Cost-Effective Near-Term Medical Image Sharing for Clinical Studies


How does it work: The DoD and the VA continually collaborating for advancing the treatment of PTSD and TBI. There are many studies under way, including a study at Veterans Affairs Medical Center, Boston, MA, and the Hyperbaric Oxygen Therapy (HBO2) project, which collects data, including neuroimaging data, regarding the efficacy of HBO2 treatment for Traumatic Brain Injury (TBI) in a military population. In many of these studies, the data is transferred in a very nonconventional fashion, i.e., the drives are pulled and shipped via United Parcel Service (UPS) or FEDEX by and between the VA and DoD, due to the lack of required certification of the program’s solution for image sharing. The infrastructure allowing the transfer of diagnostic quality image data for seriously wounded soldiers was developed in 2009 under the NDAA Shared Imaging Project. This system is already implemented and functioning with data transfers between DoD and the VA Polytrauma Centers, and in fact was deployed at Ft. Carson (where one such study is currently being conducted). Under the HAIMS project, the scope of the original shared imaging effort was expanded, and the systems originally deployed, abandoned.

The proposed innovation is a reuse of the originally deployed imaging sharing technologies. What would a small pilot look like: The initial pilot will be a simple connection of the image sharing system as developed from one of the sites where a clinical study is being conducted to the site where the image analysis is being completed. For example: Ft. Carson to National Intrepid Center of Excellence (NICoE). Later increments could include sharing these same images (deidentified) with National Biomedical Imaging Archive (NBIA) where these same images could be available for comparison and study
Cost Estimates: Minimal cost to implement by utilizing software reuse, equipment in place (may need to be refreshed). Individuals involved bring infrastructure development, support experience and program management to the innovation effort. We estimate cost to be $250,000 for the first iteration and $420,000 for the second iteration

What does the implementation timeline look like for your pilot: Six Month Project Schedule. Capitalizing on the security paperwork for the original ATT and ATO, software code and architectural ready developed (and owned by the Government), and there would be only two iterations of the solution: Each iteration would be comprised of two Sprints. Iteration 1 Sprint 1: 3 Months: Deploy to test image sharing from Ft. Carson to NICOE; Sprint 2: 4-6 Months: Deploy to test image sharing from NICOE to NBIA Iteration 2: Sprint 1: 3 Months: Deploy to production image sharing from Ft. Carson to NICOE Sprint 2: 4-6 Months: Deploy to production image sharing from NICOE to NBIA This idea is sponsored by ROBERT C. PRICE, MD LTC, MC, FS, DMO Clinical Investigations and Regulatory Compliance Officer Evans Army Community Hospital

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