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1.  Creation and Storage of Standards-based Pre-scanning Patient Questionnaires in PACS as DICOM Objects 
Journal of Digital Imaging  2010;24(5):823-827.
Radiology departments around the country have completed the first evolution to digital imaging by becoming filmless. The next step in this evolution is to become truly paperless. Both patient and non-patient paperwork has to be eliminated in order for this transition to occur. A paper-based set of patient pre-scanning questionnaires were replaced with web-based forms for use in an outpatient imaging center. We discuss this process by which questionnaire elements are converted into SNOMED-CT terminology concepts, stored for future use, and sent to PACS in Digital Imaging and Communications in Medicine (DICOM) format to be permanently stored with the relevant study in the DICOM image database.
PMCID: PMC3180552  PMID: 20976611
Paperless; Pseudo paperless; Filmless; SNOMED-CT; Data mining; Clinical workflow; Data collection
2.  Translating the IHE Teaching File and Clinical Trial Export (TCE) Profile Document Templates into Functional DICOM Structured Report Objects 
Journal of Digital Imaging  2007;21(4):390-407.
The Integrating the Healthcare Enterprise (IHE) Teaching File and Clinical Trial Export (TCE) integration profile describes a standard workflow for exporting key images from an image manager/archive to a teaching file, clinical trial, or electronic publication application. Two specific digital imaging and communication in medicine (DICOM) structured reports (SR) reference the key images and contain associated case information. This paper presents step-by-step instructions for translating the TCE document templates into functional and complete DICOM SR objects. Others will benefit from these instructions in developing TCE compliant applications.
PMCID: PMC3043848  PMID: 17805930
Digital imaging and communications in medicine (DICOM); integrating healthcare enterprise (IHE); extensible markup; language (XML); electronic teaching file; clinical trial; electronic; publishing
3.  Using Applet–Servlet Communication for Optimizing Window, Level and Crop for DICOM to JPEG Conversion 
Journal of Digital Imaging  2007;21(3):348-354.
In the creation of interesting radiological cases in a digital teaching file, it is necessary to adjust the window and level settings of an image to effectively display the educational focus. The web-based applet described in this paper presents an effective solution for real-time window and level adjustments without leaving the picture archiving and communications system workstation. Optimized images are created, as user-defined parameters are passed between the applet and a servlet on the Health Insurance Portability and Accountability Act-compliant teaching file server.
PMCID: PMC3043843  PMID: 17534682
Electronic teaching file;  image manipulation; web technology
4.  Distance learning in the digital environment 
Journal of Digital Imaging  2001;14(Suppl 1):145-146.
The expansion of radiology departments and divisions often can not occur in adjacent geographic locations. This leads to a greater separation of staff and residents, as well as workers in similar divisions. This makes traditional teaching difficult in academic institutions. The economic drive forcing many departments to investigate more isolated outpatient imaging centers has further hindered the ability to continue effective academic training at many facilities. The ability to easily share a digital environment across physical distance can greatly enhance the teaching experience, as well as be a valuable tool for consultation and case discussion with referring clinicians. The transition to a filmless environment with picture archiving and communication systems (PACS) can be utilized for distance learning in addition to the clinical arena. It is possible to take advantage of the digital transformation to PACS and case-viewing browser programs to conduct improved interactions with referring clinicians as well as radiologic teaching with relatively minimal hardware and software demands. The integration of web-based teleradiology programs with business networking software can be used for effective distance learning in the digital environment, sufficiently closing the distance on our rapidly expanding departments. This same technology allows for greater interaction with referring clinicians for real-time consultation and enhanced case discussion to entrench a supportive referral base for the radiologic community.
PMCID: PMC3452724  PMID: 11442077
5.  The evolution of filmless radiology teaching 
Journal of Digital Imaging  2001;14(Suppl 1):236-237.
Purpose: The transition from hard-copy film to the picture archiving and communication systems (PACS) arena is often a long and difficult path, but the complete transformation to the digital environment does not end with the successful clinical practice utilizing PACS. The next hurdle for academic institutions is similar changes in the teaching field. The loss of hard-copy films can greatly hinder the radiology teaching file and teaching conference experiences. The next step in our growth is the conversion to digital teaching files and conferences. The original work 10 years ago with utilizing computers linked with laser disks and magneto-optical media, have now evolved into complex networks with expanding and relatively cheap storage media, such as CD-ROM and easily to navigate graphic-user interfaces such as hypertext markup language (HTML) and extensible markup language (XML). for use with multimedia teaching tools.Conclusions: The transition into the digital arena for radiology education and interdepartmental conferences can be accomplished through several different paths. These include direct transfer of images into a presentation program, as well as exportation of images into suitable image file formats for later use. There is also the ability to expand the PACS network to include conference rooms. Similar training and teaching can allow radiologists to transition into the digital environment for future digital teaching file creation as well as correlative radiology interdepartmental conferences.
PMCID: PMC3452729  PMID: 11442111

Results 1-5 (5)