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
Cloud Imaging Applications: What you must consider before
Cloud Imaging Applications: What you must consider before Does the application match the needs and workflow?
Cloud Imaging Applications: What you must consider before Does the application match the needs and workflow? Products cost
Cloud Imaging Applications: What you must consider before Does the application match the needs and workflow? Products cost Other cost (Internet bandwidth, hardware, etc)
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
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
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
Cloud experience at
Cloud experience at SIEMENS Cloud CAD system
Cloud experience at SIEMENS Cloud CAD system Synapse cloud PACS system
Cloud experience at SIEMENS Cloud CAD system Synapse cloud PACS system XRFiles cloud study sharing system
FUJI SYNAPSE CLOUD PACS
FUJI SYNAPSE CLOUD PACS Private Cloud by DINCO
FUJI SYNAPSE CLOUD PACS Private Cloud by DINCO Secure access to Hadassah network from provider (BINAT)
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
Herzog Hospital
Secure connection Herzog Hospital
Secure connection Secure connection Herzog Hospital Hadassah Hospital
Secure connection Secure connection Herzog Hospital Study report Hadassah Hospital
Secure connection Study report Herzog Hospital Secure connection Study report Hadassah Hospital
Our experience with Cloud
Our experience with Cloud Primary diagnosis on the Cloud is possible
Our experience with Cloud Primary diagnosis on the Cloud is possible 3-5 seconds to get 2 chest Xrays transmission speed is acceptable
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
Cloud CAD system
Cloud CAD system CAD require intensive computing processing
Cloud CAD system CAD require intensive computing processing Require security measures to deliver image out of the company
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 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
Siemens Cloud CAD Hadassah installation
Siemens Cloud CAD Hadassah installation Uploader server was installed on Hadassah servers room
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
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
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
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
PACS Uploader
SIEMENS CAD CLOUD NAME PACS Uploader
SIEMENS CAD CLOUD NAME PACS Uploader
SIEMENS CAD CLOUD NAME NAME+ID+ACC# PACS Uploader
SIEMENS CAD CLOUD NAME NAME+ID+ACC# + NEW CAD SERIES PACS Uploader
Our experience with CAD
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)
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)
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
XRFiles for delivery studies out of the hospital
XRFiles for delivery studies out of the hospital PDI (Patient CD) replacement
XRFiles for delivery studies out of the hospital PDI (Patient CD) replacement Avoid expensive cost of CD robot maintenence
XRFiles for delivery studies out of the hospital PDI (Patient CD) replacement Avoid expensive cost of CD robot maintenence Cloud secure study storage (temporal)
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)
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
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)
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.
PACS
PACS Uploader & Downloader DICOM SEND
PACS Uploader & Downloader DICOM SEND INSTRUCTIONS AND ACC# AND XRFILE CODE
PACS Uploader & Downloader DICOM SEND INSTRUCTIONS AND ACC# AND XRFILE CODE
PATIENT HOUSE OR DR OFFICE PACS Uploader & Downloader DICOM SEND INSTRUCTIONS AND ACC# AND XRFILE CODE
PATIENT HOUSE OR DR OFFICE PACS Uploader & Downloader DICOM SEND INSTRUCTIONS AND ACC# AND XRFILE CODE
PATIENT/STUDY RECONCILIATION PATIENT HOUSE OR DR OFFICE PACS Uploader & Downloader DICOM SEND INSTRUCTIONS AND ACC# AND XRFILE CODE
Our experience with XRFiles
Our experience with XRFiles Time to upload a CT study is similar to the time to send it to the robot
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
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
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
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
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
Thanks diegog@hadassah.org.il Questions? Be prepared to: IsraPACS 2012 7 th PACS Congress of Israel June 12 th Hadassah Har Hatzofim Hospital - Jerusalem Israel israpacs@gmail.com israpacs2012 http://sites.google.com/site/