1September, 2005 What IHE Delivers

Chris Lindop, GE HealthcareChris Lindop, GE HealthcareCo-chair IHE Radiology Planning CmteCo-chair IHE Radiology Planning Cmte

IHE Radiology -IHE Radiology -2007 Update2007 Update

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IHE RadiologyIHE Radiology

Scope: Radiology

• including Nuclear Medicine & Mammography Imaging and Departmental Information Systems

• Including Modalities, RIS, PACS, Workstations, Displays Printers

Established 1998 (first IHE domain)

Sponsor: RSNA

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IHE Radiology - AchievementsIHE Radiology - AchievementsNow entering 9th year Robust Vendor Participation at Connectathons Over 200 IHE Integration Statements published Over 1000 Actors in Radiology implemented IHE Profiles appearing in User Purchasing Processes

Have addressed basic radiology workflows Acquisition, Post-Processing, Reporting, Teaching Files/Clinical Trials

Have addressed imaging content handling Measurements, CAD Results, NM, Mammo, Presentation States, Reports,

Key Image Notes

Have addressed distribution of imaging information on CDs, to enterprise, to EHRs, keeping Audit Trails

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Radiology ProfilesRadiology Profiles

Access to Radiology Information

-

Consistent Presentation

of Images

EvidenceDocument

KeyImageNotes

Simple Image & Num

Reports

Presentation of Grouped Procedures

Post-Processing Workflow

Reporting Workflow

Charge Posting

Patien

t Info

. Reco

nciliatio

n

Scheduled Workflow

Portable Data for Imaging

NMImage

MammoImage

Audit Trail & Node Authentication – Radiology Option

Image Fusion

Teaching Files & Clinical Export

Import Recon-ciliation

Workflow

Cross-Enterprise Document Sharing for Imaging

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2007 Connectathon Status2007 Connectathon StatusNorth American Connectathon 2007 16-20 January 2007, Oakbrook, IL 77 Vendors, 164 products

IHE-J Connectathon 2006 5-9 February 2007, Tokyo, Japan 36 Vendors, 60 systems

European Connectathon 2007 20-26 April 2007, Berlin , Germany 72 Vendors, 120 products

China Connectathon 2007 TBA

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Demonstrations & Presentations - NADemonstrations & Presentations - NANorth America

Radiological Society of North America - RSNA 2006 2006. November 26-30 Chicago, IL

IHE Users Conference 2006 January 16, Chicago, IL,

HIMSS - HIMSS 2007 2007 February 25-Mar 1 New Orleans, LA

Society for Breast Imaging 2007.05.09-12 Hollywood, FL

SIIM 2007 (formally SCAR) 2007.06.07-10 Providence, RI

AHRA 2007 2007.07.08-12 Orlando, FL

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Demos & Presentations EU/AsiaDemos & Presentations EU/Asia

Japan JRC 2007

• 2007 April 13-15, Yokohama, Japan

China China PACS Conference

• 2006 June 02, Shanghai

 Europe DRK Deutscher Röntgenkongress 2007

• 2007 May 16-19, Berlin

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Radiology - DeploymentRadiology - Deployment

Top implemented Profiles Scheduled Workflow

• 282 Actors successfully implemented for Connectathons

Consistent Presentation of Images• 173 Actors successfully implemented for Connectathons

Portable Data for Imaging• 157 Actors successfully implemented for Connectathons

Cross-Enterprise Document Sharing, for Imaging• 58 Actors successfully implemented for Connectathons

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imagesstored

patientinformation

RIS

examination orders

imagesretrieved

HIS

PACS

procedurescheduled

Prefetch any relevantprior studies

modalityworklist

report

report

Scheduled Workflow ProfileScheduled Workflow Profile

Registration

Orders Placed

Orders Filled

Film

FilmFolder

Image Manager& Archive

FilmLightbox

report ReportRepository

DiagnosticWorkstation

Modality

acquisitionacquisitionin-progressin-progressacquisitioncompleted

acquisitioncompleted

imagesprinted

AcquisitionModality

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How the image isHow the image isprepared:prepared: How it appears later:How it appears later:

Grayscale Calibration& Presentation State

Original Image

Window Level

Flip

Zoom

Area Of

Interest

Annotate

Transformations Are Lost

Original Image

Area Of

Interest

Prepared Image

Original Image

Consistent Presentation of Images Consistent Presentation of Images

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MediaCreator

Printer[Media Reader]

Image Display[Media Reader]

PACS[Media Importer]

John Doe

CD

DICOM Data

Web Data(Optional)

DICOM

DICOM

DICOM

PC BrowserWeb Data

Required to cleanup Patient ID, Acc#, etc.

Portable Data for ImagingPortable Data for Imaging

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XDS-I to access Radiology Reports and XDS-I to access Radiology Reports and ImagesImages

HospitalHospital

Imaging CenterImaging CenterPhysician PracticePhysician Practice

Between Radiology and :Between Radiology and :• IImaging specialistsmaging specialists• Non-imaging cliniciansNon-imaging clinicians PACS Y

PACS Z

Radiology -to-Radiology -to-RadiologyRadiology

Radiology -to-Radiology -to-PhysiciansPhysicians

Same XDS Infrastructure (Registry and Repositories) for medical summaries and imaging information !

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IHE RadiologyIHE RadiologyCurrent Activities/DirectionCurrent Activities/Direction

IHE Clinical Deployment Mammography Users Handbook (2007)

Development Content Integration Profile

• Radiologist-Technologists Communication (RTC) National Extensions

• Japan, Spain, Canada, others

Strategic/Planning Reporting 2.0 Whitepaper for 2008/09 IHE Integration Profile Adoption Review HL-7 Versioning/Re-factoring

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IHE Radiology – Plan for 2007 IHE Radiology – Plan for 2007

• Development Schedule:Development Schedule:• New Profile Selection:New Profile Selection: Oct 2006Oct 2006• Issue Public Comment version: Issue Public Comment version: Mar 20 2007Mar 20 2007• Public Comment Due:Public Comment Due: April 20 2007April 20 2007• Issue Trial Implementation version: Issue Trial Implementation version: May 2007May 2007• IHE WorkshopIHE Workshop Jun 2007Jun 2007• RSNA Demo: RSNA Demo: Nov 2007Nov 2007• IHE Connectathon: IHE Connectathon: Jan 2008Jan 2008• HIMSS Demo:HIMSS Demo: Feb 2008Feb 2008

• New Profile For 2007New Profile For 2007• Radiologist/Technologist CommunicationRadiologist/Technologist Communication

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Radiologist – Technologist Radiologist – Technologist Communication ProfileCommunication Profile

Use Case 1 Radiologist provides:

• Graphical Markups on Image, indicating geographic location of specific physiology

• Specific Acquisition Protocol and planning information Technologist uses:

• Marked up image and the Specified Acquisition Protocol to plan and perform new acquisition

Use Case 2 Technologist provides:

• Graphical Markups on Image, indicating specific physiology • Specific question regarding retake necessity and protocol

Radiologist uses: • Specific question and marked up image to advise Technologist on retake and

specific protocol

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Radiologist – Technologist Radiologist – Technologist Communication ProfileCommunication Profile

Mechanism :

DICOM, (OID selection is in progress)

Point –to-point DICOM C-Store

Benefits :

Full fidelity Images for re-plan, if necessary

Acquisition Protocol request readable by Non-imaging systems

Non-imaging documents, for re-plan, if necessary

Extensible to Workflow Enablement

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ParticipatingParticipatingVendors Implement IHE Profiles in your products Test your products at the IHE Connectathon Publish IHE Integration Statements

Users Learn about the IHE Profiles Include specific IHE Profiles in your RFPs

IHE Process Review Draft Profiles during Public Comment phase Participate on Committees

• Radiology Planning Committee: – Kevin O’Donnell (Toshiba) & Chris Lindop (GE Healthcare)

• Radiology Technical Committee: – Cindy Levy ( Cedara) & Ellie Avraham (Kodak)

• Chris Carr (RSNA) – ihe@rsna.org

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IHE Website: www.IHE.netIHE Website: www.IHE.net Frequently Asked QuestionsFrequently Asked Questions

User Handbooks & Introductory MaterialsUser Handbooks & Introductory Materials

Integration Profiles in Technical Frameworks:Integration Profiles in Technical Frameworks: CardiologyCardiology IT InfrastructureIT Infrastructure LaboratoryLaboratory Patient Care CoordinationPatient Care Coordination RadiologyRadiology

Connectathon ResultsConnectathon Results

Vendor Product Integration Statement LinksVendor Product Integration Statement Links

Participation in Committees & ConnectathonsParticipation in Committees & Connectathons

20September, 2005 What IHE Delivers