Imaging Integrated Image Management Delivering support for Digital Pathology

CliniSys Two Bridges, Guildford Street, Chertsey, Surrey, KT16 9AU Phone: +44 (0)1932 581 200 Fax: +44 (0)1932 581 301 Enquiries@CliniSys.Co.UK

Integrated Image Management

Any Medical Image From Any Device From Any Location A key benefit of Imaging is the production of diagnostic quality images at the point of capture. Imaging is compatible with all image capture devices and images irrespective of the manufacturer. Gross Images, micro images from microscope mounted cameras, molecular imaging, electron microscopy, autopsy images, whole slide scanners are just a few of the image types supported through Imaging. CliniSys fully understands that workflows and working practices differ from customer to customer. To support our customers, Imaging has been developed to be extremely flexible and totally configurable to individual needs. An example of this flexibility can be seen within the ability for each user to configure the mouse button tools for their individual needs. On user may wish for the left mouse button to operate a zoom facility whereas another user may prefer it to operate a contrast adjust instead. The middle wheel of the mouse can also be used for rapid scrolling through a stack of images or studies.

CliniSys Imaging has been developed to support the emerging requirements for digital pathology and to resolve the common issues in accessing and managing images currently experienced in pathology. Pathology images are currently typically stored outside of the LIMS, which creates a disconnect between the pathology event and the image. Images are often stored in various formats, including some proprietary to the device, and are viewed either locally or not at all. Due to a lack of a central storage solution, images are rarely being stored or saved, and are not integrated or shared outside of the pathology department. With a single central storage for all images and integration with CliniSys LIMS, Imaging addresses the increased call to share, review, save and link images to the hospital infrastructure in line with the principles of interoperable IT connectivity, essential for the drive for greater efficiency highlighted in Lord Carter’s report and the QIPP agenda. Imaging uses open industry standard Dicom 3.0, the de-facto standard for transmission of diagnostics grade medical images. Having the image fully integrated with the CliniSys LIMS and with all necessary patient demographics routinely embedded within the image itself, Imaging provides improved levels of patient safety and is fully supportive of data governance requirements with patient centric images.

Imaging Integrated Image Management Delivering support for Digital Pathology

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CliniSys Two Bridges, Guildford Street, Chertsey, Surrey, KT16 9AU Phone: +44 (0)1932 581 200 Fax: +44 (0)1932 581 301 Enquiries@CliniSys.Co.UK

A Single Clinical Platform

Delivering a centralised, secure and robust storage and retrieval facility for all pathology images, Imaging provides a single clinical platform and viewer that links the CliniSys Laboratory Information System to acquire, review and store images without leaving the existing platform thus reducing the risk of misinterpretation and increasing efficiencies. CliniSys ensures complete integrity of the relationship between the image and the patient demographic data. Having the patient demographics embedded within the image ensures patient safety and improved data governance through to the patient record. Clinicians are supplied with diagnostic quality images in a single comprehensive functional viewer. The provision of a “lossless” jpeg, is an indispensable tool when the image is being used to make diagnostic observations i.e. there is no loss of quality when magnifying the image. Images are stored in a compressed secure format without any reduction in quality and cost savings can be identified through reduced hardware overheads.

Standardised Image Formats Imaging does not employ proprietary protocols which may restrict users to specific devices but is instead based upon open industry standards giving the freedom to choose the best image capture solution on its merits. Dicom 3.0, the de-facto standard for transmission of medical images and their associated metadata is used by Imaging. Devices and equipment that are non Dicom compatible are also supported through Imaging’s ability to convert the image into the Dicom standard. Other standards employed include HL7 for transferring any text based information and IHE which is used to define the standard workflow for diagnostic imaging departments.

Imaging Integrated Image Management Delivering support for Digital Pathology

3

CliniSys Two Bridges, Guildford Street, Chertsey, Surrey, KT16 9AU Phone: +44 (0)1932 581 200 Fax: +44 (0)1932 581 301 Enquiries@CliniSys.Co.UK

Architecture Overview and Workflows Imaging’s architectural design provides a central sever based solution delivering a truly scalable and networkable solution supporting biomedical staff and clinicians working at separate and remote locations. Being a departmental and/or Trust wide solution, Imaging is supportive of the evolving workflows seen as a result of the increasing prevalence for multi site pathology services. Images can also be easily distributed / accessed for teaching and multidisciplinary team meetings purposes.

Embedded patient demographics and metadata on all images – data governance

Image zoom and magnification options maintaining sharpness and clarification - lossless jpeg

Multiple images on screen – support of levels

Image comparison features

Image rotation / vertical flip

Add annotations with definable presets

On screen measurements

Contrast and brightness options

Greyscale and colour negative/invert

Manual calibration tool

Various angles and angled lined measurements

Example Workflow

Comprehensive Toolset for Image Manipulation The Image viewer within Imaging is a high end multi-modality image display application. It enables diagnostic quality images to be viewed, manipulated and annotated on a standard computer screen.

(c) CliniSys Solutions Ltd. All trademarks are the properties of their respective owners. All information was believed to be correct at the time of publishing. CliniSys cannot be held reponsible for any errors or ommissions.

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Company Contact Details

CliniSys Two Bridges

Guildford Street Chertsey Surrey

KT16 9AU

Phone: +44 (0)1932 581 200 Fax: +44 (0)1932 581 301 Enquiries@CliniSys.Co.UK