A Web-platform for radiotherapy, a new

workflow concept and an information sharing tool

21 years supporting

research, development

and innovation in Galicia

Andrés Gómez, J.C. Mouriño, & M Sánchezagomez@cesga.esThis work has been supported by ISCIII Grant PI11/02035

ARTFIBio• Objective: create an information network to

develop predictive individualized models of the tumor response to radiotherapy, able to define more effective adaptive treatments– Developing all the tools for the evaluation of the tumor response in

Head&Neck Cancer based on functional images, dissymmetry, incidents during the treatment and biopsies, with a predictive analytic model that considers the initial state and the expected treatment and an adaptive model that considers the early tumor response to the treatment.

– Develop a web infrastructure for research in RT and other oncology specializations that allows the evaluation of the tumor response to several treatments based on functional images and other data.

• Radiotherapy (RT) is changing from image guided to biology guided

ARTFIBio. WEB Infrastructure

• Shared data store– Chemotherapy data (*)– Surgery data (*)– Biopsies data– Patient’s images (CT, MRI, PET) (*)– Radiotherapy Plan data (*)– Radiotherapy Delivery data

• Registration tools (*)• Infrastructure to check new models• Integration with e-IMRT (verification of

treatment doses)

ARTFIBIO - DICOM Hierarchy

STUDY

CT Object

PET Object

MRI Object

RT Dose Object

RT Image Object

RT Plan Object

RT Struct Object

CASE

SERIE

??

ARTFIBio. General view

NEW CASE

GENERAL DATA

UPLOAD FILES

VERIFY FILES

CHEMOTERAPY

SURGERY

Treatment General Data

NEW CASE

GENERAL DATA

UPLOAD FILES

VERIFY FILES

CHEMOTERAPY

SURGERY

Upload Files

NEW CASE

GENERAL DATA

UPLOAD FILES

VERIFY FILES

CHEMOTERAPY

SURGERY

• Anonymises the DICOM Objects• Compresses them in one file.• Submits them to server.

Check FIles

NEW CASE

GENERAL DATA

UPLOAD FILES

VERIFY FILES

CHEMOTERAPY

SURGERY

CHEMOTHERAPY

NEW CASE

GENERAL DATA

UPLOAD FILES

VERIFY FILES

CHEMOTERAPY

SURGERY

• Optional. From the case list.

SURGERY

NEW CASE

GENERAL DATA

UPLOAD FILES

VERIFY FILES

CHEMOTERAPY

SURGERY

• Optional. From the case list.

ARTFIBio. General view

See Case. General Info and Actions

Schedule. CT

Calendar View to see when data were collected

Can select the data type to view

View and annotate the data

Download the annonymised DICOM

Schedule. PET

For each type of DICOM object, some metadata can be edited. But DICOM object is NOT changed.

Schedule. MRI

For each type of DICOM object, some metadata can be edited. But DICOM object is NOT changed.

SCHEDULE. RT DOSE• All info in a

single DICOM object.

Each z-plane of the bulk image can be previewed

See Case. Genral Info and Actions

Visualization & Registry

• Based on Virtual Machines

• Integrates Registry Application

• This method can be used for other desktop Linux Applications

That’s all Folks!

Thanks to the ARTFIBio team for their inputs