Florian F. Schmitzberger
ABSTRACT
We implemented a system for remote radiology learning which provides immediate feedback to the learner. Using a thin remote client, expert readers are asked to answer questions about specified radiological findings. These scans are presented as realtime 2D and 3D presentations which allow the user to freely manipulate them using a thin Java client with all 3D rendering performed on the server side. Answers are stored on the server and are used to provide feedback to learners who are presented with the same questions, using the remote client. Learners can practice on real datasets while receiving immediate feedback on their diagnosis and measurements. Novel concepts introduced are (1) the use of server-side rendering in radiology learning, (2) providing immediate and specific feedback to trainees, (3) the ability to provide useful feedback when a definitive gold standard does not exist and (4) a thin, highly compatible client that runs on common, existing hardware which allows to have more people participating in very complex radiological evaluations, even if there are not at the same site.
- Wood, B. Feedback: A Key Feature of Medical Training. Radiology, 215 (Apr. 2000), 17--19.Google Scholar
- Rubin G., Napel S., Leung A. Volumetric Analysis of Volumetric Data: Achieving a Paradigm Shift. Radiology, 200 (Aug. 1996), 312--317.Google Scholar
- Armato SG 3rd, McNitt-Gray MF, Reeves AP, Meyer CR, McLennan G, Aberle DR, Kazerooni EA, MacMahon H, van Beek EJ, Yankelevitz D, Hoffman EA, Henschke CI, Roberts RY, Brown MS, Engelmann RM, Pais RC, Piker CW, Qing D, Kocherginsky M, Croft BY, Clarke LP. The Lung Image Database Consortium (LIDC): an evaluation of radiologist variability in the identification of lung nodules on CT scans. Acad Radiol. 14(11) (2007 Nov), 1409--21.Google ScholarCross Ref
- Fovia, Inc. Fovia High Definition Volume Rendering® (HDVR#8482;)Google Scholar
- Bryson, S., Data Manipulation in Virtual Reality, in The Visualization Handbook, C. D. Hanson and C. R. Johnson, Editors. 2005, Elsevier. p. 413--430.Google Scholar
- Sun Microsystems, Java Object Serialization Specification, December 1998.Google Scholar
- Gilbert, David. 2004. JFreeChart. http://www.jfree.org/jfreechart/Google Scholar
- Kuratorium OFFIS. DCMTK: DICOM-Toolkit. http://dicom.offis.de/dcmtk.php.en.Google Scholar
- Crabb A. DICOM.pm: A DICOM Library in Perl. http://dicomperl.sourceforge.net/Google Scholar
- Sun Microsystems. Java Web Start Technology. http://java.sun.com/products/javawebstartGoogle Scholar
- Digital Imaging and Communications in Medicine (DICOM). NEMA Publications PS 3.1-PS 3.12. The National Electrical Manufacturers Association. Rosslyn, VA, 1992, 1993, 1994, 1995.Google Scholar
- Goldberg HI, Fell S, Myers HJ, Taylor RC. A computerassisted, interactive radiology learning program. Invest Radiol., 25(8) (Aug. 1990), 947--51.Google ScholarCross Ref
- Selcer B. Computer-assisted Interactive Radiology Courseware. Journal of Veterinary Medical Education. 20/3 (1993)Google Scholar
- Flanders A. What Is the Future of Electronic Learning in Radiology? RadioGraphics, 27. (2007), 559--561Google Scholar
- Sparacia G., Cannizzaro F., D'Alessandro D., D'Alessandro M., Caruso G., Lagalla R. Informatics in Radiology: Initial Experiences in Radiology e-learning. RadioGraphics. 27 (2007), 573--581.Google ScholarCross Ref
- Nunes F., Costa R. The Virtual Reality challenges in the health care area: a panoramic view. Symposium on Applied Computing: Proceedings of the 2008 ACM symposium on Applied computing. (2008), 1312--1316 Google ScholarDigital Library
Index Terms
- Thin client architecture in support of remote radiology learning
Recommendations
Report on the Evaluation of a Teleradiology Pilot Project between Royal Alexandra Hospital for Children and Nepean Hospital July-September 1993
IMAC '95: Proceedings of the 4th International Conference on Image Management and Communication (IMAC '95)Abstract: A teleradiology pilot project was conducted between Royal Alexandra Hospital for Children, Camperdown, Sydney and the Nepean Hospital, a distance of 48 km. The project involved the transmission of some 600 pediatric X-rays at full resolution ...
The Electronic Radiology Practice at Mayo Clinic Jacksonville
IMAC '95: Proceedings of the 4th International Conference on Image Management and Communication (IMAC '95)Abstract: We have begun a project to implement an Electronic (filmless) Radiology Practice (ERP) at Mayo Clinic Jacksonville. This project is integrated with the implementation of a project (Automated Clinical Practice-ACP) to eliminate circulation and ...
Teleradiology in Turku University Hospital - Diagnostic evaluation and clinical applications
Teleradiology installation between the Radiology Departments of the Main Hospital Compound and the Paimio Hospital, both belonging to the Turku University Central Hospital has been in clinical use since August 1991. It is based on Unix workstations with ...
Comments