OpenREM: Radiation Exposure Monitoring for physicists

Ed McDonagh, The Royal Marsden NHS Foundation Trust
David Platten, United Lincolnshire Hospitals NHS Trust

Dose management in contemporary radiological practice
NEC, Birmingham

OpenREM should harvest all available dose related data

✔ Customisable

✔ Low cost (Computers, people time)

✔ Free (open source, cost free licence)

✔ Documented

✔ Compliant with data protection law

(meaningless) Effective dose calculations

✘ Cumulative dose tracking

✘ Dashboards for referring physicians and justifying radiologists


Open source - GPLv3 licence

Hosted at in a git repository

Python, Django, pydicom, XlsxWriter, Celery and RabbitMQ

Sources of dose information:

Radiation Dose Structured Reports

  • CT
  • Fluoroscopy
  • Mammography
  • Radiography

Mammography images

Radiography images

Philips CT dose summary images

CSV files containing height and weight

In the next release, 0.8 (soon!)

  • Integration and visualisation of OpenSkin dose mapping
  • Improvements and bug fixes to imports, display and exports
  • Reworking of the DICOM query-retrieve code

Future developments

  • Integration with openSSDE for water equivalent diameter calculations in CT
    • Multi-centre trial of openSSDE underway currently

  • Addition of HL7 interface for demographic and procedure updates
    • Code contributed and awaiting testing

  • Additional dose data sources
    • Toshiba CT dose summary images
    • Siemens Arcadis Varic fluoroscopy structured report

  • Multi-lingual documentation and interface
    • German documentation contributed

The website

Have a play with the demo sites

Or follow the link from the website...

The documentation

Or follow the link from the website...

What do I need?

A computer - Linux or Windows


Source data - preferably via the network

Follow the instructions...