In 2005, Tufts University School of Dental Medicine was ready to make the school-wide move to digital radiography.
While most of the school was still using traditional film, Tufts had already transitioned to digital sensors in two departments.
However, bringing digital radiography to all nine floors of the school's campus at the New England Medical Center
complex in Boston would be much more of a challenge.
Already running on axiUm clinical management software for nearly a year and a half, TUSDM needed a digital imaging
solution that would integrate seamlessly with their current system. The school needed an integration piece that would
not only open the patient's record in the imaging software, but pass the currently logged-in user's security group to
restrict certain types of users from parts of the software.
The school was already using Gendex digital sensors in the radiology and post-grad endodontics departments
with no centralized archive. The system that was in place followed a "print and delete" workflow, where only hard
copies of the digital images were retained. Tufts needed an imaging system that would work with these sensors,
as well as devices from any other vendors. Their goal was to have a system where images would be accessible
from any of the school's 250 operatory PCs.
TUSDM had already arranged to purchase additional imaging devices from Kodak, GE/Instrumentarium, and GE/Soredex.
The school needed a comprehensive imaging solution that would incorporate support for these devices,
as well as any devices the University may acquire in the future.
A key factor for their decision was that the system would be fully DICOM-compliant, meaning that images would be
stored in an industry-standard format. Tufts didn't want to keep their image archive in a proprietary database and image format.
In the summer of 2005, Medicor Imaging coordinated with Tufts and all other parties involved to implement the
solution that they needed. MiPACS Dental Enterprise Solution provided all of the features and scalability
that a school the size of Tufts needed.
Support for Multiple Capture Devices
TUSDM needed support for GE/Instrumentarium Orthopantomograph OP100D Panoramic/Cephalometric device,
GE/Soredex Digora OpTime phosphorus plate scanner, Kodak RVG6000 intraoral sensors and 8000C Panoramic/Cephalometric device,
and Gendex Visualix EHD intraoral Sensors.
MiPACS Dental Enterprise Viewer already had support for all of the devices except Kodak's new RVG6000 and 8000C.
Medicor Imaging's development team collaborated with developers from Kodak Dental Imaging to add support for
these devices to MiPACS. In addition, Medicor implemented support for the newest Gendex drivers at Tufts' request.
Seamless Integration with axiUm
Medicor Imaging assisted Exan Software, makers of axiUm, in adding integration with MiPACS into their
clinical management software. Engineers from Medicor and Exan worked together to ensure that the integration was successful.
Medicor further catered to Exan's integration requirements by adding support for user group security into MiPACS.
Previously, security in MiPACS was handled only by individual accounts, but adding the ability to govern user
security in groups allowed Exan to keep their current security structure in place.
Unified application for all stations
Tufts was faced with a difficult situation, since each of its imaging device types was manufactured by a different vendor.
Each device inherently used different imaging applications. Over 250 computers needed to be able to view images,
and installing four imaging applications to accommodate each of their imaging devices would be too much of a burden
on the school's IT staff. In addition, this would be a great burden to the students. They would have no idea which
imaging application to use when searching for a patient's record. The students would also be faced with learning four
imaging applications instead of one.
MiPACS unites all the devices into one application, both for capture stations and view stations.
The IT staff and students benefit greatly since they only have one application to maintain and learn, respectively.
Medicor Imaging worked closely with the school's dentists and radiologists in each department to ensure that the
image quality in MiPACS met or exceeded that of each device's inherent imaging software. Through extensive testing
and research, Medicor Imaging delivered images that the entire faculty and staff were happy with.
Complete DICOM Solution
Previous to MiPACS, the school was using a non-DICOM-compliant imaging software for the few departments using
digital radiography. This software stored images in a single folder, and was based on a proprietary database,
which means that the school didn't truly own the data.
MiPACS now keeps their images organized since the server only stores images in DICOM format. Using this industry-standard,
"open" format means that the school owns their data and are no longer restricted to proprietary databases and image
formats not used by most popular imaging software packages.
MiPACS Storage Server uses DICOM communication over TCP/IP, which means that any computer or device that can use
DICOM communication can store images to the server. This includes devices like Cone-beam CT scanners, MRI machines, and more.
On September 20, 2005, Tufts University brought all nine floors of the School of Dental Medicine live. Medicor
representatives were present at the go-live date to assist in any potential problems, but only minor issues
arose and were fixed in a timely manner.
Tufts University School of Dental Medicine now has an imaging solution that fulfills all its needs.
Medicor Imaging will continue to work with the school to ensure its satisfaction with MiPACS Dental Enterprise Solution.