1. MIRC Overview Medical Imaging Resource Center John Perry RSNA 2009

2. RSNA 2009 MIRC Courses Overview of the RSNA MIRC Software RSNA Clinical Trial and Research Software Hands On: Using the RSNA Teaching File

3. MIRC Project Objective Support the production, storage, indexing and distribution of medical imaging resources: Teaching files Scientific & technical documentation Research images & datasets Clinical trials data

4. MIRC Concepts The key concepts: MIRC is a community of cooperating libraries on the Internet. The libraries cooperate by supporting a common query mechanism. The query mechanism allows users to find information wherever it is stored. The key concepts: MIRC is a community of cooperating libraries on the Internet. The libraries cooperate by supporting a common query mechanism. The query mechanism allows users to find information wherever it is stored.

5. MIRC Information Formats Images: DICOM, GIF, JPEG, PNG, TIFF Anything displayable by a web browser Hyperlinks to other web content Pointers to files for downloading

6. MIRC Community Server Index MIRC Sites Server Index RSNA User Server Index MIRC Storage Service: - Document Authoring - Document Storage - Document Indexing - Web Server MIRC Query Service: - Access to the community Internet

7. The RSNA MIRC Software Query Service Storage Service Document index and storage Author services DICOM services File Service Public and private file cabinets

8. Query Service Standard search form 31 defined fields: Free textClinical content Document attributesImage attributes Document contentPatient attributes Links to other services Queries a single site, selected sites, or the entire community

9. Query Service

10. Two display formats for query results: Standard query results Title (hyperlink) Author Abstract Case Navigator Random or ordered Known and unknown presentations

11. Standard Search Results

12. The Case Navigator

13. Storage Service Stores and indexes documents A single MIRC site can have multiple Storage Services for different purposes Teaching files for each department/specialty Individual services for each clinical trial

14. XML Server Serves documents to users on the web Transforms XML files to other formats Multiple display formats (page, tab, mstf) Exports documents and datasets to users

15. XML Server Provides access control for: read, update, export Restricts access for: owners, users, roles (user groups), public Supports private (owner-only) sections of otherwise public documents

16. Display Formats Page Tab MSTF Page Tab MSTF

17. Author Services Basic Authoring Tool For rapid creation of documents from files on the client computer Advanced Authoring Tool Supports multiple document templates Links to the File Service for inserting links to images and other files on the server

18. What goes in a teaching file case? Whatever you want: HistoryDifferential Diagnosis Findings Discussion DiagnosisQuizzes References Images, drawings, videos, audios, …

19. TCE Service Supports the IHE Teaching Files and Clinical Trials Export integration profile Allows image selection and text entry directly on PACS diagnostic workstations Receives submissions from IHE TCE Export Manager applications and automatically creates MIRC documents

20. Zip Service Supports the creation of multiple MIRC documents from zip files Folder hierarchy with each folder representing a single case or group of cases Special processing for images and text files Originally intended for preloading large numbers of cases from pre-MIRC teaching files

21. Submit Service Allows users to upload MIRC documents to a storage service Supports connections from client-side authoring tools Supports uploading MIRC documents through a browser Accepts uploads in the format exported by the XML Server

22. DICOM Service Receives DICOM objects from PACS, workstations, modalities, etc. Automatic document generation Images grouped into documents by study Template-driven Automatic JPEG generation from DICOM Programmable anonymization (de- identification and re-identification)

23. Admin Service Allows administrators to manage a MIRC site through a browser Control the documents on the Storage Service Adjudicate the input queue for non-publishers Configure the Storage Service and DICOM Service Control and monitor the DICOM Service Manage users and roles

24. File Service Each authenticated user has a private file cabinet for storage of files of any kind One public file cabinet for the site Public file cabinet receives DICOM objects from PACS, modalities, workstations Separate anonymizer Author Service connection

25. The File Service

26. XMLServer OS File System InputQueue StorageServiceMIRCIndex AdminService AuthorServicesFileService Object Processor MIRCAnonymizerDICOMImport QueryService MIRC Site Services SubmitService ZipService TCEService HTTPExport HTTPImport DICOMExport DICOMImport MIRCAnonymizerDatabaseExport

27. DICOM Service Receives DICOM objects from PACS, workstations, modalities, … Automatic document generation Images grouped into documents by study Template-driven Automatic JPEG generation from DICOM Programmable anonymization (de- identification and re-identification)

28. DICOM Service Automatic trial patient ID generation Connection to other DICOM Services for clinical trials Support for encrypted communications (SSL) DICOM import / DICOM export HTTP(S) import / HTTP(S) export Database export

29. The RSNA MIRC Software

30. Runs on Windows, Mac, Linux, Solaris Three components: Java / Tomcat / MIRC All components are free MIRC Users Group meeting: Tuesday, 12/1 - 2:30-4:30 - Room N128

31. Questions/Answers & Help The MIRC Wiki http://mircwiki.rsna.org RSNA Forums: http://forums.rsna.org User Comments, Questions and Answers RSNA MIRC Software Announcements MIRC Implementers’ Corner Subscribe on the Forums site