THE FREE SOFTWARE IN A RADIOLOGY SERVICE TODAY

THE FREE SOFTWARE IN A RADIOLOGY SERVICE TODAY Poster No.: C-2467 Congress: ECR 2012 Type: Scientific Exhibit Authors: P. FERRER RIPOLLES; SAN ANTONIO DE BENAGEBER (VALENCIA)/ES Keywords: Computer Applications-Teleradiology, Computer ApplicationsGeneral, Computer Applications-3D, Teleradiology, PACS, Image manipulation / Reconstruction, Computer applications, Trauma DOI: 10.1594/ecr2012/C-2467 Any information contained in this pdf file is automatically generated from digital material submitted to EPOS by third parties in the form of scientific presentations. References to any names, marks, products, or services of third parties or hypertext links to thirdparty sites or information are provided solely as a convenience to you and do not in any way constitute or imply ECR's endorsement, sponsorship or recommendation of the third party, information, product or service. ECR is not responsible for the content of these pages and does not make any representations regarding the content or accuracy of material in this file. As per copyright regulations, any unauthorised use of the material or parts thereof as well as commercial reproduction or multiple distribution by any traditional or electronically based reproduction/publication method ist strictly prohibited. You agree to defend, indemnify, and hold ECR harmless from and against any and all claims, damages, costs, and expenses, including attorneys' fees, arising from or related to your use of these pages. Please note: Links to movies, ppt slideshows and any other multimedia files are not available in the pdf version of presentations. www.myesr.org Page 1 of 17

Purpose The market penetration of technologies such as picture archiving and communication systems (PACS), radiology information systems (RIS), and speech recognition has grown substantially in the past few years. These changes have inexorably altered the practice patterns of most clinicians, who now, for the first time, have convenient push-button access to the entire radiologic image library through the availability of ubiquitous medical imaging Web viewers available throughout their facilities. Economic and performance pressures in the current healthcare environment mandate that the software tools used by radiologists and radiologic personnel must augment work flow and efficiency, rather than hinder it. OsiriX is an image processing software dedicated to DICOM images (".dcm" / ".DCM" extension) produced by imaging equipment (MRI, CT, PET, PET-CT, SPECT-CT, Ultrasound,...). OsiriX is at the same time a DICOM PACS workstation for imaging and an image processing software for medical research (radiology and nuclear imaging), functional imaging, 3D imaging, confocal microscopy and molecular imaging. Free software is a useful way to work in radiology. The open-source software, called OsiriX, allows the user to navigate through multidimensional image series while adjusting the blending of images from different modalities, image contrast and intensity, and the rate of cine display of dynamic images. Easy and intuitive. Working in Macintosh platform. Images for this section: Page 2 of 17

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Methods and Materials Centro de Rehabilitación y Recuperación de Levante: We have three workstations; two 24-inch imac with two monitors Apple LED Cinema 24inch display with a resolution of 1920 x 1200 pixels. The third workstation is a Mac Pro (2.66 GHz processor) with two Apple Cinema HD display, flat screen 30 inches. Each one presenting a resolution of 2560 x 1600 pixels. In addition to this infrastructure in the hospital, we have an open-source PACS (DCM4CHEE) and 3 Apple laptop model 15inch MacBook Pro 2.8 GHz to connect from outside the hospital for teleradiology and emergencies purposes. Consorcio Hospitalario Provincial de Castellón: We have 2 workstations: 27-inch imac (2.7 GHz) with a second Apple Thunderbolt Display (resolution of 2560 x 1440 pixels). Workstations connect to a Windows based PACS. One workstation runs DCM4CHEE PACS for teleradiology tasks. On-call radiology connects to teleradioloy PACS with a MacBook Pro laptop (15-inch) through a vpn tunnel. ITUM: We have 1 workstation (24-inch imac with an accessory Apple LED Cinema 20-inch display) and 2 MacBook Pro laptops (15-inch) for teleradiology. Images for this section: Page 6 of 17

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Results Radiologists need new tools and new ways to interpret the images that result from multidimensional examinations. The new software platforms must offer simple and intuitive user interfaces and powerful processing capabilities that allow radiologists to concentrate their attention on the image content and to arrive at an accurate diagnostic interpretation. In these innovative procedures, it is critical for adequate patient care that the performing physician have full access to the same tools and image data that are available to the interpreting radiologists. Because the OsiriX software is designed to facilitate the manipulation of image data from all time points of the examination in multidimensional space, the user has the ability to switch from the axial plane to any oblique plane while changing the section thickness, displaying a dynamic image sequence, and adjusting the blending of fused anatomic and functional images. With color coding and image fusion techniques, it is possible to generate functional images that contain different temporal data. Images for this section: Page 10 of 17

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Conclusion The OsiriX software also provides an attractive and cost-effective alternative to radiologists and health care providers who have increasing needs for multidimensional image processing and manipulation capabilities but cannot afford the high-priced workstations currently available. The availability of OsiriX also facilitates communication between radiologists and referring physicians by allowing them to share the same convenient platform for image display and navigation. Images for this section: Fig. 16 Page 16 of 17

References Erickson BJ, Langer S, Nagy P. The Role of Open-Source Software in Innovation and Standardization in Radiology. Journal of the American College of Radiology 2005. Klang M. Free software and open source. Source 2005. Ratib O, Rosset A. Open-source software in medical imaging: development of Osirix. International Journal of Computer Assisted Radiology and Surgery 2006. Paton C, Malik MA. Open source and free, web-based medical software. Health care 2008. Rosset A, Spadola L. et al. Navigating the fifth Dimension: Innovative Interface for Multidimensional Multimodality Image Navigation. Radiographics 2006. Personal Information Page 17 of 17