A proposal for communication of intraoperative contextual information via DICOM Unified Procedure Steps

Patrick Beyersdorffer; Denise Junger; Oliver Burgert

doi:10.1117/12.2653263

10 April 2023 A proposal for communication of intraoperative contextual information via DICOM Unified Procedure Steps

Patrick Beyersdorffer, Denise Junger, Oliver Burgert

Proceedings Volume 12469, Medical Imaging 2023: Imaging Informatics for Healthcare, Research, and Applications; 124690K (2023) https://doi.org/10.1117/12.2653263
Event: SPIE Medical Imaging, 2023, San Diego, California, United States

Abstract

[Motivation] In order to enable context-aware behavior of surgical assistance systems, the acquisition of various information about the current intraoperative situation is crucial. To achieve this, the complex task of situation recognition can be delegated to a specialized system. Consequently, a standardized interface is required for the seamless transfer of the recognized contextual information to the assistance systems, enabling them to adapt accordingly. [Methods] Our group analyzed four medical interface standards to determine their suitability for exchanging intraoperative contextual information. The assessment was based on a harmonized data and service model derived from the requirements of expected context-aware use cases. The Digital Imaging and Communications in Medicine (DICOM) and IEEE 11073 for Service-oriented Device Connectivity (SDC) were identified as the most appropriate standards. [Results] We specified how DICOM Unified Procedure Steps (UPS), can be used to effectively communicate contextual information. We proposed the inclusion of attributes to formalize different granularity levels of the surgical workflow. [Conclusions] DICOM UPS SOP classes can be used for the exchange of intraoperative contextual information between a situation recognition system and surgical assistance systems. This can pave the way for vendor-independent context awareness in the OR, leading to targeted assistance of the surgical team and an improvement of the surgical workflow.

Conference Presentation

Citation Download Citation

Patrick Beyersdorffer, Denise Junger, and Oliver Burgert "A proposal for communication of intraoperative contextual information via DICOM Unified Procedure Steps", Proc. SPIE 12469, Medical Imaging 2023: Imaging Informatics for Healthcare, Research, and Applications, 124690K (10 April 2023); https://doi.org/10.1117/12.2653263

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