Sipacs Presentation

SiPACS ® : Enterprise PACS Solution from Sikraft Solutions Ltd

Picture Archiving & Communication with SiPACS ® PACS is a digital image management software system for receiving and storing digital images from different modalities, archiving images both on/off line onto various media, distributing softcopy images through network for viewing primary diagnosis and consultation, and communicating with external information systems. SiPACS® is compliant with the DICOM 3.0 standard as defined by ACR-NEMA.

Introducing SiPACS ® SiPACS ® is a full-hospital PACS, supporting all the imaging activities in a hospital and integrating modalities, image storage and distribution, softcopy viewing for primary diagnosis and consultation, archiving, and external information systems.

Benefits of using PACS Optimizes and streamlines diagnosis and reporting workflows, and patient flows. Reduces data entry error by facilitating single-point data entry and eliminating re-entry of data through modalities. Optimizes resource utilizations – machine time, consultant time can be optimally scheduled and utilized. Enhances machines’ as well as consultants’ throughputs. Reduces and optimizes film-handling tasks as these are distributed electronically. Eliminates loss of films and reports. Ensures availability and access of images and reports on-line, any time, and from any designated location.

Benefits (Contd.) Same image, reports can be shared for retrieval and viewing from multiple locations by several consultants simultaneously. Reduces image and report retrieval time. It allows manipulation of digital images which can never be done with hard-copy film. Reduces time to initiate clinical action. Reduces reporting as well as patient turn-around time. Makes historical patient data retrieval easier during repeat/follow-up visits. Improves quality of patient care by the use of multimedia reports and tele-consultation. Saves money by reducing film consumption, reduced archival space, less handling and overhead.

Highlights of SiPACS ® View various types of DICOM images Compare different series or studies of same or different patients Comparator Glass Layered Annotation Color Enhancement Measurement Multiple monitor support Image Difference

Highlights (Contd.) Scout image/line Worklist search, tracking Auto notification of study/series/image data availability Auto routing of image data Storage Archiving Secured Collaboration (optional) 3-D (optional)

SiPACS® Application Platform SiPACS Server Application SiPACS Diagnostic Viewer Application and Tools

SiPACS Server Application The central hub of the whole system Interfaces with HIS/RIS server Communicates with equipment modalities, and viewing clients Comprises the following modules: Security, Worklist, Storage, Archive, HIS/RIS interface.

Diagnostic Viewer Application and Tools Acts as the interface to the server Can run in standalone as well as in networked mode Enables viewing of images Implements processing of report writing Comprises the following modules: Viewer, Worklist, CD-creator, Print, Storage, Archive, Security, and 3D

Typical SiPACS ® Workflow Clinicians issue radiology orders (modality worklist) thru HIS SiPACS server syncs with HIS to fetch modality worklists Modalities load worklists from SiPACS server Modality examination is performed Modality sends series or images to SiPACS server SiPACS Viewer retrieves studies/series/images from SiPACS server Series are studied and reported on Reports are sent/stored in SiPACS server SiPACS server syncs/sends report/image to HIS

Functional Modules in SiPACS ® Viewer Work List Report CD-Creator Print Storage Archive Security RIS/HIS Interface 3-D Volume (Optional) Collaboration (Optional)

Viewer The viewer module provides image viewing and analysis functions to the radiologists and clinicians. It also provides easy access to patient studies.

Viewer’s Features View various types of DICOM images including CT, MR, US, CR, DR, MA, CA, XA, NM using multiple view layouts: 1x1, 2x1, 2x2, 3x3, 4x5, etc. Multiple studies, series display, image thumbnail list, row order, column order Comparison: 2, 3, 4 series or studies of same or different patients W/L Control: default, definable preset per modality Zoom: preset, in, out, fit to size, fit to actual Comparator glass: resizable, transparency control, w/l control, overlay able Magnifying glass: resizable, w/l control Annotation: point, line, poly, box, circle, ellipse, text, pointer text, layer, store Measurement: length, area, angle, hounsfield number Clipping/shutter: inside, outside, box, circle, poly, resizable Processing: flip, rotate, invert, histogram, image difference

Viewer’s Features (contd.) Cine: start/stop, pause, speed control, single/multiple/all view-ports Scout line: locate the position of one frame of a direction (axial) to other direction (coronal/sagital) by a line. Color enhancement: default, preset; display color of a specific hounsefield number Navigation: end, begin, single, row, column, page, go to Control information: configurable, on/off Reporting: configurable format, add, edit, approve, store, send Capability to query and retrieve patient data, studies, series, images from server Automatic and transparent local cache/storage management Multiple monitor support

Worklist This module provides creation, storing, query/retrieve, and updating of work lists Allows creation of worklist Receives worklist from HIS/RIS and stores them in the server Provides worklist to modalities with query support Tracks and updates the statuses of worklist as work progresses

Report This module provides report writing capability for radiology studies. It includes DICOM compliant Structured Reporting capabilities. It handles report creation, validation, and storage in local as well as in remote/central server, and supports distribution and retrieval. Creation of SR for studies, report approval/validation Define report template, preset field value Storage in local as well as central server Automatic inclusion of report during CD burning

CD Creator This module handles storing of radiology studies along with series, images, and a free viewer on CD. It creates DICOM Part 10 CD images with proper directory structure: Automatic inclusion of Viewer during CD burning Inclusion of SR CD Viewer auto-runs with opening of the first series

Print This module enables the user to print image outputs on film media using a DICOM compatible film printer. It provides various print layouts options. Print any image or image series to DICOM Printers Print single or multiple images on a single film Different print layout option

Storage This is the central storage server module for the SiPACS system. It handles all storage related activities for both the server and client. Receives/stores studies, images from all modalities & clients and supports multiple formats for file name Options for LL compression to reduce disk space requirements Structured storage layout: flat, hierarchical/directory/folder SQL based indexing of attributes of stored files Full search facility for patients, studies, series based on various fields

Archiving This module is used for taking regular backups and archiving of required data for long term storage, and also performs restore operation whenever necessary. Creates and maintains archive plan Labels all DVD/CD for quick access to any study directly Analyzes plan to estimate archive space requirements Creates media (Tape/DVD/CD) archive Flags studies/series which are on-line and which are archived Restores from archive

Security This module implements functionalities for configuring and administering the PACS server, and controlling user access. Create, edit, delete, suspend, cancel, list user Assign service/functions Setting, changing passwords

HIS/RIS Interface This module communicates with the HIS/RIS server thru standard protocols (such as HTTP, HL7) and retrieves radiology studies from HIS/RIS server, and stores on the PACS Server. Retrieves modality work list from the HIS/RIS Automatically updates HIS radiology task status when an image series is stored on the PACS Enables the HIS to use data stored on the PACS

3-D Volume (Optional) This module enables volume rendering of captured data using standard algorithms. It provides different options of print layouts. Cropping MRP MIP Compositing

Collaboration (Optional) This module enables collaboration among multiple users viewing same studies/series. It provides different options of print layouts. Collaboration among multiple viewer Window/Level Zoom Scroll Annotation Participant list

Technology Platform Tools and Technology Platform Object-oriented, modular, multi-tier/hybrid, client/server, P2P architecture Server written in VC++, using OO DICOM frameworks Client written in VC++ using open DICOM, visualization frameworks OS Windows 2000/XP/2003 Hardware: Intel Xeon Processor, 2 GB RAM, TB-class Hard disk for server Network: High-speed gigabit Ethernet or fiber optic backbone

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