1. How to Author Teaching Files Draft Medical Imaging Resource Center

2. MIRC Objective Support the production, storage, indexing and distribution of medical imaging resources: –Teaching files –Scientific & technical documentation –Research images & datasets –Clinical trials data

3. MIRC Concepts The key concepts: –MIRC is a community of cooperating libraries on the Internet. –The libraries cooperate by supporting a common query mechanism. –The query mechanism allows users to find information wherever it is stored.

4. 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

5. The MIRC Community Internet Server Index MIRC Sites Server Index RSNA User Server Index MIRC Storage Service: - Document Authoring - Document Storage - Document Indexing - Web Server MIRC Query Service: - Access to the community

6. The RSNA MIRC Software Query Service Storage Service - Storage Service- XML Server - Submit Service- Author Service - DICOM Service - Admin Service File Service Private and public file cabinets

7. Query Service Standard query form 31 defined query fields: Free textClinical content Document attributesImage attributes Document contentPatient attributes Links to Storage Service Functions Queries a single site, selected sites, or the entire community

8. Query Service

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

10. Standard Query Results

11. The Case Navigator Intended for teaching file cases

12. 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

13. Display Formats Page Tab MSTF

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. 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

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

17. 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

18. The File Service

19. Demonstration

20. 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)

21. DICOM Service Automatic trial patient ID generation Connection to other DICOM Services for clinical trials –Support for encrypted communications (SSL) DICOM import / DICOM export HTTP(S) import / HTTP(S) export Database export

22. Anonymization Removal of Protected Health Information (PHI) Remapping of PHI to trial-specific identifiers Central vs. distributed remapping tables are an issue in a multi-site trial Metadata anonymization may also be required in some trials

23. The RSNA MIRC Software Available on the RSNA MIRC site (mirc.rsna.org) –Click the Downloads link in the header

24. The RSNA MIRC Software Runs on Mac, Windows, Linux Three components: Java / Tomcat / MIRC All components are free MIRC Users Group meetings: 11/281:30 - 3:30 12/112:30 - 2:30

25. 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

26. 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

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

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

29. Image Section

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

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

32. Permissions

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

34. PHI section Used to log access to patient specific information Only works if the document is not public

35. 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

37. Authoring

38. Image Section

39. Image Section with Hidden Elements

40. Title

41. Title with hidden elements

42. Protected Health Information

43. Deleting a portion of a section

44. Document Properties

45. Title

46. Image section

47. Adding Images

48. Adding new section title

49. New section

50. Annotations

51. Image display without annotations

52. Image display with annotations