Feature | Information Technology | June 13, 2019 | By Greg Freiherr

Cinebot Automates Production of Dynamic Files

SIIM Talk To Demonstrate Utility of GIFs and MP4 Movies

A static image drawn from a stack of brain MR images may illustrate the results of a study. But a GIF (or MP4 movie), created by the Cinebot plug-in, can scroll through that stack, providing teaching moments for residents and fellows at Georgetown University

A static image drawn from a stack of brain MR images may illustrate the results of a study. But a GIF (or MP4 movie), created by the Cinebot plug-in, can scroll through that stack, providing teaching moments for residents and fellows at Georgetown University. Image courtesy of MedStar Georgetown University Hospital

Editor’s note: This article is the third in a content series by Greg Freiherr covering the Society for Imaging Informatics in Medicine (SIIM) conference in June.

A simple and easy-to-use bot automatically creates dynamic files from images acquired in any modality at MedStar Georgetown University Hospital. “Cinebot,” as it is called, improves the ability of Georgetown radiologists to teach, present and share interesting cases, according to Ross Filice, M.D., associate professor of radiology and chief of imaging informatics at MedStar Georgetown University Hospital.

“The whole thing is automated,” Filice told Imaging Technology News (ITN). “(Cinebot) will pull the study, track the images, create the movie and then send it to the user’s email.”

Dynamic images depict the real world better than static images, he asserted. “It is much easier to show someone what is happening (in angiography), if you can watch a dynamic movie rather than just one static image,” Filice said.

The circumstances are different for CT and MRI — and so is the use of Cinebot. In these modalities, radiologists may scroll through stacks of images. Dynamic files created using Cinebot show these stacks as series of images. “We make movies so that people can see the whole stack as if they were scrolling through it themselves,” he said.

 

SIIM Presentation

Filice and the Cinebot team plan to describe the bot during a scientific session Thursday, June 27, at the annual meeting of the Society for Imaging Informatics in Medicine (SIIM). At the presentation, the Georgetown University team will argue that dynamic images enhance radiology education better than static images by allowing a more realistic interpretation of the case.

Although dynamic files may be created from images acquired in any modality, X-ray angiography has been the most popular since the plug-in became available in June 2017. This is because “our interventional radiology group has the internal weekly teaching conference, where they present cases. They use this a lot to facilitate that conference,” Filice said.

Cinebot files are mostly used internally to teach cases to residents and fellows. They are also shown at external conferences to illustrate presentations. The files could be sent to referring physicians to illustrate findings, although Filice is not aware of instances when they were used for this purpose. Medico-legal — not technology — concerns have been the big limitation, according to Filice. A major worry, he said, is the protection of patient health information (PHI).

Cinebot tries to exclude patient-specific data. Occasionally, however, such data get into the files. It is the responsibility of the requestor, Filice said, to ensure that PHI is not accidentally transmitted.

The bot overcomes what he describes as “technology obstacles” associated with converting DICOM data. Cinebot deals with the DICOM challenge by going to the PACS archive and using DICOM toolkits to pull up and assemble the appropriate images.

Dynamic files are emailed internally to requestors, who are responsible for ensuring that all protected health information has been excluded.

“We audit who is viewing the study, who is requesting the movie, and where the movies (and GIFs) are sent,” he said.

 

How Cinebot Works

Users at Georgetown University Hospital — typically radiologists or attending physicians — trigger Cinebot using a JavaScript plug-in, which appears on-screen in a display window of the Georgetown University PACS. Users right-click the images to be included in the movie or GIF. The bot then pulls the images from the archived study and compiles them in either file format.

GIFs are especially popular because, when clicked, they play in loops. Also they reliably play in PowerPoint presentations, Filice noted.

Cinebot was written specifically for use on the Georgetown University Hospital PACS. Therefore, it is not plug-and-play on any PACS. To be used at other institutions, Cinebot would have to be customized to work with their PACS, he said. Also, the Georgetown University technology commercialization office would have to approve its external use.

Filice said he would “be happy to try to work out” a mechanism to share Cinebot with interested parties.

 

Greg Freiherr is a contributing editor to Imaging Technology News (ITN). Over the past three decades, he has served as business and technology editor for publications in medical imaging, as well as consulted for vendors, professional organizations, academia, and financial institutions.

 

Related content:

DeepAAA Uses AI to Look Automatically For Aneurysms

Making AI Safe, Effective and Humane for Imaging

“Cinebot: Efficient Creation of Movies and Animated Gifs for Presentation and Education Directly from PACS” 

Related Content

Philips Signs Agreement to Create Taiwan's First Fully Digitalized Pathology Department
News | Digital Pathology | August 23, 2019
Philips announced that Taipei Veterans General Hospital (TPVGH) will utilize the Philips IntelliSite Pathology Solution...
Glassbeam Introduces AI-powered Rules and Alerts Engine for Clinsights
News | Analytics Software | August 23, 2019
Glassbeam Inc. revealed several technology enhancements in its Rules & Alerts engine that make it dramatically...
Sectra Signs Enterprise Imaging Contract With Vanderbilt Health
News | Enterprise Imaging | August 21, 2019
Sectra will install its enterprise imaging picture archiving and communication system (PACS) and vendor neutral archive...
Videos | Computed Tomography (CT) | August 21, 2019
This is a quick walk around of a mobile 32-slice...
News | Cybersecurity | August 20, 2019
Healthcare data breaches are currently being reported at a rate of more than one a day, according to a new report from...
The CT scanner might not come with protocols that are adequate for each hospital situation, so at Phoenix Children’s Hospital they designed their own protocols, said Dianna Bardo, M.D., director of body MR and co-director of the 3D Innovation Lab at Phoenix Children’s.

The CT scanner might not come with protocols that are adequate for each hospital situation, so at Phoenix Children’s Hospital they designed their own protocols, said Dianna Bardo, M.D., director of body MR and co-director of the 3D Innovation Lab at Phoenix Children’s.

Sponsored Content | Case Study | Radiation Dose Management | August 13, 2019
Radiation dose management is central to child patient safety. Medical imaging plays an increasing role in the accurate...
Lake Medical Imaging Selects Infinitt for Multi-site RIS/PACS
News | PACS | August 09, 2019
Infinitt North America will be implementing Infinitt RIS (radiology information system)/PACS (picture archiving and...
Half of Hospital Decision Makers Plan to Invest in AI by 2021
News | Artificial Intelligence | August 08, 2019
August 8, 2019 — A recent study conducted by Olive AI explores how hospital leaders are responding to the imperative
NetDirector Launches Cloud-based PDF to DICOM Conversion Service
News | PACS | August 08, 2019
NetDirector, a cloud-based data exchange and integration platform, has diversified their radiology automation options...
ScImage Introduces PICOM ModalityGuard for Cybersecurity
Technology | Cybersecurity | August 07, 2019
ScImage Inc. is bridging the gap between security and functionality with the introduction of the PICOM ModalityGuard....