cd_medical.jpg (4851 bytes)   Mitsui Medical

 

What is CD-Recordable?

CD-R stands for compact disc recordable. It is at technology through which a blank compact disc, a CD-R, is converted into an audio CD or a conventional CD-ROM which can be read in the CD drive of your computer.
CD-R is governed by the Orange Book standard. This means that all CD-Rs, regardless of the manufacturer, must conform to a specific set of standards.


The DICOM standard 

The DICOM (Digital Imaging and Communications in medicine) Standard is a set of rules that allow medical images and associated information to be exchanged between imaging equipment, computers, and hospitals. The standard establishes a commonlanguage that permits medical images and information produced on one vendor's machine to be available for use on the digital system of another vendor. The DICOM Standard evolvedthrough meetings between medical imaging companies (represented through the National Electrical Manufacturers Association, NEMA) and representatives from major medical societies including the American College of Cardiology, American College of Echocardiography, European Society of Cardiology, and American Society oif Nuclear Cardiology.

CD-R and the DICOM standard 

Since 1992, cardiologists have been researching a replacement for cine film which would store information in digital format and offer worldwide compatiblity for archival and exchange media for digital x-ray angiographic, echocardiography, and nuclear cardiac images.

How is data recorder to a CD-R?

The blank CD-R is placed in a CD writer or recorder which uses a laser to write to the disc. The laser creates a series of holes in the disc's dye layer called "pits". The spaces between the pits are called "lands". The pattern of pits and lands on the disc encodes the information and allows it ti be retrieved on an audio or computer based CD player.

How long does it take to write to a CD-R?

It depends upon how much information you are writing. To completely fill a 74min/650mb disc using a 1X writer takes 74 minutes. If you use a 2X writer, the same job would take about 37 minutes. A 4X writer would do the job in about 19 minutes.

Why switch from cine film to CD-R archiving?

In the current hospital environment, there must be compelling economic and clinical motivations for investing in new technology. Electronic archiving in general, and CD-R archiving specifically, offer compelling advantages:

Economic Advantages
- Reduced procedure costs
- Increased throughput of cath lab
- Increased productivityu of facility
- Accelerated reimbursement through physician and technician time savings
- Potential for consolidation of computing resources
- Reduces staffing requirements of cath lab
- Reduces storage space requirements
- Eliminates use of expensive and toxic chemicals

Clinical Advantages
- Superior image quality through electronic enhascement
- Saves phycician time for rapid diagnosis & treatment
- Increased access to patient study - Archive and exchange media are the same
- Allows for easy duplication, hardcopy, and trasmittal
- Significantly reduces noise during procedure by eliminating cine film camera
- Significantly reduces noise during review by eliminating cine film projector


How are CD-R discs different from CD-ROM discs

CD-R discs are quite different from conventional CD-ROM discs. CD-ROM discs are mass produced using specialized equipment and are projected to last for about 20 years. CD-R discs can be written at your desktop using an inexpensive CD recorder and, in the case of Mitsui Gold media, are projected to last for well over 100 years. The layering structure of a CD-ROM is shown below:

rom.JPG (9706 bytes)

The polycarbonate serves as the base of the disc and is physically stamped with the appropiate pits and lands to convery the required information. A layer of aluminium is added for reflectivity.
The lacquer coating is applied as a protectant. In comparison, CD-R discs are more sophisticated and robustly constructed. The information on a Mitsui Gold disd is projected to last for well over 100 years. The layering structure of a Mittsui Gold CD-R is diagrammed below:

cdr.jpg (10339 bytes)

As in a conventional CD-ROM, polycarbonate is used as the fundation. However, CD-R uses a special dye which is etched by laser to create the pits and lands. This dye will be covered in the next section. A layer of lacquer is then applied, followed by Mitsui's patented Data Shield Surface which provides additional protection against environmental hazards and rough handling.

Does it matter what dye is used to make the CD-R?

The dye formulation used in a CD-R is perhaps the most critical factor in the disc's performance. Mitsui Gold discs utilize a patented Phthalocyanine dye (thal-o-sy-a-nene) which offers substantial performance advantages. You can recognize a Mitsui disc by turning it over and looking at the color of the writable surface. A Phthalocyannine disc is gold colored with a slight greenish tint. Other manufacturer's discs come in a variety of shades ranging from blue-green. Both varieties of discs will be gold colored on the top, or non-writable surface.

Mitsui Gold Phthalocyanine-based discs offer substantial performance advantages over other discs in two key areas; longevity and compatibility with high speed CD recorders.

Longevity on the order of 100 or more years is derived from the inherent stability of Phthalocyanine dye. Phthalocyanine-based discs can withstand environmental conditions that could render other discs useless. This is because Phthalocyanine resists ambient heat, light, and humidity better than other dye formulations even after the disc has been written to.

Phthalocyaine is aslo more compatible with high speed writers. Mitsui was the first manufacturer to be certified by Yamaha to work with their 4X writers and is also certified for use with the Kodak 6X system. This accuracy is due to the precision with which laser light is able to create pits in the Phthalocyanine dye.


Advantages of the Mitsui Gold CD-R 

1. Because Mitsui makes all of its own discs, and in fact makes most of the component materials which go into its discs, Mitsui Gold media benefits from a consistency and process control which no other manufacturer can equal. Since we don't rely on third-parties to provide our technology, production facilities, or raw materials, Mitsui Gold customers know that each component and each step in the manufacturing process has been subjected to the most rigorous quality controls in the industry.

2. Every Mitsui Gold disc is warranted for life. No other CD-R media manufacturer offers a warranty of this strength.

3. Every Mitsui Gold disc is certified for use with all high speed recorders whether they be 4X or 6X. There are two reasons for this; First, Mitsui's stamping process results in discs that are flatter than the competition's. While all discs are slightly warped, if they are warped beyond a certain tolerance they cannot be used for high speed recording. The second reason for Mitsui Gold's superb performance in high speed recorders stems from the unique characteristics of the Phthalocyanine dye. Phthalocyanine simply works better in high speed writers than other dyes.

4. Mitsui Gold discs last longer than competing media. The information recorded on a Mitsui Gold disc will last for well over 100 years with some accelerated aging tests show longevity of over 200 years.


Image Compression and the DICOM standard

Several compression schemes are defined in DICOM. JPEG (Joint Photographic Experts Group) lossless compression, which allows perfect reconstruction of the original image is mandated by the standard for cardiac angiography. JPEG lossy compression, which is not fully reversible, is an option only for echocardiography interchange; echocardiography also allows lossless compressed data. The use of lossy compression with angiography will be evaluated by the x-ray angiographic working group. Nuclear files are generally much smaller than angiographic or echocardiographic files, are stored without compression. The FDA has announced that it will leave it up to the market to determine the appropriate compression standards. Equipment using lossless or lossy can now receive the 510k certification.

CD-R as an archival and exchange media  

CD-R discs are able to serve as a long term data repository as well as a convenient means of exchanging data due to their longevity and universality

Archival role:
Once recorded, data on a CD-R cannot be altered or erased. CD-R will permit additional recording upon a partially recorded disc but no existing data may be changed or deleted. Furthermore, studies indicate that discs manufactured with Mitsui's patented Phthalocyanine dye will last more than 100 years. Discs using conventional Cyanine dyes will last for approximately 20 years.

Exchange role:
Once a CD-R disc has been written to, it is essentially no different than any CD-ROM disc. This means that the data can be accessed with equipment widely available at modest cost. CD-R is also quite small, light weight, and easily transportable without undue concern for fragility.

1