Article

Informatics in radiology (infoRAD): Vendor-neutral case input into a server-based digital teaching file system.

Department of Biomedical Informatics, University of Utah, 26 South 2000 East HSEB 5700, Salt Lake City, UT 84112-5750, USA.
Radiographics (Impact Factor: 2.73). 01/2006; 26(6):1877-85. DOI: 10.1148/rg.266065707
Source: PubMed

ABSTRACT Although digital teaching files are important to radiology education, there are no current satisfactory solutions for export of Digital Imaging and Communications in Medicine (DICOM) images from picture archiving and communication systems (PACS) in desktop publishing format. A vendor-neutral digital teaching file, the Radiology Interesting Case Server (RadICS), offers an efficient tool for harvesting interesting cases from PACS without requiring modifications of the PACS configurations. Radiologists push imaging studies from PACS to RadICS via the standard DICOM Send process, and the RadICS server automatically converts the DICOM images into the Joint Photographic Experts Group format, a common desktop publishing format. They can then select key images and create an interesting case series at the PACS workstation. RadICS was tested successfully against multiple unmodified commercial PACS. Using RadICS, radiologists are able to harvest and author interesting cases at the point of clinical interpretation with minimal disruption in clinical work flow.

0 Followers
 · 
80 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: The digital revolution in radiology introduced the need for electronic export of medical images. However, the current export process is complicated and time consuming. In response to this continued difficulty, the Integrating the Healthcare Enterprise (IHE) initiative published the Teaching File and Clinical Trial Export (TCE) integration profile. The IHE TCE profile describes a method for using existing standards to simplify the export of key medical images for education, research, and publication. This article reviews the authors' experience in implementing the TCE profile in the following three processes: (a) the retrieval of images for a typical teaching file application within a TCE-compliant picture archiving and communication system (PACS); (b) the export of images, independent of TCE compliance of the PACS, to a typical teaching file application; and (c) the TCE-compliant transfer of images for publication. These examples demonstrate methods with which the TCE profile can be implemented to ease the burden of collecting key medical images from the PACS.
    Radiographics 07/2008; 28(4):933-45. DOI:10.1148/rg.284075210 · 2.73 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Radiologists come across interesting patient cases almost every day. This work proposes a novel case database server for quick and easy storage of such cases including whole image series, patient data, and annotations. Cases can be added to the database by saving DICOM images into a predefined directory on the local network. The application automatically extracts patient and study data from the DICOM header and saves it in the database while images are stored as anonymized JPEG files. Users can mark their cases as private or public (visible to all users). Different data fields for annotations and categorization of a case are available. The user frontend also provides several retrieval mechanisms allowing for browsing the cases and performing different kinds of search queries. The stored series can be scrolled interactively in the form of scrollable image stacks. The project is realized as a web-based application using a portable web and database server software package (XAMPP). This makes the system very lightweight and easy to run on almost any desktop computer, even from a USB flash drive, without the need for deeper IT knowledge and administrative rights.
    Journal of Digital Imaging 05/2014; 27(5). DOI:10.1007/s10278-014-9691-2 · 1.20 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Rationale and Objectives: To create novel radiology key image software that is easy to Use for novice users, incorporates elements adapted from Social networking Web sites facilitates resident and fellow education, and can serve as the engine for departmental sharing of interesting, cases and follow-Up studies. Materials and Methods: Using open-source programming languages and software, radiology key image software (the key image and case log application, KICLA) was developed. This system uses a lightweight interface with the institutional picture archiving and communications systems and enables the storage of key images,:image series, and cine clips: It was designed to operate with minimal disruption to-the radiologists' daily workflow. Many features of the user interface have been inspired by social networking Web Sites, including-image organization into private or public folders, flexible sharing with other users, and integration of departmental teaching files into the system. We also-review the performance, usage, and acceptance of this novel system. Results: KICLA was implemented at our institution and achieved widespread popularity among radiologists. A large number of key images have been transmitted to the system since it became available. After this early experience period, the mostcommbnly encountered radiologic modalities are represented. A Survey distributed to users revealed that most of the respondents found the system easy to use (89%) and fast at allowing them to record interesting cases (100%). Hundred percent of respondents also stated that they would recommend a system such as KICLA to their colleagues. Conclusions: The system described herein represents a significant upgrade to the Digital Imaging and Communications in Medicine teaching file paradigm with efforts made to Maximize its ease of use and inclusion of characteristics inspired by social networking Web sites that allow the system additional functionality such as individual case logging.
    Academic Radiology 07/2014; 21(7):916-30. DOI:10.1016/j.acra.2014.04.001 · 2.08 Impact Factor