MIRC Overview Medical Imaging Resource Center

RSNA2006 MIRC Courses Overview of the RSNA MIRC Software Installing MIRC on Your Laptop Using MIRC for Clinical Trials Hands ON: Using the RSNA Teaching File

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

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.

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

The 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

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

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

Query Service

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

Standard Query Results

The Case Navigator Intended for teaching file cases

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

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

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

Display Formats Page Tab MSTF

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

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

TCE Service Supports the IHE Teaching Files and Clinical Trials Export integration profile –Allows image selection and text entry directly on PACS diagnostic workstations (Agfa, Fuji, GE) –Receives submissions from IHE TCE Export Manager applications (Agfa, MIRC) and automatically creates MIRC documents

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

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

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)

Admin Service Allows administrators to manage a Storage Service 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

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

The File Service

The RSNA MIRC Software Available on the RSNA MIRC site (mirc.rsna.org) –Click the Downloads link in the header

The RSNA MIRC Software Runs on Windows, Mac, Linux, Solaris Three components: Java / Tomcat / MIRC All components are free MIRC Users Group meetings: 11/27 1:30 - 3:30E262 11/3012:15 - 2:15E257

Questions/Answers & Help The MIRC Wiki – RSNA Forums: – –User Comments, Questions and Answers –RSNA MIRC Software Announcements –MIRC Implementers’ Corner Subscribe on the Forums site