AVANCE SUBPROYECT FILE

Transcription

1 AVANCE SUBPROYECT FILE PROJECT INNOVA-Saúde Subproject9- COMPUTER AIDED DIAGNOSTIC TOPIC AREA service innovation infrastructure 1. Total No. proposals received and participating companies: OPEN CALL FOR PROPOSALS FOR INNOVATIVE SOLUTIONS SUBPROJECT IS-9-COMPUTER AIDED DIAGNOSTIC NUMBER OF PROPOSALS 21 ACCENTURE ALMA IT SYSTEMS, S.L. BAHÍA SOFTWARE BALIDEA C&P LIST OF PARTICIPANTS BULL ESPAÑA S.A. CANDEDO & ABYPERSONALIZE CITIC - Centro de Investigación en Tecnoloxías CITIUS: Centro de Investigación en Tecnoloxías da Información DOMINION INSTALACIONES Y MONTAJES, S.A.-EMEDICA EMSOR GRADIANT: Fundacion Centro Tecnolóxico de Telecomunicacións de Galicia ITMATI (Instituto Tecnológico de Matemática Industrial) ORACLE Ibérica SRL PERSONA FÍSICA: ALBERTO MELÓN LODEIRO PERSONA FÍSICA: ROCÍO LÓPEZ CONDE LAST SENDING OF PROPOSALS Updated Date of the last proposals: 12/09/ Scope of the project / functional analysis: CAD systems are computer applications that with advanced processing of digital medical imaging help the specialist in the diagnosis, also called computer-aided diagnosis systems. In recent years, the research in this field has grown significantly: Detection and/or characterization of ailments. Segmentation. Conventional radiography, computed tomography, magnetic resonance, ultrasound (breast, chest, colon...) and these lines of research are of most interest to the SERGAS. Illustrative Example CAD Breast: CAD Breast Tabs Forward subprojects p. 1

2 CAD breast Definition. CAD Breast.Definition A diagnosis of the current situation at a general level and in the potential areas of application has been carried out: Tabs Forward subprojects p. 2

3 APPLICATION AREA CT lung Lung RX DERMATOLOGÍA and ophthalmology CURRENT SITUATION Use of CAD in CT lung but only in some centers Use linked to the field of research Organizational difficulties in access to CAD tools Technique of clinical interest but with low development. Difficulties in access to CAD tools lung X-RAY Under use of CAD in dermatology, ophthalmology and other specialties. Difficulties in access to CAD tools in these modalities General Level: Few initiatives implemented and isolated Local Solutions Difficulties of updating Non-standard Use. Integration Difficulties. From the analisis carried out, arises the need to develop a platform that concentrate the management of CAD services (computer-aided diagnosis) in medical imaging for the access to proprietary and/or commercial algorithms with the aim of improving the productivity and the quality of the diagnostic of the optional tasks and facilitate implementation and scalability of these services. The functional requirements of this platform will be: Enable connectivity to any clinical workstation or computer on the network Scalability Adaptability: Use different systems according to the centre Homogeneity and single point of entry and exit in the CAD services Securing and controlling activity in the CAD services. Tabs Forward subprojects p. 3

4 TAC 1 Estación clínica 2 TAC 2 Estación Clínica 1 PLATAFORM A CAD TAC n CAD PULMON CAD MAMA CAD RM CARDIO The detail and characteristics of the elements of the new model will be raised: ELEMENT Platform CAD Modules FEATURES SOFTWARE GATEWAY BETWEEN HEALTH CENTERS AND CAD services. INTEROPERABILITY STANDARDS. IMAGE MANAGEMENT, RESULTS AND REPORTS. POSSIBILITY OF INTEGRATION OF NEW SYSTEMS. SECURE CHANNEL. COMPUTER ASSISTED DIAGNOSTIC ALGORITHMS. IN STANDARD INTEGRATION PLATFORM. MODEL "PLUG AND PLAY". The functions of the platform are summarized in: Receives information from the S. I clinical activity: RIS, HIS, LIS( * ) Manages the information traffic (prioritization, activity log, log of accesses, ). Anonimiza. Sent to the CAD modules Received from the CAD modules Converts the results to DICOM where appropriate. Alerts the corresponding system RIS/HIS/LIS of results availability. Sent to RIS/HIS/LIS results in DICOM format. Monitors/usage tracking, results, times, degree of satisfaction, utility. With the Integrated RIS/HIS/LIS hospital ( * ) RIS=Radiology Infomation System; HIS = Hospital Information System; LIS = Laboratory Information System. Tabs Forward subprojects p. 4

5 Complete the definition phase, has developed the model of implementation in the SERGASdel project: Project plan to develop the implementation will be divided into 4 phases: 1) Central Recruitment Development Platform for Innovative Public Procurement 2) Incorporation CAD Algorithms (contribution of universities and technological centers, commercial algorithms, specific developments) 3) Network Installation and integrated with corporate systems 4) Normalization of usage criteria and Pilot: study of characteristics, evaluation sensitivity, specificity, etc. 3. Identification of innovative elements to develop: Development of a platform that provides CAD services (computer-aided diagnosis) on medical imaging for the access to proprietary and/or commercial algorithms. 4. Attached Documentation: Tabs Forward subprojects p. 5

6 GS4-SIS-9- Systems of computer-aided diagnosis Santiago de Compostela, 22 de febrero de 2013

7 Index Systems of computer-aided diagnosis. Definition Actual Situation New model.

8 CAD MEDICAL IMAGE. DEFINITION CAD systems are computer applications that with advanced digital medical imaging processing helps the specialist in with diagnosis. It is also called computer-aided diagnosis systems. Item of research interest. In recent years research in this field has grown significantly. Detection and/or characterization of injury. Segmentation. Conventional radiography, CT, MRI, US (breast, chest, colon... )

9 CAD IMAGE. Concept. Basic Concept: The computer gives a response that is interpreted by a specialist as a helpful second opinion. Therefore research in CAD is : 1) The development and evaluation of algorithms 2) the study of the usefulness of the computer's response, For the radiologist or optional in other disciplines. Historical and formal Definition. The DAC is the diagnosis that performs a specialist that takes into account a quantitative analysis conducted by a computer on radiological images both historical and formal by Definition.

10 CAD MEDICAL IMAGE. DEFINITION Objective of the CAD systems by image: locate injury and to estimate the probability of it being a disease. Application. As a broad concept it has applications in almost all the imaging modalities and parts of the anatomy: X-rays, CT, MRI, US, nuclear medicine images of the skeleton, chest, heart, abdomen and extremities.

11 CAD MEDICAL IMAGE. DEFINITION It has been used in the detection of breast injuries in mammography (and RM), detection of lung nodules in X-ray and CT, detection of polyps of the colon in TC/colonoscopy... Advantage. Numerous studies, many recent, such as K. Doi and Q Li, have shown that their use improves the performance of radiologists, being greater improvement when it comes to general radiologists or residents.

12 CAD MEDICAL IMAGE DEFINITION. Example CAD Breast Example CAD Breast

13 CAD MEDICAL IMAGE DEFINITION. Example CAD Breast

14 CAD MEDICAL IMAGE DEFINITION. Example CAD Breast

15 CAD MEDICAL IMAGE DEFINITION. Example CAD Breast

16 CAD MEDICAL IMAGE DEFINITION BREAST. Microcalcifications 87% 1FP/IMAGE % 0.25 FP/IMAGE (last trading system) CANCER Has increased the detection rate in general. 164% For invasive cancers less than 1cm. Reduction in 5.3 years, the detection time. The detection of carcinoma has increased from 6.7 % to 36.8 % with the use of CAD in digital mammography in screening programs in relation to the conventional mammography.

17 CAD MEDICAL IMAGE DEFINITION CHEST X-RAY. 25% Of cases of lung cancer with previous X-RAY plate undiagnosed Detection and differential diagnosis of lung nodules and interstitial lung disease, pneumothorax. Research: 70.5 % 4.9 FP/I (AP) General 86.9 % 6.6 FP/I TEMPORARY SUSTRACION Are subtracted from two separate images temporarily. The do not change the bone structure or the vasculature is achieved an image in which the lesions are easily identifiable.

18 CAD MEDICAL IMAGE DEFINITION. The advantages of using CAD in radiological image Breast: Improving the sensitivity specificity in breast of CT lung RX Chest

19 Index Systems of computer-aided diagnosis. Definition Current Situation New model.

20 CAD MEDICAL IMAGE CURRENT SITUATION. Few initiatives implemented and isolated Local Solutions Difficulties of update Use non-standard. Difficulties of integration.

21 CAD MEDICAL IMAGE CURRENT SITUATION. Clinic Station or Acquisition Equipment 1 CAD 1 Clinic Station or Acquisition Equipment 2 CAD 2 Dedicated Systems and connected to a single workstation OR A SPECIFIC ACQUISITION TEAM. LITTLE SCALABLE. SYSTEMS VARY BY CENTER

22 CAD MEDICAL IMAGE - CURRENT SITUATION.The CT lung Little or no use of CAD in lung CT. Use is restricted to the field of research Problems of access to CAD tools

23 CAD MEDICAL IMAGE - CURRENT SITUATION lung X-RAY. Technical abandoned years ago No use of CAD in chest X-RAYS Problems of access to CAD tools

24 CAD MEDICAL IMAGE - CURRENT SITUATION. Dermatology and ophthalmology No use of CAD in dermatology, ophthalmology and other specialties. Problems of access to CAD tools

25 Index Systems of computer-aided diagnosis. Definition Current Situation New model

26 CAD IMAGE MEDICAL MODEL. OBJECTIVE (1) Improve the productivity and the quality of the work of the specialist diagnostic.

27 CAD IMAGE MEDICAL MODEL. CAD IMAGE SOLUTION Development of a platform that provides services of CAD (computer-aided diagnosis) on medical imaging for the access to proprietary algorithms and/or commercial.

28 CAD IMAGE MEDICAL MODEL. TAC 1 Clinic Station2 TAC 2 Clinic Station1 PLATAFORM A CAD TAC n CAD PULMON CAD MAMA CAD RM CARDIO CONNECTIVITY TO ANY CLINICAL WORKSTATION OR COMPUTER ON THE NETWORK SCALABLE. SYSTEMS VARY BY CENTER CAD SERVICES HOMOGENEOUS COUNTRIES OBTAINING ADDITIONAL FUNDS TO R&D

29 MEDICAL IMAGE CAD model elements. PLATFORM SOFTWARE TO ACT AS A BRIDGE BETWEEN HEALTH CENTERS AND CAD services. INTEROPERABILITY STANDARDS. IMAGE MANAGEMENT, RESULTS AND REPORTS. POSSIBILITY OF INTEGRATION OF NEW SYSTEMS. SECURE CHANNEL. CAD MODULES DIAGNOSTIC ALGORITHMS ASSISTED BY COMPUTER. IN STANDARD INTEGRATION PLATFORM. MODEL "PLUG AND PLAY".

30 MEDICAL IMAGE CAD model platform. SYSTEM WHICH WILL ALLOW US TO SAFELY SEND/RECEIVE CASES, EXECUTE THE CORRESPONDING ANALYSIS AND GENERATE REPORTS OF RESULTS. According to the practical needs will design the systems and environments of viewing and editing.

31 MEDICAL IMAGE CAD model IMPLANTATION IN SERGAS Central Platform SERVICES OF INFORMED ACTIVITY CONTROL (Distribution Payment) CENTRAL registry STUDIE S OF CAD CONSULTING SERVICES/MTO THE CENTRAL registry CAD Module BREAST CAD Module CT lung Chest X-RAY CAD Module IANUS SIDI HO SP1 PROC DICOM 2.0 HOSP1 IANUS SIDI HO SPn PROC DICOM 2.0 HOSPn CAD Module Dermatology Diagnostic Workstations Clinical and PCs PACS. HOSP1 Diagnostic Workstations Clinical and PCs PACS. HOSPn CAD Module

32 CAD IMAGE MEDICAL PLAN WORK. 1) Central Recruitment Development Platform by CPI 2) Incorporation CAD Algorithms (contribution of universities and technological centers, commercial algorithms, specific developments) 3) Network Installation and integrated with corporate systems 4) Normalization of usage criteria and Pilot: study of characteristics, evaluation sensitivity, specificity,

33 Between us we can all build the health of the future!