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.