Independent reading by a non limited number of experts. â¢. Interpretation on a similar workstation dedicated for PET/CT analysis. â¢. Inclusion of the investigator ...
IMOTEP Network (PET On-line Multi centre Interpretation) Structure
Coordinators: Pr Michel Meignan, and Romain Ricci Service de Médecine Nucléaire Université Paris XII, Hôpital Henri Mondor ,
Rationale •
For trials where interim PET was used to tailor strategy (H10, LNH07-3B)
• •
Independent reading by a non limited number of experts Interpretation on a similar workstation dedicated for PET/CT analysis Inclusion of the investigator interpretation in the final result Final interpretation must be obtained in a short time (48 or 72 hours) – Friendly and compatible with clinical routine practice (fast transfer of PET/CT images, fast processing) – Fast transfer of the results to the investigation center
• •
Cornerstone: Positoscope
Multimodality dual screen workstation linked to the DICOM -VPN Side to side display of pre and post-treatment PET/CT Complete processing: Multi slices display, MIP, triangulation, ROI, SUV
The IMOTEP network Experts
Investigation Center
Processing center
6 PET reports
Dpt. Haematology 6 readers or more
Results
PET data Dpt. Nuclear Medicine PET data
Medical Gateway
PET report
PET data (Philips, Siemens,GE)
Today: How does it work? Processing center Investigation Center without positoscope PET data (Philips, Siemens,GE) CD rom Result
Result Investigation Center with positoscope Medical Gateway
PET data (Philips, Siemens,GE)
6 readers or more
Risk adapted strategy IMOTEP Network
Meignan, Itti, Bardet et al. J Clin Oncol 2009
IMOTEP Network advantages • Fast and secure transfer of all PET/CT volume files single reader evaluates the full set of exam • Similarity of processing and display for all experts with a dedicated workstation with all functionalities (SUV) whatever the PET device used • Independent and on line reading by experts including the investigation center with no limitation in number. • Rapid synthesis of the results (optical form) for risk adapted strategy
From June 2007 2053 exams have been analyzed through this network 1. 1199 for the H10 protocol (52 centers have sent PET or PET/CT) 6 experts + including center 2. 600 for the LNH07-3B protocol (47 centers) 2 experts + including center 3. Final global interpretation obtained within 72 h
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