 6: MIRC: Case Study Using MIRC Software for Education and Research

Image on the left is that of a normal High KV magnified airway in a normal patient without symptoms. The patient on the right is experiencing a barking cough, clinically concerning for croup. This image shows the textbook finding of the “steeple sign”, which is the hallmark of croup on a frontal High KV magnified view of the airway.

Page 7: MIRC: Case Study Using MIRC Software for Education and Research

MIRC System SetupMIRC System Setup

Page 8: MIRC: Case Study Using MIRC Software for Education and Research

A quick peek at the CHOP Teaching File Website

Page 9: MIRC: Case Study Using MIRC Software for Education and Research

Login:

Page 10: MIRC: Case Study Using MIRC Software for Education and Research

Security LevelsSecurity Levels

To prevent untrained users editing and deleting cases.

Allow Attending Radiologists access to modify all teaching files.

Security levels are also setup to gain access to different storage services.

Page 11: MIRC: Case Study Using MIRC Software for Education and Research

What do the levels look like?What do the levels look like?Support staff has Admin access.Attending doctors have access to edit,

delete, and submit cases to all storages.Radiology residents/fellows have access to

submit, review cases in all storages, and edit their cases.

Non-Radiology doctors have access to view only.

Page 12: MIRC: Case Study Using MIRC Software for Education and Research

How do we create our How do we create our Teaching Files?Teaching Files?

Page 13: MIRC: Case Study Using MIRC Software for Education and Research

Creation through RadpixCreation through Radpix

Our department utilizes Weadock Inc. Software called Radpix.

This allows us to create teaching files from specific areas while watermarking our images that are sent to the system.

Page 14: MIRC: Case Study Using MIRC Software for Education and Research

How does this work?How does this work?

Images are sent to one destination from any PACS workstation.

The images are then available at any “Radpix” workstation in the department.

The resident or fellow can then create their teaching files and send them to the server for publication.

Page 15: MIRC: Case Study Using MIRC Software for Education and Research

A brief look at how our system is set up.

Page 16: MIRC: Case Study Using MIRC Software for Education and Research

Let’s take a look at how this Let’s take a look at how this works:works:

Page 17: MIRC: Case Study Using MIRC Software for Education and Research

Program StartupProgram Startup

Page 18: MIRC: Case Study Using MIRC Software for Education and Research

Opening ImagesOpening Images

Page 19: MIRC: Case Study Using MIRC Software for Education and Research

Choose the images you want to openChoose the images you want to open

Page 20: MIRC: Case Study Using MIRC Software for Education and Research

Once your images are open:Once your images are open:

Page 21: MIRC: Case Study Using MIRC Software for Education and Research

Let’s create the teaching fileLet’s create the teaching file

Page 22: MIRC: Case Study Using MIRC Software for Education and Research

This is what the authoring tool looks likeThis is what the authoring tool looks like

Page 23: MIRC: Case Study Using MIRC Software for Education and Research

First we must configure the First we must configure the authoring tool.authoring tool.

Page 24: MIRC: Case Study Using MIRC Software for Education and Research

Choose your Options:Choose your Options:

Page 25: MIRC: Case Study Using MIRC Software for Education and Research

Adding a watermark:Adding a watermark:

Page 26: MIRC: Case Study Using MIRC Software for Education and Research

Fill in your History, Abstract and Keywords for the case Fill in your History, Abstract and Keywords for the case along with patient information if you are including it.along with patient information if you are including it.

Page 27: MIRC: Case Study Using MIRC Software for Education and Research

Fill in any areas that apply:Fill in any areas that apply:

Page 28: MIRC: Case Study Using MIRC Software for Education and Research

Add a title and your image properties:Add a title and your image properties:

Page 29: MIRC: Case Study Using MIRC Software for Education and Research

The images sections allows you to move The images sections allows you to move images up and down and add captionsimages up and down and add captions

Page 30: MIRC: Case Study Using MIRC Software for Education and Research

You can annotate images to point out You can annotate images to point out specific areas of interest:specific areas of interest:

Page 31: MIRC: Case Study Using MIRC Software for Education and Research

You can annotate images to point out You can annotate images to point out specific areas of interest:specific areas of interest:

Page 32: MIRC: Case Study Using MIRC Software for Education and Research

Authentication avoids untrained entries:Authentication avoids untrained entries:

Page 33: MIRC: Case Study Using MIRC Software for Education and Research

Adding a quiz to aid in education:Adding a quiz to aid in education:

Page 34: MIRC: Case Study Using MIRC Software for Education and Research

Now lets upload and see what Now lets upload and see what our teaching file looks like on our teaching file looks like on

the web.the web.

Page 35: MIRC: Case Study Using MIRC Software for Education and Research
Page 36: MIRC: Case Study Using MIRC Software for Education and Research
Page 37: MIRC: Case Study Using MIRC Software for Education and Research
Page 38: MIRC: Case Study Using MIRC Software for Education and Research

One Nice Feature:One Nice Feature:MIRC Software allows for GIF uploads which let you as the userAdd moving files to the teaching file which can enhance the learningExperience for the resident/fellow that is using the case.

Page 39: MIRC: Case Study Using MIRC Software for Education and Research

Requirements for entry?Requirements for entry?

All teaching file cases must be approved by an Attending Radiologist before entry.

Substantial documentation as to reasoning, interest factor and diagnosis explanation are required.

Also a helpful number of images should accompany the documentation.

Page 40: MIRC: Case Study Using MIRC Software for Education and Research

Benefits of Digital Teaching Benefits of Digital Teaching File?File?

The implementation of an electronic teaching file in a busy academic practice/training program is initially cumbersome, but like any computer based system, once the initial data are entered, becomes aninvaluable resource, replacing standard analog filmteaching files with easily accessible JPEG file,either from the digital DICOM source image in thecase of newer studies, or digitized analog cases fromcases that predate digitally aquired images.

Page 41: MIRC: Case Study Using MIRC Software for Education and Research

Benefits of Digital Teaching Benefits of Digital Teaching File?File?

•This provides for a large bank of teaching file casesthat are stored on their own dedicated server, andthat are accessible through the hospital intranet, andif desired, through the internet (world wide web).

•The cases are a resource for teaching of not onlythe Radiology trainees, technologists, and staff, butalso allow for further education of the generalmedicine trainees and other subspecialties withinthe hospital and the university. 

Page 42: MIRC: Case Study Using MIRC Software for Education and Research

Benefits of Digital Teaching Benefits of Digital Teaching File?File?

Cases can be compared to a bank of normal cases,corrected for age, and be correlated with clinicaland pathological findings. Online references canbe provided, and links to these sites can be createdin order to provide up to the date literature that applies to the case at hand.

Page 43: MIRC: Case Study Using MIRC Software for Education and Research

Benefits of Digital Teaching Benefits of Digital Teaching File?File?

Cases can be coded by ACR codes, actualdiagnoses, or the combination of the two. Thisallows for review of individual cases, or if desired,by group of cases with the same or similardiagnoses, therefore facilitating researchpossibilities, provided appropriate IRB approval isreceived prior to the start of the cases to bereviewed for the purposes of clinical research.

Page 44: MIRC: Case Study Using MIRC Software for Education and Research

Plans for the future:Plans for the future:

Children’s Hospital of Philadelphia plans to expand its teaching file to be the most comprehensive collection of cases. With full server expandability our storage is limitless.

Also we plan to move forward with making our site available to other organizations so that we can share in the knowledge to aid our patients

Page 45: MIRC: Case Study Using MIRC Software for Education and Research

Thank you for joining us todayThank you for joining us today

Special thanks to Dr. Avrum Pollock for your help.