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IHE Digital Mammography Update
AgendaWelcome and Introduction: Margarita Zuley, MD
Goals of the IHE Mammography Subcommittee Clinical Perspective:
Margarita Zuley, MDDeborah Ikeda, MD
Technical Perspective: David Clunie, MBBSIT Perspective: Gordon Smith, MBA
Technical Project Manager Update: Gary Nicolas
ACR Perspective: Priscilla Butler, MS
Discussion of Goals and Objectives:Moderators:
Margarita Zuley, MD, Judith Wolfman, MD, Dianne Georgian-Smith, MD, David Clunie, MBBS
• July 2005 Meeting – IHE Mammo Working Group formed– Dave Channin: authored white paper – David Clunie: co-authored
• October 2005 – White paper available for public comment– DICOM WG 15 reviewed paper and
commented
• November 2005– T con call of subcommittee to discuss
preliminary testing for this year
• ACRIN results will spur significant digital equipment purchases this year
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# facilities
# FFDM Unitswww.fda.gov/CDRH/MAMMOGRAPHY/scorecard-statistics.html
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IHE Tech Framework Supplement4.16.4.2.2.1.1
Display of digital Mammography Images
• Skin Detection and Demarcation• Image Orientation and Justification• Image Size• Image Contrast Adjustment • Annotation of Identification Information• Annotation of Technical Factor Information• Display of CAD Marks
• Skin Detection and Demarcation
• Image Orientation and Justification
• Image Size
• Image Contrast Adjustment
• Annotation of Identification Information
• Annotation of Technical Factor Information
• Display of CAD Marks
• Skin Detection and Demarcation
• Image Orientation and Justification
• Image Size
• Image Contrast Adjustment
• Annotation of Identification Information
• Annotation of Technical Factor Information
• Display of CAD Marks
Image orientation
Image justification
• Skin Detection and Demarcation
• Image Orientation and Justification
• Image Size
• Image Contrast Adjustment
• Annotation of Identification Information
• Annotation of Technical Factor Information
• Display of CAD Marks
• Skin Detection and Demarcation
• Image Orientation and Justification
• Image Size
• Image Contrast Adjustment
• Annotation of Identification Information
• Annotation of Technical Factor Information
• Display of CAD Marks
2003 Vendor A 2005 Vendor C2004 Vendor B
Image Contrast Adjustment
VOI LUT
Linear LUT
Sigmoid presets
Linear presets
• Skin Detection and Demarcation
• Image Orientation and Justification
• Image Size
• Image Contrast Adjustment
• Annotation of Identification Information
• Annotation of Technical Factor Information
• Display of CAD Marks
MQSA Image Identification for FFDM
• Name• ID Number• Study Date• Study Time• View Code Sequence• Image Laterality• Manufacturer
• Manufacturer’s Model Name
• Device Serial Number• Institution Name• Institution Address• Detector ID• Operator’s Name
• Skin Detection and Demarcation
• Image Orientation and Justification
• Image Size
• Image Contrast Adjustment
• Annotation of Identification Information
• Annotation of Technical Factor Information
• Display of CAD Marks
Annotation of Technical Factor Information for FFDM
• KVP• Exposure• Exposure time• Filter material• Compression force• Body part thickness• Positioner primary angle• Relative x-ray exposure
• Skin Detection and Demarcation
• Image Orientation and Justification
• Image Size
• Image Contrast Adjustment
• Annotation of Identification Information
• Annotation of Technical Factor Information
• Display of CAD Marks
Display of CAD Marks
• PACS/Display needs to store marks
• Apply marks corresponding to DICOM Mammo CAD SR objects
• User option for when to display CAD marks (turn on/off at any time)
