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This PACS Fundamentals course is offered FREE as an introduction to OTechU's online courses. It is actually a compilation of the first lessons of four separate courses on the subjects of Medical Imaging, PACS, Healthcare Standards and PACS Workflow.

Course Objectives
You will be able to:

  • Recognize various DICOM components and be able to categorize DICOM services based on image communication, image and information management, and image quality.
  • Classify different DICOM header attributes according to their type definitions, which are also known as Value Representations.
  • Address issues with the DICOM protocol.


Skills Taught
After the course you will be able to:

  • Breakdown a DICOM header into its modules and attributes to allow for corrections and troubleshooting.
  • Configure a device by applying knowledge about packet sizes, addressing, and the various transfer and abstract syntaxes used for communication.
  • Troubleshoot DICOM connections, recognizing negotiation and communication as part of the Association.


Course Contents
After the course you will be able to:

  • Introduction to DICOM, components, levels and essential parts of the DICOM information model. Conformance, different parts of the standard.
  • Attributes, such as sequences and codes, enumerated values, defined terms, implicit, explicit, clinical trials, VET, DICONDE
  • Protocols, Addressing, roles SCU/SCP, Associations negotiation, AS, Xfer Synt, Pres cont., ACSE and DIMSE. SOP Class concept and UID's
  • Image objects, Secondary Capture, PDF, Multi-frame, Enhanced SOP Classes, specimen encoding


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Course Objectives
You will be able to:

  • Use the different DICOM protocol services based on the required functionality.
  • Recognize the different services to be used for input and output of images on different media, such as paper, film and electronic media.
  • Identify typical errors that might frequently occur when trying to import images from electronic media.
  • Analyze conformance statements for potential interoperability issues.


Skills Taught
After the course you will be able to:

  • Select the appropriate DICOM services needed to achieve certain tasks.
  • Analyze from a typical log file the different protocol commands used for the different services.
  • Troubleshoot any common issues related to importing CD's.
  • Perform a gap analysis based on conformance statements.
  • Select the appropriate tools for verification and validation.


Course Contents
After the course you will be able to:

  • Composite, Normalized, Verification, MWL
  • MPPS, Store and extended negotiation, STC, Q/R and Keys
  • Output to Print, Print options and issues. Exchange media. Common issues, IHE PDI. Import documents
  • Conformance statements, how to read them, tables, media support, gap analysis, testing and validation

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Course Objectives
You will be able to:

  • Identify which services are needed to support an efficient workflow
  • Interpret Structured reports such as used for measurements
  • Establish the correct workflow to facilitate CAD processing
  • Understand the DICOM information model with regard to scheduled and performed procedures and know what unique identifiers to use

Skills Taught
After the course you will be able to:

  • Set up a dose registration system using the Dose SR as input
  • Specify what services are needed to synchronize different PACS systems and archives
  • Use DICOM web services to exchange information

Course Content


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Course Objectives
You will be able to:

  • Select the appropriate tools for verification and validation
  • Select the appropriate encoding for overlays, text and annotations
  • Distinguish between the different compression schemes that are specified as part of the DICOM standard

Skills Taught
After the course you will be able to:

  • Troubleshoot image quality and display issues
  • Configure a DICOM device with regard to addressing
  • Troubleshoot network connectivity and interpret the protocol

Course Content

  • Pixel pipeline, fusion and registration
  • Overlays, greyscale and color, blended and extensions to presentations states, compression
  • Networking, addressing, configuration management and security
  • Troubleshooting, active and passive test tools such as sniffers and validators, adding a new modality


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Course Objectives
You will be able to:

  • Identify the major hardware components and their peripherals that are involved with the healthcare IT information systems
  • Distinguish between the different software layers and applications
  • Obtain a basic knowledge about the different Operating Systems and Database systems

Skills Taught

After the course you will be able to:

  • Perform basic hardware and software maintenance and upgrades
  • Execute basic operating system commands and run utilities
  • Perform simple queries using SQL
  • Perform basic diagnosis using standard utilities and tools

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Course Objectives
You will be able to:

  • Distinguish between the different networking technology components
  • Identify the major imaging technology infrastructure parts such as the archive and database
  • Use the different pixel annotations in binary and hexadecimal encoding

 

Skills Taught
After the course you will be able to:

  • Identify and implement the various security mechanisms
  • Perform basic network troubleshooting tasks 
  • Interpret the different binary and hexadecimal encoding in computer dumps

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Course Objectives
You will be able to:

  • Identify the major body parts that make up each body system
  • Explain the function of each body part
  • Identify and recognize body parts in the different imaging modalities

 

Skills Taught
After the course you will be able to:

  • Recognize and use different anatomical coding systems
  • Understand clinical terminology when discussing with medical professionals the issues with healthcare technology
  • Relate diseases to the corresponding body part and function

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Course Objectives
You will be able to:

  • Recognize the different imaging technologies by looking at the images
  • Understand the technology for each modality that is used to create medical images
  • Use the appropriate medical terms, including those related to patient orientation

Skills Taught
After the course you will be able to:

  • Estimate archive usage for managing medical images as you become familiar with the different image sizes
  • Configure the appropriate display protocols on workstations based on modality type and patient orientation
  • Understand the image acquisition chain for X-ray images

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Course Objectives
You will be able to:

  • Distinguish between the Computerized and (direct) Digital Radiography (CR/DR)
  • Understand the advantages for both CR and DR technology
  • Understand typical workflows for radiology and the most common other specialties using imaging technology

Skills Taught
After the course you will be able to:

  • Perform a workflow analysis
  • Recommend workflow changes depending on the analysis performed
  • Implement a CR/DR quality assurance program

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Course Objectives
You will be able to:

  • Describe and differentiate for all major imaging modalities:
    • Basic operating principles
    • Typical clinical applications
    • Image formats and appearances
    • Data volumes / file sizes
    • Interpretive considerations
    • Typical exam protocols

Skills Taught
After the course you will be able to:

  • Estimate the potential impact of all common digital modalities on storage capacity, infrastructure and system performance.
  • Identify bottlenecks in a digital department workflow based on examination characteristics.
  • Specify workstation software and display requirements based on the image type and characteristics.
  • Recognize the most common medical image types and match them with the modality that generated it.


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Course Objectives
You will be able to:

  • Identify key hardware components of PACS architecture, including network components, servers, diagnostic workstations and printers.
  • List the key functionality of the various PACS components.
  • Differentiate between common PACS architectures such as Web-based viewing, integrated Web servers, multiple tier archives, the role of specialty workstations and modalities.
  • Distinguish PACS architectures from different vendors (similarities and differences).


Skills Taught
After the course you will be able to:

  • Determine what PACS systems are meant to accomplish.
  • Identify the potential impact of PACS implementation on productivity.
  • Approximate the production data rate of a PACS system.
  • Differentiate between the architecture and features offered by different players in this industry.


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Course Objectives
You will be able to:

  • Distinguish between the different health care IT domains and identify applicable standards (DICOM/HL7) .
  • Identify which interface standard and standard component impacts workflow, presentation of information and image quality.
  • Analyze and compare interface specifications.

Skills Taught
After the course you will be able to:

  • Specify which standards and services/profiles to be used for successful integration.
  • Evaluate vendor proposals for health care IT implementations from a technical integration perspective.
  • Interpret the basic DICOM and HL7 message structure and IHE profile definitions.


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Course Objectives
You will be able to:

  • Make a diagram showing how PACS components are connected from a workflow perspective, including any relevant interfaces.
  • Select the right tools to perform an analysis.
  • Appreciate the differences in workflow between various specialties and organizational structures, particularly radiology, cardiology and radiation therapy.

Skills Taught
After the course you will be able to:

  • Identify potential bottlenecks and issues for a typical imaging workflow.
  • Read and interpret workflow diagrams.
  • Perform a simple departmental workflow analysis.
  • Use different workflow tools to create simple workflow diagrams and charts.


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Course Objectives
You will be able to:

  • Distinguish between the different versions of HL7 version 2
  • Identify the different segments in a message
  • Differentiate between the two acknowledgement modes
  • Identify the trigger events in the message

Skills Taught
After the course you will be able to:

  • Parse an HL7 version 2 message
  • Read an Abstract Syntax definition to find out if it matches an actual message
  • Interpret the text and numeric data fields
  • Identify the main components of the patient identification, visit, observation and allergy segments

Course Contents

  • History and background, protocol, versions, version 3 relationship and IHE
  • Message structure and behavior, segments, encoding, trigger events, Abstract Message Syntax, Acknowledgements, TXT and Numerics
  • Patient Administration (ADT), MSH, EVN segments
  • Admission details, Identification, Visit, Observations and Allergy segments

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Course Objectives
You will be able to:

  • Understand Order messages and the role of the order placer and filler
  • Identify what belongs in the ORC and OBR order segments
  • Understand the impact of any of the patient corrections, such as merge, move, updates and changes

Skills Taught
After the course you will be able to:

  • Interpret the coded data elements and date/time
  • Use the appropriate message for changing any of the patient information
  • Understand the results messages such as used for labs or radiology
  • Read and interpret the IHE technical framework with regard to the HL7 messages

Course Contents

  • Coded terminologies, Date/Time datatypes
  • Order placer, filler, ORM, ORC, OBR, QPD, RCP
  • Modifications: cancelations, updates, moves, merges, changes (ADT) and results (ORU)
  • Integration using HL7: PAM, PIX and PDQ profiles of IHE

Purchase this course

The association for Medical Imaging Management for 4 Category A ARRT continuing education credits, which could also satisfy other organizations such as PARCA and CIIP continuing education requirements.

The association for Medical Imaging Management for 4 Category A ARRT continuing education credits, which could also satisfy other organizations such as PARCA and CIIP continuing education requirements.

The association for Medical Imaging Management for 4 Category A ARRT continuing education credits, which could also satisfy other organizations such as PARCA and CIIP continuing education requirements.

The association for Medical Imaging Management for 4 Category A ARRT continuing education credits, which could also satisfy other organizations such as PARCA and CIIP continuing education requirements.