Imaging Cloud Computing Real hospital scenarios Hadassah Experience
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1 Imaging Cloud Computing Real hospital scenarios Hadassah Experience Diego Gicovate, PhD Hadassah PACS systems director Radiology Informatics Laboratory Director IsraPACS 2012 Congress Chairman Independent Consultant
2 Cloud Imaging Applications: What you must consider before
3 Cloud Imaging Applications: What you must consider before Does the application match the needs and workflow?
4 Cloud Imaging Applications: What you must consider before Does the application match the needs and workflow? Products cost
5 Cloud Imaging Applications: What you must consider before Does the application match the needs and workflow? Products cost Other cost (Internet bandwidth, hardware, etc)
6 Cloud Imaging Applications: What you must consider before Does the application match the needs and workflow? Products cost Other cost (Internet bandwidth, hardware, etc) Legal aspects: medical data on the cloud & who is responsible
7 Cloud Imaging Applications: What you must consider before Does the application match the needs and workflow? Products cost Other cost (Internet bandwidth, hardware, etc) Legal aspects: medical data on the cloud & who is responsible Network considerations: internal and External
8 Cloud Imaging Applications: What you must consider before Does the application match the needs and workflow? Products cost Other cost (Internet bandwidth, hardware, etc) Legal aspects: medical data on the cloud & who is responsible Network considerations: internal and External Image compression/quality = image quality vs. speed
9 Cloud experience at
10 Cloud experience at SIEMENS Cloud CAD system
11 Cloud experience at SIEMENS Cloud CAD system Synapse cloud PACS system
12 Cloud experience at SIEMENS Cloud CAD system Synapse cloud PACS system XRFiles cloud study sharing system
13 FUJI SYNAPSE CLOUD PACS
14 FUJI SYNAPSE CLOUD PACS Private Cloud by DINCO
15 FUJI SYNAPSE CLOUD PACS Private Cloud by DINCO Secure access to Hadassah network from provider (BINAT)
16 FUJI SYNAPSE CLOUD PACS Private Cloud by DINCO Secure access to Hadassah network from provider (BINAT) Hadassah internal security: only specific computers on the hospital have access to this private Cloud
17 Herzog Hospital
18 Secure connection Herzog Hospital
19 Secure connection Secure connection Herzog Hospital Hadassah Hospital
20 Secure connection Secure connection Herzog Hospital Study report Hadassah Hospital
21 Secure connection Study report Herzog Hospital Secure connection Study report Hadassah Hospital
22 Our experience with Cloud
23 Our experience with Cloud Primary diagnosis on the Cloud is possible
24 Our experience with Cloud Primary diagnosis on the Cloud is possible 3-5 seconds to get 2 chest Xrays transmission speed is acceptable
25 Our experience with Cloud Primary diagnosis on the Cloud is possible 3-5 seconds to get 2 chest Xrays transmission speed is acceptable Built in simple report notes are can be used to report xray studies
26 Cloud CAD system
27 Cloud CAD system CAD require intensive computing processing
28 Cloud CAD system CAD require intensive computing processing Require security measures to deliver image out of the company
29 Cloud CAD system CAD require intensive computing processing Require security measures to deliver image out of the company May transmit large sets of image data so can use big Internet bandwidth
30 Cloud CAD system CAD require intensive computing processing Require security measures to deliver image out of the company May transmit large sets of image data so can use big Internet bandwidth Cloud CAD must be connected to the PACS
31 Siemens Cloud CAD Hadassah installation
32 Siemens Cloud CAD Hadassah installation Uploader server was installed on Hadassah servers room
33 Siemens Cloud CAD Hadassah installation Uploader server was installed on Hadassah servers room System receive all CR/DR images and forward to the cloud only Chest Xrays
34 Siemens Cloud CAD Hadassah installation Uploader server was installed on Hadassah servers room System receive all CR/DR images and forward to the cloud only Chest Xrays All demographics DICOM tags are anonymized before images leave the hospital
35 Siemens Cloud CAD Hadassah installation Uploader server was installed on Hadassah servers room System receive all CR/DR images and forward to the cloud only Chest Xrays All demographics DICOM tags are anonymized before images leave the hospital After cloud CAD processing all original DICOM tags are returned
36 Siemens Cloud CAD Hadassah installation Uploader server was installed on Hadassah servers room System receive all CR/DR images and forward to the cloud only Chest Xrays All demographics DICOM tags are anonymized before images leave the hospital After cloud CAD processing all original DICOM tags are returned CAD images are stored in the same study but in a
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38 PACS Uploader
39 SIEMENS CAD CLOUD NAME PACS Uploader
40 SIEMENS CAD CLOUD NAME PACS Uploader
41 SIEMENS CAD CLOUD NAME NAME+ID+ACC# PACS Uploader
42 SIEMENS CAD CLOUD NAME NAME+ID+ACC# + NEW CAD SERIES PACS Uploader
43 Our experience with CAD
44 Our experience with CAD Xray machines send to two destination without problem even in busy days (there are no needs of DICOM router in between)
45 Our experience with CAD Xray machines send to two destination without problem even in busy days (there are no needs of DICOM router in between) Loop time, about 5-7 minutes, is acceptable for clinical work (anonymize-upload-process-send back-store on PACS)
46 Our experience with CAD Xray machines send to two destination without problem even in busy days (there are no needs of DICOM router in between) Loop time, about 5-7 minutes, is acceptable for clinical work (anonymize-upload-process-send back-store on PACS) No demographic/patient information goes out of the hospital
47 XRFiles for delivery studies out of the hospital
48 XRFiles for delivery studies out of the hospital PDI (Patient CD) replacement
49 XRFiles for delivery studies out of the hospital PDI (Patient CD) replacement Avoid expensive cost of CD robot maintenence
50 XRFiles for delivery studies out of the hospital PDI (Patient CD) replacement Avoid expensive cost of CD robot maintenence Cloud secure study storage (temporal)
51 XRFiles for delivery studies out of the hospital PDI (Patient CD) replacement Avoid expensive cost of CD robot maintenence Cloud secure study storage (temporal) Zero foot print viewer (no installation, multiplatform)
52 XRFiles for delivery studies out of the hospital PDI (Patient CD) replacement Avoid expensive cost of CD robot maintenence Cloud secure study storage (temporal) Zero foot print viewer (no installation, multiplatform) Company or personal uploader/downloader
53 XRFiles for delivery studies out of the hospital PDI (Patient CD) replacement Avoid expensive cost of CD robot maintenence Cloud secure study storage (temporal) Zero foot print viewer (no installation, multiplatform) Company or personal uploader/downloader Suppress problematic DICOM objects (PR, KO, etc)
54 XRFiles for delivery studies out of the hospital PDI (Patient CD) replacement Avoid expensive cost of CD robot maintenence Cloud secure study storage (temporal) Zero foot print viewer (no installation, multiplatform) Company or personal uploader/downloader Suppress problematic DICOM objects (PR, KO, etc) We installed the uploader in a Win XP computer and connected to the PACS. Tested the system performance on delivery of CT, MRI and DX images.
55 PACS
56 PACS Uploader & Downloader DICOM SEND
57 PACS Uploader & Downloader DICOM SEND INSTRUCTIONS AND ACC# AND XRFILE CODE
58 PACS Uploader & Downloader DICOM SEND INSTRUCTIONS AND ACC# AND XRFILE CODE
59 PATIENT HOUSE OR DR OFFICE PACS Uploader & Downloader DICOM SEND INSTRUCTIONS AND ACC# AND XRFILE CODE
60 PATIENT HOUSE OR DR OFFICE PACS Uploader & Downloader DICOM SEND INSTRUCTIONS AND ACC# AND XRFILE CODE
61 PATIENT/STUDY RECONCILIATION PATIENT HOUSE OR DR OFFICE PACS Uploader & Downloader DICOM SEND INSTRUCTIONS AND ACC# AND XRFILE CODE
62 Our experience with XRFiles
63 Our experience with XRFiles Time to upload a CT study is similar to the time to send it to the robot
64 Our experience with XRFiles Time to upload a CT study is similar to the time to send it to the robot Study is immediately to available the patient and doctors worldwide
65 Our experience with XRFiles Time to upload a CT study is similar to the time to send it to the robot Study is immediately to available the patient and doctors worldwide Viewer opens under all platforms including Android, Mac, Windows and in all browsers that support flash
66 Our experience with XRFiles Time to upload a CT study is similar to the time to send it to the robot Study is immediately to available the patient and doctors worldwide Viewer opens under all platforms including Android, Mac, Windows and in all browsers that support flash Large CT series are streaming slowly
67 Our experience with XRFiles Time to upload a CT study is similar to the time to send it to the robot Study is immediately to available the patient and doctors worldwide Viewer opens under all platforms including Android, Mac, Windows and in all browsers that support flash Large CT series are streaming slowly Information and workflow are secure and less time consuming than regular CD
68 Our experience with XRFiles Time to upload a CT study is similar to the time to send it to the robot Study is immediately to available the patient and doctors worldwide Viewer opens under all platforms including Android, Mac, Windows and in all browsers that support flash Large CT series are streaming slowly Information and workflow are secure and less time consuming than regular CD Cloud is the tool to share and transfer image studies
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72 Thanks Questions? Be prepared to: IsraPACS th PACS Congress of Israel June 12 th Hadassah Har Hatzofim Hospital - Jerusalem Israel israpacs@gmail.com israpacs2012
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