Using the RSNA s Teaching File Software

Transcription

1 Using the RSNA s Teaching File Software Slides are not to be reproduced Using MIRC for Departmental Teaching Files

2 Outline Introduction to teaching files MIRC Overview MIRC Query MIRC Authoring MIRC installation RSNA s My Files Other teaching file software Yottalook How to get started with MIRC and wiki and other online resources

3 What is a Teaching File? Slides are not to be reproduced An organized repository of clinical images and documentation. Used primarily to supplement learning process for trainees. Source material for lectures, publications

4 What are the Qualities of a Great Radiology Teaching File High quality Images Comprehensive supplemental Information: path reports, path images, discussion etc. Organization Indexed and searchable Fresh content. Easily accessed from anywhere. Easy to navigate. Secure

5 Problems with Film-Based Slides TF are not to be reproduced Limited access. Typically, a lot of work to submit a case. Difficult to keep organized. Searching file is problematic. Inconvenient to use for decision support. Difficult to update/maintain keeping material current.

6 Where to Put Your Images? - Personal DTF Slides are not to be reproduced Copy images into folders labeled appropriately. Nested file structure Need to open content in another application for use. Not very versatile

7 Personal Teaching Files Thousands of radiologists and nuclear medicine physicisns have amassed personal collections of images. Solutions include cases on , upload of cases to free digital photo services (ie( Ophoto, Picassa, Shutterfly etc.) Generally used by a single user. Accessible from a single computer Image collections are limited in scope. Difficult to enhance content. Not readily sharable

8 Personal DTF Organization with Slides are not to be reproduced Picassa

9 The Next Phase Teaching File Software Web browser is the most appropriate vehicle for delivery of educational content. Browsers are designed to display written and visual content efficiently. Do not have to install a program (hospital computers often locked down Web browser can support multimedia. Early DTF contained static web pages. Laborious to produce. Time consuming to update and index. Modern DTF coupled to a database generates content dynamically ( on( on-the-fly ). Easier to modify More conducive to search mechanisms

10 Components of a Modern DTF Fileserver Database Webserver Fileserver Database Ethernet Webserver

11 What Do People Want? Slides are not to be reproduced Radiologists and nuclear medicine physicians want a simple method to create teaching materials from their existing PACS systems. Ease of use Time efficient Simple to access Scalable in terms of size & complexity.

12 What Is Available NOW? Commercial turnkey systems available for a price which will provide: Method to save images & data from PACS. Storage local or off-site for your cases Web server to display cases Slides are not to be reproduced

13 What Is Available NOW? Slides are not to be reproduced Organizational repositories (e.g. ACR Case-In In- Point, Aunt Minnie etc.) You can develop your own Or there is MIRC!!!!

14 What Does The MIRC Software Suite Do For Me? Medical Imaging Resource Center

15 What Does the RSNA Slides are not to be reproduced Software without permission author. RSNA s Software Suite to for You Set of software tools that allow you to create, index, search and display teaching materials. Repository for educational content. Including peer review content (via RSNA). Ability to selectively share this material in a consistent manner within your institution on your local intranet or worldwide on the internet.

16 MIRC factoids Slides are not to be reproduced An RSNA sponsored initiative. Software toolkit that can be used for creation of teaching repositories and clinical trials databases. Built on open-source principles. No proprietary technology. Uses available standards DICOM, XML, HTTP, JSP, Java Software is free-of of-charge, no licensing. Software designed to operate on most common operating systems incl. Windows, Apple OSX and Linux. PACS vendor neutral.

17 MIRC Components Web server File server Self updating index Powerful administrative functions

18 MIRC Features Slides are not to be reproduced Individualized file storage Multiple document templates Multiple methods to author content Multiple methods to display content Web-based based DICOM viewer. Web-based based editor.

19 MIRC Features DICOM receiver (DICOM SCP) DICOM anonymizer Administrative control of viewing, editing, deletion. Scalable and expandable from one author/pc to hundreds. Easy to install & configure

20 MIRC Services MIRC functions are known as services File service Storage service Query service Author service Submit service DICOM service Most services can be administered.

21 Scalability of MIRC MIRC has the unique ability to scale from one computer / one user to many computers / many users. Potential configurations include: One MIRC repository for one or more users. Multiple MIRC repositories in one or many institutions. Software enables development of cooperative libraries. Each library is individually administered yet portions can be made accessible to all.

22 MIRC Community Multiple MIRC sites ( MIRClets( MIRClets ) ) can function as one large library accessible from the internet. Conceptually a peer-to to-peer model ( ala Napster) allowing individuals to share specific content with other users. A MIRC user can query one or more MIRClets using the query service.

23 MIRC Community MIRC site Query Service Slides are not to be reproduced User Index RSNA site Server Internet MIRC site Index Server Server MIRC site Index Index Server

24 MIRC supports all information storage formats. Images: DICOM, GIF, JPEG, PNG Hyperlinks to other web content. Virtually any content that is displayable in a web browser. Pointers to other files for downloading. Display support for other types in the future

25 Key MIRC Server Components Slides are not to be reproduced Storage Service (Warehouse for material) A cooperating information library. Index: : the library s s card catalog. Server: : the library s s shelves. Responds to MIRCquery using the MIRCqueryresponse schema. Query Service ( Google( Google-like search portal) An entry point into the MIRC community for a user on the Internet. Creates queries using MIRCquery schema.

26 MIRC TF Configuration Scenarios Private Mode Departmental Mode Division Mode Worldwide Mode Variations

27 MIRC TF Scenarios Slides are not to be reproduced Private (selfish) Mode Single-user contributor Single-user access No sharing of content My Stuff

28 MIRC TF Scenarios Divisional / Semi-Private Mode Each division or key individual maintains a server. Division is responsible for maintaining their content. All or a portion of content can be made public. Any individual can access public records on other MIRC servers within institution. Much more difficult to administer. Slides are not to be reproduced

29 Multiple users or divisions contribute to a single departmental MIRC server. All users have controlled access. All can view public cases. Only owners can modify data. Private cases are supported. One server to manage for all content. Easier to administer. MIRC TF Scenarios Departmental Mode Neuro CT NM Body MR Neuro Chest Mammo Slides are not to be reproduced MSK Mammo CVIR MSK Private BIG MIRC User

30 MIRC TF Scenarios Slides are not to be reproduced Worldwide Mode Internet Multiple MIRC sites ( MIRClets ) expose content to the Internet. This public content is accessible to other computers that can perform a query of MIRC content.

31 Using MIRC to Find Cases Slides are not to be reproduced

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40 The MIRC Authoring Process

41 Four Ways to Author Basic authoring tool. Advanced authoring tool. Submit Service ZIP Service

42 MIRC Case Authoring Process Slides are not to be reproduced Collect your images. Send your images to the MIRC file service. Login to MIRC author service. Create a new case using a template Fill in textual content in fields. Select appropriate images from the MIRC file service to include with case. Case is published

43 Getting Images to MIRC Slides are not to be reproduced

44 Storing Images in MIRC MIRC software was designed to utilize common features available by most PACS vendors to export images. Slides are not to be reproduced DICOM SCU/SCP (i.e. DICOM export) Saving images locally to PACS desktop or folder (subdirectory) Images are uploaded to the MIRC file service in one of three ways:

45 Storing Images in MIRC Slides are not to be reproduced 3 Methods DICOM export Upload single image Upload multiple files (using ZIP archive) PACS PACS ZIP File DICOM Export Single Image

46 MIRC File Service Individualized file browser for each registered user Container for images. Two File Storage Areas File Service Function Buttons Add Files Delete Files Update Name Public Private Other File Types Can Find Transfer by Name Files Between Public Export File Desktop and Private Repositories. Copy to Public (shared files) Delete, Add or Update files to the Support File Service. Slides are not to be reproduced Native DICOM

47 From DICOM SCP or copied from personal file cabinets Files in the shared file cabinet are available to all users. Select one or more images. Copy to personal file cabinet. Begin submission process.

48 Additional MIRC Stuff Slides are not to be reproduced

49 ZIP Service Method to convert an existing teaching file system to MIRC from a conventional teaching file hierarchy. This will bulk convert all your images that are in folders in a hierarchical structure to MIRC. Supplement information as needed. Is a great way to get started with MIRC!

50 Powerpoint Tool There is a handy (free) Powerpoint add-in which will take an entire presentation and convert each slide to a MIRC TF document. Many people use Powerpoint as their teaching file repository; this is another way to convert to MIRC. Add-in has been revised, is easy to use and install. Available on the MIRC Wiki.

51 TCE Service The TCE service is an implementation from the Teaching Files and Clinical Trials Export Integration Profile from IHE. Enables one to author teaching file cases directly from PACS. Select key images. Add pre-defined text elements. Submit directly to your MIRC service. This closes the loop for efficient authoring.

52 MIRC Wiki All of the MIRC documentation has been uploaded to a new Wiki site which is easy to navigate and search. All docs and downloads available there.

53 UAM (User Account Manager) Besides the powerful administrative functions in MIRC. There is a UAM which allows users to maintain and manage several account parameters such as password and group subscriptions. Configuration possible to limit query results to logged in users. Users can register credentials with other storage services. Users can create private groups and subscribe to these groups, allowing members to share private documents.

54 Installing the MIRC Software Slides are not to be reproduced

55 Installation Can Be Done in About 10 to 15 Minutes on Laptop, Desktop PC, Server in Four Steps Step 1: Install Java 1.5 or later Step 2: Install Java Advanced Imaging

56 Installation Can Be Done in About 10 to 15 Minutes on Laptop, Desktop PC, Server in Four Steps Step 3: Down Apache Tomcat software Step 4: Install latest version of MIRC software

57 Additional Teaching File and Interesting Software and Services

58 MyPACS MIRC compatible commercial teaching file software 18,000 cases available for viewing for free

59 Medikali: Free and Open Source Teaching File System Used by radiology residents at Public Hospitals in Alberta Canada Free and open source Slides are not to be reproduced

60 Commercial online reference Diagnosis mode Imaging anatomy mode Differential diagnosis module StatDx

61 Yottalook: : yottalook.com Web 3.0 semantic searches using Google s s search engine results Can refine results for nuclear medicine

62 Yottalook: : Images Slides are not to be reproduced Can use Yottalook images to search for all images online including journals and teaching files Can specify nuclear medicine yottalook.com

63 Yottalook: : Books Slides are not to be reproduced Can use Yottalook images to search for all books that have specified content Can also specify nuclear medicine yottalook.com

64 Questions? Slides are not to be reproduced

65 Remember: For all things MIRC..

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