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Workflow management of content-based image retrieval for CAD support in PACS environments based on IHE

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International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose

Content-based image retrieval (CBIR) bears great potential for computer-aided diagnosis (CAD). However, current CBIR systems are not able to integrate with clinical workflow and PACS generally. One essential factor in this setting is scheduling. Applied and proved with modalities and the acquisition of images for a long time, we now establish scheduling with CBIR.

Methods

Our workflow is based on the IHE integration profile ‘Post-Processing Workflow’ (PPW) and the use of a DICOM work list.

Results

We configured dcm4chee PACS and its including IHE actors for the application of CBIR. In order to achieve a convenient interface for integrating arbitrary CBIR systems, we realized an adapter between the CBIR system and PACS. Our system architecture constitutes modular components communicating over standard protocols.

Conclusion

The proposed workflow management system offers the possibility to embed CBIR conveniently into PACS environments. We achieve a chain of references that fills the information gap between acquisition and post-processing. Our approach takes into account the tight and solid organization of scheduled and performed tasks in clinical settings.

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Abbreviations

AET:

Application entity title

CAD:

Computer-aided diagnosis

CBIR:

Content-based image retrieval

CR:

Computed radiography

DICOM:

Digital imaging and communications in medicine

EC:

Evidence creator actor (IHE)

GP-PPS:

General purpose performed procedure step

GP-SPS:

General purpose scheduled procedure step

GPWL:

General purpose worklist

HIS:

Hospital information system

HL7:

Health level 7

HTML:

Hypertext Markup Language

ID:

Image display actor (IHE)

IHE:

Integrating the Healthcare Enterprise

IM/IA:

Image manager/image archive actor (IHE)

IOD:

Information object definition

PACS:

Picture archiving and communication system

PPM:

Post-processing manager actor (IHE)

PWF:

Post-processing workflow integration profile

RIS:

Radiology information system

SOAP:

Simple object access protocol

SOP:

Service object pair

XML:

Extended markup language

XSL:

Extensible stylesheet language

References

  1. Eakins JP, Graham ME (1999) Content-based image retrieval—a report to the JISC technology applications programme. Technical Report, Institute for Image Data Research, University of Northumbria at Newcastle. http://www.jisc.ac.uk/uploaded_documents/jtap-039.doc. Accessed 17 March 2010

  2. Müller H, Michoux N, Bandon D, Geissbuhler A (2004) A review of content-based image retrieval systems in medical applications—clinical benefits and future directions. Int J Med Inform 73(1): 1–23

    Article  PubMed  Google Scholar 

  3. Traina C Jr, Traina AJ, Araujo MR et al (2005) Using an image-extended relational database to support content-based image retrieval in a PACS. Comput Methods Programs Biomed 80(1): 71–83

    Article  Google Scholar 

  4. Fischer B, Deserno TM, Ott B, Günther RW (2008) Integration of a research CBIR system with RIS and PACS for radiological routine. Proc SPIE Med Imaging 6919: 691914.1–691914.10

    Google Scholar 

  5. Le A, Mai L, Liu B, Huang HK (2008) The workflow and procedures for automatic integration of a computer-aided diagnosis workstation with a clinical PACS with real world examples. Proc SPIE Med Imaging 6919, doi:10.1117/12.772990

  6. Integrating the Healthcare Enterprise (2010) http://www.ihe.net. Accessed 17 March 2010

  7. IHE (2008) IHE technical framework, vol I: Integration profile. http://www.ihe.net/Technical_Framework/upload/ihe_tf_rev9-0ft_vol1_2008-06-27.pdf. Accessed 17 March 2010

  8. dcm4che.org (2010) Open source clinical image and object management. http://www.dcm4che.org. Accessed 17 March 2010

  9. National Electrical Manufacturers Association (2001) DICOM supplement 52: general purpose worklist. ftp://medical.nema.org/medical/dicom/final/sup52_ft.pdf. Accessed 17 March 2010

  10. Lehmann TM, Güld MO, Thies C, Fischer B, Spitzer K, Keysers D, Ney H, Kohnen M, Schubert H, Wein BB (2004) Content-based image retrieval in medical applications. Methods Inf Med 43(4): 354–361

    CAS  PubMed  Google Scholar 

  11. National Electrical Manufacturers Association (2000) DICOM supplement 23: structured reporting storage SOP classes. ftp://medical.nema.org/medical/dicom/final/sup23_ft.pdf. Accessed 17 March 2010

  12. Fischer B, Brosig A, Welter P, Grouls C, Günther RW, Deserno TM (2010) Content-based image retrieval applied to bone age assessment. Proc SPIE Med Imaging 7624

  13. Welter P, Deserno TM, Gülpers R, Wein BB, Grouls C, Günther RW (2010) Exemplary design of a DICOM structured report template for CBIR integration into radiological routine. Proc SPIE Med Imaging 7628

  14. OFFIS (2010) DICOMscope DICOM viewer. http://dicom.offis.de. Accessed 17 March 2010

  15. National Electrical Manufacturers Association (2007) DICOM supplement 96: unified worklist and procedure step. ftp://medical.nema.org/medical/dicom/supps/sup96_lb.pdf. Accessed 17 March 2010

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Authors and Affiliations

  1. Department of Medical Informatics, RWTH Aachen University, Aachen, Germany

    Petra Welter, Christian Hocken & Thomas M. Deserno

  2. Department of Diagnostic Radiology, RWTH Aachen University Hospital, Aachen, Germany

    Christoph Grouls & Rolf W. Günther

Authors
  1. Petra Welter
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  2. Christian Hocken
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  3. Thomas M. Deserno
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  4. Christoph Grouls
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  5. Rolf W. Günther
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Correspondence to Petra Welter.

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Welter, P., Hocken, C., Deserno, T.M. et al. Workflow management of content-based image retrieval for CAD support in PACS environments based on IHE. Int J CARS 5, 393–400 (2010). https://doi.org/10.1007/s11548-010-0416-9

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  • DOI: https://doi.org/10.1007/s11548-010-0416-9

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