DICOM, PACS and Veterinary Radiology

The Medicine Behind the Image DICOM, PACS and Veterinary Radiology Dr. David A. Clunie, MB.,BS., FRACR Chief Technology Oficer RadPharm, Inc. Overview •Why Digital ? •PACS and the ned for DICOM •What is DICOM ? •Veterinary-specific gaps and isues •DICOM and workflow •DICOM and consistency of apearance Why Digital ? •Images: fidelity and flexibility –CT, MR, PET, NM and now US are digital to start with –CR and Digital X-Ray replacing film also –Printing to film involves loss of information

and quality •Efficiency –Storage (less bulk, ease of transport) •Multiple simultaneous access –Fewer repeats for lost film –Copying film leads to substantial quality loss •Review, search and analysis –More powerful visualization and analysis tools –Quantitation of values, segmentation, registration Image Transfer Network Media Film Convert CT, MR … Standard Format Images Analog Media Network Internet Wireless Deployment Scenarios •Within local ofice or facility only –Take advantage of digital quality –Softcopy reading –Avoid storing film –Storage of priors from previous visits for comparison –From smal to large facility, even one modality and one workstation •Betwen facilities, providers or patients/owners –Referals to specialist facilities –Referal to or consultation with other providers (teleconsultation) –CD to give to patient/owner (for next time, or just for interest) Simplest Case Workstation Modality Images LAN Long term storage + backup Local Storage Workstation Modality Archive Query Images Images LAN Remote Aces Workstation Modality Archive Query Images Images Hospital Office Internet, VPN (Secure DICOM) Off-site Archival Modality Proxy Query Images Hospital Of-site Archive Internet, VPN (Secure DICOM) Archive Workstation Off-site Archival - Replication, Load Sharing Hospital Of-site Archive 1 Internet, VPN (Secure DICOM) Of-site Archive 2 Query Images Modality Proxy Workstation Aplication Service Provider Modality Proxy Hospital Service...

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