Image Archiving for Digital Pathology
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1 Pathology Informatics 2011 Image Archiving for Digital Pathology Which Way to Turn? Glenn Taylor, MD, FRCPC, FACP Head, Division of Pathology, Hospital for Sick Children Associate Professor, University of Toronto
2 Disclaimers User Apollo PathPACS I have no financial interest with Apollo or any other commercial enterprise mentioned in this presentation.
3 Image Archiving for Digital Pathology Which Way to Turn?
4 Hospital for Sick Children Toronto, Ontario Largest pediatric hospital in Canada Provincial, national and international patients Canada s largest hospitalbased child health research institute
5 Division of Pathology Clinical, Research and Referral Surgical and autopsy pathology Coroner s pediatric autopsies Immunohistochemistry Electron microscopy Provider arrangements Molecular pathology
6 Division of Pathology Clinical, Research and Referral Surgical and autopsy pathology Coroner s pediatric cases Immunohistochemistry Electron microscopy Provider arrangements Molecular pathology Pathology Users 10 pathologists 2 fellows, up to 6 residents 3 research scientists 3 pathologists assistants 5 EM technologists 3 immunohistochemistry technologists 1 morphometry technologist 1 imaging consultant
7 Hard Copy Images
8 Hard Copy Image Archive Physical vulnerability of slides and prints No built in backup system Images lost, misfiled or borrowed Limited security options Outside of institution processing
9 Digital Image Archive Limitations File format support Image acquisition Hospital IS interface Hospital IS support Application lifespan
10 Division of Pathology Clinical, Research and Referral Surgical and autopsy pathology Coroner s pediatric cases Immunohistochemistry Electron microscopy Provider arrangements Molecular pathology
11 Division of Pathology Clinical, Research and Referral Macroscopic specimens Photomicroscopy Electronmicrographs Digital Faxitron images Document images Digitized whole slide images
12 Digital Image Archive Requirements Reliable Secure Useable Flexible
13 Digital Image Archive Requirements Reliable Secure Useable Flexible Obsolescence Resistant
14 Digital Image Archive Requirements Legislation Hospital Division
15 Legislative Requirements Provincial Legislation (Ontario) Personal Health Information Protection Act Freedom of Information and Protection of Privacy Act Coroner s Act Hospital Bylaws and Regulations Photography and privacy policies
16 Hospital Requirements Mission Goals and objectives Clinical, research and education Hospital IS interface Hospital IS hardware
17 Hospital Requirements Mission Affordable
18 Hospital Requirements Mission Affordable Reliable
19 Hospital Requirements Mission Affordable Reliable Vendor Proven track record with installed user base Partnerships with other vendors Solid hardware and software background Financially sound Willing to collaborate
20 Hospital Requirements Mission Affordable Reliable Vendor Hospital IS Standard image file formats ODBC and other standards compliant IS infrastructure compatible
21 Division of Pathology Requirements Reliable Secure Useable Flexible Clinical Acquisition of images from all AP lab sections Pediatric forensic autopsy image security Research Teaching Administration Users
22 Division of Pathology Requirements Reliable Secure Useable Flexible Clinical Acquisition of images from all AP lab sections Pediatric forensic autopsy image security Research Teaching Administration Users
23 Image Archive Security Permissions Audit Trails
24 Image Archive Security Administrator Viewer Permissions set on: Archive type User role Case type Specimen type Image class Image
25 User Log-on Accessioning Sets User Role Sets Specimen Class Sets Image Type Security Permissions
26 User Functions View Annotate Modify* Create Print Import Export Restrict Inactivate Functions individually allowed or prohibited Functions audited
27
28 Audit Trails
29
30 Division of Pathology Requirements Reliable Secure Useable Flexible Clinical Acquisition of images from all AP lab sections Pediatric forensic autopsy image security Research Teaching Administration Users
31 Division of Pathology Requirements Reliable Secure Useable Division Department Hospital External clients Flexible
32 Useable and Flexible Division Services Clinical Case documentation Case analysis (EM, morphometry) Case presentation (clinical rounds) Academic Research Teaching Conferences and Publications Administration Quality assurance Division Operations Integration within laboratory work flow adapting work flow to fit image archive versus customizing image archive to fit work flow
33 Useable and Flexible Division Operations Integration within laboratory work flow adapting work flow to fit image archive versus customizing image archive to fit work flow
34 Useable and Flexible Simple Data Entry Simple metadata entry without redundancy Interface with Pathology LIS Flexible entry options Down-time contingencies Automatic security permissions
35 Useable and Flexible Pathology Users 10 pathologists 2 fellows, up to 6 residents 3 research scientists 3 pathologists assistants 5 EM technologists 3 immunohistochemistry technologists 1 morphometry technologist 1 imaging consultant
36 Useable and Flexible Pathology Users 10 pathologists 2 fellows, up to 6 residents 3 research scientists 3 pathologists assistants 5 EM technologists 3 immunohistochemistry technologists 1 morphometry technologist 1 imaging consultant
37 Useable and Flexible
38 Flexible Scalable Adaptable
39 Flexible Scalable Adaptable
40 Image Output Within Division Viewing Exporting Printing Outside Division Viewing Other permissions Clinical Rounds Consultation Static images Audio-video streams Virtual microscopy
41 Division of Pathology Within Hospital Clinical Services Pathology Digital Archive Researchers Teaching and Rounds Pathologists
42 Division of Pathology Within Hospital Clinical Services Pathology Digital Archive Researchers Teaching and Rounds Pathologists
43 Outside Hospital Clients Consultants Teaching and Rounds Distance Pathologists Division of Pathology Pathology Digital Archive Within Hospital Clinical Services Researchers Teaching and Rounds Pathologists
44 Outside Hospital Clients Consultants Teaching and Rounds Distance Pathologists Division of Pathology Pathology Digital Archive Within Hospital Clinical Services Researchers Teaching and Rounds Pathologists
45 Outside Hospital Clients Consultants Teaching and Rounds Distance Pathologists Division of Pathology Pathology Digital Archive Within Hospital Clinical Services Researchers Teaching and Rounds Pathologists
46 Flexible Scalable Adaptable
47 Flexible Scalable Adaptable Obsolescence
48 Image Archiving for Digital Pathology Which Way to Turn?
49 Pathology Digital Image Archive Reliable Secure Useable Flexible
50 Clinical Digital Image Archive Reliable Secure Useable Flexible Dermatology Gastroenterology Ophthalmology Plastic Surgery Pediatrics
51 Thanks To Sick Kids Implementation Team Daniela Crivianu-Gaita VP IS Michael Anderson Team Leader DPLM IS Lois Child Lab IS Resource Technologist Rita Pyle Project Manager IS Michael Starr Image Consultant Don Perrin PhD PA (ASCP) Jim Choi
52 Thanks To Apollo PathPACS Mark Newburger Tom Campbell Jeff Mabus John Reichert
53 Pathology Informatics 2011 Image Archiving for Digital Pathology Which Way to Turn? Glenn Taylor, MD, FRCPC, FACP Head, Division of Pathology, Hospital for Sick Children Associate Professor, University of Toronto
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