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The name given to the new software, OsiriX, marks the transition to a completely new platform with the added “X” indicating the migration to the new Macintosh operating system version 10, also called MacOS X.
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5, 6 The success and wide adoption of the OSIRIS software has encouraged us to extend our effort into a completely new program more suitable for navigating through large multidimensional data sets. We also benefit from our experience several years ago of having developed one of the first free DICOM viewers, OSIRIS, running on Macintosh and Windows personal computers. We also elected to develop our system on new open-source software libraries, thus by allowing the system to be easily adaptable to a variety of hardware platforms. The goal of our project is to develop a completely new software platform that will allow users to efficiently and conveniently navigate through large sets of multidimentional data without the need for high-end expensive hardware or software.
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4 Furthermore, access to these visualization and rendering tools is usually limited to high-end users in a radiology department, preventing referring physicians, surgeons, and other care providers to benefit from the extraordinary value of the multidimensional imaging techniques for decision making and patient management In most cases static snapshots and preselected movie clips must be exported from the 3D processing workstations to be distributed to other users outside of a radiology department. 3 These recent changes in the acquisition modalities require radiologists to use expensive dedicated 3D processing workstations to properly interpret these exams. In most cases this can only be achieved on high-end dedicated 3D workstations that can provide thick-slab maximum intensity projections (MIP), orthogonal and oblique multiplanar reformatting (MPR), and 3D volume and surface rendering. These large sets of images require additional image processing and reformatting to make them suitable for efficient and rapid image navigation and image interpretation. The conventional way of reviewing these images slice-by-slice is too cumbersome for interpreting the 800 to 1,000 slices that can be acquired with multi-detector CT scanners. For most tomographic imaging techniques such as magnetic resonance imaging (MRI) and CT, the traditional 2D acquisition technique of cross-sectional slices is evolving into 3D volume acquisitions with isotropic voxel sizes resulting in very large data sets. With the improvement of spatial resolution of multi-detectors CT scanners and the emergence of multimodality exams like PET-CT 1 or Cardiac-CT, 2 traditional two-dimensional image viewers and image display programs are becoming unsuitable for interpretation of these large sets of images. THE RAPID EVOLUTION of digital imaging techniques and the increasing number of multidimensional and multimodality studies constitute a challenge for PACS workstations and image display programs. OsiriX is provided free of charge under the GNU open-source licensing agreement at. This ensures that all new developments in image processing that could emerge from other academic institutions using these libraries can be directly ported to the OsiriX program.
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The processing and image rendering tools of the software are based on the open-source libraries ITK and VTK. The program can easily be adapted for very specific tasks that require a limited number of functions, by adding and removing tools from the program’s toolbar and avoiding an overwhelming number of unnecessary tools and functions. An interactive jog-wheel device widely used in the video and movie industry was implemented to allow users to navigate in the different dimensions of an image set much faster than with a traditional mouse or on-screen cursors and sliders. In the design of the software special attention was given to adapt the user interface to the specific and complex tasks of navigating through large sets of image data.
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It also benefits from the extremely fast and optimized 3D graphic capabilities of the OpenGL graphic standard widely used for computer games optimized for taking advantage of any hardware graphic accelerator boards available. The software is developed in Objective-C on a Macintosh platform under the MacOS X operating system using the GNUstep development environment. A multidimensional image navigation and display software was designed for display and interpretation of large sets of multidimensional and multimodality images such as combined PET-CT studies.