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Beyond PACSFrom the Radiological Imaging Archive to the Medical Imaging
Global Repository
Patricio Ledesma
Project Manager
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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
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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
This requires a HUGE quantity of information
that has to be captured, analyzed, transferred,
stored and recovered.
C2C - the eHealth company – Beyond PACS
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jpeg Image DICOM Image
Find the difference!
� In Medical Imaging, DICOM format has become a
standard
Includes
DICOM tags
DICOM vs. non-DICOM
C2C - the eHealth company – Beyond PACS
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DICOM vs. non-DICOM
Only DICOM images are appropriate to be
clinically used.
Only DICOM images can be stored in PACS.
� non-DICOM Image:
• Pixel information
(compressed or not)
� DICOM Image:
• Pixel information +
DICOM tags
(patient data, modality, etc)
C2C - the eHealth company – Beyond PACS
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� PACS (Picture Archiving and Communication
System) is a computer system that stores,
distributes and presents Medical Imaging.
What is a PACS?
� PACS substitutes the physical systems of image
storage, as the radiological support or paper.
C2C - the eHealth company – Beyond PACS
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� PACS can only store DICOM images
PACS Limitations
(but medical technology is multi-vendor!)
(but many modalities are supported by non-DICOM!)
� The integration of various PACS-modalities of
different vendors is difficult or impossible
(but there is a huge quantity of modalities supported by
non-radiological images!)
� Nowadays PACS is just extended to radiological
image storage (only)
C2C - the eHealth company – Beyond PACS
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The Situation Nowadays
How to solve it?
� PACS just acts as Radiological Image
Repository
C2C - the eHealth company – Beyond PACS
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How to solve it?
C2C - the eHealth company – Beyond PACS10
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What is MIO?
� MIOTM is a Medical Imaging integration tool
which:
C2C - the eHealth company – Medical Imaging Integration
• Acts as a DICOM gateway
• Is compatible with ANY PACS vendor
• Increases greatly the potential of existing
PACS
• Is flexible, versatile, functional and economic
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What is MIO?
� Main features:
C2C - the eHealth company – Medical Imaging Integration
• Sends the selected images to any medical
repository or data center (DICOM Storage, PACS
or RIS)
• 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
• Allows medical information integration never
included in PACS before: documents, ECG, etc
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Also digital ECG1
� ECG Status:
• Lack of clear standards
• Device dependence
• ECG into Medical Data Repository?
(natural evolution to PACS)
Is your Hospital achieving optimum profit
from its PACS?
Does your hospital needto integrate
non-RadiologicalImages
into its PACS?
Does your Hospital know
how to maximize profit,from the investment in
Imaging Technologyalready in place?
Is your hospital able toincorporate
Images into your
Patients
Electronic Health Record?
Has your Cardiological Department
asked for
ECGs storage
into your PACS?
Should your hospital centralize in just one
single repository
ALL Medical Imaging?
Does your hospital participate in some Telemedicine Project
that requires
Medical Imagingsharing?
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Medical Imaging Global Repository
C2C - the eHealth company – Beyond PACS
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Imaging Integration – Regional Level
C2C - the eHealth company – Beyond PACS
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Regional Multi-PACS Project
C2C - the eHealth company – Beyond PACS
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Telemedicine Project
C2C - the eHealth company – Beyond PACS
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Medical Imaging Global Repository
C2C - the eHealth company – Beyond PACS
� C2C Solution
• All modalities image/video captured through MIO (ophtalmology,
dermatology, ORL; anatomic pathology,B)
• HIS / RIS / PACS integration through MIO and standard languages
(DICOM, HL7,)
• Reports design and implementation to introduce medical information
into images
Case Study
Client
Son Llatzer
Location
Palma de Mallorca
(Baleares Islands, Spain)
Additional Information
European eHealth Award
2004
350 beds
First Digital Hospital
eHealth Award 2005
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
� Objectives
• All non-radiological images should be
accessed from the same repository
To integrate all non DICOM images into
GE PACS
C2C - the eHealth company – Beyond PACS