1. 1 SCAR Annual Meeting 2004 Public meeting of NEMA CT-MR Taskforce Saturday, May 22 nd, 7:30 – 9:00 AM

2. 2 Introducing the new Standards Presented by Martin von Roden Siemens Medical Solutions Co-Chair CT-MR Taskforce

3. 3 A new CT Standard Implementation After 10+ years of effective DICOM connectivity in MRI and CT introducing a new Image Object poses three challenges:

4. 4 Avoid user confusion – Avoid user confusion Inform about the benefits of the enhanced multi-frame image standard and need to manage coexistence. Synch-up industry – Synch-up industry Facilitate availability of compatible PACS and Workstations along with the release of the MRI and CT scanners. Reduce incompatibilities – Reduce incompatibilities Provide to interested vendors testing tools and opportunities to quickly retire misinterpretations or bugs. Challenges

5. 5 How to manage the transition... The DICOM Working groups for CT and MR and the DICOM Standards Committee felt the need for an educational program for users and vendors to facilitate the introduction of the new objects.The DICOM Working groups for CT and MR and the DICOM Standards Committee felt the need for an educational program for users and vendors to facilitate the introduction of the new objects.

6. 6 Constitution of CT-MR Taskforce “Enhanced CT-MR Taskforce” was established in January 2004 by NEMA“Enhanced CT-MR Taskforce” was established in January 2004 by NEMA Three NEMA Sections sponsor the effort:Three NEMA Sections sponsor the effort: –Medical Imaging and Informatics (MII) Section –MR Section –X-ray Section (CT Group) Supported by DICOM Working Groups:Supported by DICOM Working Groups: –WG 16 (MR) –WG 21 (CT)

7. 7 Members of the CT-MR Taskforce Co-Chairs:Co-Chairs: –MR: Kees Verduin, Philips Medical Systems –CT: Martin von Roden, Siemens Medical Solutions NEMA secretary:NEMA secretary: –Stephen Vastagh So far the following companies are involved:So far the following companies are involved: –GE –Hitachi –Philips –Siemens –Toshiba –Vital Images

8. 8 Planned activities Development of CT-MR ToolDevelopment of CT-MR Tool –Application for display of images and DICOM header tags –Contains sample Enhanced MR Image sets –Contains sample Enhanced CT Image sets –Validation tool for new image sets Test and Demonstration sessions at SCAR 2005Test and Demonstration sessions at SCAR 2005

9. 9 Current Status for SCAR 2005 SCAR Board has approved cooperation with NEMA for SCAR 2005SCAR Board has approved cooperation with NEMA for SCAR 2005 Dedicated education session (1,5 hours)Dedicated education session (1,5 hours) SCAR overseeing and hosting a testing session open to interested vendors (June 1 st and 2 nd )SCAR overseeing and hosting a testing session open to interested vendors (June 1 st and 2 nd ) A one day demonstration is under consideration (June 3 rd )A one day demonstration is under consideration (June 3 rd )

10. 10 Current Status of MR Tool Contract for development of an MR Tool awarded to PixelMed after a public RFPContract for development of an MR Tool awarded to PixelMed after a public RFP –development costs funded by: ConVis GmbH Esaote S.p.A. GE Healthcare Hitachi Medical Systems Philips Medical Systems Siemens Medical Solutions Toshiba America Medical Systems Tool is validated and approved by WG16 membersTool is validated and approved by WG16 members

11. 11 NEMA CT/MR Test-tool

12. 12 Current Status of CT-MR Tool CT-MR Taskforce specified a RFP for the CT-MR toolCT-MR Taskforce specified a RFP for the CT-MR tool Contract for development of the CT extension to the MR Tool was awarded to PixelMedContract for development of the CT extension to the MR Tool was awarded to PixelMed Companies committed to support the development:Companies committed to support the development: –Agfa –GE –Infinitt –Philips –Siemens –Toshiba –Vital Images

13. 13 Commitments for CT tool extension Commitment includes a $ 3,000 participation fee + guidance for the creation of test images and active partnership for the acceptance process of the toolCommitment includes a $ 3,000 participation fee + guidance for the creation of test images and active partnership for the acceptance process of the tool

14. 14 Milestones for the Tool (CT part) June 2004: define test planJune 2004: define test plan –gathering of necessary input images for contractor –specify acceptance test August / September 2004: review by WG 21: CTAugust / September 2004: review by WG 21: CT –test images will be scrutinized for DICOM compliance October, 1 st 2004: contractor delivers CT ToolOctober, 1 st 2004: contractor delivers CT Tool October 2004: evaluation by taskforce membersOctober 2004: evaluation by taskforce members October, 27 th – 28 th 2004: acceptance testing at NEMAOctober, 27 th – 28 th 2004: acceptance testing at NEMA –face to face meeting at NEMA headquarter November 2004: final versionNovember 2004: final version –tool available for demonstration participants

15. 15 Test and Demonstration Preliminary Commitment for participation at test and demonstration at SCAR 2005 by:Preliminary Commitment for participation at test and demonstration at SCAR 2005 by: –Agfa –GE –Infinitt –Kodak –McKesson –Philips –Siemens –Vital Images Final Commitment is due December, 15 thFinal Commitment is due December, 15 th

16. 16 Test and Demonstration Similar to IHE Connect-a-thon, however focused on CT and MR images onlySimilar to IHE Connect-a-thon, however focused on CT and MR images only Test Session...... and Demonstration

17. 17 Test and Demonstration - Costs To be expected costs:To be expected costs: –$1,000 - $2,000 per system for vendors who contributed to the tool development –$3,000 - $ 5,000 per system for other vendors

18. 18 Test and Demonstration - Costs Costs covered by participation feeCosts covered by participation fee –project management for coordination of test and demonstration activities –IT infrastructure (network switches, network drops,...) –educational materials Costs to be covered by participantsCosts to be covered by participants –Own development costs –delivery and setup of equipment

19. 19 Test definitions ActorsActors –Acquisition Modalities / Image Creators –Image Managers –Image Displays TransactionsTransactions –send enhanced image (storage & storage commitment) –query / retrieve enhanced image –display enhanced image

20. 20 Test definitions (2) Supported options to be stated by participants :Supported options to be stated by participants : –dimensions –concatenations –color images –real world mapping –Added graphics (in Softcopy Presentation States) Supported Image types to be stated by participants :Supported Image types to be stated by participants : –CT Cardiac, Perfusion, Whole Body, Localizer,... –MR Cardiac, Diffusion, Functional Imaging

21. 21 Application for Test and Demonstration Vendors will apply for different test-scenarios and the options supported in their implementation(s)Vendors will apply for different test-scenarios and the options supported in their implementation(s) Prior to test session vendors have to:Prior to test session vendors have to: –test their implementation against CT/MR test tool –exchange images between creators and display participants –provide screenshots of display screen to project manager

22. 22 Additional promotion at RSNA RSNA 2004:RSNA 2004: –announcement of preliminary participants, educate on benefits RSNA 2005:RSNA 2005: –possible repeat of SCAR demonstration (no new testing session) –hold educational session

23. 23 How can vendors get involved ? To get involved in the proposed NEMA Initiative Contact Stephen Vastagh at NEMA: ste_vastagh@nema.org Detailed information: See the Flyer in the back of the room