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ÌÀÍ·Ìõ members receive technical reports at no charge and can purchase standards at a discounted rate.

ÌÀÍ·Ìõ White Paper No. 1100, Orthodontic/Craniofacial/Forensic Photographic Views and View Sets

The scope of this document is to provide: a list of possible intraoral and extraoral visible light image (photographic) views as used by orthodontic/craniofacial/forensic providers; explanations and specific attributes of each view, making use of text and line art drawings where necessary; and terminology that includes necessary terms for encoding orthodontic views and viewsets. This standard is suitable for use in assigning tags, fields, and information to visible light image (photographic) views for implementation guides and profiles.

ÌÀÍ·Ìõ Technical Report No. 1023 on Implementation Requirements for DICOM in Dentistry

This report provides a technical specification based on the DICOM version 3 Standard as it applies to dentistry with the goal of increasing interoperability between digital radiographic systems. This report is restricted to grayscale dental radiographic images. It lists the components required for intraoral and extra-oral digital radiography.

ÌÀÍ·Ìõ Technical Report No. 1029, Guide to Digital Dental Photography and Imaging

To promote patient care and oral health through the application of information technology to dentistry’s clinical and administrative operations; to develop standards, specifications, technical reports, and guidelines for: components of a computerized dental clinical workstation; electronic technologies used in dental practice; and interoperability standards for different software and hardware products which provide a seamless information exchange throughout all facets of healthcare.

ÌÀÍ·Ìõ Technical Report No. 1048 for the Attachment of DICOM Dataset Using E-mail

This report provides a technical specification based on the DICOM (Digital Imaging and Communications in Medicine) version 3 Standard as it applies to dentistry with the goal of increasing interoperability between practitioners. In particular, this report highlights the benefits of the ZIP File over E-mail Interchange Profiles of the DICOM Standard for dentists or specialists who don't share the same image data repository but need to exchange patient data in a fast and secure manner.

ÌÀÍ·Ìõ Technical Report No. 1051, DICOM Requirements for Digital Imaging in Institutional Dentistry

This report provides a technical specification based on the DICOM Standard as it applies to dentistry with the goal of increasing interoperability within and between institutional digital radiographic systems. This report will illustrate through high-level interaction use cases how to achieve interoperability for typical dental imaging tasks. They are:

1. view and print images on removable media;
2. create interoperable removable media images;
3. share images among various networked multi-vendor storage and acquisition systems;
4. ability to exchange visible light photographic and endoscopic images within a dental image acquisition context;
5. create and exchange DICOM structured display objects;
6. perform scheduled workflow to integrate digital images with an electronic dental records system;
7. import and reconcile Images from outside the institution into the electronic dental records system;
8. securely transfer DICOM images via email, and;
9. access DICOM images locally via the Internet. These use cases show the DICOM requirements in context, describing them in clear relationship to the clinical tasks of the dental provider.

ÌÀÍ·Ìõ Technical Report No. 1057, Guidelines for Digital Imaging Systems and Interoperability in Today’s Dental Practice

This report discusses the issues involving interoperability that arise when digital radiography and photography are integrated into a dental practice. The report describes the features of DICOM that facilitate resolution of these issues and allows a dental practice to achieve interoperability within their imaging and practice management systems and with outside healthcare data systems and networks. Descriptions of the components of a digital radiography system and guidelines on what to look for when choosing digital radiography components also are included.

ANSI/ÌÀÍ·Ìõ Standard No. 1094, Quality Assurance for Digital Intra-Oral Radiographic Systems

There are essentially three components involved with any digital intraoral imaging system: the image display device (computer, monitor, and display-software), the x-ray source, the digital image acquisition device (solid-state sensor or PSP imaging plate and scanner, and associated acquisition software). Each of these components will be addressed in this standard.

ANSI/ÌÀÍ·Ìõ Standard No. 1099, Quality Assurance for Digital Panoramic/Cephalometric Radiology

Components involved with a panoramic and cephalometric digital imaging system include:

• The x-ray source
• The image receptor system: Either a solid-state sensor with associated acquisition and display software; or a photostimulable phosphor (PSP) imaging plate, its associated scanner and acquisition-display software
• The image display device (computer, monitor, and display-software)
• The image viewing environment.

Each of these components will be addressed in this standard.

ÌÀÍ·Ìõ Technical Report No. 1109 for Dentistry – Image Analysis Systems Using Artificial Intelligence

This technical report describes general principles of AI and a rationale for proposed methods for external validation. These include safety and performance of the AI tool, avoidance of bias, and privacy and security. Included in the report is a logic framework for independent external validation of two-dimensional images with AI for common dental diseases, conditions, and disorders by an independent body.

ÌÀÍ·Ìõ Standard No. 1110-1 for Dentistry - Validation Dataset Guidance for Image Analysis Systems Using Artificial Intelligence , Part 1: Image Annotation and Data Collection

• Standards for Content: Establishment of qualitative, quantitative, and novelty measures of image samples needed for each intended use. Establishment of parameters for providing coverage of various subpopulations. Establishment of needed metadata elements to support the AI system validation process, to support statistical and other analyses of the dataset itself, and to support security and ethics requirements.
• Standards for Collection: Establishment of credentials and processes for collecting image samples, and for tagging images with Dx or Tx findings, including the provenance of that tagging. Establishment of requirements for obtaining and maintaining patient permission for including images in the Dataset. Establishment of security requirements for images and metadata in the dataset.
• Standards for Calculation: Establishment of processes for AI System validation using the Validation Dataset, and for calculation of AI System performance based on that validation.
• Standards for Confidence: Establishment of levels of acceptability for methods of establishing ground truth of image samples. Establishment of a process for sequestering the Validation Dataset from the development of the system to be validated. Establishment of requirements for public information about any Validation Dataset, such as a list of intended uses, statistics about the methods of determining ground truth, statistics about the number of patients and samples by subpopulation, statistics about the system performance, and a statement of sequestration.

ÌÀÍ·Ìõ Technical Report No. 1059, Guidelines for the Application of the DICOM Standard to Radiographic Cephalometric Data (Joint project with Working Group 12.1)

In the current DICOM documentation, cephalograms are not addressed directly. This technical report (TR) was developed to fill the gap in such a way as to provide imaging equipment vendors an approved way of storing cephalograms along with their clinically relevant data, in an interoperable way. In addition, this TR shall serve as a part of the foundation for the definition of ÌÀÍ·Ìõ SCDI approved guidelines for the storage and transfer of orthodontic electronic patient records through the utilization of existing popular informatics standards.

Proposed imaging standards

Below are proposed imaging standards that are currently being developed. To become involved in the development of these proposed standards, apply to volunteer.

Proposed ÌÀÍ·Ìõ Technical Report No. 1050, Dental Photography and Endoscopy: Understanding and Implementing DICOM Guidelines and Visible Light Applications

The scope of this project is to explain the application of a proposed DICOM visible light acquisition context group for dentistry.

Proposed ÌÀÍ·Ìõ Standard No. 1107, DICOM and SNODENT Implementation of WP1100

This standard will provide a detailed implementation guide for encoding orthodontic/craniofacial views using DICOM with SNOMED CT terminology. This guide depends on ÌÀÍ·Ìõ White Paper No. 1100 - Orthodontic/Craniofacial/Forensic Photographic Views and Viewsets.

Proposed ANSI/ÌÀÍ·Ìõ Standard No. 1098, Quality Assurance for Cone Beam Computed Tomography CBCT

Quality assurance can be defined as the planned and systematic activities necessary to provide adequate confidence that a product or service will meet the given requirements. As this relates to cone beam computed tomography CBCT, quality assurance entails the consistent production of x-ray images of high quality in order to provide the maximum amount of diagnostic information with minimal radiation exposure to the patient. The purpose of this technical report is to establish clear and concise protocols to ensure adequate quality assurance for CBCT.

Proposed ANSI/ÌÀÍ·Ìõ Standard No. 1114, Implementation Requirements for the Effective Use of DICOM in Dentistry

This standard provides dental requirements for DICOM conformance for storage, retrieval, archival and reporting in a Picture Archival and Communication System (PACS) or data repository system through proper networking infrastructure, to ensure interoperability, data security and privacy, among integrated systems. Appendices provide specific guidance on DICOM requirements for various types of dental images, including CBCT volumes.

Proposed A DA Technical Report No. 1063 for Structured Report

This technical report will detail dental use cases for imaging procedures along with standardized reports for the images acquired.

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