NEMA ei November 2016 - 8MITA


MITA

DICOM Delivers Interoperability to Cancer Informatics
David A. Clunie, MD, PixelMed Publishing
Dr. Clunie, a recipient of the NEMA Kite and Key Award
and editor of the DICOM standard since 1996, is considered
by many to be world's foremost expert in the use and
development of the DICOM standard. The opinions expressed
in this article are his own.

C

ancer is the leading cause of death in many states.
Its screening, diagnosis, treatment, and research
relies on the interoperability of digital medical imaging
systems. That fact is not lost on the National Cancer
Institute (NCI), the federal government's principal
agency for cancer research and training, located within
the National Institutes of Health (NIH).
One of the most visible NCI activities is The Cancer
Image Archive (TCIA). TCIA consists of a publicly
accessible repository of large collections of DICOM
image studies of cancer patients (see "DICOM for
Interoperability," this page). These collections are
used by researchers to test new analysis techniques,
engineers to develop new software, and academics to
use as a teaching tool.
TCIA includes human, animal, and phantom images
of many types of tumors. Like other agencies within
the NIH, the NCI encourages open access and data
sharing to expedite the translation of research results
into knowledge, products, and procedures that improve
human health. The use of DICOM allows commercial
and open-source, off-the-shelf tools to load, display,
and analyze medical images.
The NCI is also committed to supporting activities
that improve the standards themselves. It has been a
member of the DICOM Standards Committee since
1999. Over the last decade, the NCI has augmented
three key areas of DICOM for cancer research:
*	 De-identification
Thorough de-identification (the removal of
identifiable information from patients' images)
and other activities that involve sharing images
beyond the purpose of their original acquisition
are critical to the success of TCIA. With input
from manufacturers, pharmaceutical companies,
academics, researchers, and the NCI, DICOM
developed a detailed description of de-identification
requirements that have been integrated into the
process of submission of images to the TCIA.
*	 Encoding quantitative results
Cancer imaging entails assessment of disease extent
and progression, traditionally a laborious, manual
process. In order to develop imaging biomarkers

8 MITA

NEMA electroindustry *  November 2016

for assessment of therapeutic efficacy, to relate the
imaging phenotype to other data, and to improve
automated analytic methods, it is necessary to share
images and image-related quantitative results. This
objective is demonstrated by the NCI's Quantitative
Imaging Network (QIN), a collaborative effort
to promote the research and development of
quantitative imaging methods, including DICOM.
A related effort is that of Quantitative Imaging
Informatics for Cancer Research (QIICR), which
focuses on extending research software to implement
DICOM support and extend DICOM to facilitate the
translation of research techniques from the laboratory
to the bedside.
*	 Small animal identification
Cancer research goes beyond human imaging; it
includes pre-clinical activities using small animals.
Adoption of DICOM-dedicated devices has been
slow and has acted as a barrier to data sharing and
reuse. Additional metadata is required to document
imaging and handling conditions that affects
image interpretation. Accordingly, the Clinical and
Translational Imaging Informatics Project (CTIIP)
supported the establishment of the dedicated
DICOM Working Group 30, which produced several
extensions to the standard.
MITA is proud to be an active collaborator in the
cancer informatics community by supporting efforts
towards adoption and improvement of DICOM in
clinical care and translational research. ei

DICOM for Interoperability
DICOM (Digital Imaging and Communications in
Medicine) is a global information technology standard
that is used to ensure the interoperability of systems
used to produce, store, display, process, send, retrieve,
or query print medical images and related information.
MITA is the secretariat for the DICOM standard. NEMA
holds the copyright. It is also known as NEMA PS3 and
ISO 12052.
Participation is invited. Visit dicom.nema.org.


http://dicom.nema.org

Table of Contents for the Digital Edition of NEMA ei November 2016

Comments from the President
Breaking News
Survey: Benchmarking, Transparency Work
Centerfold: A look inside the Medical Imaging & Technology Alliance (MITA), a division of NEMA
2017 NEC Broadens Requirements for SPDs
Power Surges: Protect Your Home!
Grid Modernization Promotes Sustainability
Advocacy
Code & Standards
Revision Simplifies Magnet Wire Production
International
Business Analysis
NEMA ei November 2016 - Cover1
NEMA ei November 2016 - Cover2
NEMA ei November 2016 - 1
NEMA ei November 2016 - 2
NEMA ei November 2016 - 3
NEMA ei November 2016 - 4
NEMA ei November 2016 - Comments from the President
NEMA ei November 2016 - Breaking News
NEMA ei November 2016 - 7
NEMA ei November 2016 - Survey: Benchmarking, Transparency Work
NEMA ei November 2016 - 9
NEMA ei November 2016 - 10
NEMA ei November 2016 - 11
NEMA ei November 2016 - 12
NEMA ei November 2016 - Centerfold: A look inside the Medical Imaging & Technology Alliance (MITA), a division of NEMA
NEMA ei November 2016 - 2MITA
NEMA ei November 2016 - 3MITA
NEMA ei November 2016 - 4MITA
NEMA ei November 2016 - 5MITA
NEMA ei November 2016 - 6MITA
NEMA ei November 2016 - 7MITA
NEMA ei November 2016 - 8MITA
NEMA ei November 2016 - 9MITA
NEMA ei November 2016 - 10MITA
NEMA ei November 2016 - 11MITA
NEMA ei November 2016 - 12MITA
NEMA ei November 2016 - 13MITA
NEMA ei November 2016 - 14MITA
NEMA ei November 2016 - 15MITA
NEMA ei November 2016 - 16MITA
NEMA ei November 2016 - 2017 NEC Broadens Requirements for SPDs
NEMA ei November 2016 - 14
NEMA ei November 2016 - 15
NEMA ei November 2016 - Power Surges: Protect Your Home!
NEMA ei November 2016 - 17
NEMA ei November 2016 - 18
NEMA ei November 2016 - 19
NEMA ei November 2016 - Advocacy
NEMA ei November 2016 - 21
NEMA ei November 2016 - Code & Standards
NEMA ei November 2016 - Revision Simplifies Magnet Wire Production
NEMA ei November 2016 - 24
NEMA ei November 2016 - International
NEMA ei November 2016 - Business Analysis
NEMA ei November 2016 - 27
NEMA ei November 2016 - 28
NEMA ei November 2016 - Cover3
NEMA ei November 2016 - Cover4
https://www.nxtbook.com/ygsreprints/NEMA/g78283_nema_july2017
https://www.nxtbook.com/ygsreprints/NEMA/g77252_nema_june2017
https://www.nxtbook.com/ygsreprints/NEMA/g75897_nema_may2017
https://www.nxtbook.com/ygsreprints/NEMA/g74413_nema_april2017
https://www.nxtbook.com/ygsreprints/NEMA/g73647_nema_march2017
https://www.nxtbook.com/ygsreprints/NEMA/g72371_nema_february2017
https://www.nxtbook.com/ygsreprints/NEMA/g71716_nema_january2017
https://www.nxtbook.com/ygsreprints/NEMA/g70286_nema_december16
https://www.nxtbook.com/ygsreprints/NEMA/g68064_nema_november16
https://www.nxtbook.com/ygsreprints/NEMA/g67417_nema_october16
https://www.nxtbook.com/ygsreprints/NEMA/g65247_nema_september16
https://www.nxtbook.com/ygsreprints/NEMA/g64195_nema_august16
https://www.nxtbook.com/ygsreprints/NEMA/g62957_nema_july16
https://www.nxtbook.com/ygsreprints/NEMA/g62621_nema_june16
https://www.nxtbook.com/ygsreprints/NEMA/g61522_nema_may16
https://www.nxtbook.com/ygsreprints/NEMA/g60076_nema_apr16
https://www.nxtbook.com/ygsreprints/NEMA/g59228_nema_mar16
https://www.nxtbook.com/ygsreprints/NEMA/Nema_feb16
https://www.nxtbook.com/ygsreprints/NEMA/g56839_nema_jan16
https://www.nxtbook.com/ygsreprints/NEMA/g56034_nema_dec15
https://www.nxtbook.com/ygsreprints/NEMA/g54875_nema_nov15
https://www.nxtbook.com/ygsreprints/NEMA/g54656_nema_oct15
https://www.nxtbook.com/ygsreprints/NEMA/g53383_nema_ei_sept15
https://www.nxtbook.com/ygsreprints/NEMA/ei_aug2015
https://www.nxtbook.com/ygsreprints/NEMA/g51911
https://www.nxtbook.com/ygsreprints/NEMA/G51101_nema_ei_june2015
https://www.nxtbook.com/ygsreprints/NEMA/g50122_nema_ei_may2015
https://www.nxtbook.com/ygsreprints/NEMA/g49416_nema_ei_april2015
https://www.nxtbook.com/ygsreprints/NEMA/g48729_nema_ei_march2015
https://www.nxtbook.com/ygsreprints/NEMA/g47992_nema_ei_feb2015
https://www.nxtbook.com/ygsreprints/NEMA/g47420_nema_jan2015
https://www.nxtbook.com/ygsreprints/NEMA/g46789_nema_ei_dec2014
https://www.nxtbook.com/ygsreprints/NEMA/g45735_nema_nov14
https://www.nxtbook.com/ygsreprints/NEMA/g44837_nema_ei_October2014
https://www.nxtbook.com/ygsreprints/NEMA/g4438_nema_sept2014
https://www.nxtbook.com/ygsreprints/NEMA/g43520_nema_aug14
https://www.nxtbook.com/ygsreprints/NEMA/G42960_nema_ei_july14
https://www.nxtbook.com/ygsreprints/NEMA/g42238_nema_ei_june14
https://www.nxtbook.com/ygsreprints/NEMA/g41547_nema_ei_May14
https://www.nxtbook.com/ygsreprints/NEMA/g40829_nema_ei_apr14
https://www.nxtbook.com/ygsreprints/NEMA/g40178_nema_ei_Mar14
https://www.nxtbook.com/ygsreprints/NEMA/g309513_nema_ei_feb14
https://www.nxtbook.com/ygsreprints/NEMA/g39026_nema_ei_jan14
https://www.nxtbook.com/ygsreprints/NEMA/g38680_nema_ei_dec13
https://www.nxtbook.com/ygsreprints/NEMA/G37864_nema_ei_nov13
https://www.nxtbook.com/ygsreprints/NEMA/G36899_nema_ei_oct13
https://www.nxtbook.com/ygsreprints/NEMA/g36301_nema_ei_sept13
https://www.nxtbook.com/ygsreprints/NEMA/G35638_NEMA_ei_aug13
https://www.nxtbook.com/ygsreprints/NEMA/G35075_NEMA_ei_jul13
https://www.nxtbook.com/ygsreprints/NEMA/g34530_nema_ei_June13
https://www.nxtbook.com/ygsreprints/NEMA/g33413_nema_ei_may13
https://www.nxtbook.com/ygsreprints/NEMA/g32528_nema_ei_march13
https://www.nxtbook.com/ygsreprints/NEMA/g31850_nema_ei_feb13
https://www.nxtbook.com/ygsreprints/NEMA/g31330_nema_ei_Jan13
https://www.nxtbook.com/ygsreprints/NEMA/g30890_nema_ei_dec12
https://www.nxtbook.com/ygsreprints/NEMA/g29979_nema_ei_nov12
https://www.nxtbook.com/ygsreprints/NEMA/g29308_nema_ei_oct12
https://www.nxtbook.com/ygsreprints/NEMA/g28512_nema_ei_sept12
https://www.nxtbook.com/ygsreprints/NEMA/g27967_nema_aug12
https://www.nxtbook.com/ygsreprints/NEMA/g27429_nema_ei_july2012
https://www.nxtbook.com/ygsreprints/NEMA/g26904_nema_eijune2012
https://www.nxtbook.com/ygsreprints/NEMA/g25763_nema_ei_may12
https://www.nxtbook.com/ygsreprints/NEMA/g24906_nema_ei_april12
https://www.nxtbook.com/ygsreprints/NEMA/g24391_nema_ei_mar12
https://www.nxtbook.com/ygsreprints/NEMA/g24069_nema_ei_feb12
https://www.nxtbook.com/ygsreprints/NEMA/g23809_nema_ei_jan12
https://www.nxtbook.com/ygsreprints/NEMA/g23198_nema_ei_dec11
https://www.nxtbook.com/ygsreprints/NEMA/G22670_nema_ei_nov11
https://www.nxtbook.com/ygsreprints/NEMA/g22157_nema_ei_oct11
https://www.nxtbook.com/ygsreprints/NEMA/g21520_nema_ei_sept11
https://www.nxtbook.com/ygsreprints/NEMA/g21115_nema_ei_aug11
https://www.nxtbook.com/ygsreprints/NEMA/g20729_nema_ei_july11
https://www.nxtbook.com/ygsreprints/NEMA/g19430_nema_ei_may11
https://www.nxtbook.com/ygsreprints/NEMA/g19141_nema_ei_april11
https://www.nxtbook.com/ygsreprints/NEMA/g18610_nema_ei_march11
https://www.nxtbook.com/ygsreprints/NEMA/g18431_nema_ei_feb11
https://www.nxtbook.com/ygsreprints/NEMA/g17897_nema_ei_jan11
https://www.nxtbook.com/ygsreprints/NEMA/g17260_nema_ei_dec10
https://www.nxtbook.com/ygsreprints/NEMA/g17025_nema_ei_nov10
https://www.nxtbook.com/ygsreprints/NEMA/g16338_nema_ei_oct10
https://www.nxtbook.com/ygsreprints/NEMA/g15947_nema_ei_sept10
https://www.nxtbook.com/ygsreprints/NEMA/g15556_nema_ei_aug10
https://www.nxtbookmedia.com