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ODIN: Adaptation of an HTML 5-Compatible DICOM Viewer for MIRC-TFS, Enhancing the Incorporation of Clinical Images into the Health Science Curriculum

  • Brent BurbridgeEmail author
  • Connor Burbridge
  • John Costa
  • Yasmin Carter
Innovation
  • 16 Downloads

Abstract

Introduction

The use of diagnostic radiology images while teaching has been proven to enhance student learning. The incorporation of images in the Digital Imaging and Communications in Medicine (DICOM) format has been hindered by the lack of integrated, DICOM image-compatible, viewing software.

Background

A project was developed to facilitate the migration of clinical diagnostic radiology images, in their native DICOM format into the curriculum at the undergraduate level, including the Medical School, while anonymizing the images and presenting them in a way that simulates a clinical Picture Archive and Communication System (PACS). These images can be directly incorporated into Blackboard Learn or into other applications using embedded URLs.

Discussion

A teaching file server was deployed using the Medical Imaging Resource Community–Teaching File System (MIRC-TFS) platform. An HTML5, DICOM image viewing server was developed and deployed. Plugins were created to integrate the anonymized images in the MIRC-TFS server with the HTML5 DICOM viewer and Blackboard Learn. The solution was deployed at an undergraduate level.

Conclusion

This project has resulted in the successful development and deployment of a variety of solutions, including an HTML 5 DICOM viewer, that has allowed for the incorporation of anonymized DICOM images from a clinical imaging repository into the undergraduate curriculum.

Keywords

Teaching Digital imaging DICOM Web-based DICOM viewer Informatics 

Notes

Acknowledgements

The authors wish to thank SaskTel and the Royal University Hospital Foundation for their generous support of this project. Thanks are given to Dr. Julia Boughner for allowing us to pilot our project in her undergraduate anatomy course. We also appreciate the feedback and suggestions made by Dr. Paul Babyn and Dr. Greg Malin.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

References

  1. 1.
    Burbridge B, Kalra N, Malin G, Trinder K, Pinelle D. University of Saskatchewan Radiology Courseware [USRC]: an assessment of its utility for teaching diagnostic imaging in the medical school curriculum. Teach Learn Med. 2015;27:91–8.CrossRefGoogle Scholar
  2. 2.
    Ganske I, Su T, Loukas M, Shaffer K. Teaching methods in anatomy courses in North American medical schools the role of radiology. Acad Radiol. 2006;13:1038–46.CrossRefGoogle Scholar
  3. 3.
    Khalil MK, Payer AF, Johnson TE. Effectiveness of using cross-sections in the recognition of anatomical structures in radiological images. Anat Rec Part B New Anat. 2005;283:9–13.CrossRefGoogle Scholar
  4. 4.
    Lufler RS, Zumwalt AC, Romney CA, Hoagland TM. Incorporating radiology into medical gross anatomy: does the use of cadaver CT scans improve students' academic performance in anatomy? Anat Sci Educ. 2010;3:56–63.Google Scholar
  5. 5.
    Trelease RB. Diffusion of innovations: smartphones and wireless anatomy learning resources. Anat Sci Educ. 2008;1:233–9.CrossRefGoogle Scholar
  6. 6.
    Trelease RB, Rosset A. Transforming clinical imaging data for virtual reality learning objects. Anat Sci Educ. 2008;1:50–5.CrossRefGoogle Scholar
  7. 7.
    Trelease RB, Nieder G. Transforming clinical imaging and 3D data for virtual reality learning objects: HTML5 and mobile devices implementation. Anat Sci Educ. 2013;6:263–70.CrossRefGoogle Scholar
  8. 8.
    Jack A, Burbridge B. The utilization of radiology for the teaching of anatomy in Canadian medical schools. Can Assoc Radiol J. 2012;63:160–4.CrossRefGoogle Scholar
  9. 9.
    Howland WJ, Miller CJ, Wheeler EJ. Organ system radiology. Instruction of sophomore medical students. Investig Radiol. 1985;20:416–21.CrossRefGoogle Scholar
  10. 10.
    De Barros N, Rodrigues CJ, Rodrigues AJ Jr, De Negri Germano MA, Cerri GG. The value of teaching sectional anatomy to improve CT scan interpretation. Clin Anat. 1985;14:36–41.CrossRefGoogle Scholar
  11. 11.
    Ernst RD, Baumgartner BR, Tamm EP, Torres WE. Development of a teaching file by using a DICOM database. Radiographics. 2002;22:217–21.CrossRefGoogle Scholar
  12. 12.
    Bidgood WD Jr, Horii SC, Prior FW, Van Syckle DE. Understanding and using DICOM, the data interchange standard for biomedical imaging. J Am Med Inform Assoc. 1997;4:199–212.CrossRefGoogle Scholar
  13. 13.
    Safran C, Bloomrosen M, Hammond WE, Labkoff S, Markel-Fox S, Tang PC, et al. Toward a national framework for the secondary use of health data: an American Medical Informatics Association White Paper. J Am Med Inform Assoc. 2007;14:1–9.CrossRefGoogle Scholar
  14. 14.
    Health Insurance Portability and Accountability Act [HIPAA] 1996. https://www.gpo.gov/fdsys/pkg/PLAW-104publ191/HTML/PLAW-104publ191.htm Last accessed June 29, 2018.
  15. 15.
    Personal Information Protections and Electronic Documents Act [PIPEDA]. https://www.priv.gc.ca/en/privacy-topics/privacy-laws-in-canada/the-personal-information-protection-and-electronic-documents-act-pipeda/ Last accessed June 29, 2018.
  16. 16.
    The Health Information Protection Act [HIPA] 1999. http://www.publications.gov.sk.ca/freelaw/documents/english/Statutes/Statutes/H0-021.pdf Last accessed June 28, 2018.
  17. 17.
    Bassett LW, Squire LF. Anatomy instruction by radiologists. Investig Radiol. 1985;20:1008–10.CrossRefGoogle Scholar
  18. 18.
    Berman MC, Miller JA, Chase LM, Anthony A. Teaching sectional anatomy. Academic medicine. J Assoc Am Med Coll. 1993;68:548–9.CrossRefGoogle Scholar
  19. 19.
    Shaffer K. Teaching anatomy in the digital world. N Engl J Med. 2004;351:1279–81.CrossRefGoogle Scholar
  20. 20.
    Squire LF, Novelline RA. Radiology should be a required part of the medical school curriculum. Radiology. 1985;156:243–4.CrossRefGoogle Scholar
  21. 21.
    Erkonen WE, Albanese MA, Smith WL, Pantazis NJ. Effectiveness of teaching radiologic image interpretation in gross anatomy. A long-term follow-up. Investig Radiol. 1992;27:264–6.CrossRefGoogle Scholar
  22. 22.
    Pinelle D, Burbridge B, Kalra N. USRC: a new strategy for adding digital images to the medical school curriculum. J Digit Imaging. 2012;25:682–8.CrossRefGoogle Scholar
  23. 23.
    Undergraduate Diagnostic Imaging Fundamentals. Burbridge B, Mah E. https://undergradimaging.pressbooks.com/ Last accessed July 4, 2018.

Copyright information

© International Association of Medical Science Educators 2019

Authors and Affiliations

  1. 1.Department of Medical Imaging, College of MedicineUniversity of SaskatchewanSaskatoonCanada
  2. 2.Medical ImagingRoyal University HospitalSaskatoonCanada
  3. 3.Global Institute for Food SecurityUniversity of SaskatchewanSaskatoonCanada
  4. 4.Information and Communications TechnologyUniversity of SaskatchewanSaskatoonCanada
  5. 5.Department of Radiology, Division of Translational AnatomyUniversity of Massachusetts Medical SchoolWorcesterUSA

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