<Insert Picture Here> Oracle s Medical Imaging Technology Oracle Multimedia DICOM: Next Generation Platform

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2 <Insert Picture Here> Oracle s Medical Imaging Technology Oracle Multimedia DICOM: Next Generation Platform Melli Annamalai, Product Manager, Oracle Multimedia DICOM

3 Medical Image Data Management Challenges Scalability Scale to large information networks Handle massive increase in data volume Security and privacy while sharing and accessing medical images Save costs Storage (hardware) Development, deployment and maintenance (labor) Data loss Share images across multiple systems Fast access to local, remote, and archived medical images

4 Oracle Multimedia DICOM for Managing Medical Images Oracle Database 11g provides native and complete support for storing and managing medical images Scalable to petabyte and exabyte medical image archives Guaranteed security and privacy Uniform security policies across all types of data and all tiers of data Lower costs Unified management of images and patient data Eliminates maintenance of specialized code for image stores Flexible choice in hardware Information Lifecycle Management Archive images based on clinical tags, have online access to archive

5 Oracle Multimedia DICOM for Managing Medical Images Vendor-neutral DICOM storage and DICOM data model Supports networked systems for sharing images Performance: As fast as underlying hardware device Faster than file systems Ex: Read 850 CT images/sec, Write 550 CT images/sec (published benchmark) Reduces Risk Protect images against loss with backup and recovery Facilitate image-enabled EHRs Complete and non-fragmented view of data to clinicians

6 Oracle Multimedia DICOM: Native DICOM Support Search based on any DICOM attribute Extract all 2028 standard and vendor-specific extensions Automate DICOM data quality verification Include data from any source Open data model Ensure privacy Mask specified DICOM attributes Include DICOM content in reports and display in browsers Convert DICOM to web-friendly formats Create DICOM images from non-dicom images Reduce development and management costs APIs for rapid development and deployment Model driven architecture

7 Customer and Partner Case Studies <Insert Picture Here>

8 Oracle Multimedia DICOM is a Platform for Several Applications Image management for multi-disciplinary medical research Clinical research image management at Pharmas Image-enabled EMRs Content management for all types of content Medical image archives Storage for PACS systems

9 Multi-disciplinary Medical Research: BioGrid Australia Simplifies research Integrates health research data collated by clinicians in different institutions Links data from multiple institutions in disparate silos 12 years of MRI images was scattered on 1000 tapes, taking weeks to months for retrieval Multi-terabyte Archive Consolidates 32 databases from 14 institutions across 4 Australian states Intranet based solution with 7 million images Image retrieval in seconds Continues to grow

10 BioGrid Australia Oncology n=1,265 Tissue Bank n=1,764 uarray n=80 test PeterMac Growing research data Oncology n=965 Tissue Bank n=1,663 Biomarkers n=0 Austin Oncology n=3,600 Tissue Bank n=454 Familial Ca n=3,758 Surveillance n=3,541 Epilepsy n=1,823 Diabetes n=21,048 Biomarkers n=50 Melbourne Extract Transform & Load Nightly updates RMH LRR ( Data (Inc WH PMC - LRR Austin - LRR Institute specific data loaded into institute specific Local Research Repository De-identified data Oracle Database 11g UniProt PubMed GenBank Public Data Sources Authorised researchers query the federated research repository & download data to their workstations for computer aided diagnosis. LocusLink Researchers feedback is input back to the system Courtesy: Naomi Rafael, BioGrid Australia

11 BioGrid Australia Chose Oracle Multimedia DICOM because: Simplified IT requirements through native processing of DICOM images Accelerated development and deployment Preserved patient privacy by anonymizing DICOM images without losing the link between the image and patient record Reduced storage requirements Superior functionality at lower cost Re-use implementation for future projects Skilled programmers readily accessible

12 Clinical Research at Novartis Problem: Clinical trial images managed by third party Clinical Research Organizations (CROs) Poor Quality Management Difficult Cost Control Direct access to images limited and expensive for pharmas IBIS solution on Oracle 11g Multimedia DICOM enabled: Efficient, lower-cost solution Improved data quality Security to restrict access to authorized users Compliance Data validation Quick deployment of standard Oracle Database-based solution

13 Clinical Research Image Management: IBISimg IBISimg User Systems Adm. Reports User Image/data Viewer Presentation User User Site CRO Site Security Archive Backup DICOM Image Files Migration Authentication Oracle Multimedia DICOM Data Acquisition Interface Rules Engine Synchronized metadata with images Study Data Data Export DICOM Image Data Integration Module Target Systems CDMS Data Archive Study Management Systems Courtesy: IBISWorks

14 Image-enabled EHR: I-Engineers Health Engine Customer case study with Health Engine: Spitalnetz Bern hospital (Bern Health Network, Switzerland) Universal archive for all content (images and patient data), will be used by users Content management solution in hospital administration office

15 Real Time replication of DICOM Content in Multi-site Enterprises with Partner GoldenGate GOLDENGATE REAL TIME REPLICATION HEALTHCARE APPLICATION DICOM Log based Image Capture Primary (Source) Failover to secondary Trail File Route LAN/WAN/Web/IP Trail File DICOM Image Delivery Secondary (Target) SOLUTION ADVANTAGES Business requirements Image sharing in near real-time Dependable HA/DR solution Continuous availability and fast access to images Concurrent access to local copies and primary database Solution Advantages Real-time replication of data in Oracle Multimedia DICOM High availability over LAN/WAN with sub-second latency Propagate DICOM data selectively Healthcare customers use solution to have access to local copies if main server is not accessible Courtesy: GoldenGate Software Inc.

16 For More Information search.oracle.com Multimedia or oracle.com/database

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