Post on 30-May-2018
transcript
8/14/2019 RSNA 2006 MIRC
http://slidepdf.com/reader/full/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
http://slidepdf.com/reader/full/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
http://slidepdf.com/reader/full/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 for archiving, 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
http://slidepdf.com/reader/full/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
http://slidepdf.com/reader/full/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
http://slidepdf.com/reader/full/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
http://slidepdf.com/reader/full/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
http://slidepdf.com/reader/full/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
http://slidepdf.com/reader/full/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
http://slidepdf.com/reader/full/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
http://slidepdf.com/reader/full/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
8/14/2019 RSNA 2006 MIRC
http://slidepdf.com/reader/full/rsna-2006-mirc 12/27
12/27
MARiS technical architecture
8/14/2019 RSNA 2006 MIRC
http://slidepdf.com/reader/full/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. It’s 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 of platform 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
8/14/2019 RSNA 2006 MIRC
http://slidepdf.com/reader/full/rsna-2006-mirc 14/27
14/27
O3-DPACS technical architecture
8/14/2019 RSNA 2006 MIRC
http://slidepdf.com/reader/full/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
8/14/2019 RSNA 2006 MIRC
http://slidepdf.com/reader/full/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
8/14/2019 RSNA 2006 MIRC
http://slidepdf.com/reader/full/rsna-2006-mirc 17/27
17/27
RWS: the OSS Image Display
8/14/2019 RSNA 2006 MIRC
http://slidepdf.com/reader/full/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 layer necessary 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
8/14/2019 RSNA 2006 MIRC
http://slidepdf.com/reader/full/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 of postgraduated School of
Radiodiagnostic decide if to publish the case on public MIRC
8/14/2019 RSNA 2006 MIRC
http://slidepdf.com/reader/full/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
http://slidepdf.com/reader/full/rsna-2006-mirc 21/27
21/27
Private MIRC site: simple resident case
P i t MIRC it
8/14/2019 RSNA 2006 MIRC
http://slidepdf.com/reader/full/rsna-2006-mirc 22/27
22/27
Private MIRC site:example of Resident’s vs Fellow’s Report
Private MIRC site:
8/14/2019 RSNA 2006 MIRC
http://slidepdf.com/reader/full/rsna-2006-mirc 23/27
23/27
Private MIRC site:example of Resident’s vs Fellow’s Report
8/14/2019 RSNA 2006 MIRC
http://slidepdf.com/reader/full/rsna-2006-mirc 24/27
24/27
Public MIRC site
8/14/2019 RSNA 2006 MIRC
http://slidepdf.com/reader/full/rsna-2006-mirc 25/27
25/27
Public MIRC site: clinical case
Public MIRC site: historical clinical case
8/14/2019 RSNA 2006 MIRC
http://slidepdf.com/reader/full/rsna-2006-mirc 26/27
26/27
Public MIRC site: historical clinical case(PaleoRadiology)
8/14/2019 RSNA 2006 MIRC
http://slidepdf.com/reader/full/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 their historical errors.
Resident’s reading error trackingTeaching quality control
Training effectiveness.
The flexibility of Open technologies will open new
approaches in Diagnostic Imaging Management, inparticular with the image comparison not only withprevious examinations, but also with “similar” ones