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Development of a Teaching File by Using a DICOM Database¹

¹ From the Department of Radiology, University of Texas Medical Branch at Galveston, 301 University Blvd, G09, Galveston, TX 77551 (R.D.E.); the Department of Radiology, Emory University, Atlanta, Ga (R.D.E., B.R.B., W.E.T.); and the Department of Diagnostic Radiology, University of Texas M.D. Anderson Cancer Center, Houston, Tex (E.P.T.). Presented as an infoRAD exhibit at the 2000 RSNA scientific assembly. Received January 9, 2001; revision requested February 13 and final revision received May 31; accepted June 18. Address correspondence to R.D.E. (e-mail: rernst@massmed.org).

A teaching file of Digital Imaging and Communications in Medicine (DICOM) images was developed. Selected computed tomographic, magnetic resonance, angiographic, nuclear medicine, and ultrasonographic images were transferred to a personal computer (PC) with a 75-GB hard drive. The database created from the DICOM header information was modified to include American College of Radiology (ACR) Learning File categories. Database modification allowed cases to be searched by diagnosis, by findings, and by patient age, sex, and demographics. Technologists inputted ACR codes into the DICOM headers before the images were acquired, thereby reducing database maintenance time. Images were manipulated and reviewed and were used for case presentations, board review, and conferences. Selected images were transferred via a hospital network to workstations for consultation, saving time for referring clinicians. The teaching file is reliable, cost-effective, and easy to install and takes advantage of recent technologic advances in computer hardware and software. Rapid cost reductions and increases in PC storage capacity allow maintenance of the teaching file in DICOM format without intermediate steps involving automation or manual conversion. This setup rivals any of the proprietary software currently available from other vendors.

© RSNA, 2002

Index Terms: Computers • Computers, educational aid • Computers, multimedia • Digital imaging and communications in medicine (DICOM)

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