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Visualization of data in radiotherapy using web services for optimization of workflow.

Kirrmann S, Gainey M, Röhner F, Hall M, Bruggmoser G, Schmucker M, Heinemann FE - Radiat Oncol (2015)

Bottom Line: After the results were collated, it was necessary to select an effective software platform.Due to widespread use of web-based technology the training effort was effectively nil, since practically every member of staff can master the use of a web-browser.Moreover, we have achieved high acceptance amongst staff members and have improved our effectiveness resulting in a considerable time saving.

View Article: PubMed Central - PubMed

Affiliation: Klinik für Strahlenheilkunde, Department für Radiologische Diagnostik und Therapie, Universitätsklinikum Freiburg, Robert Koch Str. 3, 79106, Freiburg, Germany. Stefan.Kirrmann@uniklinik-freiburg.de.

ABSTRACT

Background: Every day a large amount of data is produced within a radiotherapy department. Although this data is available in one form or other within the centralised systems, it is often not in the form which is of interest to the departmental staff. This work presents a flexible browser based reporting and visualization system for clinical and scientific use, not currently found in commercially available software such as MOSAIQ(TM) or ARIA(TM). Moreover, the majority of user merely wish to retrieve data and not record and/or modify data. Thus the idea was conceived, to present the user with all relevant information in a simple and effective manner in the form of web-services. Due to the widespread availability of the internet, most people can master the use of a web-browser. Ultimately the aim is to optimize clinical procedures, enhance transparency and improve revenue.

Methods: Our working group (BAS) examined many internal procedures, to find out whether relevant information suitable for our purposes lay therein. After the results were collated, it was necessary to select an effective software platform. After a more detailed analysis of all data, it became clear that the implementation of web-services was appropriate. In our institute several such web-based information services had already been developed over the last few years, with which we gained invaluable experience. Moreover, we strived for high acceptance amongst staff members.

Results: By employing web-services, we attained high effectiveness, transparency and efficient information processing for the user. Furthermore, we achieved an almost maintenance-free and low support system. The aim of the project, making web-based information available to the user from the departmental system MOSAIQ, physician letter system MEDATEC(R) and the central finding server MiraPlus (laboratory, pathology and radiology) were implemented without restrictions.

Conclusion: Due to widespread use of web-based technology the training effort was effectively nil, since practically every member of staff can master the use of a web-browser. Moreover, we have achieved high acceptance amongst staff members and have improved our effectiveness resulting in a considerable time saving. The many MOSAIQ-specific parts of the system can be readily used by departments which use MOSAIQ as the departmental system.

No MeSH data available.


Related in: MedlinePlus

Treatment data. a. Working list of treatment machine with provisional treatment duration. b. Detailed treatment data for a patient such as field name, MU and so on.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC4307130&req=5

Fig4: Treatment data. a. Working list of treatment machine with provisional treatment duration. b. Detailed treatment data for a patient such as field name, MU and so on.

Mentions: The programming environment comprises a large number of modules and was mostly realised with PHP, Python, Ruby and Javascript including JQuery, as previously alluded to. For the communication via HL7, a special ISO-TCP protocol unique to our clinical centre, had to be represented (we provide standard TCP too), which was implemented in C++ at the first stage and later directly in PHP. A high degree of modularity was ensured through the construction and use of a PHP library specially created for this project. This library is continually being extended. After completion of the analysis and planning phase (approximately 1.5 months) and an intensive 3 month programming phase, 7 years ago, a first alpha test was completed, in which the fundamental functions were verified and revised (1 month), for example interface functionality such as connection to databases, simple database queries and basic design of data presentation . In the following beta test we sought out experienced staff members as test users and allowed them to work with the web-services for one month. As a result of which several essential changes were identified and implemented within this phase. Small modifications were also collected and in regular intervals implemented. Over the years a comprehensive collection of approximately 40 web-services (distributed over the data areas listed in Table 2) has arisen, which are all in routine use. New functions were always planned in accordance with the aforementioned method: programmed, evaluated and released. Since the calculation and depiction of irradiation data are very critically valued by the authors, we have therefore decided to limit the availability to simple treatment data (Figure 4b) such as field names and MUs.Table 2


Visualization of data in radiotherapy using web services for optimization of workflow.

Kirrmann S, Gainey M, Röhner F, Hall M, Bruggmoser G, Schmucker M, Heinemann FE - Radiat Oncol (2015)

Treatment data. a. Working list of treatment machine with provisional treatment duration. b. Detailed treatment data for a patient such as field name, MU and so on.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4307130&req=5

Fig4: Treatment data. a. Working list of treatment machine with provisional treatment duration. b. Detailed treatment data for a patient such as field name, MU and so on.
Mentions: The programming environment comprises a large number of modules and was mostly realised with PHP, Python, Ruby and Javascript including JQuery, as previously alluded to. For the communication via HL7, a special ISO-TCP protocol unique to our clinical centre, had to be represented (we provide standard TCP too), which was implemented in C++ at the first stage and later directly in PHP. A high degree of modularity was ensured through the construction and use of a PHP library specially created for this project. This library is continually being extended. After completion of the analysis and planning phase (approximately 1.5 months) and an intensive 3 month programming phase, 7 years ago, a first alpha test was completed, in which the fundamental functions were verified and revised (1 month), for example interface functionality such as connection to databases, simple database queries and basic design of data presentation . In the following beta test we sought out experienced staff members as test users and allowed them to work with the web-services for one month. As a result of which several essential changes were identified and implemented within this phase. Small modifications were also collected and in regular intervals implemented. Over the years a comprehensive collection of approximately 40 web-services (distributed over the data areas listed in Table 2) has arisen, which are all in routine use. New functions were always planned in accordance with the aforementioned method: programmed, evaluated and released. Since the calculation and depiction of irradiation data are very critically valued by the authors, we have therefore decided to limit the availability to simple treatment data (Figure 4b) such as field names and MUs.Table 2

Bottom Line: After the results were collated, it was necessary to select an effective software platform.Due to widespread use of web-based technology the training effort was effectively nil, since practically every member of staff can master the use of a web-browser.Moreover, we have achieved high acceptance amongst staff members and have improved our effectiveness resulting in a considerable time saving.

View Article: PubMed Central - PubMed

Affiliation: Klinik für Strahlenheilkunde, Department für Radiologische Diagnostik und Therapie, Universitätsklinikum Freiburg, Robert Koch Str. 3, 79106, Freiburg, Germany. Stefan.Kirrmann@uniklinik-freiburg.de.

ABSTRACT

Background: Every day a large amount of data is produced within a radiotherapy department. Although this data is available in one form or other within the centralised systems, it is often not in the form which is of interest to the departmental staff. This work presents a flexible browser based reporting and visualization system for clinical and scientific use, not currently found in commercially available software such as MOSAIQ(TM) or ARIA(TM). Moreover, the majority of user merely wish to retrieve data and not record and/or modify data. Thus the idea was conceived, to present the user with all relevant information in a simple and effective manner in the form of web-services. Due to the widespread availability of the internet, most people can master the use of a web-browser. Ultimately the aim is to optimize clinical procedures, enhance transparency and improve revenue.

Methods: Our working group (BAS) examined many internal procedures, to find out whether relevant information suitable for our purposes lay therein. After the results were collated, it was necessary to select an effective software platform. After a more detailed analysis of all data, it became clear that the implementation of web-services was appropriate. In our institute several such web-based information services had already been developed over the last few years, with which we gained invaluable experience. Moreover, we strived for high acceptance amongst staff members.

Results: By employing web-services, we attained high effectiveness, transparency and efficient information processing for the user. Furthermore, we achieved an almost maintenance-free and low support system. The aim of the project, making web-based information available to the user from the departmental system MOSAIQ, physician letter system MEDATEC(R) and the central finding server MiraPlus (laboratory, pathology and radiology) were implemented without restrictions.

Conclusion: Due to widespread use of web-based technology the training effort was effectively nil, since practically every member of staff can master the use of a web-browser. Moreover, we have achieved high acceptance amongst staff members and have improved our effectiveness resulting in a considerable time saving. The many MOSAIQ-specific parts of the system can be readily used by departments which use MOSAIQ as the departmental system.

No MeSH data available.


Related in: MedlinePlus