Image Archiving, Retrieval, Viewing & PACS – A Personal View! Andy Kettle Nuclear Medicine East...
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![Page 1: Image Archiving, Retrieval, Viewing & PACS – A Personal View! Andy Kettle Nuclear Medicine East Kent Hospitals NHS Trust.](https://reader036.fdocuments.us/reader036/viewer/2022062511/551b21b9550346dd1a8b45f2/html5/thumbnails/1.jpg)
Image Archiving, Retrieval, Viewing &
PACS – A Personal View!
Andy Kettle
Nuclear Medicine
East Kent Hospitals NHS Trust
![Page 2: Image Archiving, Retrieval, Viewing & PACS – A Personal View! Andy Kettle Nuclear Medicine East Kent Hospitals NHS Trust.](https://reader036.fdocuments.us/reader036/viewer/2022062511/551b21b9550346dd1a8b45f2/html5/thumbnails/2.jpg)
PACS Is Just…..
A picture repositoryA large data storePretty thick as a computer systems goImmatureRIS/PACS not yet nuclear medicine compliantToo reliant on a still evolving Dicom standard
![Page 3: Image Archiving, Retrieval, Viewing & PACS – A Personal View! Andy Kettle Nuclear Medicine East Kent Hospitals NHS Trust.](https://reader036.fdocuments.us/reader036/viewer/2022062511/551b21b9550346dd1a8b45f2/html5/thumbnails/3.jpg)
PACS Limitations…
Image display only
Unable to recall data to modality workstations
Nuclear medicine low priority in RIS/PACS
![Page 4: Image Archiving, Retrieval, Viewing & PACS – A Personal View! Andy Kettle Nuclear Medicine East Kent Hospitals NHS Trust.](https://reader036.fdocuments.us/reader036/viewer/2022062511/551b21b9550346dd1a8b45f2/html5/thumbnails/4.jpg)
Local Need For…Reviewing current patients studies with oldReprocessing
New algorithms/methodologyAuditR&DPrevious processing suspect
Reprinting/image transferPatient referralLegal casesMedical meetings
![Page 5: Image Archiving, Retrieval, Viewing & PACS – A Personal View! Andy Kettle Nuclear Medicine East Kent Hospitals NHS Trust.](https://reader036.fdocuments.us/reader036/viewer/2022062511/551b21b9550346dd1a8b45f2/html5/thumbnails/5.jpg)
What We Have…
Archived data going back to 1990 ADAC pegasys + Siemens icon file formats
On 3 different media over 3 hospital sites
![Page 6: Image Archiving, Retrieval, Viewing & PACS – A Personal View! Andy Kettle Nuclear Medicine East Kent Hospitals NHS Trust.](https://reader036.fdocuments.us/reader036/viewer/2022062511/551b21b9550346dd1a8b45f2/html5/thumbnails/6.jpg)
What We Need …
Robust on line archive that …Stores data in proprietary file format
Able to recall proprietary files to corresponding workstation for re-analysis
Able to view stored image data independent of platform
Able to output DICOM files
![Page 7: Image Archiving, Retrieval, Viewing & PACS – A Personal View! Andy Kettle Nuclear Medicine East Kent Hospitals NHS Trust.](https://reader036.fdocuments.us/reader036/viewer/2022062511/551b21b9550346dd1a8b45f2/html5/thumbnails/7.jpg)
The Solution…
1.6 terabyte RAID [SuSe Linux]
Pukka-J’s Dicom explorer
![Page 8: Image Archiving, Retrieval, Viewing & PACS – A Personal View! Andy Kettle Nuclear Medicine East Kent Hospitals NHS Trust.](https://reader036.fdocuments.us/reader036/viewer/2022062511/551b21b9550346dd1a8b45f2/html5/thumbnails/8.jpg)
Benefits…
Creating a robust archiveCan always access the original proprietary fileCan rebuild Dicom database as Dicom developsImages viewable on all hospital sitesCan add proprietary file conversion if required in the future
![Page 9: Image Archiving, Retrieval, Viewing & PACS – A Personal View! Andy Kettle Nuclear Medicine East Kent Hospitals NHS Trust.](https://reader036.fdocuments.us/reader036/viewer/2022062511/551b21b9550346dd1a8b45f2/html5/thumbnails/9.jpg)
How It Works…
Locally written scripts move the last days images to the archive every night
Raid has a directory for each siteThis could be sub divided to file platform
Pukka-j software makes a Dicom copy into a global directory
![Page 10: Image Archiving, Retrieval, Viewing & PACS – A Personal View! Andy Kettle Nuclear Medicine East Kent Hospitals NHS Trust.](https://reader036.fdocuments.us/reader036/viewer/2022062511/551b21b9550346dd1a8b45f2/html5/thumbnails/10.jpg)
Is It Perfect???
Nearly!! Only as good as the quality of demographic data entry Hopeful this will improve with Dicom work lists ADAC Genesys acquisition bug!! Local scripts need more error alerts/checks Hospital network issues to address with PACS implementation
![Page 11: Image Archiving, Retrieval, Viewing & PACS – A Personal View! Andy Kettle Nuclear Medicine East Kent Hospitals NHS Trust.](https://reader036.fdocuments.us/reader036/viewer/2022062511/551b21b9550346dd1a8b45f2/html5/thumbnails/11.jpg)
Is It Perfect???
Like RIS/PACS it needs hands-on management
Pukka-J’s Dicom explorerSupports all imaging modalities
Transaxial displays etc
Benefits of dealing with a small company• Incorporated our commonly used Pegasys colour tables
• Developing home reporting package
• Create generic patches
![Page 12: Image Archiving, Retrieval, Viewing & PACS – A Personal View! Andy Kettle Nuclear Medicine East Kent Hospitals NHS Trust.](https://reader036.fdocuments.us/reader036/viewer/2022062511/551b21b9550346dd1a8b45f2/html5/thumbnails/12.jpg)
Did I Make the Right Decision?