16 March 2006 A unified approach for the adequate visualization of structured medical reports
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DICOM Structured Reporting (SR) allows for the exchange of structured data and coded information in a standardized way. Although SR documents cannot be viewed directly, the DICOM standard does not specify how an application should render them. As a consequence, the interoperability of SR documents which are intended to be displayed to a medical user is restricted to those structures that are known to the visualizing application. In order to avoid this limitation, we have developed a unified process for the adequate visualization of arbitrary structured medical reports. The basic idea of this new approach is to map well-known sub-structures of the document tree (e. g. templates) to appropriate display components. For this purpose, the generic processing part is strictly separated from an extensible knowledge base which includes a machine-readable description of the template structures and display components. During our work we found out that the template detection is a crucial part of the whole visualization process. On the one hand, the existing template identification method in the DICOM standard covers only a limited number of cases. On the other hand, the complexity and dynamic structure of SR templates make the detection difficult or even impossible in certain cases. Therefore, we propose to enhance this identification method and to revise the corresponding part of the standard. In conclusion, we hope that the presented approach will assist vendors in developing general purpose reporting workstations and thereby promote the use of DICOM Structured Reporting.
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Jörg Riesmeier, Marco Eichelberg, Thomas Wilkens, Peter Jensch, "A unified approach for the adequate visualization of structured medical reports", Proc. SPIE 6145, Medical Imaging 2006: PACS and Imaging Informatics, 61450P (16 March 2006); doi: 10.1117/12.653396; https://doi.org/10.1117/12.653396

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