RSNA 2012 Image Sharing Demonstration

Call for Participants

RSNA will hold a demonstration at its 2012 Annual Meeting to showcase developments in radiology informatics, standards-based interoperability and image sharing. The demonstration will include:

• Exchange of medical images and reports using personal health record (PHR) accounts as in the RSNA Image Share pilot project, funded by the National Institute of Biomedical Imaging and Bioengineering (NIBIB). The image exchange architecture is based on the IHE Cross-enterprise Document Sharing for Imaging (XDS-I) profile.
• Patient radiation dose monitoring in local and national settings based on DICOM Dose Structure Reports (SRs) and the IHE Radiation Exposure Monitoring (REM) profile.
• Ordering and scheduling of radiology procedures using procedure names from the RSNA RadLex Playbook.
• Generation of radiology diagnostic reports using structured templates developed by the RSNA Reporting Committee and including RadLex terminology.
• Exporting image data exported from PACS using the IHE Teaching File and Clinical Trial Export (TCE) profile and using this data to author teaching files and processing of images for clinical trials using the RSNA MIRC software.

Some parts of the demonstration will be performed by systems for the NIBIB-funded RSNA Image Share pilot project. Commercial vendors and research organizations are invited to participate in the demonstration and will be selected based on their demonstrated capabilities to perform specific roles. Preference will be given to participants who, where relevant, have successfully tested their roles at IHE Connectathons and submitted Integration Statements attesting to their systems' capabilities to the IHE Product Registry.

Participants in the demonstration must fulfill the following commitments:

• Participate in planning and preparation activities including regular teleconferences and a testing event at RSNA headquarters, Nov. 5-7.
• Provide capable personnel to operate the proffered system(s) and participate in the demonstration throughout the exhibition times of the RSNA Annual Meeting, Nov. 25-28, 10:00am-6:00pm and Nov. 29, 10:00am-2:00pm, as well as set up, rehearsal and dismantle times.
• Provide all hardware and assume the expense of transportation to and from the sites of testing event and demonstration.

The demonstration will show the benefits in quality, efficiency and patient safety that can be realized by implementing emerging technologies and best practices in radiology informatics. It will include the following roles and process steps:

• Attendees will register as demonstration "patients" on an RSNA-provided system and will receive unique demographic information and a medical history.
• An imaging procedure will be ordered and scheduled for each attendee participant. Procedure information will include coded RadLex Playbook terms.
• A simulated image acquisition step will be performed by modality simulators that can send image sets and associated Dose SRs to a picture archiving and communication system (PACS).
• PACS will store the acquired images and associated Dose SRs.
• A diagnostic report will be generated at a reporting workstation using a reporting template from the RSNA RadReport Template Library appropriate for the procedure type being demonstrated. The report is output with appropriate RadLex terms and codes in formats such as HL7 CDA and pdf and stored with the other components of the imaging study.
• Using a system called the Edge Server, developed as part of the RSNA Image Share project, the study will be sent to an online registry-repository, called the Clearinghouse, and made available for the attendee "patient" to retrieve into a personal health record account.
• Attendees will be able to create PHR accounts, retrieve their studies, view their images and share their information with other physicians.
• Dose information from Dose SRs stored in PACS will be displayed in dose monitoring systems that enable a radiology department to optimize quality, while reducing patient exposure. It will also be submitted to a dose registry that aggregates information across participating sites and provides benchmarking reports to those institutions.
• Studies meeting specified research protocols will be selected for submission to a Clinical Trials repository. Using the RSNA MIRC CTP software, these studies will be anonymized and sent to the specified location.
• Images deemed appropriate for teaching files will be processed and new teaching file cases creating using the MIRC Teaching File Authoring Tool.

We request expressions of interest from vendors and research institutions to participate in the demonstration providing systems with the following capabilities:

• Radiology information systems (RIS) capable of scheduling procedures using specified RadLex Playbook coded procedure names.
• Modality devices (such as CT, angiography and fluoroscopy), modified for demonstration purposes, capable of generating DICOM Dose SRs appropriate to demonstration image sets and sending them to PACS.
• PACS that can store DICOM Dose SRs with the associated image sets and make them available for dose monitoring systems in conformance with the IHE REM profile. Also capable of sending images to clinical trials/teaching file management system following the IHE Teaching File and Clinical Trial Export (TCE) profile.
• Reporting workstations capable of generating reports using structured report templates from the RadReport.org template library with coded terms embedded.

Organizations interested in participating must complete the form below by Thursday, August 23, 2012. Responses must indicate which role(s) in the demonstration the applicant is interesting in filling. Applicants will be notified by Sept. 4. Applicants selected will be invited to take part in a discussion of the scope and technical details of the demonstration.