Dr Otto Schulze

Project Leader DMIMTC

Increasing demand for specialized imaging (>500 images/patient on MDCT/MRI)

Repeat examinations (No post-processing)Lost films & packets (Repeat examinations & no

comparison)Not all images are printed (Lost information 20

images/sheet)Plain film X-rays (Dark room personnel, Chemicals, Film)Storage is labor intensive, occupies space & problems

(Lost reports, packets, films)Poor communication with referring doctor (Wait for

examination, reports, films & dependent on physical transport)

Radiology opinion limited (Staffing in peripheral hospitals)Why is the rest of the world going digital?

Communication between theImaging modality – The machinePACS – The filmRIS – The paperHIS – The reception computer

Two componentsDigital medical imagingDigital image management

IT

HIS

RIS

PACS

Digital Imaging Modalities

Film performs a balancing act between:Capturing the imageDisplaying the imageStoring the image

Digitizing the process allows each step to be optimized

Cost saving:No more filmChemicals for developmentDark Room assistants

Better capturing techniquesLess exposure problems

Better image manipulation techniques

Improved display techniquesCell phones, PDA’s, Laptops, Multi-monitor

displays, large screen displays and data projectorsImproved storage techniques

Large redundant data archivesImproved management of resources

Measurement possibleProductivity of personnel, modalities and departmentsEquipment lifecycle according to usage

Management possibleResources can be utilized across the province

The patientQuicker and Improved patient care

The clinicianFaster available, ubiquitous imaging

ManagementImproved management capabilities

The imaging departmentImproved workflow

NOT a Radiology toy,NOT a Radiology toy, but a clinical governance but a clinical governance

tooltool

CHANGED WORKFLOWNo more administration / statisticsNo more looking for filmsNo more taking beautiful pictures

Digital OrderingDigital SchedulingDigital Statistics / Tick-SheetsDigital Work-listsDigital Quality ControlDigital ReportingDigital Distribution

HIS

3. Prefetch old st

udy

9. Backup of st

udy and report

8. F

inal

Rep

ort

2. DICOM worklist

Clinician ViewingStations

ArchiveDistribution: CD, DVD, Email, Web

PACS Server

Imaging Modalities

7. Report DictationRadiologyDiagnostic Workstations

4. Study performed

RIS

Patient

1. Patient presents to hospital

6. Studies sent to Clinician

5. Studies s

ent to Radiologist

10. Report and

study distributed

to clinician

1. Request for imaging study

2. Request for additional clinical information by radiologist and supplied by clinician

Clinician

RIS

Radiologist

Patient

3. Study approved

4. Study planned

5. Scheduling of study

6. Study date & time Information about study Preparatory instructions

7. Study date & time

Blood assays requested

8. Tracking the progress of the study

Trauma

“COW”

Computer - On - Wheels

Old X-ray room now being converted to Recovery Room

CR

DR

DMIMTCTMM decisionFunds

MTSHRPNational

Q &AQ &A