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Radiology Image Data Mining and Research PACS Services

Radiology Image Data Mining and Research PACS Services

Synopsis

We provide technical support for pulling images from the clinical PACS for purposes of research as well as handling research images acquired under IRB approved imaging studies.

Data Flow and Services

Research PACS Services

The DICOM image format and PACS storage systems are the de facto standards employed by medical imaging scanners and hospital digital storage systems.  We have the expertise with the standards to help you move your images from acquisition points and the clinical PACS to your storage destination.


Service
Stand-alone
Research PACS
(SRP)
Query/Retrieve & Anonymization Service (QRAS)
Routing images from scanners (prospective) Yes If anonymization required
Routing images from the clinical PACS (prospective/retrospective) No Yes

Curated Anonymized Image Repository (CAIR)

Synopsis

We have IRB approval to build an anonymized image repository based on the clinical imaging record.  We are currently building an infrastructure that would enable researchers to propose studies of the clinical imaging record that would execute under our IRB without the need for a separate retrospective IRB on the part of the researchers.  Our IRB permits us to coordinate with the Data Science Services team to capture ancillary data from the electronic health record (HER) related to the imaging studies we pull from the clinical PACS.  

As studies are executed, we will curate the growing collection of anonymized images for use in future studies.  Ongoing curation of the repository is an important part of our mission so that we continue to add value to the images beyond their original clinical application.

Conditions

The following are important constraints imposed by our IRB:

  • The researcher cannot select the patients
  • Neither explicitly using personal health information (PHI) or personal identifiable information (PII)
  • Nor implicitly by specifying selection criteria that are necessarily too narrow or too broad
  • Researchers with access to the clinical record are forbidden from re-identifying any anonymized data they receive.
  • The researcher will receive fully anonymized images
  • Stripped of all PHI/PII according to HIPAA safe harbor standards
  • Scalp and skull surfaces removed to prevent facial recognition
  • No lookup table will be provided linking anonymized to original subjects
  • We do not yet have the capability to remove “burned in" PHI.   Some images (ex. some PET and US) may not be accessible under this IRB as a result.
Project Type 
(Complexity)
Description of Factors 
(Factors Not Limited to this list.)
Billable Hours
Approximate Cost 
$180/hour
Low
  1. Criteria is clearly defined
  2. Minimal coding of search criteria
  3. Minimal meetings & email to clarify request
  4. Small image dataset (<250 studies)
  5. One to two image modalities
  6. Default anonymization scheme
  7. Ease of delivery (Client familiar with DICOM)

<=20

+ 2 per each additional 250 studies

< $3600

+$340 per each additional 250 studies

Medium
  1. Criteria needs clarification
  2. Moderate coding of search criteria
  3. Moderate meetings & email to clarify request
  4. Moderate image dataset (<1500 studies)
  5. Two to three image modalities
  6. Moderate modification of anonymization scheme
  7. Client requires techincal support retrieving/using DICOM

> 20 to 80

+ 4 per each additional 250 studies

$3600 - $14400

+ $720 per each additional 250 studies

 

High
  1. Criteria needs many iterations for clarification
  2. Significant coding of search criteria
  3. Many meetings & emails to clarify request
  4. Large image dataset (> 5000)
  5. Removal of "burned in" PHI from images
  6. Signification modification of anonymization algorithm
  7. Client requires significant technical support

> 80

+ 8 per each additional 250 studies

+160 for "burned in" PHI

> $14400

+ $1440 per each additional 250 studies

+ $28800 for "burned in" PHI

Contact

For those interested in executing an image study under our repository IRB, we will have an application form soon, but in the meantime researchers can contact John Roberts for details.

John Roberts

Research Associate • Radiology Research