The 3Dnet Cloud - are you connected yet?

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1 The 3Dnet Clud - are yu cnnected yet? 3DnetMedical is a clud-based service that prvides easy, timely access t studies nline. Fllwing IHE standards, any imaging setup can easily be cupled t the clud. Image data is cpied ver and held fr viewing/reprting in an independently managed, shrt-term nline cache. The nde that s required t secure the cnnectin between a Trust and the clud is sftware nly, easily dwnladed and installed - greatly facilitating netwrk develpment by eliminating setup csts and lead time. Image transfer and study distributin can be setup t run autmatically s that studies are available nline under 5 minutes f the scan being acquired. An authenticated user can view and reprt assigned wrk anywhere with a 2Mbps cnnectin available, withut installing sftware clients r dwnlading patient data. Benefits f 3Dnet Free installatin f the service. Little t n maintenance required Data cached fr up t 30 days at n cst Accelerate study distributin, access and clinical decisin making Manage individual r grup permissins and access t case flders Physicians have ne lgin and a unified wrk list Online viewer includes full diagnstic reprting wrkstatin functinality N reliance n sftware r hardware - just the internet Hw it wrks Register yur netwrk at

2 Create subflders that will be linked t the imaging sites Created user accunts and set rles/permissins/access t subflders Dwnlad and install 3Dnet Gateway nde at each site Cnfigured PACS and/r scanners with the Gateway (RIS interface ptinal) Setup autmated distributin rules (nline) t rute studies t subflders and users Reprts, key images and captures autmatically returned t riginating imaging site - t PACS (DICOM), t secure drive (text dcument) r t RIS (HL7) if required After (up t) 30 days the study is remved frm the nline cache autmatically Case Studies 1. Avn, Glucestershire, Wiltshire and Smerset (AGWS) The AGWS Strke and Cardiac Netwrk cmprise f 9 NHS Trusts and a rta f 20 cnsultants, prviding acute services 24/7 t a ppulatin f 3 millin. Each Trust prvided a different methd f access t PACS (VPN, CITRIX clients, etc.). The result was a disjinted, incnsistent netwrk with many passwrds and lgins t remember, slw access, riddled with cnnectin prblems at unsciable hurs. Prblem Previus technlgies were cumbersme, cstly and ften failing Cnsultants required multiple VPNs fr Trusts and multiple lgins Difficulty trubleshting r fixing cnnectin issues ut-f-hurs Cstly myriad f slutins, high speed lines, IT verhead

3 Mre ften than nt, images were nt available remtely Slutin Each Trust installed the 3Dnet Gateway sftware and cnfigured it with their imaging mdalities (PACS and scanners, depending n Trust preference) Strke studies autmatically cpied t Gateway (encrypted) an upladed, available nline in less than 5 minutes Images cpied ver t an independently managed and highly secure (accredited) datacentre netwrk User lgs in nline t access studies and flder they have access t Viewer includes an advanced 3D reprting wrkstatin fr clinical investigatin Impact Single lgin fr cnsultants t view strke cases frm any Trust and a cnsistent methd f wrking Rapid, unbrken 24/7 service frm a highly effective rta Patients effectively treated in much less time - time t clinical decisin reduced by 75% Netwrk expanding int ther much needed services (thrugh nline MDT) PACS, RIS and Advanced Diagnstic Imaging utilities are available t cnnected hspitals n demand with n lead time 2. BartsHealth NHS Trust Whipps Crss University Hspital Prblem: Requirement t prvide ut-f-hurs access slutin t emergency CT cases. Lw vlumes, lw users - difficult t justify large investment t prvide the service. Slutin: 3Dnet Gateway installed and cnfigured t PACS. General ut-f-hurs cases sent t the Gateway. As the studies cntain the reprter's name in the DICOM header, it is autmatically assigned t reprter's wrklist, triggering a ntificatin. The ensuing final reprt is autmatically depsited as a text dcument n a secure netwrk drive. Impact: Grwing number f users t supprt ever increasing reprt vlumes. St. Barthlmew's Prblem: Cncern t prvide accessibility f 24/7 n-call neur-radilgy services fr MRI.

4 Slutin: 3Dnet Gateway cnfigured with MRI scanners and PACS. Selected neurradilgy cases are sent t clud and accessed nline. Management rules, like wrklist, ensure crrect patient viewed nly by relevant cnsultant. Impact: Althugh Bart's was nw able t easily supprt the service, neur-radilgists quickly cnnected t their ther practices as well, particularly imaging centres thrughut Harley Street. In ding s they gained the benefit f ne nline access pint t all f their wrk, all f the tls they need t interpret and autmated return f reprts. The Ryal Lndn Prblem: Strng need t imprve access t strke studies t reduce time t clinical decisin. Slutin: Whipps Crss and Bart's & The Ryal Lndn replaced their disjinted access methds fr a cnslidated nline wrklist. 3Dnet Gateway installed and cnfigured with PACS at St. Barthlmew's and The Ryal Lndn. Autmated rule setup n PACS t push any studies cntaining DICOM tags "CT" and "Head" t a single flder in the clud. All n-call neurlgist are able t access this flder when the lg in despite the presence f nly ne n-call neurlgist n rta per day. Impact: Greatly imprved clinical lead time thrugh autmating acquisitin and distributin. Cnsultants have mre pwerful functinality than befre t aid in clinical investigatin. Overall Neurlgy cases are tday sent t the clud frm Whipps Crss, St. Barthlmew's and The Ryal Lndn t supprt a number f emergency and ut-f-hurs services. The service is expanding t Newham and ther Trusts in the netwrk in rder t prvide reliable access t time critical infrmatin and a cnsistent methd f wrking acrss all sites. The clud ffers the pssibility create new wrkflws withut affecting the nes that exist (r re-engineering thse that d). Imprved clinical decisin supprt has resulted in increasing numbers f successfully treated patients, with much less time.

5 Csts Summary f csts fr dedicated and fine-tuned NHS netwrks f excellence slutin: Descriptin Csts Details Setup 0 Free piece f sftware. Creates secure link with the clud. Cnnect t unlimited DICOM mdalities (PACS and scanners) Maintenance & Supprt 0 N maintenance necessary as there are n devices invlved. Assistance prvided in case f sftware failure Other csts 0 There are n hidden r n-ging csts. The clud is ffered as mst ther utilities - nly pay fr what yu use. Netwrk User Accunt Read & Reprt Typical Per Study Cst based n supprted users, sites and study vlume. Admin accunt (per hspital) prvided at n cst.

6 Summary 3DnetMedical represents the next evlutin in medical imaging - utsurcing that maintenance, upgrading and security f the underlying infrastructure s that hspitals, imaging centres and cnsultants are free t fcus n delivering care. By installing the 3Dnet Gateway, Trusts gain a shp windw int the scalable resurces ffered in the clud. Viewing, reprting, referrer access, sharing, archiving and advanced clinical sftware are all instantly available when needed and can be terminated when nt. There are n setup r maintenance csts nce cnnected t the clud s yu nly ever pay fr the resurces yu cnsume. Fr further infrmatin abut 3DnetMedical, please visit:

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