8/3/2011
Exposure Indices:
Indices:
Implementation Status
S. Jeff Shepard, MS, DABR, FAAPM
Imaging Physics Department
Diagnostic Imaging Division
The University of Texas M. D. Anderson Cancer Center
Houston, Texas
AAPM 2011
Imaging Education
Radiography III
MDACC Imaging Physics
Introduction
Charge:
• How is industry progressing in adoption of IEC
62494 Ed. 1?
• Who is adopting recommended TG116 features? To
what extent?
Outline:
• Review TG116 recommended features
• Aimed and performance tests and QC
• Not covered in IEC standard
• The Vendor Survey
• Vendor response details
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Implementation Survey
1. Please describe your company’s exposure index and deviation index.
2. If you do not display an exposure index, is your company in the process
of developing an index of detector exposure after every image?
3. Does your company’s exposure index conform to the definitions in IEC
62494--1 Ed. 1?
62494
4. If not, what do you call your exposure index and what symbol do you use
for it?
• What are the units of your exposure index?
• The relationship between radiation conditions (ie
(ie dose or exposure)
at the detector and the exposure index
• Standard beam conditions under which the index is defined
5. Do your DR products currently provide an index equivalent to the
Deviation Index described in IEC 6249462494-1 Ed. 1 immediately after every
exposure?
6. If not, is your company in the process of developing an index that
provides feedback information to the technologist user about the
adequacy of the exposure?
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8/3/2011
Implementation Survey
7. What do you call your Deviation Index and what symbol do you use for
it?
8. Do you provide other forms of feedback to the technologist user about
the adequacy of the exposure (color bars, thermometers, etc)?
9. What default target EI’s have you established and how does the user
selectively change these values?
10. Has your company implemented storage and transmission of the EI and
DI information in the DICOM header of the image? (EI: (0018,1411),
EITGT: (0018,1412), and DI: (0018,1413)).
11. What is the number of significant digits your company uses for EI and
DI?
12. Is the Deviation Index (DI) recalculated and displayed immediately
after any modification of the detected image VOI by the operator?
13. Is the display of segmented image pixels possible?
14. Can the segmented region be saved as an overlay and images be
exported for archival or viewing using DICOM services?
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Implementation Survey
15. Is access to images containing forfor-processing pixel values (Q) possible
on the console or through export using DICOM media storage?
16. Is the relationship between QK values and the standardized radiation
exposure incident to the DR detector for tests of system performance
provided to the user?
17. Is display of images without image processing (i.e., Q values) to report
the mean, median, mode, standard deviation, and pixel count of values
within
ithi graphically
hi ll defined
d fi d regions
i
possible?
ibl ?
18. Can the antianti-scatter grid be removed for calibration?
19. Can the KTGT values be imported and exported?
20. Are logs of the DI values and logs of the reasons for rejected and
repeated images stored on the system?
•
•
•
•
Are the rejected images stored on the system?
Do you provide software to analyze the logs?
Can the logs be accessed over a network from a remote location?
In what file format are the logs kept?
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Implementation Survey
10 Vendors Invited
8 responded
− Agfa Healthcare
− Agfa Healthcare
− Canon
− Canon
− Carestream Health
− Carestream Health
j
USA
− Fujifilm
− Fujifilm USA
− GE Healthcare
− GE
− ICRCo
− ICRCo
− Konica
Konica--Minolta
− Philips Medical Systems
− Philips Medical Systems
− Siemens Medical Systems
− Siemens Medical
Systems
− Swissray
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Do your indices conform to IEC 62494 Ed. 1?
Vendor
Implementation Status
Agfa
Yes (EI and DI) – On all new equipment
Legacy systems can be upgraded (digitizer (plate reader) upgrade
not required).
C
Canon
Many legacy versions exist (RD, REX) – none are IEC compliant.
L
Latest
(v
( 8.0)
8 0) is compliant
l
with
h EI
E only.
l If
f desired,
d
d newer NE
software displays IEC compliant EI, and DI if EIT’s are entered.
Carestream
No, but new equipment will support IEC by 2012. Legacy EI will still
be an option.
Fujifilm
Both a proprietary index and the IEC exposure indices are
offered. IEC indices (EI and DI) comply. Either or both may be
displayed. Proprietary index is S which does not comply with IEC.
Do your indices conform to IEC 62494 ed. 1?
Vendor
Implementation Status
Agfa
Yes (EI and DI) – On all new equipment
Legacy systems can be upgraded (digitizer (plate reader) upgrade
not required).
C
Canon
Many legacy versions exist (RD, REX) – none are IEC compliant.
L
Latest
(v
( 8.0)
8 0) is compliant
l
with
h EI
E only.
l If
f desired,
d
d newer NE
software displays IEC compliant EI, and DI if EIT’s are entered.
Carestream
No, but new equipment will support IEC by 2012. Legacy EI will still
be an option.
Fujifilm
Both a proprietary index and the IEC exposure indices are
offered. IEC indices (EI and DI) comply. Either or both may be
displayed. Proprietary index is S which does not comply with IEC.
Do your indices conform to IEC?
Vendor
Implementation Status
GE
Yes (EI and DI) – 2011 and later. Earlier products as described in
TG116 Appendix (CDExp and UDExp). Does not apply to derived
images (DES or Volume Rad).
ICRCo
No. Std beam does not conform. “Estimated Plate Dose” is
equivalent to EI, but not compliant. Legacy index equivalent to DI
but is called “EI”. Working on changing this.
Philips
Yes (EI only) – Eleva-based only (Digital Diagnost, PCR). Legacy
equipment will not support.
No DI yet.
Siemens
Yes (EI only) - On new equipment (YSIO, Luminos dRF and Luminos
Agile). Legacy equipment will not support.
No DI yet.
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8/3/2011
Do your indices conform to IEC?
Vendor
Implementation Status
GE
Yes (EI and DI) – 2011 and later. Earlier products as described in
TG116 Appendix (CDExp and UDExp). Does not apply to derived
images (DES or Volume Rad).
ICRCo
q
to EI,, but not compliant.
p
No. “Estimated Plate Dose” is equivalent
(Std beam does not conform.) Legacy index equivalent to DI but is
called “EI”. Working on changing this.
Philips
Yes (EI only) – Eleva-based only (Digital Diagnost, PCR). Legacy
equipment will not support.
No DI yet.
Siemens
Yes (EI only) - On new equipment (YSIO, Luminos dRF and Luminos
Agile). Legacy equipment will not support.
No DI yet.
TG116 Recommended Features
Target EI determination
• IEC: EIT(b,v
b,v)) tables to be established by
“professional societies or by the Responsible
Organization” (IEC 6060160601-1:2005, 3.101)
• TG116: Established by the system administrator
or the equipment manufacturer
– Defaults provided by vendor as a starting point and
then modified by the users to suit their preferences
for noise content.
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Tools for Target EI
Implementation Status
Vendor
Defaults
Edits
Agfa
No
Input by service engineer, “key
operator”, or sys admin. NX
workstation can automatically
assign average of 50 exam views as
target.
Canon
No
User sets all EIT values via manual
entry.
Carestream
Will be provided by 2012.
Intended for manual customization
by end user.
Fujifilm
July 2011, default target
= 876 (Equivalent to S =
200, undergoing clinical
review). Check with your
Fujifilm representative
for current default
target values.
EIT may be changed in the user
utility.
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8/3/2011
Tools for Target EI
Implementation Status
Vendor
Defaults
Edits
Agfa
No
Input by service engineer, “key
operator”, or sys admin. NX
workstation can automatically
assign average of 50 exam views as
target.
Canon
No
User sets all EIT values via manual
entry.
Carestream
Will be provided by 2012.
Intended for manual customization
by end user.
Fujifilm
July 2011, default target
= 876 (Equivalent to S =
200, undergoing clinical
review). Check with your
Fujifilm representative
for current default
target values.
EIT may be changed in the user
utility.
Tools for Target EI
Implementation Status
Vendor
Defaults
Edits
Agfa
No
Input by service engineer, “key
operator”, or sys admin. NX
workstation can automatically
assign average of 50 exam views as
target.
Canon
No
User sets all EIT values via manual
entry.
Carestream
Will be provided by 2012.
Intended for manual customization
by end user.
Fujifilm
July 2011, default target
= 876 (Equivalent to S =
200, undergoing clinical
review). Check with your
Fujifilm representative
for current default
target values.
EIT may be changed in the user
utility.
Target EI determination
Implementation Status
Vendor
Defaults
Edits
GE
GE provides default Target EI
values.
Intended for manual customization
by end user.
ICRCo
Target plate exposure values are
provided by ICRCo.
The user cannot change the target
values
Philips
NA
NA
Siemens No
Maximum and minimum clinical EXI
values can be defined in very organ
program via selection of a
parameter subset.
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8/3/2011
Target EI determination
Implementation Status
Vendor
Defaults
Edits
GE
GE provides default Target EI
values.
Intended for manual customization
by end user.
ICRCo
Target plate exposure values are
provided by ICRCo.
The user cannot change the target
values
Philips
NA
NA
Maximum and minimum clinical EXI
values can be defined in very organ
program via selection of a
parameter subset.
Siemens No
Target EI determination
Implementation Status
Vendor
Defaults
Edits
GE
GE provides default Target EI
values.
Intended for manual customization
by end user.
ICRCo
Target plate exposure values are
provided by ICRCo.
The user cannot change the target
values
Philips
NA
NA
Maximum and minimum clinical EXI
values can be defined in very organ
program via selection of a
parameter subset.
Siemens No
Target EI determination
Implementation Status
Vendor
Defaults
Edits
GE
GE provides default Target EI
values.
Intended for manual customization
by end user.
ICRCo
Target plate exposure values are
provided by ICRCo.
The user cannot change the target
values
Philips
NA (pending future roll-out)
NA (pending future roll-out)
Siemens No
Maximum and minimum clinical EXI
values can be defined in very organ
program via selection of a
parameter subset.
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8/3/2011
TG116 Recommended Features
Use graphics to enhance reporting of DI
• Sliding bar
• Color
Color--coded tools (Thermometer)
• VOI histogram with limits indicated
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8/3/2011
Graphical Feedback for DI
Vendor
Implementation Status
Agfa
Yes - Displayed numerically and in graphical form using a color bar.
The length of the bar increases as the Deviation Index increases
or decreases from 0. Green, Yellow or Red depending on difference
from 0.
Canon
Histogram chart displayed. (Limits?)
Carestream DI message turns Red.
Fujifilm
Pop-up notification if EI Limits established and exceeded.
GE
Yes – DI displayed as a number placed within a “bar” consisting of 5
segments (4 user-customizable thresholds, inner and outer). The
segment color is GREEN for DI within the inner thresholds,
ORANGE otherwise. A message is also displayed (customizable) by
segment.
ICRCo
Yes. Acceptable is Green, unacceptable is Red (high or low).
Philips and
Siemens
N/A
Graphical Feedback for DI
Vendor
Implementation Status
Agfa
Yes - Displayed numerically and in graphical form using a color bar.
The length of the bar increases as the Deviation Index increases
or decreases from 0. Green, Yellow or Red depending on difference
from 0.
Canon
Histogram chart displayed.
Carestream DI message turns Red.
Fujifilm
Pop-up notification if EI Limits established and exceeded.
GE
Yes – DI displayed as a number placed within a “bar” consisting of 5
segments (4 user-customizable thresholds, inner and outer). The
segment color is GREEN for DI within the inner thresholds,
ORANGE otherwise. A message is also displayed (customizable) by
segment.
ICRCo
Yes. Acceptable is Green, unacceptable is Red (high or low).
Philips and
Siemens
N/A
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8/3/2011
Graphical Feedback for DI
Vendor
Implementation Status
Agfa
Yes - Displayed numerically and in graphical form using a color bar.
The length of the bar increases as the Deviation Index increases
or decreases from 0. Green, Yellow or Red depending on difference
from 0.
Canon
Histogram chart displayed.
Carestream DI message turns Red.
Fujifilm
Pop-up notification if EI Limits established and exceeded.
GE
Yes – DI displayed as a number placed within a “bar” consisting of 5
segments (4 user-customizable thresholds, inner and outer). The
segment color is GREEN for DI within the inner thresholds,
ORANGE otherwise. A message is also displayed (customizable) by
segment.
ICRCo
Yes. Acceptable is Green, unacceptable is Red (high or low).
Philips and
Siemens
N/A
Graphical Feedback for DI
Vendor
Implementation Status
Agfa
Yes - Displayed numerically and in graphical form using a color bar.
The length of the bar increases as the Deviation Index increases
or decreases from 0. Green, Yellow or Red depending on difference
from 0.
Canon
Histogram chart displayed.
Carestream DI message turns Red.
Fujifilm
Pop-up notification if EI Limits established and exceeded.
GE
Yes – DI displayed as a number placed within a “bar” consisting of 5
segments (4 user-customizable thresholds, inner and outer). The
segment color is GREEN for DI within the inner thresholds,
ORANGE otherwise. A message is also displayed (customizable) by
segment.
ICRCo
Yes. Acceptable is Green, unacceptable is Red (high or low).
Philips and
Siemens
N/A
Graphical Feedback for DI
Vendor
Implementation Status
Agfa
Yes - Displayed numerically and in graphical form using a color bar.
The length of the bar increases as the Deviation Index increases
or decreases from 0. Green, Yellow or Red depending on difference
from 0.
Canon
Histogram chart displayed.
Carestream DI message turns Red.
Fujifilm
Pop-up notification if EI Limits established and exceeded.
GE
Yes – DI displayed as a number placed within a “bar” consisting of 5
segments (4 user-customizable thresholds, inner and outer). The
segment color is GREEN for DI within the inner thresholds,
ORANGE otherwise. A message is also displayed (customizable) by
segment.
ICRCo
Yes. Acceptable is Green, unacceptable is Red (high or low).
Philips and
Siemens
N/A
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8/3/2011
TG116 Recommended Features
IEC and TG116 call for the indices to
change dynamically with manual
modification of the VOI after image
acquisition
• Due to failure of VOI recognition
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Indices change with postpostacquisition VOI modification
Vendor
Implementation Status
Agfa
Yes
Canon
No. The user cannot change the VOI.
Carestream Yes
Fujifilm
Yes, when the exposure menu is changed and the image is
reprocessed.
GE
Yes – with change in electronic collimation (shuttering).
ICRCo
No
Philips
N/A
Siemens
Yes
Indices change with postpostacquisition VOI modification
Vendor
Implementation Status
Agfa
Yes
Canon
No. The user cannot change the VOI.
Carestream Yes
Fujifilm
Yes, when the exposure menu is changed and the image is
reprocessed.
GE
Yes – with change in electronic collimation (shuttering).
ICRCo
No, (Will not re-calculate)
Philips
N/A
Siemens
Yes
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8/3/2011
TG116 Recommended Features
Tools for verification of proper
automated segmentation software
result
• Overlay image of pixels normalized pixel
values (QK)
– Export of segmented pixels as an overlay
• Pop
Pop--up display of the ForFor-Processing pixel
(Q) histogram with highlighted min and
max image pixels
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Segmentation Verification Tools
Vendor
Implementation Status
Segmented pixels can be displayed as overlay?
Exportable?
Agfa
The area outside of the segmented pixels can be
masked by a semi-transparent border (adjustable No
opacity).
Canon
No
No
The system will display the region of the image
Carestream segmented by the black surround mask (basically
the x-ray collimated region).
Yes
Fujifilm
No
No
GE
No
No
ICRCo
No (Eventually, yes)
No (Eventually)
Philips
Yes
No
Siemens
No
No
Segmentation Verification Tools
Vendor
Implementation Status
Segmented pixels can be displayed as overlay?
Exportable?
Agfa
The area outside of the segmented pixels can be
masked by a semi-transparent border (adjustable No
opacity).
Canon
No
No
The system will display the region of the image
Carestream segmented by the black surround mask (basically
the x-ray collimated region).
Yes
Fujifilm
No
No
GE
No
No
ICRCo
No (Eventually, yes)
No (Eventually)
Philips
Yes
No
Siemens
No
No
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8/3/2011
Segmentation Verification Tools
Vendor
Implementation Status
Segmented pixels can be displayed as overlay?
Exportable?
Agfa
The area outside of the segmented pixels can be
masked by a semi-transparent border (adjustable No
opacity).
Canon
No
No
The system will display the region of the image
Carestream segmented by the black surround mask (basically
the x-ray collimated region).
Yes
Fujifilm
No
No
GE
No
No
ICRCo
No (Eventually, yes)
No (Eventually)
Philips
Yes
No
Siemens
No
No
Segmentation Verification Tools
Vendor
Implementation Status
Segmented pixels can be displayed as overlay?
Exportable?
Agfa
The area outside of the segmented pixels can be
masked by a semi-transparent border (adjustable No
opacity).
Canon
No
No
The system will display the region of the image
Carestream segmented by the black surround mask (basically
the x-ray collimated region).
Yes
Fujifilm
No
No
GE
No
No
ICRCo
No (Eventually, yes)
No (Eventually)
Philips
Yes
No
Siemens
No
No
TG116 Recommended Features
Deviation Index Format
• DI = 0 is supposed to be a perfect
exposure, but the precision of the DI (#
decimal places) will have impact
– Round? Truncate?
– Is +1 really 0.5 or 1.4 (12% or 38% high)?
– TG116: One digit before/after the decimal to
reflect subtle exposure errors and facilitate
trend analysis
– IEC: Undefined
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TG116 Recommended Features
The DICOM header
•
•
•
•
EI: (0018,1411)
EIT: (0018,1412)
DI: (0018,1413)
DICOM Value Representation is DS (Decimal
String) with optional # of characters
before/after decimal
• Not all vendors support this
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MDACC Imaging Physics
Deviation Index Format &
DICOM Tag support
Implementation Status
Vendor
Format
DICOM Tags Supported?
Agfa
2 digits after the decimal
Canon
2 decimal places
Yes
No
Carestream 2 digits after the decimal
Yes
Fujifilm
1 digit after the decimal
Yes
GE
1 digit after the decimal
Yes
ICRCo
3 digits after the decimal
No
Philips
Integer (no changes planned)
No
Siemens
Integer
Yes
Deviation Index Format &
DICOM Tag support
Implementation Status
Vendor
Format
Agfa
2 digits after the decimal
Canon
2 decimal places
DICOM Tags Supported?
Yes
No
Carestream 2 digits after the decimal
Yes
Fujifilm
1 digit after the decimal
Yes
GE
1 digit after the decimal
Yes
ICRCo
3 digits after the decimal
No
Philips
Integer (no changes planned)
No
Siemens
Integer
Yes
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8/3/2011
Deviation Index Format &
DICOM Tag support
Implementation Status
Vendor
Format
DICOM Tags Supported?
Agfa
2 digits after the decimal
Yes
Canon
2 decimal places
No
Carestream 2 digits after the decimal
Yes
Fujifilm
1 digit after the decimal
Yes
GE
1 digit after the decimal
Yes
ICRCo
3 digits after the decimal
No
Philips
Integer (no changes planned)
No
Siemens
Integer
Yes
TG116 Recommended Features
Export and import KTGT (EIT)
• A process for updating the tables of all
systems within a networked system
– Changes in EIT values readily disseminated to
distributed systems
• Facilitate sharing between imaging
facilities using the same DR system
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Export and Import of EIT Tables
Vendor
Agfa
Canon
Implementation Status
Yes. EIT values can be shared between NX modality workstations,
too.
EIT values can be exported and imported within the protocol
database between systems. But there is no provision to
independently import or export a table of values.
Carestream Yes.
Yes
Fujifilm
Yes.
GE
Export, yes. Import, No.
ICRCo
No response
Philips
N/A
Siemens
Yes (via USB)
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8/3/2011
Export and Import of EIT Tables
Vendor
Agfa
Canon
Implementation Status
Yes. EIT values can be shared between NX modality workstations,
too.
EIT values can be exported and imported within the protocol
database between systems. But there is no provision to
independently import or export a table of values.
Carestream Yes.
Yes
Fujifilm
Yes.
GE
Export, yes. Import, No.
ICRCo
No response
Philips
N/A
Siemens
Yes (via USB)
Export and Import of EIT Tables
Vendor
Agfa
Canon
Implementation Status
Yes. EIT values can be shared between NX modality workstations,
too.
EIT values can be exported and imported within the protocol
database between systems. But there is no provision to
independently import or export a table of values.
Carestream Yes.
Yes
Fujifilm
Yes.
GE
Export, yes. Import, No.
ICRCo
No response
Philips
N/A
Siemens
Yes (via USB)
Export and Import of EIT Tables
Vendor
Agfa
Canon
Implementation Status
Yes. EIT values can be shared between NX modality workstations,
too.
EIT values can be exported and imported within the protocol
database between systems. But there is no provision to
independently import or export a table of values.
Carestream Yes.
Yes
Fujifilm
Yes.
GE
Export, yes. Import, No.
ICRCo
No response
Philips
N/A
Siemens
Yes (via USB)
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8/3/2011
Export and Import of EIT Tables
Vendor
Implementation Status
Yes. EIT values can be shared between NX modality workstations,
Agfa
too.
EIT values can be exported and imported within the protocol
database between systems. But there is no provision to
independently import or export a table of values.
Canon
Carestream Yes.
Yes
Fujifilm
Yes.
GE
Export, yes. Import, No.
ICRCo
No response
NA (pending future roll-out)
Philips
Siemens
Yes (via USB)
TG116 Recommended Features
Tests of system performance and
calibration verification in the clinic
• Removable grid
• Access to images containing normalized
for--processing pixel values
for
– On the console
– Through export using DICOM media storage
• Images with pixel values linear with
exposure
– For MTF, NPS, and DQE
– Provide the relationship between QK and
standard exposure if nonnon-linear
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MDACC Imaging Physics
Tests of system performance
and calibration
Implementation Status
Vendor
QK and
exposure
Removable
grid
For-processing
images at console
DICOM Export
to Media
Agfa
Yes (upon
request)
N/A
Yes, on the NX WS
only
Yes, from the NX
WS only (Log E)
Canon
No
N/A
No
No
Yes (Pattern
processing, Log E)
Carestream
Yes
Yes
Yes (Pattern
processing) – ROI
tools provided, too
Fujifilm
Non responsive
Yes
No
No
GE
“Sensitivity” value
Yes
is conversion
factor
Yes
Yes
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8/3/2011
Tests of system performance
and calibration
Implementation Status
Vendor
QK and
exposure
Removable
grid
For-processing
images at console
DICOM Export
to Media
Agfa
Yes (upon
request)
N/A
Yes, on the NX WS
only
Yes, from the NX
WS only (Log E)
Canon
No
N/A
No
No
Yes (Pattern
processing, Log E)
Carestream
Yes
Yes
Yes (Pattern
processing) – ROI
tools provided, too
Fujifilm
Non responsive
Yes
No
No
GE
“Sensitivity” value
Yes
is conversion
factor
Yes
Yes
Tests of system performance
and calibration
Implementation Status
Forprocessing
images at
console
Vendor
QK and
exposure
ICRCo
Future
“Our calibration
pr c dur is d
procedure
done
n
without the use of
anti-scatter grid.”
Philips
No
Yes, but calibration is
performed with the
Yes
grid.
Siemens
Yes
Yes
Removable grid
Future
DICOM
Export to
Media
Yes
Yes
No. “Physical
EI” is an
No response
indicator of QK
values.
Tests of system performance
and calibration
Implementation Status
Forprocessing
images at
console
Vendor
QK and
exposure
ICRCo
Future
“Our calibration
pr c dur is d
procedure
done
n
without the use of
anti-scatter grid.”
Philips
No
Yes, but calibration is
performed with the
Yes
grid.
Siemens
Yes
Yes
Removable grid
Future
No. “Physical
EI” is an
indicator of
QK values.
DICOM
Export to
Media
Yes
Yes
No response
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8/3/2011
TG116 Recommended Features
Logs of EI/DI values and logs of the reasons
for rejected and repeated images
• Identify potential problematic exams
• Problems with equipment
• Technologists in need of coaching
• Software to analyze the logs to assist with
process improvement
– EnterpriseEnterprise-wide software for centralized data
accumulation and analysis
• For every rejected image, store:
– Anatomical view selection
– Technique factor information
– The image itself
52
MDACC Imaging Physics
DI and Repeat/Reject Logs
Implementation Status
Vendor
DI logs stored?
Repeat/Reject logs stored?
Agfa
Yes, on the NX modality
workstation
Yes, on the NX modality
workstation
Canon
No, but planned
No
Yes
Yes
Carestream
Fujifilm
GE
No response
Yes
Yes
Yes
ICRCo
No
Yes
Philips
N/A
Yes
DI, No. EI, Yes
Yes
Siemens
DI and Repeat/Reject Logs
Implementation Status
Vendor
Software to analyze logs
provided?
Rejected images stored?
Yes, on the NX modality
workstation
Yes, on the NX workstation
(Cache). Can also be exported to
a PACS.
Canon
No
Yes
Carestream
Yes
Yes
Fujifilm
Yes
Yes
Yes (RRA function)
Jpeg, for 100 days
ICRCo
No response
No response
Philips
Yes
Yes
Siemens
No
Yes
Agfa
GE
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8/3/2011
DI and Repeat/Reject Logs
Implementation Status
Vendor
Logs accessible over a
network?
Data format
Agfa
CMS enables user access to
multiple NX workstations for
system-wide QC
XML
Canon
No (Folder can be “shared”)
shared )
CSV
Carestream
Yes
CSV
Fujifilm
No
CSV
GE
No
CSV
ICRCo
No response
No response
Philips
Future
Proprietary
(export as CSV)
No (USB only)
CSV
Siemens
DI and Repeat/Reject Logs
Implementation Status
Vendor
Logs accessible over a
network?
Data format
Agfa
CMS enables user access to
multiple NX workstations for
system-wide QC
XML
Canon
No (Folder can be “shared”)
shared )
CSV
Carestream
Yes
CSV
Fujifilm
No
CSV
GE
No
CSV
ICRCo
No response
No response
Philips
Future
Proprietary
(export as CSV)
No (USB only)
CSV
Siemens
Summary
Agfa
Canon
Carestream
Fujifilm
GE
ICRCo
IEC EI Conformance
Y
Y
N*
Y
Y
N*
Y
IEC DI Conformance
Y
Y
N*
Y
Y
N*
N*
N*
EIT defaults
N
N
N*
Y
Y
Y
NA
N*
EIT defaults editable
Y
Y
Y
Y
Y
N
NA
NA
Graphical Feedback on DI
Y
?
Y
Y
Y
NA
NA
NA
Recalc Indices after VOI change
Y
N
Y
Y
Y
N
NA
Y
VOI Overlay
Y
N
Y
N
N
N*
Y
N
Export VOI Overlay
N
N
Y
N
N
N*
N
N
DI Format
Y
Y
Y
Y
Y
Y
N
N
DICOM Tags
g
Y
N
Y
Y
Y
N
N
Y
Export/Import EIT
Y
?
Y
Y
Y/N
?
N/A
QK vs Exposure
Y
N
Y
?
Y
N*
N
Y
Removable Grid
N/A
N/A
Y
Y
Y
N/A
Y
Y
For-Processing Display
Y
N
Y
N
Y
N*
Y
N
For-Processing Export
Y
N
Y
N
Y
Y
Y
?
DI Logs stored
Y
N*
Y
?
Y
N
NA
NA
Repeat/Reject Logs
Y
N
Y
Y
Y
Y
Y
Y
Rejected Images Stored
Y
Y
Y
Y
Y
?
Y
Y
Log Analysis SW
Y
N
Y
Y
Y
N
Y
N
Log Analysis SW
Y
N
Y
Y
Y
?
Y
N
Logs accessible via network
Y
N
Y
N
N
?
N*
N
CSV Format
N
Y
Y
Y
Y
?
Y
Y
19
7
19
16
18
5
10
8
Vendor
By 2012
Philips
Siemens
Y
Y
19
8/3/2011
THANK YOU!
Bruce Apgar (Agfa)
Steve Meyer (Canon)
John (Ian) Yorkston (Carestream
Carestream))
Bob Uzenoff (Fujifilm, MITA)
K d Jabri
Kadri
b (GE)
Abhinav Singh ((ICRCo
ICRCo))
Ulrich Neitzel (Philips)
Viola Fernandez (Siemens)
Mike Flynn
David Leong
Questions?
jshepard@mdanderson.org
20