A Web-platform for radiotherapy, a

new workflow concept and an

information sharing tool

Andrés Gómez, J.C. Mouriño, & M

Sánchez

agomez@cesga.es

This work has been supported by ISCIII

Grant PI11/02035

ARTFIBio

• Objective: create an information network to develop predictive individualized models of the tumor response to radiotherapy, able to define more effective adaptive treatments – Developing all the tools for the evaluation of the tumor response in

Head&Neck Cancer based on functional images, dissymmetry, incidents during the treatment and biopsies, with a predictive analytic model that considers the initial state and the expected treatment and an adaptive model that considers the early tumor response to the treatment.

– Develop a web infrastructure for research in RT and other oncology specializations that allows the evaluation of the tumor response to several treatments based on functional images and other data.

• Radiotherapy (RT) is changing from image guided to biology guided

ARTFIBio. WEB Infrastructure

• Shared data store – Chemotherapy data (*)

– Surgery data (*)

– Biopsies data

– Patient’s images (CT, MRI, PET) (*)

– Radiotherapy Plan data (*)

– Radiotherapy Delivery data

• Registration tools (*)

• Infrastructure to check new models

• Integration with e-IMRT (verification of treatment doses)

ARTFIBIO - DICOM Hierarchy

STUDY

CT

Object PET

Object

MRI

Object

RT Dose

Object

RT Image

Object

RT Plan

Object

RT Struct

Object

CASE

SERIE

??

ARTFIBio. General view

NEW CASE

GENERAL DATA

UPLOAD FILES

VERIFY FILES

CHEMOTERAPY

SURGERY

Treatment General Data

NEW CASE

GENERAL DATA

UPLOAD FILES

VERIFY FILES

CHEMOTERAPY

SURGERY

Upload Files

NEW CASE

GENERAL DATA

UPLOAD FILES

VERIFY FILES

CHEMOTERAPY

SURGERY

• Anonymises the DICOM Objects

• Compresses them in one file.

• Submits them to server.

Check FIles

NEW CASE

GENERAL DATA

UPLOAD FILES

VERIFY FILES

CHEMOTERAPY

SURGERY

CHEMOTHERAPY

NEW CASE

GENERAL DATA

UPLOAD FILES

VERIFY FILES

CHEMOTERAPY

SURGERY

• Optional. From the case list.

SURGERY

NEW CASE

GENERAL DATA

UPLOAD FILES

VERIFY FILES

CHEMOTERAPY

SURGERY

• Optional. From the case list.

ARTFIBio. General view

See Case. General Info and Actions

Schedule. CT

Calendar View to

see when data were

collected

Can select the data

type to view

View and annotate

the data

Download the

annonymised

DICOM

Schedule. PET

For each type of DICOM

object, some metadata can

be edited. But DICOM

object is NOT changed.

Schedule. MRI

For each type of DICOM

object, some metadata can

be edited. But DICOM

object is NOT changed.

SCHEDULE. RT DOSE • All info in a single

DICOM object.

Each z-plane of the bulk image

can be previewed

See Case. Genral Info and Actions

Visualization & Registry

• Based on Virtual

Machines

• Integrates Registry

Application

• This method can be

used for other

desktop Linux

Applications

That’s all Folks!

Thanks to the ARTFIBio

team for their inputs