Abstract
Purpose
Today’s operating room is equipped with different devices supporting the surgeon. Due to the lack of common interfaces between devices, an integrated support of the surgical workflow is missing. In the field of implantation, a smooth exchange of preoperatively planned data between devices is of great interest. Additionally, the availability of standardized preoperative data would facilitate the documentation, especially with regard to Electronic Health Records.
Methods
To analyze whether DICOM Structured Reporting can be the basis for a standardized digital human- and machine-readable implantation plan, we derived all requirements for such a document. Therefore, we examined the conventional implantation plan and future applications of the digital plan.
Results
In this paper, we propose to use the mechanisms introduced by DICOM Structured Reporting as storage and communication infrastructure for implantation plans in the surgical domain. DICOM Structured Reporting complies with all requirements of our analysis. Additionally, we introduce a first draft of a standardized implantation plan structure.
Conclusions
A standardized digital implantation plan based on the DICOM Structured Report has the potential to overcome current integration problems in the OR and to facilitate new applications.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Lemke HU, Vannier MW (2006) The operating room and the need for an IT infrastructure and standards. Int J CARS 1(3): 117–121
National Electrical Manufacturers Association (2008) Digital imaging and communications in medicine (DICOM), Supplement 131 Vers. 20: Implant Templates, Rosslyn, Va: NEMA. Available at http://medical.nema.org
Gessat M, Strauss G, Burgert O (2008) Integration of implant planning workflows into the PACS infrastructure, medical imaging 2008: PACS and imaging informatics. SPIE, San Diego, CA pp. 69190V–69190V-11
National Electrical Manufacturers Association (2008) Digital imaging and communications in medicine (DICOM), DICOM Standard, Rosslyn, Va: NEMA. Available at http://medical.nema.org
Clunie DA (2000) DICOM Structured Reporting. PixelMed, Bangor, Pa
Clunie DA (2007) DICOM structured reporting and cancer clinical trials results. Cancer Inf 4: 33–56
OFFIS. DICOMscope SR Examples. Available at http://dicom.offis.de/dscope.php.en
Tan L, Aktas S, Copuroglu C, Ozcan M, Ture M (2001) Reliability of radiological parameters measured on anteroposterior pelvis radiographs of patients with developmental dysplasia of the hip. Acta Orthop Belg 67: 374–379
Burgert O, Neumuth T, Gessat M, Jacobs S, Lemke HU (2007) Deriving DICOM surgical extensions from surgical workflows. In: Horii SC, Andriole KP (eds) Medical Imaging 2007. Proceedings of the SPIE, vol 651604, pp 16–22
Oosterwijk H (2005) DICOM basics, 3rd edn. O Tech
National Electrical Manufacturers Association (2008) Digital imaging and communications in medicine (DICOM), Supplement 134 Vers. 4: Implantation Plan SR Document, Rosslyn, Va: NEMA. Available at http://medical.nema.org
Dolin RH, Alschuler L, Boyer S, Beebe C, Behlen FM et al (2006) HL7 clinical document architecture, Release 2. J Am Med Inf Assoc 13: 30–39
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Treichel, T., Liebmann, P., Burgert, O. et al. Applicability of DICOM structured reporting for the standardized exchange of implantation plans. Int J CARS 5, 1–9 (2010). https://doi.org/10.1007/s11548-009-0375-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11548-009-0375-1