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Integration of a Teaching File System into a PACS Environment - Experiences from the User’s Perspective Y. Yang, G. Klos, C. Ahlers, P. Mildenberger Mainz, Germany 2008 IHE TCE Integration Profile IHE: Integrating the Healthcare Enterprise TCE: Teaching file and Clinical Study Export based on different DICOM definition s, esp. Structured Reporting (SR) and Key Objects (KO) Three actors for integration a teaching file: Export Selector: marking and coding images Export Manager: anonymize and process instances Receiver Actor: image archive and display Export Manager and Receiver provided with MI RC (RSNA) Export Selector is missing in most PACS-Solu tions "Mainz" - TCE Selector Tool Open source software development (University Mainz ) Connection between PACS and MIRC Serves as TCE-Export Selector to most Workstations • view and select images in PACS- Workstation • DICOM (e.g. SR and KO) send to TCE- Selector • GUI for categorization and some other contens • additional Funktionality: pseudo-/ anonymisation • processing DICOM contens • creating „additional teaching file information (ATFI) and TCE manifests • Transmission the DICOM-object together with ATFI and TCE manifests to MIRC Essential • Integrate MIRC with PACS using the „Mainz“ - TCE Selector Tool (open source software) • Create your teaching file with additional informations during reporting • Find what you are looking for, using RadLex and MIRC for search • Merge MIRC and ILIAS to bring advanced imaging features to an eLearing platform Department of Diagnostic and Interventional Radiology, University of Mainz, Germany 2008 [email protected] PACS workstation TCE Selector Department MIRC Intrane t ILIAS e-learning http://ww.e-learning.uni- mainz.de Public MIRC http://mirc.gesit.d e Intern et URL client computer E-learning content ZIP Submit Service Image content Students Self study Course materia ls Medical Scientist s Reference database Continuing education Image repository for publications Research database Technicians Reference database Continuing education Troubleshooting MIRC Medical Image Resource Center Public teaching and reference database Taget Audiences ILIAS Open source University e-Learning Platform Provides infrastructure for courses and online teaching, e-Exams and Community features Superordinate educational concept ILIAS – MIRC Integration Merging complementary functionality MIRC adds advanced viewing functionality MIRC offers dedicated search and retrieval functions ILIAS povides organizational structure and additional interoperability features (e.g. SCORM) ILIAS adds community and communication features Our TCE-Selector’s special Featu res Easy to use, streamlined workflow Provides graphical user interface to add additional contents (e.g. history, findings, abstract) for each teaching file Provides user interface to enter the RadLex tree for categorization Standardized terminology for efficient searching and retrieving Possibly in less than 5 min to creat e a new teaching file during reporti ng

Integration of a Teaching File System into a PACS Environment - Experiences from the User’s Perspective Y. Yang, G. Klos, C. Ahlers, P. Mildenberger Mainz,

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Page 1: Integration of a Teaching File System into a PACS Environment - Experiences from the User’s Perspective Y. Yang, G. Klos, C. Ahlers, P. Mildenberger Mainz,

Integration of a Teaching File System into a PACS Environment

- Experiences from the User’s Perspective Y. Yang, G. Klos, C. Ahlers, P. Mildenberger Mainz, Germany 2008

IHE TCE Integration Profile

IHE: Integrating the Healthcare EnterpriseTCE: Teaching file and Clinical Study Export based on different DICOM definitions, esp. Structured Reporting (SR) and Key Objects (KO)

Three actors for integration a teaching file:Export Selector: marking and coding imagesExport Manager: anonymize and process instancesReceiver Actor: image archive and display

Export Manager and Receiver provided with MIRC (RSNA)Export Selector is missing in most PACS-Solutions

"Mainz" - TCE Selector Tool

Open source software development (University Mainz )Connection between PACS and MIRCServes as TCE-Export Selector to most Workstations • view and select images in PACS-Workstation• DICOM (e.g. SR and KO) send to TCE-Selector• GUI for categorization and some other contens• additional Funktionality: pseudo-/ anonymisation• processing DICOM contens• creating „additional teaching file information (ATFI) and TCE manifests• Transmission the DICOM-object together with ATFI and TCE manifests to MIRC

Essential• Integrate MIRC with PACS using the „Mainz“ - TCE Selector Tool (open source software)• Create your teaching file with additional informations during reporting• Find what you are looking for, using RadLex and MIRC for search• Merge MIRC and ILIAS to bring advanced imaging features to an eLearing platform

Department of Diagnostic and Interventional Radiology, University of Mainz, Germany 2008 [email protected]

PACS workstation

TCESelector

Department MIRC

Intranet

ILIAS e-learninghttp://ww.e-learning.uni-mainz.de

Public MIRC http://mirc.gesit.de

Internet

URL

client computer

E-learning content

ZIPSubmit Service

Image content

Students Self studyCourse materials

Medical Scientists Reference databaseContinuing education Image repository for publicationsResearch database

Technicians Reference databaseContinuing educationTroubleshooting

MIRCMedical Image Resource Center

Public teaching and reference database Taget Audiences

ILIAS Open source University e-Learning PlatformProvides infrastructure for courses and online teaching, e-Exams and Community featuresSuperordinate educational concept

ILIAS – MIRC IntegrationMerging complementary functionalityMIRC adds advanced viewing functionalityMIRC offers dedicated search and retrieval functionsILIAS povides organizational structure and additional interoperability features (e.g. SCORM)ILIAS adds community and communication features

Our TCE-Selector’s special Features

Easy to use, streamlined workflowProvides graphical user interface to add additional contents (e.g. history, findings, abstract) for each teaching fileProvides user interface to enter the RadLex tree for categorizationStandardized terminology for efficient searching and retrievingPossibly in less than 5 min to create a new teaching file during reporting