title: Visualization of data in radiotherapy using web services for optimization of workflow.
abstract: BACKGROUND
  Every day a large amount of data is produced within a radiotherapy department. Although this data is available in one form or other within the centralised systems, it is often not in the form which is of interest to the departmental staff. This work presents a flexible browser based reporting and visualization system for clinical and scientific use, not currently found in commercially available software such as MOSAIQ(TM) or ARIA(TM). Moreover, the majority of user merely wish to retrieve data and not record and/or modify data. Thus the idea was conceived, to present the user with all relevant information in a simple and effective manner in the form of web-services. Due to the widespread availability of the internet, most people can master the use of a web-browser. Ultimately the aim is to optimize clinical procedures, enhance transparency and improve revenue.
  
  
  METHODS
  Our working group (BAS) examined many internal procedures, to find out whether relevant information suitable for our purposes lay therein. After the results were collated, it was necessary to select an effective software platform. After a more detailed analysis of all data, it became clear that the implementation of web-services was appropriate. In our institute several such web-based information services had already been developed over the last few years, with which we gained invaluable experience. Moreover, we strived for high acceptance amongst staff members.
  
  
  RESULTS
  By employing web-services, we attained high effectiveness, transparency and efficient information processing for the user. Furthermore, we achieved an almost maintenance-free and low support system. The aim of the project, making web-based information available to the user from the departmental system MOSAIQ, physician letter system MEDATEC(R) and the central finding server MiraPlus (laboratory, pathology and radiology) were implemented without restrictions.
  
  
  CONCLUSIONS
  Due to widespread use of web-based technology the training effort was effectively nil, since practically every member of staff can master the use of a web-browser. Moreover, we have achieved high acceptance amongst staff members and have improved our effectiveness resulting in a considerable time saving. The many MOSAIQ-specific parts of the system can be readily used by departments which use MOSAIQ as the departmental system.
authors.affiliation: Klinik für Strahlenheilkunde, Department für Radiologische Diagnostik und Therapie, Universitätsklinikum Freiburg, Robert Koch Str. 3, 79106, Freiburg, Germany. Stefan.Kirrmann@uniklinik-freiburg.de.
authors.forename: Stefan
authors.initials: S
authors.lastname: Kirrmann
authors.affiliation: Klinik für Strahlenheilkunde, Department für Radiologische Diagnostik und Therapie, Universitätsklinikum Freiburg, Robert Koch Str. 3, 79106, Freiburg, Germany. Mark.Gainey@uniklinik-freiburg.de.
authors.forename: Mark
authors.initials: M
authors.lastname: Gainey
authors.affiliation: Klinik für Strahlenheilkunde, Department für Radiologische Diagnostik und Therapie, Universitätsklinikum Freiburg, Robert Koch Str. 3, 79106, Freiburg, Germany. Fred.Roehner@uniklinik-freiburg.de.
authors.forename: Fred
authors.initials: F
authors.lastname: Röhner
authors.affiliation: Klinik für Strahlenheilkunde, Department für Radiologische Diagnostik und Therapie, Universitätsklinikum Freiburg, Robert Koch Str. 3, 79106, Freiburg, Germany. Markus.Hall@uniklinik-freiburg.de.
authors.forename: Markus
authors.initials: M
authors.lastname: Hall
authors.affiliation: Klinik für Strahlenheilkunde, Department für Radiologische Diagnostik und Therapie, Universitätsklinikum Freiburg, Robert Koch Str. 3, 79106, Freiburg, Germany. Gregor.Bruggmoser@uniklinik-freiburg.de.
authors.forename: Gregor
authors.initials: G
authors.lastname: Bruggmoser
authors.affiliation: Klinik für Strahlenheilkunde, Department für Radiologische Diagnostik und Therapie, Universitätsklinikum Freiburg, Robert Koch Str. 3, 79106, Freiburg, Germany. Marianne.Schmucker@uniklinik-freiburg.de.
authors.forename: Marianne
authors.initials: M
authors.lastname: Schmucker
authors.affiliation: Klinik für Strahlenheilkunde, Department für Radiologische Diagnostik und Therapie, Universitätsklinikum Freiburg, Robert Koch Str. 3, 79106, Freiburg, Germany. felix.heinemann@uniklinik-freiburg.de.
authors.forename: Felix E
authors.initials: FE
authors.lastname: Heinemann
mesh_terms: D003196:Computer Graphics; D004282:Documentation / Q000379:methods*; D055991:Health Records, Personal; D006801:Humans; D016247:Information Storage and Retrieval / Q000379:methods*; D020407:Internet; D009369:Neoplasms / Q000532:radiotherapy*; D011878:Radiotherapy / Q000379:methods*; D011880:Radiotherapy Planning, Computer-Assisted / Q000379:methods*; D012984:Software; D018511:Systems Integration; D057188:Workflow