Beyond PACS. From the Radiological Imaging Archive to the Medical Imaging Global Repository. Patricio Ledesma Project Manager

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1 Beyond PACS From the Radiological Imaging Archive to the Medical Imaging Global Repository Patricio Ledesma Project Manager

2 Medical Imaging Usually Medical Imaging and Radiological Imaging (X-Ray) are synonyms. However, the Medical Imaging concept also includes Endoscopies, Echographies, Retinal exams, CTs, Magnetic Resonances, Microscopy Images, PETs, Fluoroscopies, etc. C2C - the ehealth company Beyond PACS

3 Medical Imaging And much more than that Certain techniques to detect and register some biomedical parameters (Electroencephalogram, Electrocardiography, etc) can also be called Medical Imaging. C2C - the ehealth company Beyond PACS

4 This requires a HUGE quantity of information that has to be captured, analyed, transferred, stored and recovered. C2C - the ehealth company Beyond PACS

5 DICOM vs. non-dicom In Medical Imaging, DICOM format has become a standard Find the difference! jpeg Image DICOM Image Includes DICOM tags C2C - the ehealth company Beyond PACS

6 DICOM vs. non-dicom non-dicom Image: Pixel information (compressed or not) DICOM Image: Pixel information + DICOM tags (patient data, modality, etc) Only DICOM images are appropriate to be clinically used. Only DICOM images can be stored in PACS. C2C - the ehealth company Beyond PACS

7 What is a PACS? PACS (Picture Archiving and Communication System) is a computer system that stores, distributes and presents Medical Imaging. PACS substitutes the physical systems of image storage, as the radiological support or paper. C2C - the ehealth company Beyond PACS

8 PACS Limitations PACS can only store DICOM images (but many modalities are supported by non-dicom!) The integration of various PACS-modalities of different vendors is difficult or impossible (but medical technology is multi-vendor!) Nowadays PACS is just extended to radiological image storage (only) (but there is a huge quantity of modalities supported by non-radiological images!) C2C - the ehealth company Beyond PACS

9 The Situation Nowadays PACS just acts as Radiological Image Repository How to solve it? C2C - the ehealth company Beyond PACS

10 How to solve it? C2C - the ehealth company Beyond PACS 10

11 What is MIO? MIO TM is a Medical Imaging integration tool which: Is compatible with ANY PACS vendor Increases greatly the potential of existing PACS Acts as a DICOM gateway Is flexible, versatile, functional and economic C2C - the ehealth company Medical Imaging Integration

12 Main features: What is MIO? Captures various images and videos from any source or device (DICOM or non-dicom) Writes, edits, reviews, routes and indexes these images and videos using DICOM and HL7 Sends the selected images to any medical repository or data center (DICOM Storage, PACS or RIS) Allows medical information integration never included in PACS before: documents, ECG, etc C2C - the ehealth company Medical Imaging Integration

13 ECG Status: Lack of clear standards Device dependence Also digital ECG ECG into Medical Data Repository? (natural evolution to PACS)

14 Is your Hospital achieving optimum profit from its PACS?

15 Does your hospital need to integrate non-radiological Images into its PACS?

16 Does your Hospital know how to maximie profit, from the investment in Imaging Technology already in place?

17 Is your hospital able to incorporate Images into your Patients Electronic Health Record?

18 Has your Cardiological Department asked for ECGs storage into your PACS?

19 Should your hospital centralie in just one single repository ALL Medical Imaging?

20 Does your hospital participate in some Telemedicine Project that requires Medical Imaging sharing?

21

22 Medical Imaging Global Repository C2C - the ehealth company Beyond PACS

23 Imaging Integration Regional Level C2C - the ehealth company Beyond PACS

24 Regional Multi-PACS Project C2C - the ehealth company Beyond PACS

25 Telemedicine Project C2C - the ehealth company Beyond PACS

26 Medical Imaging Global Repository C2C - the ehealth company Beyond PACS

27

28 Case Study Client Son Llater Location Palma de Mallorca (Baleares Islands, Spain) Additional Information European ehealth Award beds First Digital Hospital ehealth Award 2005 Objectives All non-radiological images should be accessed from the same repository To integrate all non DICOM images into GE PACS C2C Solution All modalities image/video captured through MIO (ophtalmology, dermatology, ORL; anatomic pathology, ) HIS / RIS / PACS integration through MIO and standard languages (DICOM, HL7,) Reports design and implementation to introduce medical information into images Project Development 2005 Benefits to the Client Global management of ALL the images of the hospital Huge improvements: workflow and patient care Better quality of health services Cost savings: maximum profit of infrastructure C2C - the ehealth company Beyond PACS

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