DRL構築のための線量管理 ... - jira-net.or.jp

1 JSRT 43 jira 1 DRL 2015 10 8 ( jira ) DICOM 43 JSRT 43 jira 3 DRL 1. 2. 3. 4. 5. 6. Radrex jj1017 JSRT 43 jira 4 1. JSRT 43 jira 5 DICOM jira HomePage 1.

2 JSRT 43 jira 6 X X JSRT 43 jira 7 X JSRT 43 jira 8 X JSRT 43 jira 9 2.

3 JSRT 43 jira 10 ACR CT Dose Registry 2011 5 2013 8 750 465 CTDIvol DLP NRDR TRAID Transfer of Image and Data ACR DICOM RDSR (Radiation Dose Structured report) IHE REM HIPPA JSRT 43 jira 11 LCSR Lung Cancer Screening Registry Interventional Radiology Registory 2015 CT COLONOGRAPHY Registry 2008 1 Data WEB Interactive Report Case Registration Form Exam Form Polyp(follow up)

4 Form DOSE INDEX Registry 2011 6 Data Interactive Report PQI GENERAL ADIOLOGY Improvement Database 2008 9 Data WEB Interactive Report 2014 Report IV Contrast EXTRAVASATION Registry 2008 Data WEB Interactive Report Easy-to-complete PQI project by ARB MOC programs NATIONAL MAMMOGRAPHY Database 2009 6 Data Interactive Report Cancer detection rate, positive predictive value rates and recall rate JSRT 43 jira 12 ~/media/ACR/Documents/PDF/QualitySafety/ NRDR/NRDR%20databases%20and%20submission s% JSRT 43 jira 13 JSRT 43 jira 14 JSRT 43 jira 15 TRAID CT, MRI, NUC-Med, Mammography, Breast MRI, Ultrasound (Breast Ultrasound, Stereotactic Biopsy )

5 ACR JSRT 43 jira 16 CT PACS TRIAD Site Server DIR NRDR 1. a. Radiation Dose Structured Report (RDSR) b. Dose sheets / dose summary reports (RDSR ) c. Localizers received from scanners. sheets / summary reports Site Server RDSR . Server RDSR DICOM header localizers anonymize Server TRIAD Central Server at ACR SSL security reliability Central Server NRDR web C- STORE SSL / WCF SSL Connection SSL Connection JSRT 43 jira 17 ParticipationAgreement JSRT 43 jira 18 Why TRIAD ?

6 In the past, facilities submitting images to ACR for accreditation experienced numerous technical challenges using CDs: Variation in embedded viewers Problems burning images to CDs (sometimes requiring the use of third-party services) Translation problems (scanner to PACS) Wrong format submitted (JPEG vs. DICOM) TRIAD overcomes the challenges of image submission with easy-to-use tools and online services that reduce costs and streamline the process: Cuts costs associated with burning and shipping CDs Reduces delays in shipping images among facilities, the ACR and reviewers Mitigates the risk of losing images Ensures compliance with HIPAA regulations throughout the process JSRT 43 jira 19 Two Ways to Submit Images TRIAD users can electronically submit their images in two ways.

7 ACRedit Web Client No software installation required Thumbnail views (no full-size images) Users can select files only; no folders of images Cannot connect with PACS TRIAD Windows Client Requires software installation on your PC View full-size images before submission Upload files or entire folders Upload from PACS For additional information and resources please visit the TRIAD web site JSRT 43 jira 20 CT RadLex Playbook RadLex Playbook ID (RPID) number Body Region Contrast Enhancement Anatomic Focus ( ) Modality Modifier (angiography )

8 JSRT 43 jira 21 2010 3 J-RIME DRL J-RIME DRLs 2015 DRLs 2015 JSRT 43 jira 22 DRLs 2015 DRLs 2015 DRL JSRT 43 jira 23 3. JSRT 43 jira 24 CT Data Elements in DICOM Header Data Elements in DICOM CT Dose SR TID 10012 CT ACCUMULATED DOSE DATA TID 10013 CT IRRADIATION EVENT DATA CT ACR JSRT 43 jira 25 DataElementsInDIRH eaderSR Data Elements in DICOM Header Data Elements in DICOM CT Dose SR TID 10012 CT ACCUMULATED DOSE DATA TID 10013 CT IRRADIATION EVENT DATA JSRT 43 jira 26 CT No.

9 Attributes 1 Patient Module Attributes ID 2 General Study Module Attributes ID 3 Patient Study Module Attributes 4 SR Documents Service Module Attributes ID 5 General Equipment Module Attributes Software Version 6 SR Document General Module Attributes Completion flag Verification flag 7 SOP Common Module Attributes SOP Class UID, SOP Instance UID 8 SR Document Content Attributes TID 10011 - CT Radiation Dose 9 SR Document Content Module Attributes TID 1002 - Observer Context 10 TID 1004 - Device Observer Identifying Attributes 11 TID 10012 - CT Accumulated Dose Data 12 TID 10013 - CT Irradiation Event Data 13 TID 1021 - Device Participant JSRT 43 jira 27 JSRT 43 jira 28 DICOM DOSE SR IOD X-Ray

10 Radiation Dose SR IOD Templates. TID 10001 Projection X-Ray Radiation Dose TID 10002 Accumulated X-Ray Dose TID 10003 Irradiation Event X-Ray Data TID 10003A Irradiation Event X-Ray Detector Data TID 10003B Irradiation Event X-Ray Source Data TID 10003C Irradiation Event X-Ray Mechanical Data TID 10004 Accumulated Fluoroscopy and Acquisition Projection X-Ray Dose TID 10005 Accumulated Mammography X-Ray Dose TID 10006 Accumulated Cassette-based Projection Radiography Dose TID 10007 Accumulated Total Projection Radiography Dose CT Radiation Dose SR IOD Templates. TID 10011 CT Radiation Dose TID 10012 CT Accumulated Dose Data TID 10013 CT Irradiation Event Data TID 10014 Scanning Length TID 10015 CT Dose Check Details Radiopharmaceutical Radiation Dose SR IOD Templates.