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Data Communication with DICOM
Published in W. P. M. Mayles, A. E. Nahum, J.-C. Rosenwald, Handbook of Radiotherapy Physics, 2021
John Sage, John N.H. Brunt, W. P. M. Mayles
Unless all the equipment being used in a department is from a single software supplier, it is a requirement that image and other data should be transferable between different computing systems in such a way that it can be interpreted by different software. The Digital Imaging and Communications in Medicine (DICOM) standard aims to provide a standard format and has now reached general acceptance as the standard for such data transfer. In this chapter, the radiotherapy requirements for data transfer are considered in the context of the DICOM standard.
The Power of Mobile Devices and Patient Engagement
Published in Jan Oldenburg, Dave Chase, Kate T. Christensen, Brad Tritle, Engage!, 2020
Mobile devices can access medical images, such as magnetic resonance imaging (MRI) scans, mammography data, x-ray, and computed tomography (CT) data, and process the image by featuring the capability for the provider to pan, tilt, zoom, measure, and add contrast to the image. Apps can connect to Digital Imaging and Communications in Medicine (DICOM) medical image servers and retrieve these data for the provider to assess and/or share information among the care team members and the patient. A recent study by the Radiological Society of North America found a majority of radiologists were able to correctly diagnose appendicitis by accessing Picture Archiving and Communication Systems (PACS) using an iPhone app OsiriX, a medical imaging analysis smartphone application that allows physicians to access records. The study found that in 125 total viewings of pelvic and abdominal x-rays (25 cases examined by 5 radiologists each), an accurate diagnosis was made 124 times.45
Interpreting Radiology
Published in R. Annie Gough, Injury Illustrated, 2020
Digital Imaging and Communications in Medicine (DICOM) is the standard for the communication and management of medical imaging information and related data. DICOM is considered the international standard to transmit, store, retrieve, print, process, and display radiology studies. The radiology images that result from MRI and CT scans are most often stored and displayed as DICOM.
Integrating artificial intelligence into an ophthalmologist’s workflow: obstacles and opportunities
Published in Expert Review of Ophthalmology, 2023
Priyal Taribagil, HD Jeffry Hogg, Konstantinos Balaskas, Pearse A Keane
Data relevant to clinical decision-making in ophthalmology are often fragmented across different platforms and systems creating interoperability challenges for AI-enabled tools. Data interoperability is fundamental for successful AI integration as it provides shared and equal access to data resources. Multiple imaging modalities (optical coherence tomography – OCT, widefield fundus imaging, etc.) are involved in ophthalmic clinical practice. This prioritizes the need for common standards to facilitate the research and application of ophthalmic AI-enabled tools [83]. Variations that exist between imaging equipment, software, and data storage formats hinder data interoperability, limiting the ease with which multi-modal data can be assimilated and analyzed. Digital Imaging and Communications in Medicine (DICOM) is the international standard for medical imaging used to view, store, retrieve, and share images [84]. It was created with the intention of maintaining standards and consistency across the varying imaging modalities.
Biomechanical evaluation of subaxial lateral mass prothesis: a finite element analysis study
Published in Computer Methods in Biomechanics and Biomedical Engineering, 2022
Qiang Jian, Zhenlei Liu, Wanru Duan, Fengzeng Jian, Xuefeng Bo, Zan Chen
Cervical magnetic resonance imaging and radiography were performed to exclude any prior surgical history and cervical diseases, such as cervical disc herniation, spinal stenosis, cervical deformity, fracture, tumor, infection, and tuberculosis, and there was no history of cervical trauma or surgery. Cervical computed tomography examination was performed with a scanning range of C0-T1 and scanning-layer spacing of 0.625 mm. Digital Imaging and Communications in Medicine data (DICOM) were obtained. Mimics (Version 13.1, Materialise HQ Technologielaan, Leuven, Belgium; Geomagic Studio 12.0; Geomagic Inc., North Carolina, USA; Hypermesh 2017; Altair Engineering Corp, Michigan, USA) and Ansys software, version 14.0 (Ansys Inc., 14.0, Canonsburg, Pennsylvania, USA) were used in the study.
The incidence of brainstem toxicity following high-dose conformal proton therapy for adult skull-base malignancies
Published in Acta Oncologica, 2022
Adam L. Holtzman, Michael S. Rutenberg, Alexandra N. De Leo, Dinesh Rao, Jeet Patel, Christopher G. Morris, Daniel J. Indelicato, William M. Mendenhall
Based on the study design and the few events, our statistical analysis of factors associated with brainstem toxicity was limited, which is expected, given the rarity of the event. Additionally, as with many rare disease entities treated at international referral centers, the digital imaging and communications in medicine (DICOM) for the entire dataset was not available for independent, central review from all routine follow-up examinations. This was directed by the local team, who typically included oncologists who specialize in the treatment of skull-base malignancies. As such, we excluded grade 1 toxicities from our analysis since the rate of clinically asymptomatic events is more likely to be underreported. Noted in Supplemental Table 1, both patients with toxicities had other suspected CNS events, suggesting that brainstem complications are multifactorial and there may be other biologic co-variates beyond dose alone that predict for toxicity. Further research is needed to assess which individualized treatment parameters can best predict its occurrence and the results of the present study may not be generalizable to other diseases and patient populations.