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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 Struct 
Object 
RT Plan 
Object 
RT Image 
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 
Can select the data 
type to view 
Calendar View to 
see when data were 
collected 
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
Thanks to the ARTFIBio 
team for their inputs 
That’s all Folks!

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A Web-platform for radiotherapy, a new workflow concept and an information sharing tool

  • 1. 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
  • 2. 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
  • 3. 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)
  • 4. ARTFIBIO - DICOM Hierarchy STUDY CT Object PET Object MRI Object RT Dose Object RT Struct Object RT Plan Object RT Image Object CASE SERIE ??
  • 5. ARTFIBio. General view NEW CASE GENERAL DATA UPLOAD FILES VERIFY FILES CHEMOTERAPY SURGERY
  • 6. Treatment General Data NEW CASE GENERAL DATA UPLOAD FILES VERIFY FILES CHEMOTERAPY SURGERY
  • 7. 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.
  • 8. Check FIles NEW CASE GENERAL DATA UPLOAD FILES VERIFY FILES CHEMOTERAPY SURGERY
  • 9. CHEMOTHERAPY NEW CASE GENERAL DATA UPLOAD FILES VERIFY FILES CHEMOTERAPY SURGERY • Optional. From the case list.
  • 10. SURGERY NEW CASE GENERAL DATA UPLOAD FILES VERIFY FILES CHEMOTERAPY SURGERY • Optional. From the case list.
  • 12. See Case. General Info and Actions
  • 13. Schedule. CT Can select the data type to view Calendar View to see when data were collected View and annotate the data Download the annonymised DICOM
  • 14. Schedule. PET For each type of DICOM object, some metadata can be edited. But DICOM object is NOT changed.
  • 15. Schedule. MRI For each type of DICOM object, some metadata can be edited. But DICOM object is NOT changed.
  • 16. SCHEDULE. RT DOSE • All info in a single DICOM object. Each z-plane of the bulk image can be previewed
  • 17. See Case. Genral Info and Actions
  • 18. Visualization & Registry • Based on Virtual Machines • Integrates Registry Application • This method can be used for other desktop Linux Applications
  • 19. Thanks to the ARTFIBio team for their inputs That’s all Folks!