1. Dr Otto Schulze Project Leader DMIMTC

2. Increasing demand for specialized imaging (>500 images/patient on MDCT/MRI) Repeat examinations (No post-processing) Lost films & packets (Repeat examinations & no comparison) Not all images are printed (Lost information 20 images/sheet) Plain film X-rays (Dark room personnel, Chemicals, Film) Storage is labor intensive, occupies space & problems (Lost reports, packets, films) Poor communication with referring doctor (Wait for examination, reports, films & dependent on physical transport) Radiology opinion limited (Staffing in peripheral hospitals) Why is the rest of the world going digital?

3. Communication between the Imaging modality – The machine PACS – The film RIS – The paper HIS – The reception computer Two components Digital medical imaging Digital image management

7. IT HIS RIS PACS Digital Imaging Modalities

8. Film performs a balancing act between: Capturing the image Displaying the image Storing the image Digitizing the process allows each step to be optimized Cost saving: No more film Chemicals for development Dark Room assistants Better capturing techniques Less exposure problems Better image manipulation techniques

9. Improved display techniques Cell phones, PDA’s, Laptops, Multi-monitor displays, large screen displays and data projectors Improved storage techniques Large redundant data archives Improved management of resources Measurement possible Productivity of personnel, modalities and departments Equipment lifecycle according to usage Management possible Resources can be utilized across the province

10. The patient Quicker and Improved patient care The clinician Faster available, ubiquitous imaging Management Improved management capabilities The imaging department Improved workflow NOT a Radiology toy, but a clinical governance tool but a clinical governance tool

11. CHANGED WORKFLOW No more administration / statistics No more looking for films No more taking beautiful pictures

12. Digital Ordering Digital Scheduling Digital Statistics / Tick-Sheets Digital Work-lists Digital Quality Control Digital Reporting Digital Distribution

13. HIS 3. Prefetch old study 9. Backup of study and report 8. Final Report 2. DICOM worklist Clinician Viewing Stations Archive Distribution: CD, DVD, Email, Web PACS Server Imaging Modalities 7. Report Dictation Radiology Diagnostic Workstations 4. Study performed RIS Patient 1. Patient presents to hospital 6. Studies sent to Clinician 5. Studies sent to Radiologist 10. Report and study distributed to clinician

14. 1. Request for imaging study 2. Request for additional clinical information by radiologist and supplied by clinician Clinician RIS Radiologist Patient 3. Study approved 4. Study planned 5. Scheduling of study 6. Study date & time Information about study Preparatory instructions 7. Study date & time Blood assays requested 8. Tracking the progress of the study

18. Trauma

19. “COW” Computer - On - Wheels

20. Old X-ray room now being converted to Recovery Room

21. CR

22. DR

24. DMIMTC TMM decision Funds MTS HRP National

25. Q &A