th 1300THE North 17 Street, Suite 1847 DICOM 2013 INTERNATIONAL Rosslyn, VA 22209 CONFERENCE (703) 841-3285 & SEMINAR Fax (703) 841-3385 March 14-16, 2013 Bangalore, India ABSTRACT Title of presentation/poster Primary Author (to be listed if only one name is listed) name, job title, employer/affiliation, and email Other/Co- Author(s) name(s), job title(s), employer(s)/ affiliation(s) Effective Strategy for verifying the DICOM conformance of a Healthcare Product Venkateswara Goud , Sr.Technical Specialist -Testing, Philips Healthcare E- Mail:[email protected] 1) Chitrai Senthamil Selvam Technical Specialist-Testing, Philips Healthcare E-Mail: [email protected] 2) Kishan Harwalkar Sr.Domain Specialist-Interoperability, Philips Healthcare E-Mail: [email protected] Name of the author conducting correspondence on behalf of all authors Venkateswara Goud Postal address of corresponding author Venkateswara Goud.S Philips Electronics India Ltd Philips Innovation Campus MFAR Manyata Tech Park Nagawara, Bangalore -560045 India Repeat e-mail address of corresponding author E-Mail: [email protected] Telephone of corresponding author +91 - 9986666112 Preferred format: Yes Oral presentation or poster ___ Oral only ___ Poster only Abstract: (200-750 words, in English) Advanced Visualization workstations play a very important role in providing patient care in Hospital workflow. Two major aspects involved in the development of such workstation are Functionality and Interoperability. While functional front depends on the availability of different clinical applications and generation of right results for diagnosis, Interoperability deals with the connectivity and integration with other systems (like Modalities, PACS & RIS) and compliance to standards. Compliance to standards is very crucial for the products to be interoperable with other systems, their by facilitating smooth and faster diagnosis to patient care. Ensuring DICOM compliance during product development is a process that every product undergoes before going to the market. But, the key question remains to verification team is how to effectively test the Interoperability Compliance of a Healthcare product? This paper talks about the aspects involved in the DICOM Connectivity and compliance test strategy, addressing the problem statement mentioned above and gives an analogy to the overall interoperability model shown below. DICOM Services Verification: This step deals with the detailed verification of DICOM services (Verification, Store, Storage Commitment, Query/Retrieve, Print and Modality Worklist) by checking DICOM command sequences, considering the VM and VR of the each DICOM attribute. Consistent Presentation of Images: Deals with consistent representation of Images across different systems, including various DICOM parameters like Overlays, LUTs, GSPS etc. Transfer Syntax Verification: Addresses data consistency scenarios in which the data passes through various DICOM nodes (i.e: Scanner->Workstation>PACS->Workstation) involving different Transfer Syntax conversions. Compliance to DICOM data model: DICOM compliance of various IODs generated by each clinical application. DICOM data conversions: Deals with on the fly conversion of DICOM tags/DICOM IOD, based on the capabilities supported by remote node. Harmonization of DICOM data: Deals with consistency of generated IODs across clinical applications pertaining to different modalities. Connectivity Hazard Scenarios: Checks the product hazard/safety aspects related to connectivity. For example, consistent usage of Date/Time across different applications/products. Connectivity Performance: Measuring DICOM connectivity transfer speed in terms Images Per Second (IPS) to various Remote DICOM nodes with/Without transfer syntax conversions. Media Interoperability: Checks the Interoperability of DICOM media (CD/DVD/USB) created on the host system and being read on other systems and vice versa. Connectivity Stress operations: Addressing the reliability and consistency of DICOM connectivity stack under stress conditions (e.g: Size of the data, multiple parallel DICOM services like Store and Query/Retrieve etc). Along with the verification steps defined above, the process would also call for following aspects, which need to be taken care of during the Verification: Connectivity Open Source Tools: Usage of various open source tools that help in verifying the DICOM compliance of the product. Common Interoperability Problems: A database of various interoperability problems encountered to help in understanding the interoperability defect patterns and forming the effective test design & verification. DICOM Dataset Classification & Selection: Effective data set classification strategy is required to choose right dataset (including multi-vendor), for verification. In summary The above various approach of DICOM verification ways addresses level 1, level 2 and level 3 of the interoperability model and below is the mapping of the same. The overall strategy defined above not only applies to workstation, but if followed in true sense, can be applied for checking the DICOM compliance of any product (Modality, PACS or any other DICOM node). By designing the proposed verification strategy, the entire DICOM verification of the product will be very effective, leading to a strong DICOM compliant product, thus enabling seamless DICOM interoperability. 2012 Rev. 5
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