1. http://nscp01.physics.upenn.edu/NDMA

4. Portal (Win2000 +Linux) Digital Mammography Unit Acquisition Workstation Dry Laser Film Printer Diagnostic Workstation Reporting System Administrative Workstation (PC/browser) NGI Figure 1. Small Imaging Center Smart Card Reader Ultrasound Scanner

5. Portal (Win2000 +Linux) Digital Mammography Unit Acquisition Workstation Dry Laser Film Printer Mammo. Diagnostic Workstation Radiology Information System with Mammography Reporting Administrative Workstation (PC/browser) NGI Figure 2: Breast Center in Department with PACS Smart Card Reader Ultrasound Scanner Administrative Workstation (PC/browser) Smart Card Reader PACS Workstation PACS Workflow Manager

6. NDMA is a storage Application Service Provider (ASP), but with: Pooled data Client-to-client transfers BI-RADS ® report data CAD Research users Teaching functions

7. Linux NDMA Gateway (Secure Transport Services) NGI Figure 3. Interfaces to the NDMA Application server DICOM Storage SCP (Local Storage Only) ___________________________ DICOM Storage SCP (Remote Storage Only) ___________________________ DICOM Storage SCP (Combined Storage) ___________________________ DICOM Storage SCU ___________________________ DICOM Modality Worklist SCU ___________________________ HTTPD (Web) server HTTPSD (Secure Web) server Workflow manager Image Source (Modality) devices Workstations Query/Retrieve Storage Commitment Workstations Query/Retrieve Routing, Prefetch & retrievals initiated by Web user interface PC Administrative Workstations Query/Retrieve Site’s Modality Worklist Server Query for schedule to initiate prefetch

8. SR in the NDMA Reports captured from RIS or mammography reporting system CAD results Clinical History Extract for CAD Teaching file

11. Status and Timeline Interface functionality defined, now time to get to work SR solutions needed for –Extracting reports from RIS/Reporting system UNC Mammography Case Database Cerner QuadRIS (Chicago) IDXrad (Penn) –CAD report generation Chicago Microcalcification detection Chicago mass detection FARgen microcalcification detection –Relevant clinical history for CAD Test solutions in place by end of 2001

12. We’re looking for: SR IODs for testing Rendering tools Toolkits XML-DICOM transcoding tools Interoperability testing