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A Cumulative Reporting System for Tumor Measurements and Integration with PACS and RIS

Thursday, October 11, 2012 — Poster Session III

10:00 a.m. – Noon

Natcher Conference Center, Building 45




  • J. Huang
  • D. A. Bluemke
  • X. Zhang
  • R. M. Summers
  • L. R. Folio
  • J. Yao


Cancer clinical trials are increasingly reliant on radiographic medical images to track tumor size changes and response to therapy. However, limited and unclear reporting impairs the ability to adequately evaluate the quality and conclusion of these trials across multiple providers and facilities. We describe the development of a semi-automated, cross-platform, web accessible, vendor-independent database and cumulative reporting system for tumor measurements and demonstrate its capability to communicate with the picture archival communication system (PACS) and radiology information system (RIS), two hospital information systems (HIS) within the NIH Radiology and Imaging Sciences department. This innovative system captures parameters appropriate for longitudinal assessment of multiple tumor changes and provides a comprehensive report that contains a summary of all the clinical findings and links to original image studies. A case study on a pancreatic tumor data set with 134 patients, 183 tumors, 356 time points, and 524 tumor measurements is demonstrated in this poster. Clinically, our system will enhance the workflow of the oncologists within the Clinical Center and the National Cancer Institute. Furthermore, our successful integration with the two HIS will increase future collaboration between multiple health institutions and enhance research opportunities relating to inter-facility data mining.

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