Difference between revisions of "Teaching File and Clinical Trial Export"

Latest revision as of 11:45, 14 September 2020

Teaching File and Clinical Trial Export (TCE) lets users flag images and related information for automatic routing to teaching file authoring or clinical trials management systems.

Summary

Teaching files are valuable training tools in radiology and other imaging specialties. Many residents are required to create and maintain teaching files and many experienced practitioners keep files of interesting cases for their own reference and to share with colleagues.

Participation in clinical trials is a growing need and both a potential source of revenue and a driver of quality improvement.

In order to accomplish these tasks efficiently, a user must be able to:

Flag appropriate images and add supplemental information
Anonymize image studies, often using reversible anonymization (pseudonymization) in research trials
Route the study to the appropriate destination (a teaching file system or clinical trial repository)

DICOM standards provide the essential mechanisms for performing these tasks.

Benefits

Enables a radiologist working at a diagnostic workstation to select, annotate and export images to a teaching file system or clinical trials repository
Enables efficient teaching file creation and clinical trial participation without significant disruption to the normal diagnostic workflow
Enables selecting key images from an image study for export
Enables adding supplemental information appropriate to subsequent use of the images in education or research

Details

TCE uses basic DICOM services and the IHE Key Image Note profile.

TCE-capable PACS can provide imaging professionals with tools that enable them to create teaching files or send images for clinical trials efficiently, without disrupting the diagnostic workflow. The user can select studies or key images from studies to send, provide supplemental textual information and send them to appropriate destinations (a teaching file system or clinical trials repository) configured in the system.

Systems Affected

PACS, PACS workstations and reporting systems can be enhanced, using TCE, to enable users to select, annotate and send images and studies, as well as reports and other information
Teaching file systems and research data repositories conforming to TCE can receive and manage images, studies and other information sent from TCE-compliant PACSes

Actors and Transactions

Export Selector

identifies information to be sent to a teaching file or clinical trial system
e.g. a user function on a PACS diagnostic workstation
can include images, reports, evidence documents, presentation states and additional information

Export Manager

accepts selected objects
de-identifies and re-identifies with pseudonymous values
remaps to trial-specific identifiers and populates clinical trial specific attributes (Remap Identifiers option)
sends pseudonymized DICOM objects and updated manifest to a Receiver.

Receiver

a local teaching file system
a clinical trial repository
a clinical trial system that transfers images to the central review facility

Specification

Profile Status: Final Text

Documents:

IHE Radiology Technical Framework:

Vol. 1 - Section 17 (TCE Profile)
Vol. 3 - Sections 4.50 Store Instance; 4.51 Store Export Selection; 4.52 Store Additional Teaching File Information; 4.53 Export Instances

Underlying Standards:

DICOM

Related Profiles

Key Image Note [KIN] enables users to flag images as significant and add notes.

Reference Articles

Translating the IHE Teaching File and Clinical Trial Export (TCE) Profile Document Templates into Functional DICOM Structured Report Objects. Aaron W. C. Kamauu,Scott L. DuVall, Andrew P. Liimatta, Richard H. Wiggins, III and David E. Avrin. J Digit Imaging. 2008 December; 21(4): 390–407.

IHE TCE-based Teaching File Solution Linked with an Open Source eLearning Platform. P Mildenberger, MD; K Wunder, C M Ahlers, MD; J Schneider, MD; C Dueber, MD; G Klos, Mainz, GERMANY; (mirc@radiologie.klinik.uni-mainz.de). Online Poster.

@@ Line 1: / Line 1: @@
+'''Teaching File and Clinical Trial Export (TCE)''' lets users flag images and related information for automatic routing to teaching file authoring or clinical trials management systems.
 __TOC__
 ==Summary==
-''<See [[Help:Contents#Tips_.26_Tricks| Help - Tips and Tricks]] for details on inserting an image/graphic.>''
 Teaching files are valuable training tools in radiology and other imaging specialties. Many residents are required to create and maintain teaching files and many experienced practitioners keep files of interesting cases for their own reference and to share with colleagues.
@@ Line 27: / Line 27: @@
 ==Details==
-TCE-capable PACS can provide imaging professionals with tools that enable them to create teaching files or send images for clinical trials efficiently, without disrupting the diagnostic workflow. The user can select studies or key images from studies to send, provide supplemental textual information and send them to appropriate destinations (a teaching file system or clinical trials repository) configured in the system. TCE uses basic DICOM services and the IHE Key Image Note profile.
+TCE uses basic DICOM services and the IHE Key Image Note profile.
+TCE-capable PACS can provide imaging professionals with tools that enable them to create teaching files or send images for clinical trials efficiently, without disrupting the diagnostic workflow. The user can select studies or key images from studies to send, provide supplemental textual information and send them to appropriate destinations (a teaching file system or clinical trials repository) configured in the system.
 ==Systems Affected==
-* PACS and PACS workstations can be enhanced, using TCE, to enable users to select, annotate and send images and studies, as well as reports and other information
+* PACS, PACS workstations and reporting systems can be enhanced, using TCE, to enable users to select, annotate and send images and studies, as well as reports and other information
 * Teaching file systems and research data repositories conforming to TCE can receive and manage images, studies and other information sent from TCE-compliant PACSes
@@ Line 51: / Line 53: @@
 * a clinical trial repository
 * a clinical trial system that transfers images to the central review facility
+[[File:TCE_transactions.jpg|480x360px]]
+[[File:TCE_groupings.jpg|480x360px]]
 ==Specification==
@@ Line 58: / Line 63: @@
 '''Documents:'''
-''<Provide direct links to the specific volumes or supplements, and list the volume sections relevant to this profile.  This is a simple inventory of official normative and informative text.  If you would like to provide a reading guide or walkthrough of what is in each of the different sections for implementers or users, do that in the Profile FAQ or the Profile Implementation Page linked below.  If the profile uses transactions from multiple Tech. Frameworks, repeat the structure below.>''
+[https://www.ihe.net/resources/technical_frameworks/#radiology IHE Radiology Technical Framework:]
+:* [https://www.ihe.net/uploadedFiles/Documents/Radiology/IHE_RAD_TF_Vol1.pdf Vol. 1] - Section 17 (TCE Profile)
-[http://www.ihe.net/Technical_Framework/index.cfm#radiology IHE Radiology Technical Framework:]
+:* [https://www.ihe.net/uploadedFiles/Documents/Radiology/IHE_RAD_TF_Vol3.pdf Vol. 3] - Sections 4.50 Store Instance; 4.51 Store Export Selection; 4.52 Store Additional Teaching File Information; 4.53 Export Instances
-:* [http://www.ihe.net/Technical_Framework/upload/IHE_RAD_TF_Vol1_FT.pdf] - Section 17 (TCE Profile)
-:* [http://www.ihe.net/Technical_Framework/upload/IHE_RAD_TF_Vol3_FT.pdf] - Sections 4.50 Store Instance; 4.51 Store Export Selection; 4.52 Store Additional Teaching File Information; 4.53 Export Instances
 '''Underlying Standards:'''
 :* [http://dicom.nema.org DICOM]
-==See Also==
-''<The following sections can be left out if there is nothing to point to.  This is just to show where such information can go.>''
 '''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.>''
+* [[Key Image Note]] [KIN] enables users to flag images as significant and add notes.
-* ''[[Key Image Note]] [KIN] enables users to flag images as significant and add notes.''
-'''Consumer Information'''
-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>''
-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>''
-'''Implementer Information'''
-The [[Profile Implementation Template]] provides additional information about implementing this Profile in software.  ''<Replace the link with a link to the actual Implementation page for the Profile>''
 '''Reference Articles'''
-''<List References (good and bad) (with link if possible) to Journal Articles that mention IHE's work (and hopefully include some analysis).  Go ahead, Google: IHE <Profile Name> abstract   or Google: IHE <Profile Name> and under the "more" select "Scholar".  You might be surprised. >''
+* Translating the IHE Teaching File and Clinical Trial Export (TCE) Profile Document Templates into Functional DICOM Structured Report Objects. Aaron W. C. Kamauu,Scott L. DuVall, Andrew P. Liimatta, Richard H. Wiggins, III and David E. Avrin. J Digit Imaging. 2008 December; 21(4): 390–407.
+* IHE TCE-based Teaching File Solution Linked with an Open Source eLearning Platform.  P Mildenberger, MD; K Wunder, C M Ahlers, MD; J Schneider, MD; C Dueber, MD; G Klos, Mainz, GERMANY; (mirc@radiologie.klinik.uni-mainz.de). [http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=4&ved=0CDUQFjAD&url=http%3A%2F%2F149.203.233.103%2Fstorage%2Fdocuments%2F20071123194039400%2FIHE%2520TCE%2520poster.ppt&ei=MWpTUIgsprPLAcmKgcAP&usg=AFQjCNFfnajYJKjOT6WUZCawkvttfMO00g&cad=rja Online Poster].
 [[Category:Profiles]]
+[[Category:RAD Profile]]
+[[Category:DICOM]]