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NCI CBIIT has worked extensively for several years in the area of data standards for both clinical research and healthcare, working with the community and Standards Development Organizations (SDOs), such as the Clinical Data Interchange Standards Consortium (CDISC), Health Level 7 (HL7) and the International Organization for Standardization (ISO). From that work, EVS and caDSR are harmonized with the BRIDG, SDTM, and HL7 RIM models. Standardized Case Report Forms (CRFs), including those for imaging, have also been created. The CBIIT project work provides the bioinformatics foundation for semantic interoperability in digital pathology and co-clinical trials integrated with clinical and patient demographic data and data contained in TCIA / TCGA.

Where data standards do exist, the NCI and the CTIIP team aim to promote them. The following work is 

 

such as Annotation Within the three research domains that CTIIP intends to make available for integrative queries, only one, clinical imaging, has made some progress in terms of establishing a framework and standards for informatics solutions. Those standards include Annotation and Image Markup (AIM) and , which allow researchers to standardize annotations and markup for radiology and pathology images, and Digital Imaging and Communications in Medicine (DICOM)

•DICOM for small animal research
–Long-term: generate DICOM compliant images vs. non-DICOM compliant images
•µAIM
–Developing the model
–Harmonization with AIM
Standardized annotations and markup for radiology and pathology images
Imaging and BRIDG (beyond the scope of this project at this point)
•Improvements to the EVS vocabularies

The following table presents the data that the CTIIP team is integrating through various means. This integration relies on the expansion of software features and on the application of data standards, as described in subsequent sections of this document.

 

DomainData Set
Clinical ImagingThe Cancer Genome Atlas (TCGA) clinical and molecular data
 The Cancer Imaging Archive (TCIA) in-vivo imaging data
Pre-clinicalSmall animal models
Digital PathologycaMicroscope

 

Within these three research domains, only one, clinical imaging, has made some progress in terms of establishing a framework and standards for informatics solutions. For pre-clinical imaging and digital pathology, there are no such standards that allow for the seamless viewing, integration, and analysis of disparate data sets to produce integrated views of the data, quantitative analysis, data integration, and research or clinical decision support systems.

 

•DICOM for small animal research
–Long-term: generate DICOM compliant images vs. non-DICOM compliant images
•µAIM
–Developing the model
–Harmonization with AIM
àStandardized annotations and markup for radiology and pathology images
àImaging and BRIDG (beyond the scope of this project at this point)

, which is a standard for handling, storing, printing, and transmitting information in medical imaging. For pre-clinical imaging and digital pathology, there are no such standards that allow for the seamless viewing, integration, and analysis of disparate data sets to produce integrated views of the data, quantitative analysis, data integration, and research or clinical decision support systems.

As part of the DICOM Standards for Small Animal Imaging; Use of Informatics for Co-clinical Trials sub-project, the long-term goal is to generate DICOM-compliant images for small animal research. Micro AIM (µAIM) is currently in development to serve the unique needs of this domain.

The following table presents the data that the CTIIP team is integrating through various means. This integration relies on the expansion of software features and on the application of data standards, as described in subsequent sections of this document.

DomainData Set
Clinical ImagingThe Cancer Genome Atlas (TCGA) clinical and molecular data
 The Cancer Imaging Archive (TCIA) in-vivo imaging data
Pre-clinicalSmall animal models
Digital PathologycaMicroscope

 

•Improvements to the EVS vocabularies

Digital Pathology and Integrated Query System

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