Difference between revisions of "Management of Acquisition Protocols"

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==Summary==
 
==Summary==
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Management of Acquisition Protocols (MAP) lets image acquisition protocols be sent between scanners, archives and protocol management workstations for the purpose of review and management. DICOM currently handles CT protocols, but work is under way to also handle MR and X-ray Angiography protocols.
+
Management of Acquisition Protocols (MAP) supports the collection of scan protocols from acquisition modalities, their review on a protocol manager and re-distribution to modalities. Protocol managers are permitted to edit attributes marked safe by the creating modality. Such attributes will likely include '''protocol names, dose notification thresholds, and series names''' for generated images.
  
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''<Describe the profile in about a paragraph using user-oriented language.  Focus on what it accomplishes for a user (i.e. the Use Cases).  Don't get into how it works, leave that to the Details section.>''
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<center>[[Image:MAPOverview.png|750px]]</center>
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''<Insert a simple graphic that, at a glance, visually summarizes what the profile is about.  Do not use an actor/transaction diagram here.  Show your graphic to someone for 5 seconds (literally) and ask them what it's about.  If what they say hits the main points in your summary paragraph, you have succeeded.  E.g. a graphic of a hospital, a clinic, and a lab with patient records moving between them.  .>''
 
  
 
==Benefits==
 
==Benefits==
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''<If the profile can improve Cost, Safety, Quality or Efficiency then list the specific examples of that benefit (e.g. error reduction, increased throughput) and how they come about (e.g. SWF reduces patient errors due to mistyped demographics at the modality by transfering demographics electronically from the Order Filler).  Consider using a bullet list for readability.  Such benefits help users and vendors make the business case for the profile.  If the profile does not improve any aspect of Cost, Safety, Quality or Efficiency feel free to talk about something else here.>''
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'''Improve Quality of Care'''
 +
* Good, consistent image quality depends on good protocols, used consistently
 +
* MAP helps monitor protocols in use (and detect variants)
 +
* MAP helps distribute preferred, consistent protocols
  
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==Details==
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'''Improve Workflow Efficiency'''
 +
* Hanging Protocols, Image Processing, Reporting Workflow, etc. depend on consistent series names, procedure codes, etc.
 +
* MAP helps create and manage such consistency
  
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''<A few paragraphs, if appropriate, providing more details (mostly in user-speak, not tech-speak) on what the profile does and how it works.>''
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'''Manage Dose'''
 +
* Managing dose depends on managing protocols
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* Variations in protocols results in variations in dose
  
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''<If the user might be familiar with the mechanisms used by the profile, you can mention them here.  E.g. Evidence Documents is based on DICOM Structured Report (SR) Templates.>''
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'''Support Analytics'''
 +
* Summarizing data depends on consistent tagging
 +
* Determining your average throughput for each type of procedure depends on good naming and coding
  
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''<If the user might have an appreciation for the problems addressed in the profile, you can mention them here, but keep it short.  E.g. Mapping HL7 Order fields to DICOM Modality Worklist attributes can be inconsistent in the marketplace, so Scheduled Workflow provides vendors with more detailed instructions.>''
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==Details==
 +
 
 +
The transactions are based on storage, query and retrieval of DICOM® objects containing scan procedure protocols and protocol approvals. Although the profile is agnostic to the type of modality, as of 2018 DICOM has published the specification for '''CT Protocol''' Storage. DICOM work is in progress to support XA and MR protocols.  When those are published they will also be incorporated into the Profile.
 
   
 
   
 
==Systems Affected==
 
==Systems Affected==
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''<List (in user terms) the types of systems they might expect to have implemented actors from this profile, e.g. RIS, PACS, HIS, CAD Workstation, etc. and for each, how it would participate.>''
 
  
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* ''PACS systems may store, manage, and/or display Evidence Documents.''
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* Modalities may send protocols for review and receive distributed protocols and approvals.
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* ''Display systems may query, retrieve and display Evidence Documents.''
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* PACS systems may store sets protocols
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* ''Reporting workstations may retrieve, process and include details from Evidence Documents in reports
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* Protocol management workstations may retrieve, review, approve and make minor edits to protocols.
  
 
'''Actors & Transactions:'''
 
'''Actors & Transactions:'''
  
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''<Insert an actor-transaction diagram, and or list of Content Definitions>''
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<center>[[Image:MAPActorDiagram.png|600px]]</center>
  
 
==Specification==
 
==Specification==
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'''Profile Status:''' [[Comments| Trial Implementation]]   
 
'''Profile Status:''' [[Comments| Trial Implementation]]   
  
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'''Documents:'''  
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'''Document:''' [https://www.ihe.net/uploadedFiles/Documents/Radiology/IHE_RAD_Suppl_MAP.pdf IHE Management of Acquisition Protocols (MAP) Profile - Supplement Document]
  
−
[https://www.ihe.net/uploadedFiles/Documents/Radiology/IHE_RAD_Suppl_MAP.pdf IHE Management of Acquisition Protocols (MAP) Supplement]
 
  
 
'''Underlying Standards:'''
 
'''Underlying Standards:'''
  
 
:* [http://www.dicomstandard.org DICOM]
 
:* [http://www.dicomstandard.org DICOM]
 +
::* [http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_A.82.2.3.html DICOM PS 3.3: A.82.2 CT Defined Procedure Protocol IOD]
 +
::* [http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_A.82.3.3.html DICOM PS 3.3: A.82.3 Protocol Approval IOD]
 +
::* [http://dicom.nema.org/medical/dicom/current/output/chtml/part17/chapter_AAAA.html DICOM PS 3.17 Annex AAAA Protocol Storage Examples and Concepts (informative)]
 +
::* [http://dicom.nema.org/medical/dicom/current/output/chtml/part18/sect_6.10.html DICOM PS3.18 Section 6.10: RS Non-Patient Instance (NPI) Storage]
 +
:::* [http://dicom.nema.org/medical/dicom/current/output/chtml/part18/sect_6.10.3.3.html DICOM PS3.18 Section 6.10.3.3: Store Transaction]
 +
:::* [http://dicom.nema.org/medical/dicom/current/output/chtml/part18/sect_6.10.3.4.html DICOM PS3.18 Section 6.10.3.4: Search Transaction]
 +
:::* [http://dicom.nema.org/medical/dicom/current/output/chtml/part18/sect_6.10.3.2.html DICOM PS3.18 Section 6.10.3.2: Retrieve Transaction]
 
:* [http://www.hl7.org HL7]
 
:* [http://www.hl7.org HL7]
 +
 +
==Sample RFP Language==
 +
 +
Although several patterns of implementation of the MAP Profile are possible, IHE expects that:
 +
:* the Acquisition Modality Actor will be implemented in scanners,
 +
:* the Protocol Archive Actor will be implemented in PACS, VNAs and/or Protocol workstations, and
 +
:* the Protocol Manager Actor will be implemented in Protocol workstations, Dose workstations, and/or RIS systems
 +
 +
Questions to ask vendors:
 +
:* Do you plan to implement IHE’s Management of Acquisition Protocols (MAP) profile?  If so, when?
 +
:* Do you plan to test your implementation of MAP at an upcoming IHE Connectathon?  If so, when?
 +
 +
Example RFP Requirements:
 +
:* The CT scanner shall support the IHE Management of Acquisition Protocols (MAP) profile as the Acquisition Modality actor.
 +
:* The VNA shall support the IHE Management of Acquisition Protocols (MAP) profile as the Protocol Archive actor.
 +
:* The protocol management workstation shall support the IHE Management of Acquisition Protocols (MAP) profile as the Protocol Manager actor.
  
 
==See Also==
 
==See Also==
  
 
'''Related Profiles'''
 
'''Related Profiles'''
−
 
−
''<List profiles this one depends on, profiles that depend on this one, profiles that are synergistic with this one.  Start with the name of the other profile as a link and then explain the relationship.>''
 
  
 
* [[Scheduled Workflow]] [SWF.b] has an Assisted-Protocol Setting Option that would benefit from management of protocol labels.
 
* [[Scheduled Workflow]] [SWF.b] has an Assisted-Protocol Setting Option that would benefit from management of protocol labels.
Line 54: Line 82:
  
  
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'''Consumer Information''' - Replace this with direct sample RFP language, here or higher up in the document. Should appear in TOC. Maybe after Systems Affected
+
'''Reference Articles'''
 +
 
 +
:'''''CT protocol optimization: teams and costs'''''
 +
 
 +
Siegelman, Jenifer RQW, and Dustin A. Gress. "Radiology stewardship and quality improvement: the process and costs of implementing a CT radiation dose optimization committee in a medium-sized community hospital system." Journal of the American College of Radiology 10, no. 6 (2013): 416-422.
 +
 
 +
Szczykutowicz, Timothy P., Robert K. Bour, Myron Pozniak, and Frank N. Ranallo. "Compliance with AAPM Practice Guideline 1. a: CT Protocol Management and Review—from the perspective of a university hospital." Journal of applied clinical medical physics 16, no. 2 (2015): 443-457.
 +
 
 +
Szczykutowicz, Timothy P., and Myron Pozniak. “A Team Approach for CT Protocol Optimization”. The Journal for the Association of Medical Imaging Management: Radiology Management 2016 Nov/Dec Issue. Available at http://www.radiologymanagement-digital.com/radiologymanagement/11122016
 +
 
 +
:'''''Protocol Review and Management'''''
 +
 
 +
Cody, Dianna D., Tyler S. Fisher, Dustin A. Gress, Jr RR Layman, Michael F. McNitt-Gray, Jr RJ Pizzutiello, and Lynne A. Fairobent. "AAPM medical physics practice guideline 1. a: CT protocol management and review practice guideline." Journal of applied clinical medical physics 14, no. 5 (2013): 3-12.
  
−
The [[Profile FAQ Template]] answers typical questions about what the Profile does. ''<Replace the link with a link to the actual FAQ page for the Profile>''
+
Kofler, James M., Dianna D. Cody, and Richard L. Morin. "CT protocol review and optimization." Journal of the American College of Radiology 11, no. 3 (2014): 267-270.  
  
−
The [[Profile Purchasing Template]] describes considerations when purchasing equipment to deploy this Profile. ''<Replace the link with a link to the actual Purchasing page for the Profile>''
+
Szczykutowicz, Timothy P., Annelise Malkus, Amanda Ciano, and Myron Pozniak. "Tracking patterns of nonadherence to prescribed CT protocol parameters." Journal of the American College of Radiology 14, no. 2 (2017): 224-230.
  
 +
Szczykutowicz, Timothy P., and Jenifer Siegelman. "On the same page—physicist and radiologist perspectives on protocol management and review." Journal of the American College of Radiology 12, no. 8 (2015): 808-814.
  
−
'''Reference Articles'''
+
Sachs, Peter B., Kelly Hunt, Fabien Mansoubi, and James Borgstede. "CT and MR Protocol Standardization Across a Large Health System: Providing a Consistent Radiologist, Patient, and Referring Provider Experience." Journal of digital imaging 30, no. 1 (2017): 11-16.
 +
 
 +
Szczykutowicz, Timothy P., Robert Bour, Frank Ranallo, and Myron Pozniak. "The Current State of CT Dose Management Across Radiology: Well Intentioned but Not Universally Well Executed." American Journal of Roentgenology (2018): 1-4.
 +
 
 +
:'''''Physics Perspective'''''
 +
 
 +
Szczykutowicz, Timothy P., Robert K. Bour, Nicholas Rubert, Gary Wendt, Myron Pozniak, and Frank N. Ranallo. "CT protocol management: simplifying the process by using a master protocol concept." Journal of applied clinical medical physics 16, no. 4 (2015): 228-243.
 +
 
 +
Sookpeng, S., C. J. Martin, and D. J. Gentle. "Comparison of different phantom designs for CT scanner automatic tube current modulation system tests." Journal of radiological protection 33, no. 4 (2013): 735.
 +
 
 +
McKenney, Sarah E., J. Anthony Seibert, Ramit Lamba, and John M. Boone. "Methods for CT automatic exposure control protocol translation between scanner platforms." Journal of the American College of Radiology 11, no. 3 (2014): 285-291.
 +
 
 +
Favazza, Christopher P., Xinhui Duan, Yi Zhang, Lifeng Yu, Shuai Leng, James M. Kofler, Michael R. Bruesewitz, and Cynthia H. McCollough. "A cross-platform survey of CT image quality and dose from routine abdomen protocols and a method to systematically standardize image quality." Physics in Medicine & Biology 60, no. 21 (2015): 8381.
 +
 
 +
Solomon, Justin B., Olav Christianson, and Ehsan Samei. "Quantitative comparison of noise texture across CT scanners from different manufacturers." Medical Physics 39, no. 10 (2012): 6048-6055.
 +
 
 +
:'''''Protocol Management Systems'''''
 +
 
 +
Szczykutowicz, Timothy P., Nicholas Rubert, Daryn Belden, Amanda Ciano, Andrew Duplissis, Ashley Hermanns, Stephen Monette, and Elliott Janssen Saldivar. "A wiki-based solution to managing your institution’s imaging protocols." Journal of the American College of Radiology 13, no. 7 (2016): 822-824.
 +
 
 +
Grimes, Joshua, Shuai Leng, Yi Zhang, Thomas Vrieze, and Cynthia McCollough. "Implementation and evaluation of a protocol management system for automated review of CT protocols." Journal of applied clinical medical physics 17, no. 5 (2016): 523-533.
 +
 
 +
Zhang, Da, Cristy A. Savage, Xinhua Li, and Bob Liu. "Data-driven CT protocol review and management—experience from a large academic hospital." Journal of the American College of Radiology 12, no. 3 (2015): 267-272.
 +
 
 +
Szczykutowicz, Timothy P., Nicholas Rubert, Daryn Belden, Amanda Ciano, Andrew Duplissis, Ashley Hermanns, Stephen Monette, and E. JanssenSaldivar. "A wiki based CT protocol management system." Radiology Management 37, no. 6 (2015): 25-9.
 +
 
 +
'''November 27, 2018 Map Advocacy Meeting'''
  
 +
Slides to be posted after meeting
  
−
[[Category:Profiles]]
 
  
 
This page is based on the [[Profile Overview Template]]
 
This page is based on the [[Profile Overview Template]]
  
−
 
+
[[Category:Profiles]]
 
[[Category:RAD Profile]]
 
[[Category:RAD Profile]]
 
[[Category:DICOM]]
 
[[Category:DICOM]]
 
[[Category:DICOMweb]]
 
[[Category:DICOMweb]]

Latest revision as of 18:51, 30 November 2018

Summary

Management of Acquisition Protocols (MAP) supports the collection of scan protocols from acquisition modalities, their review on a protocol manager and re-distribution to modalities. Protocol managers are permitted to edit attributes marked safe by the creating modality. Such attributes will likely include protocol names, dose notification thresholds, and series names for generated images.

MAPOverview.png

Benefits

Improve Quality of Care

  • Good, consistent image quality depends on good protocols, used consistently
  • MAP helps monitor protocols in use (and detect variants)
  • MAP helps distribute preferred, consistent protocols

Improve Workflow Efficiency

  • Hanging Protocols, Image Processing, Reporting Workflow, etc. depend on consistent series names, procedure codes, etc.
  • MAP helps create and manage such consistency

Manage Dose

  • Managing dose depends on managing protocols
  • Variations in protocols results in variations in dose

Support Analytics

  • Summarizing data depends on consistent tagging
  • Determining your average throughput for each type of procedure depends on good naming and coding

Details

The transactions are based on storage, query and retrieval of DICOM® objects containing scan procedure protocols and protocol approvals. Although the profile is agnostic to the type of modality, as of 2018 DICOM has published the specification for CT Protocol Storage. DICOM work is in progress to support XA and MR protocols. When those are published they will also be incorporated into the Profile.

Systems Affected

  • Modalities may send protocols for review and receive distributed protocols and approvals.
  • PACS systems may store sets protocols
  • Protocol management workstations may retrieve, review, approve and make minor edits to protocols.

Actors & Transactions:

MAPActorDiagram.png

Specification

Profile Status: Trial Implementation

Document: IHE Management of Acquisition Protocols (MAP) Profile - Supplement Document


Underlying Standards:

Sample RFP Language

Although several patterns of implementation of the MAP Profile are possible, IHE expects that:

  • the Acquisition Modality Actor will be implemented in scanners,
  • the Protocol Archive Actor will be implemented in PACS, VNAs and/or Protocol workstations, and
  • the Protocol Manager Actor will be implemented in Protocol workstations, Dose workstations, and/or RIS systems

Questions to ask vendors:

  • Do you plan to implement IHE’s Management of Acquisition Protocols (MAP) profile? If so, when?
  • Do you plan to test your implementation of MAP at an upcoming IHE Connectathon? If so, when?

Example RFP Requirements:

  • The CT scanner shall support the IHE Management of Acquisition Protocols (MAP) profile as the Acquisition Modality actor.
  • The VNA shall support the IHE Management of Acquisition Protocols (MAP) profile as the Protocol Archive actor.
  • The protocol management workstation shall support the IHE Management of Acquisition Protocols (MAP) profile as the Protocol Manager actor.

See Also

Related Profiles

  • Scheduled Workflow [SWF.b] has an Assisted-Protocol Setting Option that would benefit from management of protocol labels.
  • Portable Data for Imaging [PDI] could be used to export/import DICOM protocol instances to media for sharing with another facility or organization. (e.g., protocols for multiple models in a given clinical trial, reference protocols for a particular diagnostic task, or a full backup catalog of protocols)
  • Radiation Exposure Monitoring [REM] could be used on the protocol manager to coordinate a dose reduction program with protocol management.


Reference Articles

CT protocol optimization: teams and costs

Siegelman, Jenifer RQW, and Dustin A. Gress. "Radiology stewardship and quality improvement: the process and costs of implementing a CT radiation dose optimization committee in a medium-sized community hospital system." Journal of the American College of Radiology 10, no. 6 (2013): 416-422.

Szczykutowicz, Timothy P., Robert K. Bour, Myron Pozniak, and Frank N. Ranallo. "Compliance with AAPM Practice Guideline 1. a: CT Protocol Management and Review—from the perspective of a university hospital." Journal of applied clinical medical physics 16, no. 2 (2015): 443-457.

Szczykutowicz, Timothy P., and Myron Pozniak. “A Team Approach for CT Protocol Optimization”. The Journal for the Association of Medical Imaging Management: Radiology Management 2016 Nov/Dec Issue. Available at http://www.radiologymanagement-digital.com/radiologymanagement/11122016

Protocol Review and Management

Cody, Dianna D., Tyler S. Fisher, Dustin A. Gress, Jr RR Layman, Michael F. McNitt-Gray, Jr RJ Pizzutiello, and Lynne A. Fairobent. "AAPM medical physics practice guideline 1. a: CT protocol management and review practice guideline." Journal of applied clinical medical physics 14, no. 5 (2013): 3-12.

Kofler, James M., Dianna D. Cody, and Richard L. Morin. "CT protocol review and optimization." Journal of the American College of Radiology 11, no. 3 (2014): 267-270.

Szczykutowicz, Timothy P., Annelise Malkus, Amanda Ciano, and Myron Pozniak. "Tracking patterns of nonadherence to prescribed CT protocol parameters." Journal of the American College of Radiology 14, no. 2 (2017): 224-230.

Szczykutowicz, Timothy P., and Jenifer Siegelman. "On the same page—physicist and radiologist perspectives on protocol management and review." Journal of the American College of Radiology 12, no. 8 (2015): 808-814.

Sachs, Peter B., Kelly Hunt, Fabien Mansoubi, and James Borgstede. "CT and MR Protocol Standardization Across a Large Health System: Providing a Consistent Radiologist, Patient, and Referring Provider Experience." Journal of digital imaging 30, no. 1 (2017): 11-16.

Szczykutowicz, Timothy P., Robert Bour, Frank Ranallo, and Myron Pozniak. "The Current State of CT Dose Management Across Radiology: Well Intentioned but Not Universally Well Executed." American Journal of Roentgenology (2018): 1-4.

Physics Perspective

Szczykutowicz, Timothy P., Robert K. Bour, Nicholas Rubert, Gary Wendt, Myron Pozniak, and Frank N. Ranallo. "CT protocol management: simplifying the process by using a master protocol concept." Journal of applied clinical medical physics 16, no. 4 (2015): 228-243.

Sookpeng, S., C. J. Martin, and D. J. Gentle. "Comparison of different phantom designs for CT scanner automatic tube current modulation system tests." Journal of radiological protection 33, no. 4 (2013): 735.

McKenney, Sarah E., J. Anthony Seibert, Ramit Lamba, and John M. Boone. "Methods for CT automatic exposure control protocol translation between scanner platforms." Journal of the American College of Radiology 11, no. 3 (2014): 285-291.

Favazza, Christopher P., Xinhui Duan, Yi Zhang, Lifeng Yu, Shuai Leng, James M. Kofler, Michael R. Bruesewitz, and Cynthia H. McCollough. "A cross-platform survey of CT image quality and dose from routine abdomen protocols and a method to systematically standardize image quality." Physics in Medicine & Biology 60, no. 21 (2015): 8381.

Solomon, Justin B., Olav Christianson, and Ehsan Samei. "Quantitative comparison of noise texture across CT scanners from different manufacturers." Medical Physics 39, no. 10 (2012): 6048-6055.

Protocol Management Systems

Szczykutowicz, Timothy P., Nicholas Rubert, Daryn Belden, Amanda Ciano, Andrew Duplissis, Ashley Hermanns, Stephen Monette, and Elliott Janssen Saldivar. "A wiki-based solution to managing your institution’s imaging protocols." Journal of the American College of Radiology 13, no. 7 (2016): 822-824.

Grimes, Joshua, Shuai Leng, Yi Zhang, Thomas Vrieze, and Cynthia McCollough. "Implementation and evaluation of a protocol management system for automated review of CT protocols." Journal of applied clinical medical physics 17, no. 5 (2016): 523-533.

Zhang, Da, Cristy A. Savage, Xinhua Li, and Bob Liu. "Data-driven CT protocol review and management—experience from a large academic hospital." Journal of the American College of Radiology 12, no. 3 (2015): 267-272.

Szczykutowicz, Timothy P., Nicholas Rubert, Daryn Belden, Amanda Ciano, Andrew Duplissis, Ashley Hermanns, Stephen Monette, and E. JanssenSaldivar. "A wiki based CT protocol management system." Radiology Management 37, no. 6 (2015): 25-9.

November 27, 2018 Map Advocacy Meeting

Slides to be posted after meeting


This page is based on the Profile Overview Template

Retrieved from "http://wiki.ihe.net/index.php?title=Management_of_Acquisition_Protocols&oldid=112944"