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Diagnostic and Telemedicine Center of the NPCC DiT DZM

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+ Center for Diagnostics and Telemedicine (NPCC DiT DZM)

As of September 2019, the main activity is scientific research and development in the field of natural and technical sciences, others that are not included in other groups.

History

2024: Inclusion in the subcommittee group of the PK3 "Management of Health Care Organizations"

Specialists of the Center for Diagnostics and Telemedicine of the Moscow Department of Health were included in the group of the subcommittee of the PK3 "Management of Healthcare Organizations." The main task of the subcommittee will be to develop national standards in the field of health. Participants are leading experts implementing quality management systems in Russian medical organizations. The center announced this on June 4, 2024.

source = NPCC DiT DBM
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Participation in the subcommittee "Management of healthcare organizations" is a new direction for us. The DMS Diagnostic and Telemedicine Center has four years of experience in creating AI standards in radiation diagnostics. The Subcommittee sets new tasks for us: to establish basic terms and definitions in the field of quality management; set requirements for ensuring the quality and safety of medical activities, assess the digital maturity of a medical organization, etc. The standards being developed will be built into the national system for assessing the activities of medical organizations, "said Yuri Vasiliev, chief freelance specialist in radiation and instrumental diagnostics of the Moscow Department of Health, director of the Moscow Center for Diagnostics and Telemedicine.
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The priority area of ​ ​ activity of the subcommittee PK3 "Management of healthcare organizations" of the Technical Committee for Standardization TK 076 "Management Systems" (PK 3/TK 076) - to develop a national standard GOST R "Management of healthcare organization. Quality management systems in healthcare organizations. Requirements "based on international standard ISO 7101:2023.

On the basis of the Center for Diagnostics and Telemedicine, a subcommittee of the PK01/TK164 "Artificial Intelligence in Healthcare" operates. It was created to develop a national sectoral strategy, as well as to carry out work on the direction within the framework of national, interstate, regional and international standardization.

2023

Obtaining the opportunity to assess the performance of artificial intelligence systems of the EAEU countries

The Center for Diagnostics and Telemedicine of the Moscow Department of Health has the opportunity to conduct technical tests and studies of medical systems of artificial intelligence for registration within the framework of the Eurasian Economic Union (EAEU). Thus, developers can obtain permission to apply their developments simultaneously in the Russian Federation, Armenia, Belarus, Kazakhstan and Kyrgyzstan. This will speed up the introduction of technologies into medical practice, and patients will receive faster and better diagnostics. This was announced on September 5, 2023 by the Deputy Mayor of Moscow for Social Development Anastasia Rakova.

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Moscow has taken a big step forward in the field of digital technologies and is one of the world experts in the implementation of artificial intelligence services in healthcare. Now our city can test these systems for the entire Eurasian Economic Union. The center for diagnostics and telemedicine of the Moscow Department of Health is included in the register of Roszdravnadzor and the list of organizations on the EAEU open data portal and has the right to conduct clinical and technical tests of artificial intelligence systems. Developers from different countries can obtain permission to use their innovative solutions in Russia, Armenia, Belarus, Kazakhstan and Kyrgyzstan. The introduction of such technologies into daily practice will make medical care better and more accessible to many people, not only in Moscow and Russia, but also in other countries,
Anastasia Rakova told.
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Prior to practical use, any medical device must undergo technical and clinical trials in order to obtain state registration. This category also includes artificial intelligence systems that are actively being introduced into medical practice.

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Within the framework of the national system, the Center for Diagnostics and Medicine of the Moscow Department of Health received permission to conduct clinical trials in 2020. And we entered the EAEU market in 2022 - we got the opportunity to conduct clinical trials of artificial intelligence systems. Now our Center provides services to developers of artificial intelligence for a full cycle of tests in order to obtain a registration certificate both for the national regime and for the EAEU regime. Such marketing authorization expands the potential market for medical device manufacturers,
noted the chief freelance specialist in radiation and instrumental diagnostics of Moscow, director of the Moscow Center for Diagnostics and Telemedicine of the City Health Department Yuri Vasiliev.
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Moscow has been engaged in the digitalization of the health care system for more than 10 years. Thanks to this, smart technologies are widely used in daily medical practice. This made it possible to speed up and simplify the processes of diagnosis and treatment, ensuring a high level of medical care for Muscovites. Every day, artificial intelligence services help in making a preliminary diagnosis based on a history or find signs of pathologies in medical images of patients. And since this year, Moscow has introduced a special tariff for the analysis of mammographic examinations using artificial intelligence services.

Obtaining ISO 9001:2015 Certificate of Conformity

The Center for Diagnostics and Telemedicine of the Moscow Department of Health received an international certificate of quality management of medical services in the field of radiation and instrumental diagnostics. The ISO 9001:2015 Certificate of Conformity confirms the high level of processes for remote description of radiation studies of citizens, quality audits and interpretation of research, telemedicine consultations and examinations. In addition, effective administration and coordination of medical care according to the profile of radiation and instrumental diagnostics was noted. This was announced on July 31, 2023 by the deputy head of the Moscow City Health Department Ilya Tyrov.

{{quote 'Certification of compliance with standards ISO is a serious step for a medical organization. It is assigned based on the results of a multi-stage audit, which includes an analysis of the processes and regulatory documentation of the organization, as well as face-to-face examination. Obtaining an international certificate of conformity is an indicator of the quality of work that is recognized around the world. In 2021, the Diagnostic and Telemedicine Center of the Moscow Department of Health for the first time passed voluntary certification of compliance with ISO 9001:2015 "Quality Management System," and in 2023 confirmed it. The results of annual audits indicate high standards of quality of processes in the institution and the effectiveness of the management system, - said Ilya Tyrov. }}

The certificate of compliance ISO with the 9001:2015 standard was issued by an international certification body. The purpose of the ISO is to develop the principles of standardization and design standards based on them that contribute to integration processes in different areas and areas of activity.

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The Center for Diagnostics and Telemedicine DZM specializes in the development of radiation and instrumental diagnostics, the introduction of technologies artificial intelligence into practical medicine. Our organization employs scientists who create a base for technological progress, IT specialists who introduce artificial intelligence into practical, health care Moscow engineers who provide control over the radiation equipment of the entire capital, and, of course, doctors who describe 24/7 radiation studies at the Moscow Reference Center. We are pleased to announce the completion of the independent audit and the receipt of a high assessment of the work of the center's employees - the International Certificate of Compliance with ISO 9001:2015 standards, - said the chief freelance specialist in radiation and instrumental diagnostics of the Moscow Department of Health, director of the Moscow Center for Diagnostics and Telemedicine. Yuri Vasiliev
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Agreement with MIREA to Launch Healthcare IT Training Program

MIREA - Russian University of Technology (RTU MIREA) and the Center for Diagnostics and Telemedicine of the Moscow Department of Health on February 20, 2023 announced the start of joint training of IT specialists in healthcare. The corresponding cooperation agreement of the year was signed by the rector of RTU MIREA Stanislav Kudzh and the director of the Center for Diagnostics and Telemedicine DZM Yuri Vasiliev. After that, work began on an additional professional continuing education program. On December 29, 2022, a network agreement was concluded on its joint implementation.

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Stanislav Kudzh, Rector of RTU MIREA and Yuri Vasiliev, Director of the Center for Diagnostics and Telemedicine DZM

The goal of the parties is to improve the qualifications of specialists whose work is related to the development and implementation of artificial intelligence technologies in healthcare, including tools and methods of mining, mathematical methods and modern applied software tools for processing experimental and clinical-diagnostic data. The training of students is based on the experience of Moscow, in particular the Center for Diagnostics and Telemedicine DZM.

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The integrated use of digital equipment, information systems and artificial intelligence technologies together with the work of experts support a high level of diagnostics and medical service in Moscow. We have accumulated vast experience in this area, and we share our work. As of February 2023, student training is already being implemented on the basis of the center - joint multidisciplinary research is underway with colleagues from various scientific institutions. We share knowledge, unite and enlarge scientific teams. We are confident that cooperation with a technological university will favorably affect the training of highly qualified scientists, will contribute to the development of a system of continuous professional training for specialists who can work for the benefit of medical organizations in Moscow and in the country as a whole, "said Yuri Vasiliev, director of the Moscow Center for Diagnostics and Telemedicine, chief freelance specialist in radiation and instrumental diagnostics of Moscow.
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We are witnessing how, literally before our eyes, developments are changing the capital's health care system. RTU MIREA, as one of the specialized universities in the field of information technology and artificial intelligence, could not bypass this topic. We thank colleagues from the Center for Diagnostics and Telemedicine for their readiness to share their expertise and provide an opportunity for students to study the most progressive developments on the basis of RTU MIREA. The joint educational initiative being implemented will help popularize the advanced directions of science and technology and open up professional prospects for those who wish, "said Stanislav Kudzh, rector of RTU MIREA.
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As part of the cooperation, an additional professional advanced training program "Aspects of the development and testing of artificial intelligence technologies in healthcare" will be implemented.

The relevance of learning is determined by a high interest in artificial intelligence technologies in medicine, which are considered the last word in the development of the field. The effectiveness of their application is confirmed by the scientific results of the first stage of the "Experiment on the use of innovative technologies in the field of computer vision for the analysis of medical images and further application in the healthcare system of the city of Moscow." The study was launched on the basis of the Moscow Center for Diagnostics and Telemedicine in 2020. In addition, the organization is a developer of standards in the field of artificial intelligence in healthcare.

The expertise of the Center for Diagnostics and Telemedicine of DZM was reflected in a joint educational program, training on which developers of information systems, data analysts, researchers, students and graduate students can undergo. Training will begin in March 2023 and will take place using a network form. Organizations plan to train more than 50 listeners annually.

Students will have access to material in key areas, including information support and digital transformation of the healthcare system in the Russian Federation, regulatory support, ethics and deontology of artificial intelligence in medicine. Students will study key artificial intelligence technologies for healthcare and medicine and learn how various models and services are created on their basis to solve clinical problems, how the quality of development is assessed at all stages of the life cycle. The program also focuses on testing software products based on artificial intelligence technologies, including the development of relevant documentation and the study of the results. Trained graduates will be able to evaluate and apply technical and software tools in health care.

Development of a methodology for the preparation of data sets for testing AI services for the analysis of radiation studies

Moscow specialists have created a methodology for preparing medical datasets for testing neural networks for the analysis of radiation research. This was announced on February 16, 2023 by the NPCC DiT DZM. Read more here.

Analysis of each second X-ray examination in a single 24-hour reference center

All radiological studies of adults policlinics Moscow conducted on digital diagnostic equipment are now analyzed in a single round-the-clock reference center - this is every second study in. To Moscow Thanks to this model of operation of the radiation diagnostics system, patients receive conclusions tens of times faster - its time preparation was reduced from 27.5 hours to 30 minutes. In addition, the location of radiologists in one territory allows you to quickly get a second opinion in difficult cases, consult with colleagues, and the concept involves the distribution of research according to different modalities and subspecializations. This was announced on February 2, 2023 by the Deputy Mayor of Moscow for Social Development. Anastasia Rakova

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Radiological images come from polyclinics to a single digital cloud storage of medical images, are distributed according to different modalities and specializations, and specialists immediately begin to analyze them. The location of radiologists in one building allows you to quickly conduct the necessary expert consultations in the most difficult cases. The preparation time of the conclusion was reduced tenfold - from 27.5 hours to 30 minutes. Thanks to the organization of the reference center, patients of city polyclinics can now get the expert opinion of a specialist much faster, - said Anastasia Rakova.
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Weekly radiologists describe thousands of CT scans, MRI scans, fluorograms, mammograms, densitometries and X-rays at the center. In order to improve the quality of the analysis of medical images and reduce the time spent by radiologists on the description of each image, the reference center developed and implemented the concept of allocating studies to different modalities, subspecializations and internal rotation. Radiologists analyze studies within their direction, in difficult cases they can quickly get advice from colleagues. Descriptions here are made around the clock 7 days a week and do not depend on the schedule of the clinic.

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Thanks to telemedicine technologies, radiologists have the ability to remotely describe radiation studies performed in Moscow polyclinics and hospitals. Workplaces are equipped with automated workstations, it is possible to use "assistants" - voice input technology and artificial intelligence services. The process is as follows. The patient receives a referral, for example, for a CT scan from a clinician. It is carried out in a polyclinic, only an X-ray absorber works on the spot, the medical image is automatically uploaded to a single radiological information system. The doctor of our reference center receives a study and makes a description. At the same time, he can analyze the study using an artificial intelligence service, if necessary, immediately on the spot consult with colleagues and get additional information. Thanks to this, the specialist can describe more studies and in more comfortable conditions for him, - explained Yuri Vasiliev, chief freelance specialist in radiation and instrumental diagnostics in Moscow, director of the Center for Diagnostics and Telemedicine of the Moscow Department of Health.
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As of February 2023, more than 40 artificial intelligence services in 17 different areas of research are operating in metropolitan medicine. Doctors use neural networks for processing fluorography, mammography, radiography, computed tomography and magnetic resonance imaging. Artificial intelligence helps to find in the images signs of lung cancer, COVID-19, spinal osteoporosis, aortic aneurysm, coronary heart disease, stroke, pulmonary hypertension, hydrothorax, as well as breast cancer, flat feet and other diseases.

Moscow occupies one of the highest positions in the world on the digitalization of healthcare in general and radiation diagnostics in particular. The creation of a Moscow reference center for radiation diagnostics based on the Center for Diagnostics and Telemedicine is another step that is ahead of world practice: this is the first television and radio center organized in the state health care system.

Diagnostic devices of city hospitals and polyclinics are combined into a single digital network and connected to a single radiological information service (ERIS) of a single medical information and analytical system EMIAS (). Radiologists conduct a remote description of radiological studies and advise doctors in Moscow polyclinics using telemedicine technology. The patient receives an opinion in the electronic medical record on mos.ru and in "" mobile application EMIAS.INFO immediately after the radiologist finishes filling out the protocol. data Each patient's personal digital archive is also stored in the ERIS: doctors can contact it to track the dynamics of changes. All this significantly increases the quality of diagnostics.

Opening of a scientific and educational laboratory for scientists

To Moscow scientificallyeducational A laboratory was opened in. Experts of the Center for Diagnostics telemedicine and will be able to train specialists to use technologies big data to solve scientific and practical problems, they will receive academic mentoring and support. This was announced on January 12, 2022 by the deputy head. Department of Health of the city of Moscow Ilya Tyrov

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Radiation diagnostic methods occupy one of the leading places in the health care system. The integrated use of digital equipment, information systems and artificial intelligence technologies together with the work of experts support a high level of diagnostics and medical service in Moscow. We have accumulated vast experience in this area, and we are ready to share our work. In the scientific and educational laboratory based on the Center for Diagnostics and Telemedicine of the Department of Health, our experts will be able to train young scientists to use big data technologies. To get to practice, students need to contact the teachers of the department of the educational institution. It is important to support scientists, acquaint them with innovative developments and breakthrough achievements in the field of medicine. We will help young scientists to implement their ideas as quickly as possible for the benefit of the residents of the capital, "said Ilya Tyrov, deputy head of the Moscow City Health Department.
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The scientific and educational laboratory was created to improve the efficiency of personnel training, the implementation of joint research work with advanced Russian and international scientific teams. The organization allows you to accept students of medical, technical, physical and mathematical universities for internship.

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As of January 2023, student training is already being implemented on the basis of the Center - joint multidisciplinary research is underway with colleagues from other scientific institutions. We share knowledge, unite and enlarge scientific teams. Cooperation in the field of science and education has a beneficial effect on the training of highly qualified scientists. The creation of the laboratory is an excellent opportunity to unite efforts in training personnel in healthcare, "said Yuri Vasiliev, chief freelance specialist in radiation and instrumental diagnostics in Moscow, director of the Center for Diagnostics and Telemedicine.
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The entry into force of two GOSTs for testing AI in clinical medicine developed by the NPCC DiT DZM

On January 1, 2023, standards (GOST R 59921.8-2022 and GOST R 59921.9-2022) entered into force in Russia, establishing general requirements for artificial intelligence systems in medicine and quality management systems. This was reported to Zdrav.Expert on January 11, 2023 by representatives of the Center for Diagnostics and Telemedicine of DZM (NPCC DiT DZM). According to them, the adopted unified standards are designed to help in the development of new neural networks and testing existing ones, and will also allow only the best practices to be introduced into practical medicine.

Both GOSTs were developed by the Center for Diagnostics and Telemedicine of the Moscow Department of Health. Read more here.

2022

Results of the year

The Center for Diagnostics and Telemedicine DZM on December 30 shared the results of 2022.

In 2022, one of the key areas of the Center's activity was the development of GOSTs for artificial intelligence systems and the introduction of such technologies into practical healthcare. Important steps have been taken to improve the quality of the radiation diagnostics service in the capital. In April 2022, the institution was headed by Yuri Vasiliev, chief freelance specialist in radiation and instrumental diagnostics in Moscow.

The Center for Diagnostics and Telemedicine implemented an additional format for the operation of the radiation diagnostics system, which in international practice is called "telemedicine," and in Russia it was called the "reference center." This model of organizing medical care ensured uninterrupted conduct of radiation studies, doubled labor productivity and reduced the time for preparing a conclusion by 75% - from 27 to 6.5 hours.

Since the beginning of 2022 radiologists Moscow , the reference center of radiation diagnostics Department of Health has remotely analyzed about 2 million radiation studies of patients, which is 26% more compared to the same period in 2021.

In Moscow, they developed and began to use domestic medical phantoms for radiation diagnostics - special products that imitate organs and tissues of the human body, which are used to train employees and adjust medical equipment.

Scientists of the Moscow Center for Diagnostics and Telemedicine wrote a monograph "Features of magnetic resonance imaging in patients with implants and metal structures."

The Moscow Center for Diagnostics and Telemedicine received the right to train highly qualified scientific and pedagogical personnel under the graduate school program with a degree in Radiation Diagnostics.

In addition, cooperation agreements were concluded with MIPT, Moscow State Technical University named after N.E. Bauman, RNIMU named after N.I. Pirogov Ministry of Health of Russia and Moscow State University.

In Moscow, the Experiment on the use of computer vision technologies for the analysis of medical images continues, eight million radiation studies have already been analyzed. The number of doctors in Moscow who actively use artificial intelligence services in their work has grown 1.5 times over the year. At the same time, specialists began to positively assess the work of neural networks by 20% more often than in 2021.

Moscow is scaling the project to other regions Russia - now, thanks to the capital's platform HUB Telemed algorithms , they are helping to analyze radiation studies of patients. Yamal-Nenets Autonomous Okrug

The experience and expertise of Moscow made it possible to create and expand a digital library of impersonal data sets for assessing and further training neural networks.

In 2022, the key direction of the experiment was the launch and development of a comprehensive artificial intelligence service - the neural network recognizes the signs of eight different pathologies at once on one medical image of a radiation study.

Moscow developments in the field of artificial intelligence have entered national standards for its use in clinical medicine. The documents adopted by Rosstandart make it possible to increase the speed of implementation of artificial intelligence technologies to help doctors make diagnoses and treat patients throughout Russia.

In 2022, a number of meetings were held with representatives of partner countries and regions of Russia. Thus, the Center was visited by delegations of Armenia, Belarus, the Arkhangelsk region, the Republic of Tatarstan and others.

Prize of the Government of the Russian Federation for the development of voice input for radiologists

Scientists of the Center for Diagnostics and Telemedicine of the DZM and the CST group of companies received the Prize of the Government of the Russian Federation for the adaptation and introduction of speech recognition technology for the preparation of protocols for X-ray and ultrasound studies. This was announced on December 26, 2022 by Zdrav.Expert representatives of the Center for Diagnostics and Telemedicine of DZM. Read more here.

Obtaining the right to train personnel in the postgraduate program in the specialty 3.1.25 "Radiation diagnostics"

On September 27, 2022, the Moscow Center for Diagnostics and Telemedicine announced that it had received the right to train highly qualified scientific and pedagogical personnel under the graduate school program in the specialty 3.1.25 "Radiation Diagnostics."

Graduate students will receive academic mentoring and support not only from their scientific leaders, but also from fellow scientists of the structural unit of the Center. They will be able to develop skills in writing scientific articles, learn methods of statistical processing, medical data learn about approaches in conditions of systemic transformation, and industries health care will also use technologies big data to solve various scientific and practical problems.

In addition, specialists accepted for training will be able to conduct scientific research on advanced topics of the development of the healthcare industry and enter the scientific teams of the Center, connect to topics that are already being investigated in the organization, or propose new hypotheses for their scientific discoveries. For example, to conduct research on the effectiveness of introducing innovative technologies, the use of artificial intelligence to diagnose physiological and pathological conditions, and on many other relevant topics.

The Training Center has been working in the organization for five years. High-quality training programs are created here and various practical-oriented training activities of additional professional education are carried out: full-time and distance courses, master classes, webinars, preparation for certification of doctors and certification of secondary medical staff of radiation and instrumental diagnostics departments. The Center is an organization-provider of NMO points, providing the current continuing education and development of specialists necessary in the medical industry.

Development of the first in Russia methodological recommendations in the field of thanatoradiology

Employees of the Moscow Center for Diagnostics and Telemedicine have developed the first methodological recommendations in Russia in the field of post-mortem radiation imaging (thanatoradiology). The recommendations are approved by the Moscow Department of Health and can be used in practical activities, representatives of the CDT reported on September 1, 2022. Read more here.

Development of GOST for AI testing in clinical medicine

Moscow doctors - employees of the Center for Diagnostics and Telemedicine of the Department of Health - have developed a standard regulating the conduct of clinical trials of artificial intelligence systems. Previously, such a document did not exist for these systems. On August 2, 2022, Zdrav.Expert was informed about this by representatives of the Center for Diagnostics and Telemedicine (NPCC DiT DZM). Read more here.

Yuri Vasiliev - Director of the Center for Diagnostics and Telemedicine of the Moscow Department of Health

Yuri Vasiliev took office as director of the Center for Diagnostics and Telemedicine of the Moscow Department of Health. Representatives of the NPCC DiT DZM reported this on April 21, 2022. Read more here.

Vladzimirsky Anton - Acting Director of the Center for Diagnostics and Telemedicine of the Moscow Department of Health

In April 2022, the Scientific and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Department of Health replaced the director. Instead of Sergei Morozov, who headed the institution since 2015, Anton Vladzimirsky, who had previously served as deputy director of the center for scientific work, was appointed acting director. Read more here.

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