Kevin O’Donnell Toshiba Medical Research Institute Heinz ... Documents...Toshiba Medical Research Institute Heinz Blendinger Siemens AG, Healthcare 1 2 IHE Radiation Exposure Monitoring

Kevin O’Donnell

Toshiba Medical Research Institute

Heinz BlendingerSiemens AG, Healthcare

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IHE Radiation Exposure Monitoring Profile

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Numerical Details

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National Registry

ArchiveDose Information

Consumer / Reporter

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Outlier:

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Performing Phys.

Over Target:

12.2%

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Numer

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IHE

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AGFA Healthcare

American College of Radiology

Aware, Inc

Cerner Corporation

EDL

ETIAM

GE Healthcare

Global Imaging OnLine

InfiMed, Inc.

INFINITT

Karos Health

Krucom AB

medavis GmbH

MedicalCommunications

Philips Medical Systems

Sectra Imtec AB

SIEMENS Medical Solutions

SOFTWAY MEDICAL

Swissray Medical AG

TELEMIS S.A.

Toshiba Medical Systems

VISUS Technology Transfer GmbH

Image M

anager

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Acquis

ition M

odality

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Dose In

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Dose In

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eporte

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Dose R

egis

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IHE

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2013)

A G F A H ealth care

A m e rican C o lleg e o f R ad io lo g y

A w are, In c

C e rn er C o rp o ratio n

C M T M ed ica l T ech n o lo g ies L td .

D e d alu s S .p .a .

E B M tech n o lo g ies

E D L

E M C

E -M ed ia

E T IA M

G E H ealth ca re

G lo b al Im ag in g O n L in e

H o lo g ic

In fiM ed , In c .

IN F IN IT T

K a ro s H ealth

K ru co m A B

m ed avis G m b H

M ed icalC o m m u n icatio n s

P h il ip s M ed ica l S ystem s

R iku ta S o ftw are

S e ctra Im tec A B

S IE M E N S M ed ica l S o lu tio n s

S O F T W A Y M E D IC A L

S w issray M ed ica l A G

T E L E M IS S .A .

T o p icu s Z o rg

T o sh ib a M ed ica l S ystem s

T u rm a p In fo rm a tio n T ech n o lo g ies

V isb io n L td

V IS U S T ech n o lo g y T ran sfer G m b H

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DICOM Dose SR maintenance

TID 1002

Observer Context

TID Tx10011

Irradiation Event

X -Ray Data

TID Tx10010

Accumulated

X -Ray Dose Data

TID Tx10001

Projection X -Ray Radiation Dose

TID 1002

Observer Context

TID 10003

Irradiation Event

X -Ray Data

TID 10002

Accumulated

X -Ray Dose Data

TID 10001

Projection X -Ray Radiation Dose

TID 1002

Observer Context

TID Tx10011

Irradiation Event

X -

TID Tx10010

Accumulated

X -Ray Dose Data

TID Tx10001

Projection X -Ray

Radiation Dose

TID 1002

Observer Context

TID 10003

Irradiation Event

X -Ray Data

TID 10002

Accumulated

X -Ray Dose Data

TID 10001

Projection X -Ray

Radiation Dose

TID 10004

Accumulated

Projection X-Ray

Dose

TID 10005

Accumulated

Mammography

X-Ray Dose

TID 10006

Accumulated

Cassette-based

Projection

Radiography Dose

TID 10007

Accumulated Integrated

Projection

Radiography Dose

TID 1021

Device Participant

TID 1020

Person Participant

TID 4007

Mammography

CAD Breast

Composition

TID 10003a

Irradiation Event

X-Ray Detector

Data

TID 10003b

Irradiation Event

X-Ray Source Data

TID 10003c

Irradiation Event

X-Ray Mechanical

Data

TID 1020

Person Participant

In 2005 In 2013

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DICOM Dose SR maintenance

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Using SR Dose Reports

� Radiation QA� Periodically Query / Retrieve Reports from Archive� Set policies/standards and flag deviations� Set goals for improvement and track progress� Implement protocol changes and compare difference in

dose

� Patient Impact Evaluation� e.g. if Patient identified as pregnant post-facto

� Dose Mapping� Store data in realtime from Modality to Mapping

Workstation

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� National Registries� Anonymize and submit Dose Reports to Registry� Compile Population Risk Estimations� Derive Dose Reference Levels (DRLs)� Provide Site-Site Comparisons

� Individual Dose Record� Collect Dose Reports over time

� Clinical Trials� Collect Dose together with Images� Demonstrate both improved detection & reduced dose

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Dose Tracking in Products

� IHE REM

� Testing: IHE Connectathon (2013: 32 vendors passed REM)

� http://connectathon-results.ihe.net

� Product: IHE Integration Statement (2013: 41 products)

� http://product-registry.ihe.net

� DICOM RDSR

� Product: DICOM Conformance Statement

� NEMA XR-25

� Vendor commitment; most new products

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