How to Author Teaching FilesDraft

Medical Imaging Resource Center

MIRC Objective

Support the production, storage, indexing and distribution of medical imaging resources:

– Teaching files– Scientific & technical documentation– Research images & datasets– Clinical trials data

MIRC Concepts

The key concepts:–MIRC is a community of cooperating libraries

on the Internet.– The libraries cooperate by supporting a

common query mechanism.– The query mechanism allows users to find

information wherever it is stored.

MIRC Information Formats

Images: DICOM, GIF, JPEG, PNG

Anything that is displayable by a web browser

Hyperlinks to other web content

Pointers to files for downloading

The MIRC Community

InternetInternet

ServerServer

IndexMIRC Sites

ServerServer

Index

RSNA

User

ServerServerIndexMIRC Storage Service:- Document Authoring- Document Storage- Document Indexing- Web Server

MIRC Query Service:- Access to the community

The RSNA MIRC Software

Query Service

Storage Service

- Storage Service - XML Server

- Submit Service - Author Service

- DICOM Service - Admin Service

File ServicePrivate and public file cabinets

Query Service

Standard query form31 defined query fields:

Free text Clinical content

Document attributes Image attributes

Document content Patient attributes

Links to Storage Service Functions

Queries a single site, selected sites, or the entire community

Query Service

Query Service

Two display formats for query results:Standard query results

Title (hyperlink)

Author

Abstract

Case NavigatorRandom or ordered

Known and unknown presentations

Standard Query Results

The Case Navigator

Intended for teaching file cases

Storage Service

Stores and indexes documents

A single MIRC site can have multiple Storage Services for different purposes

– Teaching files for each department/specialty

– Individual services for each clinical trial

Display Formats

Page

Tab

MSTF

Submit Service

Allows users to upload MIRC documents to a storage service

– Supports connections from client-side authoring tools

– Supports uploading documents via a browser– Accepts uploads in the format exported by

the XML Server

Author Service

Allows users to create MIRC documents directly on the Storage Service

Supports multiple templates to allow for the creation of different kinds of documents

Links to the File Service for inserting links to images and other documents

What goes in a teaching file case?

Whatever you want:History Differential Diagnosis

Findings Discussion

Diagnosis Quizzes

References

Images, drawings, videos, audios, …

File Service

Each authenticated user has a private file cabinet for storage of files of any kind

One public file cabinet for the site

Public file cabinet receives DICOM objects from PACS, modalities, workstations

– Separate anonymizer

Author Service connection

The File Service

Demonstration

DICOM Service

Receives DICOM objects from PACS, workstations, modalities, …Automatic document generation

– Images grouped into documents by study– Template-driven– Automatic JPEG generation from DICOM– Programmable anonymization (de-

identification and re-identification)

DICOM Service

Automatic trial patient ID generationConnection to other DICOM Services for clinical trials

– Support for encrypted communications (SSL)

DICOM import / DICOM exportHTTP(S) import / HTTP(S) exportDatabase export

Anonymization

Removal of Protected Health Information (PHI)

Remapping of PHI to trial-specific identifiers

Central vs. distributed remapping tables are an issue in a multi-site trial

Metadata anonymization may also be required in some trials

The RSNA MIRC Software

Available on the RSNA MIRC site (mirc.rsna.org)– Click the Downloads link in the header

The RSNA MIRC Software

Runs on Mac, Windows, LinuxThree components:

Java / Tomcat / MIRC

All components are freeMIRC Users Group meetings:

11/28 1:30 - 3:3012/1 12:30 - 2:30

Questions/Answers & Help

RSNA Forums:– http://forums.rsna.org

– User Comments, Questions and Answers– RSNA MIRC Software Announcements– MIRC Implementers’ Corner– MIRC Technical Review Committee

Subscribe on the Forums site

Templates

• Defines the look and feel of teaching file documents

• What sections can be in the document

• Makes it easier to author documents

• Can make new templates for different types of documents

Sections

• Used to organize documents

• Used to display specific information

• Image sections can only display images

File Cabinet

• Personnel

• Shared

• Used to store images to author teaching files documents

Image Section

Images

• Can load images into personnal and shared file cabinets

• Can load images directly into documents using the DICOM storage service

Index Content Section

• Information that is used to index documents but is not displayed

• Used for none free text searches

Permissions

Document Section

• Select the display mode

• Set backgound color

• Set first tab to be displayed

PHI section

• Used to log access to patient specific information

• Only works if the document is not public

MIRC InfoRad Courses

How to Set Up a System for Teaching Files and Clinical Trials

How to Author MIRC Teaching Files

MIRC Case Studies: Using MIRC for Education and Research

Web Classroom Sessions

Authoring

Image Section

Image Section with Hidden Elements

Title

Title with hidden elements

Protected Health Information

Deleting a portion of a section

Document Properties

Title

Image section

Adding Images

Adding new section title

New section

Annotations

Image display without annotations

Image display with annotations