RSNA 2006 MIRC

Click here to load reader

  • date post

    30-May-2018
  • Category

    Documents

  • view

    216
  • download

    0

Embed Size (px)

Transcript of RSNA 2006 MIRC

  • 8/14/2019 RSNA 2006 MIRC

    1/27

    RSNA 2006Educational exhibit

    R Stramare, MD, A Castellini, G Feltrin,MD, P Inchingolo*, C Saccavini, PhD, GVaccari

    University of Padova

    *University of Trieste

    Open Three (O3) ConsortiumExperience:

    Open Source+Open Standard(IHE)+Open Knowledge (MIRC)

  • 8/14/2019 RSNA 2006 MIRC

    2/27

    2/27

    Exhibit Outline

    The goal is to realize an open source solution based onOpen Source technology, Open Standard, such asIHE, and Open Knowledge such us MIRC.

    We have developed a solution that is formed by IHEactors into a four packages: O3-MARiS, that is a RISsystem based on php/Apache/MySQL, O3-DPACS,that is a PACS based on Jboss/PostgreSQL, O3-RWS. that is a reporting workstation based on Java,and O3-FatBrother, that is an Audit Record RepositoryATNA.

  • 8/14/2019 RSNA 2006 MIRC

    3/27

    3/27

    Exhibit Outline

    It is very important to notice that all the packages canexport/import radiologial data in MIRC format, and anO3-MIRC site has active since October 2005 inPadova University

    The goal of the Open Three (O3) Consortium is topromote an Integrated Healthcare Environment forarchiving, transmission, exchange, retrieval andvisualization of data, signals, images and reports, in

    which the three dimensions of the Health Policies -Hospitals, Territory / RHIOs and Home Care / AmbientAssisting Living (AAL)) are linked together.

  • 8/14/2019 RSNA 2006 MIRC

    4/274/27

    Open Source

    The basic idea behind open source is very simple:when programmers can read, redistribute, and modifythe source code for a piece of software, the softwareevolves. People improve it, people adapt it, people fixbugs. And this can happen at a speed that, if one isused to the slow pace of conventional softwaredevelopment, seems astonishing.

    Some consider it as a philosophy, and others

    consider it as a pragmatic methodology.

  • 8/14/2019 RSNA 2006 MIRC

    5/275/27

    Creative Commons

    The Creative Commons (CC) enables copyright

    holders to grant some of their rights to the public whileretaining others through a variety of licensing andcontract schemes including dedication to the publicdomain or open content licensing terms. The intentionis to avoid the problems current copyright laws createfor the sharing of information.

    The CC is a non-profit organization devoted to

    expanding the range of creative work available for

    others legally to build upon and share.

  • 8/14/2019 RSNA 2006 MIRC

    6/276/27

    Open Standards

    Open standards are publicly available and

    implementable standards. By allowing anyone to

    obtain and implement the standard, they can increase

    compatibility between various hardware and software

    components, since anyone with the necessary

    technical know-how and resources can build products

    that work together with those of the other vendors that

    base their designs on the standard.

  • 8/14/2019 RSNA 2006 MIRC

    7/277/27

    Open Standards: IHE

    IHE is an initiative by healthcare professionals and

    industry to improve the way computer systems in

    healthcare share information.

    Systems that support IHE Integration Profiles

    communicate better, are easier to implement, and

    enable care providers to use information more

    effectively. The goal is efficient delivery of optimal

    patient care.

  • 8/14/2019 RSNA 2006 MIRC

    8/278/27

    Open Knowledge: MIRC

    The MIRC project was initiated by the RSNA

    Radiology Informatics Committee to construct a

    library of medical information, globally accessible to

    the imaging community through the Internet. The

    project has evolved to support communities of

    cooperating libraries, individually managed by

    healthcare and educational institutions, whose content

    can be accessed by a user as if it were a single

    library.

  • 8/14/2019 RSNA 2006 MIRC

    9/27

    9/27

    Our Project

    We try to insert in a real-world radiology the Open

    Source metodology, the Open Standard approach

    and the Open Knowledge Management to realize a

    simple radiological report workplace in which there

    are:

    RIS

    PACS archive

    Workstation

    MIRC Server

  • 8/14/2019 RSNA 2006 MIRC

    10/27

    10/27

    Dpt. Medical and Diagnostic Sciences Layout

    O3-DPACS DCM4CHEE v

    v

    General HospitalPadova

    University HospitalPadova

    Public MIRC

    Server

    Private

    MIRC Server

  • 8/14/2019 RSNA 2006 MIRC

    11/27

    11/27

    MARiS-OF: the OSS RIS

    The MARiS-OF is a RIS developed using IHE

    architecture. It is based on Apache/PHP server and

    the GUI is realized using CSS approach. The

    dababase can be MySQL, PostgreSQL or Oracle. All

    DICOM and HL7 services are developed using

    dcm4chee libraries.

    The website is maris.sourceforge.net

    http://maris.sourceforge.net/
  • 8/14/2019 RSNA 2006 MIRC

    12/27

    12/27

    MARiS technical architecture

  • 8/14/2019 RSNA 2006 MIRC

    13/27

    13/27

    O3-DPACS: the OSS Image Manager

    The O3-DPACS open-source DPACS is an image-

    data manager/archiver. Its a Java J2EE (Java 2Enterprise Edition) Application developed on JBOSS,an open source application server, but it runs onnearly every application server as the concept ofplatform independence states. It has been realized asa modular collection of services.This server is implemented in the Padova GeneralHospital

    The website is www.o3consortium.eu

    http://www.o3consortium.eu/
  • 8/14/2019 RSNA 2006 MIRC

    14/27

    14/27

    O3-DPACS technical architecture

  • 8/14/2019 RSNA 2006 MIRC

    15/27

    15/27

    DCM4CHEE: the OSS Image Manager

    dcm4chee is an Image Manager/Image Archive

    (according to IHE). The application contains theDICOM, HL7 services and interfaces that are requiredto provide storage, retrieval, and workflow to ahealthcare environment. By taking advantage of manyJBoss features , and assuming the role of several IHEactors for the sake of interoperability, the applicationprovides many robust and scalable servicesThis server is implemented in the Padova UniversityHospital.

    The website is www.dcm4che.org

    http://www.dcm4che.org/
  • 8/14/2019 RSNA 2006 MIRC

    16/27

    16/27

    RWS: the OSS Image Display

    This workstation has been developed thinking upon

    radiology department needs, with strong feedbackfrom radiologists. It gives the support for theintegration with the open source RIS (MARIS-OF).IHE profiles that was be tested at IHE EuropeConnectathon 2006:

    SWF Scheduled Workflow

    CPI Consistent Presentation of Images

    KIN Key Image Notes

    The website is www.o3consortium.eu

    http://www.o3consortium.eu/
  • 8/14/2019 RSNA 2006 MIRC

    17/27

    17/27

    RWS: the OSS Image Display

  • 8/14/2019 RSNA 2006 MIRC

    18/27

    18/27

    RSNA MIRC software: the OSS MIRC server

    There are several ways for an individual or an

    institution to establish a system that can participate ina MIRC community:

    The RSNA MIRC software provides both a query serviceand a storage service as well as support for the MIRC-defined authoring format.

    An existing teaching file system can be modified to useits internal database to provide an index of its documents,requiring only the construction of the software layernecessary to respond to a MIRC query.

    Some commercial teaching file systems also support the

    MIRC query mechanism, allowing them to participate in aMIRC community.

    The website is mirc.rsna.org

    http://mirc.rsna.org/
  • 8/14/2019 RSNA 2006 MIRC

    19/27

    19/27

    MIRC case Workflow

    The Modality produces imagesand store to PACS server

    The resident or junior radiologistprepare the report

    The senior radiologist validatethe report and decide if it is

    interesting for MIRC publication

    The editorial board ofpostgraduated School of

    Radiodiagnostic decide if topublish the case on public MIRC

  • 8/14/2019 RSNA 2006 MIRC

    20/27

    20/27

    MIRC case consumer during reporting

    The Modality produces imagesand store to PACS server

    The resident or junior radiologistretrive image on workstation

    He queries MIRC servers to findsimilar images or interesting

    teaching files

  • 8/14/2019 RSNA 2006 MIRC

    21/27

    21/27

    Private MIRC site: simple resident case

    P i t MIRC it

  • 8/14/2019 RSNA 2006 MIRC

    22/27

    22/27

    Private MIRC site:example of Residents vs Fellows Report

    Private MIRC site:

  • 8/14/2019 RSNA 2006 MIRC

    23/27

    23/27

    Private MIRC site:example of Residents vs Fellows Report

  • 8/14/2019 RSNA 2006 MIRC

    24/27

    24/27

    Public MIRC site

  • 8/14/2019 RSNA 2006 MIRC

    25/27

    25/27

    Public MIRC site: clinical case

    Public MIRC site: historical clinical case

  • 8/14/2019 RSNA 2006 MIRC

    26/27

    26/27

    Public MIRC site: historical clinical case(PaleoRadiology)

  • 8/14/2019 RSNA 2006 MIRC

    27/27

    27/27

    Conclusions

    The Knowledge Management in Radiodiagnostic

    using Open Source + Open Standard + OpenKnowledge are very interesting especially inUniversity Hospitals, because:

    Present and future Residents will benefit of theirhistorical errors.

    Residents reading error trackingTeaching quality control

    Training effectiveness.

    The f