DICOM in Cardiology.pptVIP

DICOM in Cardiology Harry Solomon GE Medical Systems Information Technologies Tim Becker Christian Albrechts Universit?t zu Kiel 1992 Theme: Cine film replacement Problem – how to preserve diagnostic quality images without 35mm cine film, but with universal exchangeability Solution – leverage radiology’s DICOM standard, extend it to media interchange on CD What’s the big deal? Cardiology talking to Radiology! DICOM (v.3) wasn’t even published yet! Workstations could not support data rate! Recordable data CDs didn’t exist! Needed a true international standard! Understanding images as data! The Results DICOM Standard Supplements 1, 2, 3, 4 and 20 DICOM WG1 – Cardiac and Vascular Information International in scope Mission accomplished in only 4 years – universal acceptance of DICOM XA image exchange on CD-R 1997 Theme: Digital Integrated Cardiac Patient Record Opportunity – create a unified dataset with all of a patient’s cardiac exam data Solution – incorporate ultrasound and nuclear DICOM images, extend DICOM for hemodynamic and electrophysiologic waveforms, extend DICOM for cardiac measurements and reports, and get a bigger media Results: Image Objects (easy) Basic Ultrasound and Nuclear images – done by WGs 12 and 3 IVUS extension to Ultrasound done by WG1 – Supplement 48 Results: DVD Media (relatively easy) DVD Media – Supplement 80 (2003) STD-XA1K-DVD : XA up to 10242x12-bit STD-GEN-DVD-JPEG : anything on DVD Readers required to support both JPEG lossless and JPEG lossy Results: Waveform Objects (a bit harder) Waveform Interchange – Supplement 30 Hemodynamic Electrophysiology ECG (12-lead, general, ambulatory) Basic Audio Used prior work of CEN SCP-ECG and HL7 v.2.3 Waveform Observation Adoption of DICOM waveforms has been disappointing Measurements and Reports (hard) Based on DICOM Structured Reporting Supplements 23 and 53 (2000/2001) Procedure Log, Hemodynamic and ECG Measurements, Cath Lab Report – Sup 66 (2003) Echo Measurements – Sup 72 (just done!)