1September, 2005 What IHE Delivers

Kevin O’Donnell,Kevin O’Donnell,Toshiba Medical Systems Toshiba Medical Systems Co-chair IHE Radiology Planning CmteCo-chair IHE Radiology Planning Cmte

IHE Radiology -IHE Radiology -2006 Update2006 Update

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IHE RadiologyIHE Radiology

Scope: Radiology including Nuclear Medicine,

Mammography Modalities, RIS, PACS, Workstations, Displays,

Printers

Established 1998 (first IHE domain)

Sponsor: RSNA

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IHE Radiology - AchievementsIHE Radiology - AchievementsNow entering 8th year Robust Vendor Participation at Connectathons Over 200 IHE Integration Statements published 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, Presentation States, Reports,

Key Image Notes

Have addressed distribution of imaging information on CDs, to EHRs, keeping Audit Trails

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IHE Radiology - ProfilesIHE Radiology - Profiles

Patient Info.

Recon-ciliation

Access to Radiology Information

Consistent Presentation

ofImages

Audit Trail & Node Authentication - Radiology Option

EvidenceDocs

KeyImageNotes

Simple Image & Numeric Reports

Presentation of

Grouped Procedures

Post-

Processing Workflow

Reporting Workflow

Charge Posting

XDS for Imaging

NMImage

Scheduled Workflow

Teaching Files &

Clinical Trials Export

Portable Data for Imaging

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Connectathon - Jan 2006Connectathon - Jan 2006

North American Connectathon 2006 January 16-20, Oakbrook, IL 78 systems tested Radiology Profiles 5 IHE Domains Over 60 vendors, 150 systems, 350 engineers

Japanese Connectathon 2006 January 30- February 3, Tokyo, Japan

European Connectathon 2006 April 24-28, Barcelona, Spain

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Radiology - DeploymentRadiology - Deployment

Most implemented Profiles Scheduled Workflow

Patient Information Reconciliation

Consistent Presentation of Images

Portable Data for Imaging

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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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IHE RadiologyIHE RadiologyCurrent Activities/DirectionCurrent Activities/Direction

Facilitate deployment of IHE Profiles in the Market Users Handbook (2005 Edition) Additional Testing Tools

Expand focus to integration and workflow spanning departments/enterprises/regions XDS-I Importation Workflow

Expand support for specialties Address NM, Mammography and others Support Radiation Oncology Domain

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IHE Radiology – Plan for 2006 IHE Radiology – Plan for 2006

• Development Schedule:Development Schedule:• New Profile Selection:New Profile Selection: Oct 2005Oct 2005• Issue Public Comment version: Issue Public Comment version: Feb 20 2006Feb 20 2006• Public Comment Due:Public Comment Due: Mar 20 2006Mar 20 2006• Issue Trial Implementation version: Issue Trial Implementation version: Apr 2006Apr 2006• IHE WorkshopIHE Workshop Jun 2006Jun 2006• RSNA Demo: RSNA Demo: Nov 2006Nov 2006• IHE Connectathon: IHE Connectathon: Jan 2007Jan 2007• HIMSS Demo:HIMSS Demo: Feb 2007Feb 2007

• New Profiles For 2006 New Profiles For 2006 • Image FusionImage Fusion• Mammography Image Mammography Image • Import Reconciliation WorkflowImport Reconciliation Workflow

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Image Fusion ProfileImage Fusion Profile

Use Case :

Acquire images on one (hybrid) or more scanners

Perform registration, prepare blending

Display registered, fused images

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Image Fusion ProfileImage Fusion Profile

Mechanism :

DICOM Spatial Registration Object

DICOM Blending Presentation State

Benefits :

Standardize exchange of results while preserving innovation of algorithms

Support mixed vendor solutions

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Mammography Image ProfileMammography Image Profile

Use Case :

Uniform acquisition and handling of Mammography Image data and Mammography CAD data

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Mammography Image ProfileMammography Image Profile

Mechanism :

DICOM Mammography, DX & CR Objects

DICOM Mammography CAD SR Objects

Informative Appendix on expected behavior

Benefits :

Ability to handle image sizing, positioning, air suppression, annotations, CAD results, etc. in a uniform way

More consistency in special purpose workstations

Availability of basic capabilities on general purpose displays and printers

Better integration of CAD processing in the workflow

Support mixed vendor solutions

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Importation Reconciliation Workflow ProfileImportation Reconciliation Workflow Profile

Use Case :

a) Acquisition is outsourced to a non-networked site

b) Reading is outsourced to a non-networked site

c) Historical imaging is received from patient or prior institution

Data transferred on film or CD

Receiving system reliably reconciles the new data with local identifiers and workflow

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Importation Reconciliation Workflow ProfileImportation Reconciliation Workflow Profile

Mechanism :

IHE Portable Data for Imaging

DICOM Modality Worklist

HL7 Demographics Feed

Benefits :

Imported Data (CDs, Films) integrates into local workflow as well as local data

Support mixed vendor solutions

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IHE Radiology Users HandbookIHE Radiology Users Handbook

“Using IHE” for purchasers, system integrators & users

Real-world scenarios: acquiring a modality, RIS or PACS

Selecting IHE Profiles; Making the Business Case

Based on goals (e.g. reducing errors; increasing throughput) Identify Profiles that contribute to each goal Find products that support those Profiles Specify Profiles in an RFP

Installing & Operating IHE Systems

Leverage electronic workflows Install & Configure the systems Do Acceptance Testing Interface with non-IHE systems

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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

(The Purple CT Effect)

IHE Process Review Draft Profiles during Public Comment phase Participate on Committees

• Radiology Planning Committee: Kevin O’Donnell (Toshiba)• Radiology Technical Committee: Cor Loef (Philips)• Chris Carr (RSNA) – ihe@rsna.org

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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

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