1. ACRIN Imaging Core LaboratoryAn
Overview of
ACR Image Management System for Clinical Trials
Slide 1-Bottom right corner: Fix date- 30, September 2009
Jim Gimpel RT (R)(MR)
Imaging Analyst
ACRIN Imaging Core Laboratory
ACR TRIAD IMAGE MANAGEMENT SYSTEM

2. * with appropriate permissions
TRIAD
PUBLISH
ARCHIVE
ANONYMIZE
COLLECT
Image Management System for Clinical Trials
TRANSFER OF IMAGES AND DATA
Core Functions:
SEND – from your modality or PACS
ANONYMIZE – your data on submission
BROWSE – the central archive for images*
* with appropriate permissions

3. DICOM Digital Imaging and Communications in Medicine
Developed by ACR and NEMA ~1985
File format and communications standard (TCP/IP)
Standards established for classifying, ‘grouping’ and authoring metadata

4. TRIAD- History Version 2.0 – June 2008 Version 2.5 sp1– March 2009
First Production Version
Robust submission and anonymization capability
Query and retrieve introduced
Display, markup and measurement layer functionality
Version 2.5 sp1– March 2009
Full GCP Compliance!
Full Audit Trail functionality
Lockout after inactivity
Tighter Integration with CTMS
Support of individual projects and groups
RTOG, PCS/QRRO, ACOSOG, ACCORD,VIEW
Clinical Trial information populated in the DICOM header on submission
Submissions can be clarified at point of entry as “Clinical Trial”, “Test” or “QA”
UI Improvements
Filter application for sorting through voluminous DICOM metadata

5. TRIAD-OA User Perspective
Eliminates the need to $hip media
SECURE transfer
AUTOMATED anonymization
Image transfer status confirmed in real time
Successful
Unsuccessful
AUTOMATED transmittal forms (future feature)
Firewall friendly
Is Ship supposed to have a ‘$’ in it?

6. TRIAD Structure
TRIAD Central Archive

7. TRIAD Structure

8. TRIAD On-site
SCANNER
MD’s Workstation
PACS
TRIAD CLIENT
SITE
SERVER

9. TRIAD Display Display Tools: Window / Level, Zoom Tile Cine
Viewing and measurement tools:
Distance, Area, Angle
Edge Detection
Angle
Uni/Bi-directional Polygon
Annotation

10. TRIAD-Imaging Hierarchy
Series i
image
Exam
Series
Series
Case/Subject
Series i
image
Exam
Series i
image
Exam
Published – series has been locked by ACRIN and cannot be appended or edited
Non-published – not yet locked and may still be appended

11. TRIAD - Data Integrity Check
SUBMI T
Exam
Already
Sent?
Series
Published? NO
YES
YES NO NO
Same
Case/Trial?
Delete/Append Existing Data on Central Server
YES
UID’s are logged for all images submitted for clinical trials NO
Warning
continue
cancel OK

12. TRIAD Clients
Web
Rich GUI
Browse, Download, Submit Browse, Download

13. TRIAD Web Client Thin client
My Downloads “shopping cart” style allows one- stop browsing and download
Comprehensive ZIP file prepared for download

14. TRIAD Rich GUI Client
Data Submission

18. TRIAD
How do I get started??

19. TRIAD-Software Request

20. TRIAD-Account Registration

21. TRIAD-Account Registration

22. TRIAD-User Guides

23. TRIAD Development Version 3.0 & beyond… DICOM C-STORE
Easier trafficking of images to reader workstation environments
Reader Worklist Implementation
Performance Improvements
Attachments and Support of Non-DICOM object handling
JPEG/JPEG 2000
RAW Data
ZIP files
PDFs, etc, etc

24. TRIAD-OA User Perspective
Version 3.0 & beyond…
Optimized help-desk / site support
More robust anonymization, BEYOND GCP standards
Private tag encryption
Form-specific integration with patient calendar & CTMS
Application hosting
Ability to launch 3rd party commercial software from within
AIM, BIRADs, RadLex, & other layered reporting
Further integration with ACR initiatives

25. TRIAD-OA User Perspective
Support: Monday through Friday, 9:00am - 5:00pm (Eastern Time).
Phone:

26. ACRIN Imaging Core Laboratory
TRIAD-OA User Perspective
Jim Gimpel RT (R)(MR)
Imaging Analyst
ACRIN Imaging Core Laboratory