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    • Informatics
    • "Patient-centric Workflow" makes MIRC Teaching File System a Snap

      September 11, 2012

      RSNA's redesigned MIRC Teaching File System (TFS) offers new ways to move image studies directly from PACS to the teaching file authoring environment without disrupting your worklow.You can log in to TFS later to access the image studies and easily create teaching file cases incorporating the complete patient history.

      In the past, in order to get images into MIRC TFS most users had to resort to downloading the images individually as jpeg files and copying them to media such as USB "thumb" drives. A better route was available using DICOM images and the IHE Teaching File and Clinical Trial Export (TCE) profile, but few PACS providers have implemented TCE capabilities, said Krishna Juluru, M.D., an assistant professor of radiology at Weill Cornell Medical College and chair of the RSNA MIRC committee. "A new 'patient-centric workflow' feature built into MIRC is an attractive workaround for sites without a TCE solution," he said.

      At sites that have a MIRC TFS installed, radiologists can push studies from PACS directly to it. TFS acts as a DICOM receiver, and nearly all current PACS can export studies to it. Studies are sent to a queue, where they are available for later access by the authorized user.

      "The patient-centered workflow features shifts the authoring tasks to the MIRC platform in a novel way," said Dr. Juluru. "Through a relatively simple configuration, almost all PACS can be set to push selected images to an institution's local MIRC site. When the patient-centered workflow is configured, that MIRC site will accept the images and create a case in a newly implemented 'Draft' mode."

      All images pushed from PACS belonging to the same patient are included in the same draft case, Dr. Juluru explained. "You can push multiple studies at the same time to MIRC, and when they get there, MIRC knows the patient. It orders files by date of exam, and adds captions to images." The images are labeled by relative timepoint—for example, 'Baseline,' 'Baseline + 3 months,' 'Baseline + 9 months,' and so forth.

       "You can follow a disease over time," Dr. Juluru said. "Our goal is to make MIRC the preferred teaching file solution for institutions."

      When the radiologist who submitted the case logs in and edits the case, TFS automatically removes all protected health information associated with the images. This makes it convenient for the author to identify studies to be included in a case, while protecting patient information from exposure. A draft case that is left unedited is automatically deleted after a specified time set by the site administrator.

      Find more information and download the MIRC Teaching File System software here

      Krishna Juluru, M.D.
      Krishna Juluru, M.D.