IHE Radiology 2006 Update Kevin O Donnell Toshiba Medical

IHE Radiology 2006 Update Kevin O’Donnell, Toshiba Medical Systems Co-chair IHE Radiology Planning Cmte 3/16/2018 1

IHE Radiology Scope: Ø Radiology including Nuclear Medicine, Mammography Ø Modalities, RIS, PACS, Workstations, Displays, Printers Established 1998 (first IHE domain) Sponsor: RSNA 3

IHE Radiology - Achievements Now entering 8 th year Ø Robust Vendor Participation at Connectathons Ø Over 200 IHE Integration Statements published Ø IHE Profiles appearing in User Purchasing Processes Have addressed basic radiology workflows Ø Acquisition, Post-Processing, Reporting, Teaching Files/Clinical Trials Have addressed imaging content handling Ø Measurements, CAD Results, NM, Presentation States, Reports, Key Image Notes Have addressed distribution of imaging information Ø on CDs, to EHRs, keeping Audit Trails 4

IHE Radiology - Profiles Charge Posting Scheduled Workflow Patient Info. Reconciliation Presentation of Grouped Procedures NM Image Post. Processing Workflow Consistent Presentation of Images Evidence Docs Reporting Workflow Key Image Notes Teaching Files & Clinical Trials Export Simple Image & Numeric Reports XDS for Imaging Portable Data for Imaging Access to Radiology Information Audit Trail & Node Authentication - Radiology Option 5

Connectathon - Jan 2006 North American Connectathon 2006 Ø January 16 -20, Oakbrook, IL Ø 78 systems tested Radiology Profiles Ø 5 IHE Domains Ø Over 60 vendors, 150 systems, 350 engineers Japanese Connectathon 2006 Ø January 30 - February 3, Tokyo, Japan European Connectathon 2006 Ø April 24 -28, Barcelona, Spain 6

Radiology - Deployment Most implemented Profiles Ø Scheduled Workflow Ø Patient Information Reconciliation Ø Consistent Presentation of Images Ø Portable Data for Imaging 7

Scheduled Workflow Profile Registration report Repository Diagnostic Workstation Film Lightbox Orders Placed Image Manager & Archive Film Folder Acquisition Modality Orders Filled acquisition in-progress completed acquisition completed Modality Film images printed 8

Consistent Presentation of Images How the image is prepared: Area Of Interest How it appears later: Grayscale Calibration & Presentation State Annotate Area Of Interest Prepared Image Zoom Flip Original Image Window Level Original Image Transformations Are Lost Original Image 9

Portable Data for Imaging DICOM Image Display [Media Reader] CD Media Creator DICOM Data Web Data (Optional) John Doe DICOM Printer [Media Reader] Required to cleanup Patient ID, Acc#, etc. DICOM PACS [Media Importer] Web Data PC Browser 10

IHE Radiology Current Activities/Direction Facilitate deployment of IHE Profiles in the Market Ø Users Handbook (2005 Edition) Ø Additional Testing Tools Expand focus to integration and workflow spanning departments/enterprises/regions Ø XDS-I Ø Importation Workflow Expand support for specialties Ø Address NM, Mammography and others Ø Support Radiation Oncology Domain 11

IHE Radiology – Plan for 2006 • Development Schedule: • • • New Profile Selection: Issue Public Comment version: Public Comment Due: Issue Trial Implementation version: IHE Workshop RSNA Demo: IHE Connectathon: HIMSS Demo: Oct 2005 Feb 20 2006 Mar 20 2006 Apr 2006 Jun 2006 Nov 2006 Jan 2007 Feb 2007 New Profiles For 2006 • • • Image Fusion Mammography Image Import Reconciliation Workflow 12

Image Fusion Profile Use Case : Acquire images on one (hybrid) or more scanners Perform registration, prepare blending Display registered, fused images 13

Image 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 14

Mammography Image Profile Use Case : Uniform acquisition and handling of Mammography Image data and Mammography CAD data 15

Mammography 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 16

Importation 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 17

Importation Reconciliation Workflow Profile Mechanism : IHE Portable Data for Imaging DICOM Modality Worklist HL 7 Demographics Feed Benefits : Imported Data (CDs, Films) integrates into local workflow as well as local data Support mixed vendor solutions 18

IHE 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 Ø Ø 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 Ø Ø Leverage electronic workflows Install & Configure the systems Do Acceptance Testing Interface with non-IHE systems 19

Participating Vendors Ø Implement IHE Profiles in your products Ø Test your products at the IHE Connectathon Ø Publish IHE Integration Statements Users Ø Learn about the IHE Profiles Ø Include specific IHE Profiles in your RFPs (The Purple CT Effect) IHE Process Ø Review Draft Profiles during Public Comment phase Ø Participate on Committees • Radiology Planning Committee: Kevin O’Donnell (Toshiba) • Radiology Technical Committee: Cor Loef (Philips) • Chris Carr (RSNA) – ihe@rsna. org 20

IHE Website: www. IHE. net l Frequently Asked Questions l User Handbooks & Introductory Materials l Integration Profiles in Technical Frameworks: Ø Cardiology Ø IT Infrastructure Ø Laboratory Ø Patient Care Coordination Ø Radiology l Connectathon Results l Vendor Product Integration Statement Links l Participation in Committees & Connectathons 21

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