Using the RSNA s Teaching File Software

(1)

Using the

RSNA

_RSNA

’

_’

s

_s

Teaching File

_{Teaching File}

Software

Using MIRC for Departmental

Teaching Files

(2)

Outline

Introduction to teaching files

_{Introduction to teaching files}

MIRC Overview

_{MIRC Overview}

_{MIRC Query}

_{MIRC Authoring}

_{MIRC installation}

_RSNA

_’

_s

_{My Files}

_{Other teaching file software}

_Yottalook

_{How to get started with MIRC and}

_wiki

_{and other}

online resources

(3)

What is a Teaching File?

An organized repository of clinical images and

_{An organized repository of clinical images and}

documentation.

Used primarily to supplement learning process

_{Used primarily to supplement learning process}

for trainees.

(4)

What are the Qualities of a

“

Great

”

Radiology Teaching File

9

9 _{High quality Images}

_{High quality Images}

9

9 _{Comprehensive supplemental Information:}

_{Comprehensive supplemental Information:}

9

9 _{path reports, path images, discussion etc.}

_{path reports, path images, discussion etc.}

9

9 _Organization

_Organization

9

9 _{Indexed and searchable}

_{Indexed and searchable}

9

9 _{Fresh content.}

_{Fresh content.}

9

9 _{Easily accessed from anywhere.}

_{Easily accessed from anywhere.}

9

9 _{Easy to navigate.}

_{Easy to navigate.}

9

(5)

_{Limited access.}

_{Typically, a lot of work to}

submit a case.

_{Difficult to keep organized.}

_{Searching file is problematic.}

_{Inconvenient to use for}

decision support.

_{Difficult to update/maintain}

–

(6)

without permission of author.

Copy images into

_{Copy images into}

folders labeled

appropriately.

Nested file

_{Nested file}

structure

Need to open

_{Need to open}

content in another

application for use.

(7)

Personal Teaching Files

_{Thousands of radiologists and nuclear medicine}

physicisns

have amassed “

have amassed

“personal

personal

”

collections of

images.

_{Solutions include cases on email, upload of cases to}

free digital photo services (

ie Ophoto

,

Picassa

,

Shutterfly

etc.)

_{Generally used by a single user.}

_{Accessible from a single computer}

_{Image collections are limited in scope.}

_{Difficult to enhance content.}

(8)

Personal DTF Organization with

Picassa

(9)

_{Web browser}

_{is the most appropriate vehicle for delivery of}

educational content.

Browsers are designed to display written and visual content effi

_{Browsers are designed to display written and visual content effi}

ciently.

_{Do not have to install a program (hospital computers often}

_“

_locked

down

”

_{Web browser can support multimedia.}

Early DTF contained

_{Early DTF contained}

“

static

”

web pages.

_{Laborious to produce.}

Time consuming to update and index.

_{Time consuming to update and index.}

_{Modern DTF coupled to a database generates content}

dynamically (

“

on

-

the

-

fly

”

).

Easier to modify

_{Easier to modify}

(10)

Components of a Modern DTF

Fileserver

_Fileserver

Database

_Database

Webserver

_Webserver

Fileserver

Database

Webserver

Ethernet

(11)

What Do People Want?

Radiologists and nuclear medicine

_{Radiologists and nuclear medicine}

physicians want a simple method to create

teaching materials from their existing PACS

systems.

Ease of use

_{Ease of use}

Time efficient

_{Time efficient}

Simple to access

_{Simple to access}

(12)

What Is Available NOW?

Commercial turnkey systems available for a

_{Commercial turnkey systems available for a}

price which will provide:

_{Method to save images & data from PACS.}

_{Storage local or off}

_-

_{site for your cases}

(13)

What Is Available NOW?

Organizational repositories (e.g. ACR Case

_{Organizational repositories (e.g. ACR Case}

-

_-

In

_In

-

-Point, Aunt Minnie etc.)

Point, Aunt Minnie etc.)

You can develop your own

_{You can develop your own}

…

_…

(14)

What Does The MIRC Software

Suite Do For Me?

(15)

Suite to for You

Set of software tools that allow you to create,

_{Set of software tools that allow you to create,}

index, search and display teaching materials.

Repository for educational content.

_{Repository for educational content.}

_{Including peer review content (via RSNA).}

Ability to selectively share this material in a

_{Ability to selectively share this material in a}

consistent manner within your institution on

your local intranet or worldwide on the

internet.

(16)

MIRC factoids

_{An RSNA sponsored initiative.}

_{Software toolkit that can be used for creation of}

teaching repositories and clinical trials databases.

_{Built on open}

_-

_{source principles.}

_{No proprietary technology.}

_{Uses available standards DICOM, XML, HTTP, JSP, Java}

_{Software is free}

_-

_of

_{-charge, no licensing.}

_-

_{charge, no licensing.}

_{Software designed to operate on most common}

operating systems incl. Windows, Apple OSX and

Linux.

(17)

MIRC Components

Web server

_{Web server}

File server

_{File server}

Self updating index

_{Self updating index}

(18)

MIRC Features

¾

Individualized file storage

_{Individualized file storage}

¾

Multiple document

_{Multiple document}

“

_“

templates

_templates

”

_”

¾

Multiple methods to author content

_{Multiple methods to author content}

¾

Multiple methods to display content

_{Multiple methods to display content}

¾

Web

_Web

-

_-

based DICOM viewer.

_{based DICOM viewer.}

¾

(19)

MIRC Features

¾

DICOM receiver (DICOM SCP)

_{DICOM receiver (DICOM SCP)}

¾

DICOM

_DICOM

anonymizer

_anonymizer

¾

Administrative control of viewing, editing,

_{Administrative control of viewing, editing,}

deletion.

¾

Scalable and expandable from one author/PC

_{Scalable and expandable from one author/PC}

to hundreds.

¾

(20)

MIRC Services

MIRC functions are known as

_{MIRC functions are known as}

services

_services

_{File service}

_{Storage service}

_{Query service}

_{Author service}

_{Submit service}

_{DICOM service}

(21)

Scalability of MIRC

_{MIRC has the unique ability to scale from one}

computer / one user to many computers / many users.

_{Potential configurations include:}

One MIRC repository for one or more users.

_{One MIRC repository for one or more users.}

_{Multiple MIRC repositories in one or many institutions.}

_{Software enables development of cooperative}

libraries.

Each library is individually administered yet portions can

_{Each library is individually administered yet portions can}

be made accessible to all.

(22)

MIRC Community

Multiple MIRC sites (

_{Multiple MIRC sites (}

“

_“

MIRClets

_MIRClets

”

_”

) can

_{) can}

function as one large library accessible from

the internet.

Conceptually a peer

_{Conceptually a peer}

-

_-

to

_to

-

_-

peer model ( ala

_{peer model ( ala}

Napster) allowing individuals to share specific

content with other users.

A MIRC user can query one or more

_{A MIRC user can query one or more}

MIRClets

_MIRClets

using the

(23)

Internet

Server

Index

Server

Index

MIRC site

Server

Index

Query

Service

MIRC site

Server

Index

RSNA site

User

MIRC site

(24)

MIRC supports all information

storage formats.

Images: DICOM, GIF, JPEG, PNG

_{Images: DICOM, GIF, JPEG, PNG}

Hyperlinks to other web content.

_{Hyperlinks to other web content.}

Virtually any content that is

_{Virtually any content that is}

displayable in a web browser.

Pointers to other files for

_{Pointers to other files for}

downloading.

Display support for other types in the

_{Display support for other types in the}

future

…

(25)

Key MIRC Server Components

_{Storage Service (Warehouse for material)}

_{A cooperating information library.}

Index

_Index

: the library

’

s card catalog.

Server

_Server

: the library

’

s shelves.

Responds to

_{Responds to}

MIRCquery

using the

MIRCqueryresponse

schema.

_{Query Service (}

_“

_Google

_-

_like

_”

_{search portal)}

An entry point into the MIRC community for a user on the

_{An entry point into the MIRC community for a user on the}

Internet.

(26)

MIRC TF Configuration Scenarios

Private Mode

_{Private Mode}

Departmental Mode

_{Departmental Mode}

Division Mode

_{Division Mode}

Worldwide Mode

_{Worldwide Mode}

(27)

Private (selfish) Mode

My

Stuff

_Single

_-user

_-

_user

contributor

_Single

_-user

_-

_user

access

_{No sharing of}

content

(28)

MIRC TF Scenarios

Divisional / Semi

-

Private Mode

Each division or key

_{Each division or key}

individual maintains a

server.

Division is responsible for

_{Division is responsible for}

maintaining their content.

All or a portion of content

_{All or a portion of content}

can be made public.

_{Any individual can access}

public records on other

MIRC servers within

institution.

Much more difficult to

_{Much more difficult to}

administer.

(29)

Departmental Mode

Multiple users or

_{Multiple users or}

divisions contribute to

a single departmental

MIRC server.

_{All users have}

controlled access.

All can view public

_{All can view public}

cases.

Only owners can

_{Only owners can}

modify data.

Private cases are

_{Private cases are}

supported.

One server to manage

_{One server to manage}

for all content.

_{Easier to administer.}

BIG MIRC

Neuro

NM

Chest

CT

Body

MR

Mammo

CVIR

MSK

Private

Neuro

MSK

Mammo

(30)

MIRC TF Scenarios

Worldwide Mode

Multiple MIRC sites

(

(“

“MIRClets

MIRClets

”)

”

)

expose content to

the Internet.

This public content

_{This public content}

is accessible to other

computers that can

perform a query of

MIRC content.

(31)

Using MIRC to Find Cases

(32)

(33)

(34)

(35)

(36)

(37)

(38)

(39)

(40)

The MIRC Authoring Process

(41)

Four Ways to Author

Basic authoring tool.

_{Basic authoring tool.}

Advanced authoring tool.

_{Advanced authoring tool.}

Submit Service

_{Submit Service}

(42)

MIRC Case Authoring Process

Collect your images.

_{Collect your images.}

Send your images to the

_{Send your images to the}

MIRC file service

_{MIRC file service}

.

_.

Login to

_{Login to}

MIRC author service.

_{MIRC author service.}

Create a new case using a template

_{Create a new case using a template}

Fill in textual content in fields.

_{Fill in textual content in fields.}

Select appropriate images from the

_{Select appropriate images from the}

MIRC file

_{MIRC file}

service

to include with case.

(43)

Getting Images to MIRC

(44)

Storing Images in MIRC

MIRC software was designed to utilize

_{MIRC software was designed to utilize}

common features available by most PACS

vendors to export images.

_{DICOM SCU/SCP (i.e. DICOM export)}

_{Saving images locally to PACS desktop or folder}

(subdirectory)

Images are uploaded to the

_{Images are uploaded to the}

MIRC file service

_{MIRC file service}

in one of three ways:

(45)

Storing Images in MIRC

3 Methods

_{3 Methods}

_{DICOM export}

_{Upload single}

image

_{Upload multiple}

files (using ZIP

archive)

PACS

DICOM Export

Single Image

ZIP File

(46)

MIRC File Service

Container for images.

_{Container for images.}

Two File Storage Areas

_{Two File Storage Areas}

_Public

_Private

Can Transfer Files Between Public

_{Can Transfer Files Between Public}

and Private Repositories.

Delete, Add or Update files to the File

_{Delete, Add or Update files to the File}

Service.

Individualized file browser for each registered user

Native DICOM

Support

Other File Types

File Service Function Buttons

•Add Files

•Delete Files

•Update Name

•Find by Name

•Export File to Desktop

(47)

From DICOM

_{From DICOM}

SCP or copied

from personal

file cabinets

Files in the

_{Files in the}

shared file

cabinet are

available to all

users.

_{Select one or}

more images.

_{Copy to personal}

file cabinet.

Begin submission

_{Begin submission}

process.

(48)

Additional MIRC Stuff

(49)

ZIP Service

Method to convert an existing teaching file

_{Method to convert an existing teaching file}

system to MIRC from a conventional teaching

file hierarchy.

This will bulk convert all your images that are

_{This will bulk convert all your images that are}

in folders in a hierarchical structure to MIRC.

Supplement information as needed.

_{Supplement information as needed.}

(50)

Powerpoint

Tool

_Tool

_{There is a handy (free)}

_Powerpoint

_add

_-

_{in which will}

take an entire presentation and convert each slide to a

MIRC TF document.

_{Many people use}

_Powerpoint

_{as their teaching file}

repository; this is another way to convert to MIRC.

_Add

_-

_{in has been revised, is easy to use and install.}

(51)

TCE Service

The TCE service is an implementation from

_{The TCE service is an implementation from}

the Teaching Files and Clinical Trials Export

Integration Profile from IHE.

Enables one to author teaching file cases

_{Enables one to author teaching file cases}

directly from PACS.

_{Select key images.}

_{Add pre}

_-

_{defined text elements.}

_{Submit directly to your MIRC service.}

(52)

MIRC

Wiki

_Wiki

All of the MIRC documentation has been

_{All of the MIRC documentation has been}

uploaded to a new

Wiki

site which is easy to

navigate and search.

(53)

_{Besides the powerful administrative functions in}

MIRC.

_{There is a UAM which allows users to maintain and}

manage several account parameters such as password

and group subscriptions.

_{Configuration possible to limit query results to}

logged in users.

_{Users can register credentials with other storage}

services.

_{Users can create private groups and subscribe to these}

groups, allowing members to share private

documents.

(54)

Installing the MIRC Software

(55)

Laptop, Desktop PC, Server in Four Steps

Step 1: Install Java 1.5 or

_{Step 1: Install Java 1.5 or}

later

Step 2: Install Java

_{Step 2: Install Java}

Advanced Imaging

(56)

Installation Can Be Done in About 10 to 15 Minutes on

Laptop, Desktop PC, Server in Four Steps

Step 3: Down Apache

_{Step 3: Down Apache}

Tomcat software

Step 4: Install latest

_{Step 4: Install latest}

version of MIRC

software

(57)

Software and Services

(58)

MyPACS

MIRC

_MIRC

compatible

commercial

teaching file

software

_{18,000 cases}

available for

viewing for free

(59)

Free and Open Source Teaching File System

Used by radiology

_{Used by radiology}

residents at Public

Hospitals in Alberta

Canada

(60)

StatDx

Commercial online

_{Commercial online}

reference

_{Diagnosis mode}

_{Imaging anatomy}

mode

_Differential

diagnosis module

(61)

Yottalook

: www.

_{: www.}

yottalook

_yottalook

.com

_.com

_{Web 3.0 semantic}

searches using

Google

’

s search

engine results

_{Can refine results}

for nuclear

medicine

(62)

Yottalook

: Images

_{: Images}

www.

yottalook

.com

_{Can use}

_Yottalook

images to search

for all images

online including

journals and

teaching files

Can specify

_{Can specify}

nuclear medicine

(63)

www.

yottalook

.com

_{Can use}

_Yottalook

images to search

for all books that

have specified

content

_{Can also specify}

nuclear medicine

(64)

Questions?

(65)

MIRC

…

..

(66)

Using the RSNA s Teaching File Software

Using the

Using the

RSNA

RSNA

’

’

s

s

Teaching File

Teaching File

Software

Software

Using MIRC for Departmental

Using MIRC for Departmental

Teaching Files

Teaching Files

Outline

Outline





Introduction to teaching files

Introduction to teaching files





MIRC Overview

MIRC Overview





MIRC Query

MIRC Query





MIRC Authoring

MIRC Authoring





MIRC installation

MIRC installation





RSNA

RSNA

’

’

s

s

My Files

My Files





Other teaching file software

Other teaching file software





Yottalook

Yottalook





How to get started with MIRC and

How to get started with MIRC and

wiki

wiki

and other

and other

online resources

online resources

What is a Teaching File?

What is a Teaching File?





An organized repository of clinical images and

An organized repository of clinical images and

documentation.

documentation.





Used primarily to supplement learning process

Used primarily to supplement learning process

for trainees.

_RSNA

_’

_s

_{Teaching File}

_{Introduction to teaching files}

_{MIRC Overview}

_{MIRC Query}

_{MIRC Query}

_{MIRC Authoring}

_{MIRC Authoring}

_{MIRC installation}

_{MIRC installation}

_RSNA

_RSNA

_’

_’

_s

_s

_{My Files}

_{My Files}

_{Other teaching file software}

_{Other teaching file software}

_Yottalook

_Yottalook

_{How to get started with MIRC and}

_{How to get started with MIRC and}

_wiki

_wiki

_{and other}

_{and other}

_{An organized repository of clinical images and}

_{Used primarily to supplement learning process}

_{High quality Images}

_{High quality Images}

_{Comprehensive supplemental Information:}

_{Comprehensive supplemental Information:}

_{path reports, path images, discussion etc.}

_{path reports, path images, discussion etc.}

_Organization

_Organization

_{Indexed and searchable}

_{Indexed and searchable}

_{Fresh content.}

_{Fresh content.}

_{Easily accessed from anywhere.}

_{Easily accessed from anywhere.}

_{Easy to navigate.}

_{Easy to navigate.}

_{Limited access.}

_{Limited access.}

_{Typically, a lot of work to}

_{Typically, a lot of work to}

_{Difficult to keep organized.}

_{Difficult to keep organized.}

_{Searching file is problematic.}

_{Searching file is problematic.}

_{Inconvenient to use for}

_{Inconvenient to use for}