Using MIRC Khan M. Siddiqui, MD Chief, Imaging Informatics & MRI VA Maryland Health Care System Assistant Professor, Radiology University of Maryland, School of Medicine Baltimore, MD

Using MIRC Searching and creating cases Uploading Images Elements of authoring tools Annotations Permissions and PHI

MIRC Information Formats Images: DICOM, GIF, JPEG, PNG Anything that is displayable by a web browser Hyperlinks to other web content Pointers to files for downloading

Query Service

Two display formats for query results: Standard query results Title (hyperlink) Author Abstract Case Navigator Random or ordered Known and unknown presentations

Standard Query Results

The Case Navigator Intended for teaching file cases

Storage Service Stores and indexes documents A single MIRC site can have multiple Storage Services for different purposes –Teaching files for each department/specialty –Individual services for each clinical trial

Display Formats Page Tab MSTF

File Service Each authenticated user has a private file cabinet for storage of files of any kind One public file cabinet for the site Public file cabinet receives DICOM objects from PACS, modalities, workstations –Separate anonymizer Author Service connection

File Service

File Cabinet

Adding Images

Submit Service Allows users to upload MIRC documents to a storage service –Supports connections from client-side authoring tools –Supports uploading documents via a browser –Accepts uploads in the format exported by the XML Server

Submit Service

DICOM Service Receives DICOM objects from PACS, workstations, modalities, … Automatic document generation –Images grouped into documents by study –Template-driven –Automatic JPEG generation from DICOM –Programmable anonymization (de- identification and re-identification)

What goes in a teaching file case? Whatever you want: HistoryDifferential Diagnosis Findings Discussion DiagnosisQuizzes References Images, drawings, videos, audios, …

Author Service Allows users to create MIRC documents directly on the Storage Service Supports multiple templates to allow for the creation of different kinds of documents Links to the File Service for inserting links to images and other documents

Author Service

Templates Defines the look and feel of teaching file documents What sections can be in the document Makes it easier to author documents Can make new templates for different types of documents

Authoring

Title

Title with hidden elements

Deleting a portion of a section

Document Properties

Sections Used to organize documents Used to display specific information Image sections can only display images

Adding new section title

New section

File Cabinet Personnel Shared Used to store images to author teaching files documents

The File Service

Image Section

Image Section with Hidden Elements

Title

Image section

Adding Images

Annotations

Image display without annotations

Image display with annotations

Images Can load images into personal and shared file cabinets Can load images directly into documents using the DICOM storage service

Index Content Section Information that is used to index documents but is not displayed Used for none free text searches

Permissions read: view the document update: edit the document and save the changes in the Author Service export: download a copy of the document and its locally referenced objects (images, etc.) to the user's computer delete: remove the document from the MIRC site

Permissions If the list of roles includes an asterisk, all users are granted the privilege. This is probably not a good idea for most documents. If the list of roles is empty, only the owners have the privilege.

Permissions If the list of roles does not contain an asterisk and is not empty, only users matching the list in some way have the privilege. For compatibility with early versions of the MIRCdocument schema, documents that are missing the "update" element are not editable.

Document Section Select the display mode Set backgound color Set first tab to be displayed

Document Section

PHI section Used to log access to patient specific information

Protected Health Information

The RSNA MIRC Software Runs on Mac, Windows, Linux Three components: Java / Tomcat / MIRC All components are free MIRC Users Group meetings: 12/112:30 - 2:30

Questions/Answers & Help RSNA Forums: – –User Comments, Questions and Answers –RSNA MIRC Software Announcements –MIRC Implementers’ Corner –MIRC Technical Review Committee Subscribe on the Forums site

MIRC InfoRad Courses How to Set Up a System for Teaching Files and Clinical Trials How to Author MIRC Teaching Files MIRC Case Studies: Using MIRC for Education and Research Web Classroom Sessions

mirc.rsna.org Khan M. Siddiqui, MD Chief, Imaging Informatics & MRI VA Maryland Health Care System Assistant Professor, Radiology University of Maryland, School of Medicine Baltimore, MD