DICOM Network application

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1 DICOM Network application dicom.md

2 DICOM Network «DICOM Network» was planed and developed for Medical and Diagnostical Institutions for collectin g, processing and visualization of medical images. This system covers all the workflow for processing and documentation of medical investigations fro m collecting images to archiving investigation in the patient medical record. «DICOM Network» offers necessary functionality for quality medical management and secure investi gation access in ONLINE mode. This helps doctors, specialists and patients to get access to medical investigations and helps institutions to reduce investigation costs, increase quality of service.

3 DICOM Format DICOM (Digital Imaging and Communications in Medicine) is a stan dard for handling, storing, printing, and transmitting information in medical imaging. It includes a file format definition and a network co mmunications protocol. DICOM enables the integration of scanners, servers, workstations, pri nters, and network hardware from multiple manufacturers into a pictu re archiving and communication system (PACS). The communication protocol is an application protocol that uses TCP /IP to communicate between systems. DICOM files can be exchanged between two entities that are capable of receiving image and patient d ata in DICOM format.

4 DICOM Data A DICOM data object consists of a number of attributes, including ite ms such as name, ID, etc., and also one special attribute containing the image pixel data. A single DICOM object can have only one attribute containing pixel data. But the attribute may contain multiple "frames", allowing storage of cine loops or other multi-frame data.

5 Beneficiary benefits Investigations prime cost reduce No need for Investigation Print consumables (films) No need for CD/DVD archive No need for third party software support Increase Quality of Service Online Investigations Access by specialists, d octors, patients Investigations exchange between institutions. Online Consultations, reduce paper documen ts, etc Statistics Enhancement Quality Statistics services available 24/7 Advanced Reporting Sophisticated reporting system

6 Information System Architecture Implementation of DICOM Network required an outstanding architecture that should cover distributed system requirements and should be flexible enough to cover all beneficiary requirements. DICOM Network is an modular system, base modules are: «DICO M Data», «DICOM Server», «DICOM Portal», «DICOM Viewer», «DICOM AUTH», «DICOM Audit».

7 Architecture DICOM DATA Interface DICOM NETWORK API???? VI-SEEM DICOM Portal DICOM Server 1 DICOM Server 2 Public DICOM Server

8 Federated identity GRID HPC MPass Priv ate User DataBase «interface» 5. Autentification Interface «interface» 6. Processor Interface External Information System Autentifictaion 3. DICOM Monitoring Investigation Imort Export Pacient Data Medical Images Departament 2. DICOM Portal Investigation Info 1. DICOM Serv er DICOM Images Medical Equipment Pacient and Investigation info Investigation Data Notes and Decizion DICOM Investigation Archive DICOM Images User Investigation Visualisation PACS 4. DICOM Viewer Specialist in Medical Images DICOM Serv er 1

9 DICOM Portal Front End User interface Web portal provides end-user access to the system through an Web interf ace. Portal offers work space for following user roles: - Patients who have access only to their investigations based on IDNP. - Doctors who have access only to their patients investigations. - Doctors radiology specialists who are working in 24/7 regime. - Users with limited time access, to get temporary access to specific res earch. This is necessary to ensure access to foreign experts, the legacy organizations, etc. - System Administrator that performs monitoring and configuration of t he system and «DICOM Server» and regulates the level of access for o ther users on the system.

10 DICOM Portal Interface

11 DICOM Server Equipment integration and data storage This module provides a service of collecting data from the equipment, sav ing the archive of images and transmission of information to the «DICOM Portal». This service is designed for various interfaces import / export of data, dep ending on the beneficiary's equipment. «DICOM Server» can also be used as a PACS and provides all the necessary commands for the protocol This component is also responsible for the transfer of research to «DICOM Viewer» on the basis of appropriate access levels. This component can be scalable, and be installed in different locations an d organizations, allowing you to store image archive distributed without i mpacting the concrete infrastructure of certain organizations.

12 DICOM Viewer Medical images Visualization The module provides all the necessary operations on the medical image: DICOM image display. User friendly interface. DICOM image operations : Line, Circle, Rectangle, Curve line Area calculation and dimensions : Line, Angle, diameter, S of circle, S of rectangle, Zoom +/-, Zoom area, Move File operations : Save, Print Image Visualization: Table n*n images, Negativ Different projections : Abdomen, Mediastim, Bones, Po stmyelo, Felsenbein, Cerebral, Standard and custom us er projections. 3D Modeling

13 DICOM Viewer Interface

14 DICOM Viewer Grid n*m

15 DICOM Viewer Slicing

16 DICOM Viewer 3D modeling

17 DICOM Audit Personal data security and Investigations access. Each Investigation is linked to an patient with its personal data. For Each investigation there is possible to set individual access. Each request to data access is logged and investigation workflow is tra cked.

18 IoEC Statistics 7 Medical equipment's were connected to the DICOM Network. 16 Doctors from radiology section are working in DICOM Network system 24/7. Daily carried topographic studies, more than 250 X-ra y studies, more than 10 magnetic resonance and other specifi c studies 496 Doctors have access to their patients investigations from their working place Times investigations were downloaded by doctors an d specialists.

19 Questions? Thank you for attention. RENAM: renam.md DICOM Portal: dicom.md

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