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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

Pathology and laboratory findings.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Fig7: Pathology and laboratory findings.

Mentions: This web application contains many unique functions or requests with different usage profiles. In Table 3 we have summarized the most important functions of this portal. From the start page one arrives at a findings selection through a few mouse clicks, from which any finding can be retrieved (Figure 5). At this point we reiterate that most data would be online, current and dynamically edited, thus the user has up to date information available. Processing and depiction of other findings such as diagnostic x-ray, pathology and laboratory information are shown in Figures 6 and 7. Figure 6 shows an x-ray finding including a hyperlink to the image data. One navigates to the appropriate image by means of a single mouse click. Structured histopathology findings are also displayed with only a few mouse clicks. Even laboratory data with specified min and max values and depiction of pathology values (red = too high, blue = too low) are effortlessly displayed, see Figure 7. The processing and depiction of irradiation relevant data is of particular importance in our clinic [16,17]. There are even web-services which provide data to staff members for established treatment techniques such as intensity modulated radiotherapy (IMRT, VMAT), image guided radiotherapy (IGRT) for example by means of Cone Beam CT (CBCT) [18-20], in addition to special treatment forms such as stereotactic irradiation [21,22]. For example for IMRT/VMAT treatments field names, energy, dose contribution (as stored in MOSAIQ), MUs and current fraction number are displayed, this information is automatically updated at intervals of approximately 10 seconds. This tool is particularly useful for duty physicists or physicians who are legally required to remain within the department whilst patients are being irradiated, for example after repair or during routine service of a linac. A whole slew of depictions assist the medical, technical and nursing staff in their daily routine work, although pure administrative tasks are in the foreground. In the following Figures 4, 8, the visualization possibilities are representatively depicted. Figure 8 shows the selection window through which depictions of data, such as that found in Figure 4, can be attained. Currently approximately 40 different data groupings with distinct graphical display modes are offered, such as a Gantt-chart depicting the duration of (irradiation) treatment duration, tables for individual treatment parameters, and lists for simple text visualization. Of course the requirements and wishes of the users are continually being evaluated and integrated. Each user or user group selects (via a bookmark function) the views or functionalities which are important to him/her. Of course, the entire range of views is available to department staff via the (clinic) Intranet. The web-based request portal assists clinic staff mainly in organisational work in practically all tasks. The majority of routine tasks can be simply and elegantly performed with this tool packet. In Figure 9 the principle of operation and a representative screenshot (Figure 10) are shown. Due to simple operation the hitherto unsuccessful and repeated telephone calls to the responsible staff member are completely obsolete. The person making the request now has to consider only what information is required and not question such as “Who is (currently) responsible?”, “How can I contact this person?”Table 3


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)

Pathology and laboratory findings.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Fig7: Pathology and laboratory findings.
Mentions: This web application contains many unique functions or requests with different usage profiles. In Table 3 we have summarized the most important functions of this portal. From the start page one arrives at a findings selection through a few mouse clicks, from which any finding can be retrieved (Figure 5). At this point we reiterate that most data would be online, current and dynamically edited, thus the user has up to date information available. Processing and depiction of other findings such as diagnostic x-ray, pathology and laboratory information are shown in Figures 6 and 7. Figure 6 shows an x-ray finding including a hyperlink to the image data. One navigates to the appropriate image by means of a single mouse click. Structured histopathology findings are also displayed with only a few mouse clicks. Even laboratory data with specified min and max values and depiction of pathology values (red = too high, blue = too low) are effortlessly displayed, see Figure 7. The processing and depiction of irradiation relevant data is of particular importance in our clinic [16,17]. There are even web-services which provide data to staff members for established treatment techniques such as intensity modulated radiotherapy (IMRT, VMAT), image guided radiotherapy (IGRT) for example by means of Cone Beam CT (CBCT) [18-20], in addition to special treatment forms such as stereotactic irradiation [21,22]. For example for IMRT/VMAT treatments field names, energy, dose contribution (as stored in MOSAIQ), MUs and current fraction number are displayed, this information is automatically updated at intervals of approximately 10 seconds. This tool is particularly useful for duty physicists or physicians who are legally required to remain within the department whilst patients are being irradiated, for example after repair or during routine service of a linac. A whole slew of depictions assist the medical, technical and nursing staff in their daily routine work, although pure administrative tasks are in the foreground. In the following Figures 4, 8, the visualization possibilities are representatively depicted. Figure 8 shows the selection window through which depictions of data, such as that found in Figure 4, can be attained. Currently approximately 40 different data groupings with distinct graphical display modes are offered, such as a Gantt-chart depicting the duration of (irradiation) treatment duration, tables for individual treatment parameters, and lists for simple text visualization. Of course the requirements and wishes of the users are continually being evaluated and integrated. Each user or user group selects (via a bookmark function) the views or functionalities which are important to him/her. Of course, the entire range of views is available to department staff via the (clinic) Intranet. The web-based request portal assists clinic staff mainly in organisational work in practically all tasks. The majority of routine tasks can be simply and elegantly performed with this tool packet. In Figure 9 the principle of operation and a representative screenshot (Figure 10) are shown. Due to simple operation the hitherto unsuccessful and repeated telephone calls to the responsible staff member are completely obsolete. The person making the request now has to consider only what information is required and not question such as “Who is (currently) responsible?”, “How can I contact this person?”Table 3

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