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
12.2 14.511.8 7.6
9.5 10.9
National Registry
ArchiveDose Information
Consumer / Reporter
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12.2 14.511.8 7.6
Outlier:
#
Performing Phys.
Over Target:
12.2%
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Numerical Details
12.2 14.511.8 7.6
9.5 10.9
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12.2 14.511.8 7.6
9.5 10.9
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12.2 14.511.8 7.6
9.5 10.9
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12.2 14.511.8 7.6
9.5 10.9
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12.2 14.511.8 7.6
9.5 10.9
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12.2 14.511.8 7.6
9.5 10.9
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12.2 14.511.8 7.6
9.5 10.9
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12.2 14.511.8 7.6
9.5 10.9
Numer
12.2 14.5
9.5 10.9
IHE
RE
M V
en
do
r Su
pp
ort
(sta
te: D
ec 2
011)
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
form
atio
n C
onsum
er
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*
Dose In
form
atio
n R
eporte
r*
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Dose R
egis
ter
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IHE
RE
M V
en
do
r Su
pp
ort
(sta
te: S
ep
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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Using SR Dose Reports
� 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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Using SR Dose Reports
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Using SR Dose Reports
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Using SR Dose Reports
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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