Académique Documents
Professionnel Documents
Culture Documents
Cor Loef
co-chair DICOM WG10:Strategic Advisory Committee
Philips Medical Systems
Contents
Scope of DICOM
Charter WG10: Strategic Advisory Cmt
Trends in Imaging-IT
Strategy Planning process
Collaboration with other SDOs
December5,
Scope of DICOM
Mission of DICOM
Create and maintain international standards for
communication of bio-medical diagnostic and
therapeutic information
Goals of DICOM
Achieve interoperability and improve workflow
efficiency between imaging systems and other
information systems
December5,
Charter of WG10
To develop and maintain the long-term strategic plan of
the DICOM Standards Committee.
URL: http://medical.nema.org/dicom/geninfo/dicom_strategy
To review standards and technology trends in healthcare,
biomedical imaging, commerce, telecommunications,
and informatics;
To consider issues and opportunities related to the
strategic evolution of DICOM;
To provide liaison to other standards developing
organizations: ISO, HL7, JIRA, CEN
December5,
Overview
Scope of DICOM
Charter WG10: Strategic Advisory Cmt
Trends in Imaging-IT
Strategy Planning process
Collaboration with other SDOs
December5,
December5,
December5,
Trends in Imaging-IT:
Other
Clinical
System
HIS
Horizontal Integration
Vertical Integration
Active workflow
RIS
Paradigm shift
Web based PACS
Cardiology
PACS
Radiology
PACS
VL, US, NM
PACS
Web distribution
At the desktop
December5,
Vertical Integration
HIS
ADT
Patient Registration
IMAGING:
PACS / Archives
Workstations
Modalities
Patient Registration
Order Placer
Image Creator
New Order
Image Display
TheHealthcareEnterprise
Department
System Scheduler
Order Filler
Proced
ure
Schedu
le
Q /R
Images
Image Archive
Image Manager
PPS
In-Progress
/ Completed
RIS
Storage
Commit
Images
Stored
Acquisition
Modality
Modality Worklist
December5,
Active Workflow
December5,
10
Workflow in Radiology
Registration
Preparation
..010011...
Post Examination
..010011...
Referral
Archiving
..010011...
..010011...
Image Distribution
December5,
..010011...
Demonstration
..010011...
..010011...
Digital
Radiology
Reviewing
..010011...
..010011...
..010011...
Examination
..010011...
Transcription
Reporting
11
Active Workflow
Personalized
Work list
For each user
December5,
12
December5,
13
December5,
14
December5,
15
Post-Processing everywhere
Viewing & Advanced Image Processing:
clinical SW packages
move towards modalities, PACS and web
3D
Spine
Endo3D
December5,
Cardiac MR
16
December5,
17
Horizontal Integration
Hospital Information System, Master Person Index
Radiology
workflow
Cardiology
workflow
Ultrasound
workflow
Pathology
workflow
Radiology
PACS
Cardiology
PACS
Ultrasound
PACS
Visible Light
PACS
December5,
18
Horizontal Integration
Image (information) management system supports
archiving/retrieving of all types of clinical objects (incl.
visible light) and Structured Reports
December5,
19
Header:
Thorax
Report Creator
application
Findings:
(DICOM) SR Object
Report Type:..
..
..
Mass
..
..
Conclusions:
Image data
Daim.
Infiltr.
..
..
Image Refs.:(Pointer)
from PACS
select
From DICOM
standard:
December5,
Report Templates
Coding Schemes
behind pop-up menus
20
Webserver
PACS Viewing
Station
At Modality
December5,
21
Webserver
Security
PACS Viewing
Station
At Modality
December5,
22
December5,
23
Back-Office
Clinical
Information
System
messages
Clinical
Information
System
Integrated
Clinical Viewing
at the desktop
Front Office
December5,
Improve
Clinical
Decisions
24
Overview
Scope of DICOM
Charter WG10: Strategic Advisory Cmt
Trends in Imaging-IT
Strategy Planning process
Collaboration with other SDOs
December5,
25
December5,
26
Image
Archiv
e
Image
Serve
r
Departmen
t
Info Server
CD
Exchange
Diagnostic
Workstati
on
December5,
Connection
to other
Network
and/or
TeleCardiolo
gy
27
Codes and
vocabularies
Waveforms
Images
December5,
Measurements
Codes and
vocabularies
Diagnose
Structured
Presentation
IHE @ RSNA 2002
Report
Treatment
plan
Persistent
Object Ref
28
29
Communication technology
Media for exchange, profiles
Wireless (TCP/IP is on top of this, should be no issue)
December5,
30
December5,
31
December5,
32
December5,
33
December5,
34
Other
Clinical
System
RIS
Cardiology
PACS
Radiology
PACS
VL, US, NM
PACS
Header::
Thorax
Report
Type:
..
..
..
Findings:
Mass
..
..
Daim.
Conclusions:
Infiltr.
..
Ima (Poi ..
g n
e t
e
R r
e )
f
s
.
:
Web Viewers
December5,
35
Image fusion
December5,
36
37
38
Strategic priorities
Radiology
Acquisition
Interpretation
Reporting
Cardiology
Acquisition
Interpretation
Reporting
Ultrasound
NM
December5,
4
Other -ologies
Archiving plus
Object management
39
Overview
Scope of DICOM
Charter WG10: Strategic Advisory Cmt
Trends in Imaging-IT
Strategy Planning process
Collaboration with other SDOs
December5,
40
Standards in Imaging-IT
1. Horizontal Integration
2. Vertical Integration
3. Electronic Patient Record
4. Orders and Results
Management
5. Security
6. Freedom of Application
Workspot
DICOM
IHE, DICOM, HL7
ISO/CEN,DICOM,HL7,XML
IHE, DICOM, HL7
IHE,IETF,DICOM,HL7,ASTM
ISO/CEN, CCOW, IETF,
DICOM
41
42
43
December5,
44