• MIRC CTP Moves Files with the Most Powerful Anonymizer in the Industry

    • RSNA News continues its series of profiles on real-world Medical Imaging Resource Center (MIRC®) users with Daniel Rubin, M.D., M.S., a clinical assistant professor of radiology at Stanford University Medical Center, research scientist at Stanford Informatics and director of scientific development at the National Center for Biomedical Ontology. Dr. Rubin and his colleagues have been using the clinical trials processor (CTP) tool, based on MIRC technology, for about seven months in a study characterizing liver lesions.

      RSNA News, October 2008 

      "We needed to customize the system to anonymize particular fields and name the cases in a particular way according to the requirements of the research study," said Dr. Rubin. "CTP is open-source and scalable and offered the flexibility and features we need."

      The researchers have set up and successfully tested CTP's image sharing capabilities as they plan for a joint project to share images with other institutions, said Dr. Rubin. "When other institutions are involved, the de-identification is absolutely critical," he said. "There are multiple steps in the pipeline—you need the DICOM receiver, you need the image anonymizer and then you need a DICOM sender. CTP lets institution A configure it to receive an image from the PACS, then anonymize it and ship it off to institution B. At institution B, CTP receives images and then stores them in a local image archive."

      Especially useful is CTP's ability to customize anonymization based on any field within the DICOM image, as well as its ability to filter DICOM images using a flexible scripting language, Dr. Rubin said. "Some files that are secondary captures might have personal health information (PHI) burned into the image," he said. "With CTP, you can avoid the potential glitch of most anonymizers, which take a secondary capture image and anonymize the DICOM headers but haven't anonymized PHI contained within the image itself. We can enter some rules to recognize secondary capture images and not send them at all. In that regard, CTP has proven very powerful and flexible for image transmission."

      CTP also gives the researchers options for manipulating images, said Dr. Rubin. "They're not locked in to a single pre-specified workflow that any particular vendor provides," he said. "In addition, CTP provides a Web-based way of browsing the images you receive, like a mini-PACS, and you can download them using a Web browser and then delete the images off the server when you're done with them."

      For details about CTP installation and different customization options, Dr. Rubin urges potential users to consult the CTP wiki at MIRCwiki.RSNA.org. "It's very straightforward for anyone who has any kind of technical background," he said. "You're going to need to work with someone who knows to install the application on a server, but it's no more difficult to set up and install than MIRC."

      Daniel Rubin, M.D., M.S.

    We appreciate your comments and suggestions in our effort to improve your RSNA web experience.

    Name (required)


    Email Address (required)


    Comments (required)





    Discounted Dues: Eligible North American Countries 
    Costa Rica
    Dominican Republic
    El Salvador
    Netherlands Antilles
    St. Vincent & Grenadines
    Country    Country    Country 
    Afghanistan   Grenada   Pakistan
    Albania   Guatemala   Papua New Guinea
    Algeria   Guinea   Paraguay
    Angola   Guinea-Bissau   Peru
    Armenia   Guyana   Phillippines
    Azerbaijan   Haiti   Rwanda
    Bangladesh   Honduras   Samoa
    Belarus   India   Sao Tome & Principe
    Belize   Indonesia   Senegal
    Benin   Iran   Serbia
    Bhutan   Iraq   Sierra Leone
    Bolivia   Jordan   Solomon Islands
    Bosnia & Herzegovina   Jamaica   Somalia
    Botswana   Kenya   South Africa
    Bulgaria   Kiribati   South Sudan
    Burkina Faso   Korea, Dem Rep (North)   Sri Lanka
    Burundi   Kosovo   St Lucia
    Cambodia   Kyrgyzstan   St Vincent & Grenadines
    Cameroon   Laos\Lao PDR   Sudan
    Cape Verde   Lesotho   Swaziland
    Central African Republic   Liberia   Syria
    Chad   Macedonia   Tajikistan
    China   Madagascar   Tanzania
    Colombia   Malawi   Thailand
    Comoros   Maldives   Timor-Leste
    Congo, Dem. Rep.   Mali   Togo
    Congo, Republic of   Marshall Islands   Tonga
    Cote d'Ivoire   Mauritania   Tunisia
    Djibouti   Micronesia, Fed. Sts.   Turkmenistan
    Dominica   Moldova   Tuvalu
    Domicican Republic   Mongolia   Uganda
    Ecuador   Montenegro   Ukraine
    Egypt   Morocco   Uzbekistan
    El Salvador   Mozambique   Vanuatu
    Eritrea   Myanmar   Vietnam
    Ethiopia   Namibia   West Bank & Gaza
    Fiji   Nepal   Yemen
    Gambia, The   Nicaragua   Zambia
    Georgia   Niger   Zimbabwe
    Ghana   Nigeria    

    Legacy Collection 2
    Radiology Logo
    RadioGraphics Logo 
    Tier 1

    • Bed count: 1-400
    • Associate College: Community, Technical, Further Education (UK), Tribal College
    • Community Public Library (small scale): general reference public library, museum, non-profit administration office

    Tier 2

    • Bed count: 401-750
    • Baccalaureate College or University: Bachelor's is the highest degree offered
    • Master's College or University: Master's is the highest degree offered
    • Special Focus Institution: theological seminaries, Bible colleges, engineering, technological, business, management, art, music, design, law

    Tier 3

    • Bedcount: 751-1,000
    • Research University: high or very high research activity without affiliated medical school
    • Health Profession School: non-medical, but health focused

    Tier 4

    • Bed count: 1,001 +
    • Medical School: research universities with medical school, including medical centers

    Tier 5

    • Consortia: academic, medical libraries, affiliated hospitals, regional libraries and other networks
    • Corporate
    • Government Agency and Ministry
    • Hospital System
    • Private Practice
    • Research Institute: government and non-government health research
    • State or National Public Library
    • Professional Society: trade unions, industry trade association, lobbying organization