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小型医学影像存储与传输系统的临床应用 被引量:19

Clinical application of minimizing picture archiving and communication system
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摘要 目的 探索小型医学图像存档与通讯系统 (minimizingpicturearchivingandcommunicationsystem ,mini PACS)在实际工作中的应用 ,逐步实现科室内的无胶片化管理。方法 建立基于PC机的局域网 ,连接CT、MR、数字胃肠机、DSA、激光相机等医学影像设备 ,整合数字图像网络 (digitalimagingnetwork ,DIN)和医学图像诊断系统 (medicaldiagnosticimagingsystem ,MDIS) ,组成放射科信息管理系统(radiologyinformationsystem ,RIS)。RIS系统通过其中 1台安装双网卡的PC工作站与医院信息系统(hospitalinformationsystem ,HIS)相连。结果 系统在 2年多的时间内得到连续使用 ,放射科信息管理系统得以实现和完善。在现有的数字化影像设备上实现了符合医学数字图像传输标准 3 0 (digitalimagingcommunicationinmedicine ,DICOM 3 0 )格式的图像采集、储存、传输、打印、浏览功能。图像和诊断报告信息通过MicrosoftAccess数据库管理 ,不同设备上保存的在线图像为 3~ 6个月 ,所有图像用CD R光盘刻录 ,作为离线永久保存 ,已有 3 2 70 0多份诊断报告存入数据库 ;HIS终端可有限制地从该系统获得图像和诊断信息。结论 mini PACS系统投入和运行成本低、维护简单、性能可靠 ,可基本实现PACS的重要功能 ,在中。 Objective To investigate the use of the minimizing picture archiving and communication system (mini PACS) in practical work and to realize the advent of filmless radiology Methods A PC based ethernet was set up The medical imaging equipments including CT, MR, digital fluoroscopy, DSA, and a laser camera were combined with the ethernet, and the digital imaging network (DIN) was integrated with the medical diagnostic imaging system (MDIS) In this way, the radiology information system (RIS) was established Through one of the PC workstations with a double network card, this RIS was connected to the hospital information system (HIS) Results The mini PACS has been repeatedly used for more than 2 years The system in Radiology department has been established and improved With the present digital imaging system, such functions as the acquiring, storing, transmitting, printing, and browsing of digital images have been put into practice, all in accordance with the manners of the digital imaging communication in medicine 3 0 (DICOM 3 0) Digital imaging and diagnostic reports were managed through Microsoft Access database Images may be kept on line in different kinds of equipment for 3-6 months All images have been recorded on CD R disks, so as to be kept off line permanently So far, over 32 700 reports have been stored in the database From mini PACS HIS terminals images and diagnostic information may be acquired on a limited scale Conclusion mini PACS needs only a low cost of investment and operation Its maintenance is simple and its performance is efficient The main functions of the PACS can mostly be achieved There lies a bright prospect for its use in small and medium hospitals
出处 《中华放射学杂志》 CAS CSCD 北大核心 2003年第3期272-275,共4页 Chinese Journal of Radiology
关键词 医学影像存储传输系统 临床应用 放射学信息系统 设备 设计 局部网络 Radiology information system Local area networks Equipment design Personal computers Program evaluation
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