1. 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

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

3. 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

4. Query Service

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

6. Standard Query Results

7. The Case Navigator Intended for teaching file cases

8. 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

9. Display Formats Page Tab MSTF

10. 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

11. File Service

12. File Cabinet

13. Adding Images

14. 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

15. Submit Service

17. 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)

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

19. 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

20. Author Service

21. 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

22. Authoring

23. Title

24. Title with hidden elements

25. Deleting a portion of a section

26. Document Properties

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

28. Adding new section title

29. New section

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

31. The File Service

32. Image Section

33. Image Section with Hidden Elements

34. Title

35. Image section

36. Adding Images

37. Annotations

38. Image display without annotations

39. Image display with annotations

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

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

42. 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

43. 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.

44. 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.

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

46. Document Section

47. PHI section Used to log access to patient specific information

48. Protected Health Information

49. 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

50. Questions/Answers & Help RSNA Forums: –http://forums.rsna.orghttp://forums.rsna.org –User Comments, Questions and Answers –RSNA MIRC Software Announcements –MIRC Implementers’ Corner –MIRC Technical Review Committee Subscribe on the Forums site

51. 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

52. 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