Anniversary Conference and Workshop Summary PACS DICOM

1

• Anniversary
• Conference and
• Workshop Summary

2
PACS

• DICOM services supporting PACS
• Realities of deploying DICOM in a PACS
• Transport between PACS
• Internationalization challenges

3
Expanding Modality Coverage

• Widely accepted
• Radiology
• Cardiology
• Radiotherapy
• Growing in terms of use of standards
• Dentistry
• Video for visible light modalities
• (and Ophthalmology, and )
• New technology
• Enhanced MR ( and CT, and XA, and )

4
Integration of Standards

• HL7
• V2.x
• V3
• CDA (lt-gtDICOM SR)
• IHE
• Beyond radiology
• Internationally
• The web and ISO TC215
• Web Access to DICOM Objects (WADO)
• AAPM TG18
• Image quality and consistency

5
Standards and Reporting

• Narrative versus structured ?
• Integration of speech recognition
• Persistent forms DICOM, CDA, other ?
• Standard versus proprietary ?
• Complexity of workflow
• Challenges of distribution externalization

6
Infrastructure

• Auditing and logging
• Security and privacy across standards boundaries
• Configuration management
• Towards holy grail of Plug and Play
• Conformance Requirements
• Perhaps one of DICOMs greatest strengths

7
Future Challenges

• Information overload huge data sets
• New visualization paradigms - role of DICOM ?
• Interaction with datasets, point-of-care delivery
• New vision for interaction with fused imagery
• Minimally/non invasive computer-assisted
  intervention
• Increased demand for care quality
• Yet there is a workforce challenge - need for
  automation
• Reporting of errors/stats - federal standards
  requirements
• Re-invention of modalities
• More functional imaging, planning localization
• Into the hands of ordinary physicians, more
  screening

8
Whither goest DICOM ?

• Remain focused on appropriate scope
• Challenge of the demand for an ExR
• What should be standard and what left up to the
  application ?
• Where are the interface boundaries ?
• Moving to a world of software-only PACS and
  commodity storage solutions
• Greater user participation to define direction

9
Thanks

• Charles Parisot and Program Committee
• Howard Clark and the NEMA team
• Speakers and guests
• All of you

10
Thanks

• Charles Parisot and Program Committee
• Howard Clark and the NEMA team
• Speakers and guests
• All of you Follow-up Steve Drew of RSNA