REM Profile demo at JFR’2009

Philippe Puech

Joël Chabriais

Actors and Vendors involved

Company Product name AcquisitionModality

Image Archive

Image Manager

Dose InfoConsumer

Dose InfoReporter

DoseRegister

Siemens Artis Zee X

AGFA healthcare

X X X

Softway Medseen X X X

EDL Xplore X X

IRSN Experimental X

Scenario (in 2 parts)

• Image acquisition :– A patient is referred to the hospital for an

abdominal bleeding. He has an angiography.– Siemens Artis Zee can connect to EDL’s

worklist, simulate the irradiation and generate a new DICOM SR object.

• Dose storage– Siemens Artis Zee pushes DICOM SR

objects to the AGFA and WAID PACS, as well as the EDL RIS

• Record consultation (Dose Info Consumer)

– A radiologist reviews the patient’s study on the PACS and dictates on the RIS. He views the presence of a DOSE object and can read the report as well on the PACS that on the RIS.

– Ideally, the RIS would be able to compare current dose with recommended values, but was not possible at the demo.

• Reporting– Each time a study is dictated, the RIS pushes

an anonymized DOSE SR to the registry using FTPS. (Dose Information reporter). This can be performed using a mass query.

• Dose management for public health– All doses reports, coming from different

modalities are centralized in the registry.

Image Archive

Image Manager

Acquisition Modality

Dose InformationConsumer

Dose Information Reporter

Dose Register

[RA

D-6

3]U

sing

FT

PS to

rec

eive

dos

e

[R

AD

64]

Que

ryin

g a

dose

[RAD 64]Querying a dose

[R

AD

62]

Sot

re d

ose

[RAD 62]

Store dose

[R

AD

10]

Rec

eipt

[RAD 65]Receiving dose

[RA

D 65]

Receiving dose

Conclusions

• Required regular contacts with the actors.• Good -to very good- frequentation. 9 demos ; continuous presence on

the booth ; about 40 people watched it completely ; 500 A4 flyers went away; more industrials /physicists/biomed.eng. than « simple » radiologists. All authorities representatives came.

• RIS/PACS vendors need help on how to use the dose information– What should be reported on the screen depending on the examination =>

DoseDatamed ?

• Difficulty to find partners for the registry, because it usually depends of local authorities (Krucom withdrawed 2 months before the demo ; we had to develop an experimental registry)

– Authorities in charge of the registry need a clear information on the body part (DICOM cp722_ft ?) to calculate Eff.Dose.

• Acquisition modalities manufacturers should advertize on the IHE website, and updates of semi recent modalities should be proposed ; not only for the « to come » devices.