REM Profile demo at JFR’2009 Philippe Puech Joël Chabriais

Actors and Vendors involved CompanyProduct nameAcquisition Modality Image Archive Image Manager Dose Info Consumer Dose Info Reporter Dose Register Siemens Artis ZeeX AGFA healthcare XXX Softway MedseenXXX EDL XploreXX IRSN ExperimentalX

Scenario (in 2 parts) Image acquisition : –A patient is referred to the hospital for an abdominal bleeding. He has an angiography. –Siemens Artis Zee can connect to EDL’s worklist, simulate the irradiation and generate a new DICOM SR object. Dose storage –Siemens Artis Zee pushes DICOM SR objects to the AGFA and WAID PACS, as well as the EDL RIS Record consultation (Dose Info Consumer) –A radiologist reviews the patient’s study on the PACS and dictates on the RIS. He views the presence of a DOSE object and can read the report as well on the PACS that on the RIS. –Ideally, the RIS would be able to compare current dose with recommended values, but was not possible at the demo. Reporting –Each time a study is dictated, the RIS pushes an anonymized DOSE SR to the registry using FTPS. (Dose Information reporter). This can be performed using a mass query. Dose management for public health –All doses reports, coming from different modalities are centralized in the registry. Image Archive Image Manager Acquisition Modality Dose Information Consumer Dose Information Reporter Dose Register [RAD-63] Using FTPS to receive dose [RAD 64] Querying a dose [RAD 62] Sotre dose [RAD 62] Store dose [RAD 10] Receipt [RAD 65] Receiving dose

Conclusions Required regular contacts with the actors. Good -to very good- frequentation. 9 demos ; continuous presence on the booth ; about 40 people watched it completely ; 500 A4 flyers went away; more industrials /physicists/biomed.eng. than « simple » radiologists. All authorities representatives came. RIS/PACS vendors need help on how to use the dose information –What should be reported on the screen depending on the examination => DoseDatamed ? Difficulty to find partners for the registry, because it usually depends of local authorities (Krucom withdrawed 2 months before the demo ; we had to develop an experimental registry) –Authorities in charge of the registry need a clear information on the body part (DICOM cp722_ft ?) to calculate Eff.Dose. Acquisition modalities manufacturers should advertize on the IHE website, and updates of semi recent modalities should be proposed ; not only for the « to come » devices.