1 / 14

Integrating the Healthcare Enterprise

Integrating the Healthcare Enterprise. Chris Lindop, GE Healthcare Co-Chair Radiology Planning Committee. Mammography Image – MAMMO. Charge Posting. Teaching Files & Clinical Export. Presentation of Grouped Procedures. Reporting Workflow. Key Image Notes. Key Image Notes. Simp. Image

tomai
Download Presentation

Integrating the Healthcare Enterprise

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Integrating the Healthcare Enterprise Chris Lindop, GE Healthcare Co-Chair Radiology Planning Committee Mammography Image – MAMMO

  2. Charge Posting Teaching Files & Clinical Export Presentation of Grouped Procedures Reporting Workflow KeyImageNotes KeyImageNotes Simp. Image & Num Reports Consist. Present. of Images Evid-enceDocs Image Fus-ion NMImage MammoImage Access to Radiology Information Cross-Enterprise Document Sharing for Imaging Portable Data for Imaging A content profile for Mammo Patient Info. Reconciliation Import Reconciliation Workflow Scheduled Workflow - Post-Processing Workflow

  3. Mammo Image – The Problem • Mammography image review relies on comparison with priors • increases the occurrence of simultaneous review of images from different systems • Multi-vendor Mammography Systems • Vary with detector technologies and sizes result in varying image matrices sizes. • Vary with contrast presentation methods result in varying image presentation • Mammography Image Review requires a minimal set of display features • zoom, LUT rendering, hanging protocols

  4. Example of different image sizes

  5. Image Contrast Adjustment VOI LUT Linear LUT

  6. MAMMO – Value proposition • Minimum contents for the generated DICOM instances • Image Data (for processing and for presentation SOP Classes) • CAD data (CAD SR) • Basic display capabilities of Image displays to suit specific mammography review requirements • CAD acting as Evidence Creators • Mammography Workflow • Managing the process of creating, storing and using Mammography Image content is similar to workflow for other image content (e.g. see Scheduled Workflow and Post-Processing Workflow Profiles).

  7. Mammography ImageActors and Transactions Acquisition Modality Evidence Creator [RAD 8] Modality Images Stored ↓ [RAD 10] Storage Commitment ↓ ↓ [RAD 18] Evidence Document Stored ↓ [RAD 10] Storage Commitment Image Manager Image Archive ↓ [RAD 14] Query Images ↓ [RAD 16] Retrieve Images ↓ [RAD 44] Query Evidence Documents ↓ [RAD 45] Retrieve Evidence Documents Image Display Print Composer ↓[RAD-23] Print Request with Presentation LUT Print Server

  8. Mammography ImageProcess Flow

  9. Mammo Image Profile • Acquisition Modality • FFDM & CR are required to create MG objects • Create MG objects as specified • 40 Attributes with specific requirements defined • Including new pixel padding range limit (0x0028,0x0121) • Evidence Creator • Mammo CAD systems • Support Evidence Document Stored with Storage Commitment • Support Mammography CAD SR objects

  10. Mammo Image Profile (cont’d) • Image Manager/Archive • Support both Modality Images and Evidence Document Stored with Storage Commitment • Support Query/Retrieve of both Images and Evidence Documents • Image Display • Support Query/Retrieve of both Images and Evidence Documents • Support specified display capabilities including background air suppression, LUT rendering, zoom management and CAD SR display

  11. Mammo Image Profile (cont’d) • Print Composer • Support Print Request with Presentation LUT • including the LIN-OD presentation LUT shape • Use Requested Image Size to achieve true size printing • Support 12 bits printing • Print Server • Support Print Request with Presentation LUT • including the LIN-OD presentation LUT shape • Use Requested Image Size to achieve true size printing • Support 12 bits printing

  12. Mammo Image contents • Background air suppression • New tag in DICOM (CP692) extending the pixel padding concept • Mammo CR generate MG instances only • specific fields (i.e. gantry ID) have been added to the required attribute list. • Tiled Views option defined • Allows for large breast imaging (multiple images of the same breast)

  13. Image Display • Zoom • Adjust zoom accounting for varying acquisition pixel sizes • True size zoom accounting for display (monitor) pixel size • Background air suppression • When inverting/windowing the image, the detected background stays black • Image orientation • Flipping according to Patient Orientation ((0x20,0x20)) • Annotations • Set of required annotations to be displayed is defined • CAD rendering (using CAD SR)

More Related