• Korean Journal of Radiology
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• 제24권12호
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• pp.1176-1178
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• 2023

• Korean Journal of Radiology
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• 제24권10호
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• pp.936-937
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• 2023

• 한국정보통신학회논문지
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• 제4권5호
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• pp.1105-1110
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• 2000

과거에 원격방사선 시스템 혹은 PACS는 높은 가격과 복잡한 형태의 시스템으로 간주되어 PACS 설치의 저해요인이 되었다. 그러나 새로운 표준안은 낮은 가격과 간소한 형태로 기존 시스템과 동일한 시스템을 구성할 수 있게 해준다. 통신채널과 함께 인터넷은 우리가 안고 있는 지역적인 한계와 통신가격 그리고 소프트웨어 향상에 의해서 복잡한 문제들을 단 순화시킨WWW 기술형태와 장비설치를 극복할 수 있게 해준다. 인터넷과 웹 브라우저를 이용하여 누구나 어디에서든지 의학적 영상을 다시 볼 수 있다. 그리고 우리는 의학적 영상을 위한 표준 DICOM 기술을 적용하여, 사용법 혹은 영상저장과 같은 의학적 영상체계 사이에 직면한 문제들을 해결할 수 있다. 원격 방사선 인터넷 PACS의 구현은 서브시스템의 인터페이스를 위한 DICOM/WWW, 영상 형태 변환 서브시스템과 WWW 웹 브라우저 사용자에 보여지는 알파넷 보기의 세 부분의 변환이다. 부가적으로 원격방사선 인터넷 PACS 시스템은 DICOM 컨버터가 non-DICOM 파일 형식을 표준화된 파일 형식으로 변환시켜준다.

• 한국임상수의학회지
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• 제39권6호
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• pp.326-333
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• 2022

The purpose of this study was to evaluate the radiographic positioning techniques used in local animal hospitals, identify the most common positioning problem, and determine whether there were changes after teleradiology consultations. From September 2016 to April 2021, 15 local animal hospitals that requested radiographic interpretation more than 10 times and for more than six cases of thoracic radiographs were selected. Six sets of two-views of (lateral and ventrodorsal [VD] or dorsoventral [DV] views) digital thoracic radiographs from six dogs per hospital were evaluated in four categories. For the lateral view, radiographic technique scores used in ten local animal hospitals improved, one remained the same, and four became worse. For the VD/DV view, the score for eleven hospitals improved and worsened for four. The most common problem was rotation (57/90) for the lateral view, followed by an inappropriate field of view (59/90), and incorrect beam center (71/90). For the VD/DV view, an inappropriate field of view (54/90) was the most common problem, followed by asymmetry (63/90), and incorrect beam center (73/90). Every factor, except rotation in the lateral view, improved after obtaining technical consultation; however, the degrees of improvement were not remarkable. There was no significant correlation between the number of requests and the degree of improvement. According to the results, the radiographic technique used in local animal hospitals was improved by technical advice on teleradiology. These changes make it possible to provide accurate diagnoses of the requested images. There are some limitations regarding the indicators of evaluation and the number of cases; therefore, further studies that use detailed indicators in large cohort group are needed. In addition, an effective method of teaching should be developed to improve radiographic techniques in local animal hospitals.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1991년도 춘계학술대회
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• pp.1-4
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• 1991

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1996년도 추계학술대회
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• pp.57-60
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• 1996

A medical image management system was implemented using WWW(world wide web) technology. The Httpd server was designed using PC with Linux operating system. The client used Netscape as its network browser. The image processing module of the client part was programmed in Java. The database was constructed with Bicom3 format images and programmed using Perl. The present technique can be used to standardize the network and user environment of PACS and teleradiology.

• 전자공학회논문지CI
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• 제40권6호
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• pp.106-117
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• 2003

선진 의료정보시스템은 텍스트 기반 정보를 위한 HL7 표준과 의료 영상 정보를 위한 DICOM 표준을 기반으로 한 HIS(병원정보시스템)/RIS(방사선진단시스템), PACS(의료영상시스템)와 같은 독립적인 시스템이 상호 유기적으로 결합된 형태로 구축된다. 최근 들어 시스템(HIS/RIS, PACS) 상호간의 원활한 정보 교환의 필요성과 환자의 타 병원으로의 이송, 원격진료(Teleradiology) 서비스, 기타 의료 데이터 공유에 대한 필요성이 증가함에 따라 통합의료정보시스템의 개발과 인터넷을 통한 통합검색 및 교환을 위한 적절한 대안이 요구되고 있다. 본 논문에서는 이에 대한 방안으로 XML을 활용한 통합의료정보시스템을 제안하였다. 기존 문서의 XML화를 위하여 HL7과 DICOM 두 표준에서 제안하는 표준 문서의 특성을 분석하고 이를 기초로 통합 XML DTD를 설계하였다. 시스템 구현은 1)HL7 메시지와 DICOM 파일로부터 관련 데이터에 대한 정보의 추출. 2)통합 DTD를 기반으로 한 XML 문서 인스턴스와 XSL 스타일시트의 생성 및 저장. 3)최종적으로 ASP를 사용한 웹 검색 인터페이스를 구현함으로써 웹상에서 데이터의 공유와 상이한 두 표준간 의료 정보의 교환 및 검색을 위한 통합의료정보 시스템을 구현하였다. 본 논문에서 제안한 XML 기반 통합 의료정보 시스템은 의료정보의 통합과 인터넷을 통한 데이터의 교환 및 공유를 가능하게 함으로써 기존 의료정보시스템의 문제점을 해결할 수 있을 것으로 보인다. 또한 XML의 유용성과 확장성으로 기존의 HTML 기반 웹 의료정보 서비스와의 차별화도 기대할 수 있을 것이다.

• 치과방사선
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• 제29권2호
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• pp.387-396
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• 1999

In dentistry. RadioVisioGraphy was introduced as a first electronic dental x-ray imaging modality in 1989. Thereafter. many types of direct digital radiographic system have been produced in the last decade. They are based either on charge-coupled device(CCD) or on storage phosphor technology. In addition. new types of digital radiographic system using amorphous selenium. image intensifier etc. are under development. Advantages of digital radiographic system are elimination of chemical processing, reduction in radiation dose. image processing, computer storage. electronic transfer of images and so on. Image processing includes image enhancement. image reconstruction. digital subtraction, etc. Especially digital subtraction and reconstruction can be applied in many aspects of clinical practice and research. Electronic transfer of images enables filmless dental hospital and teleradiology/teledentistry system. Since the first image management and communications system(IMACS) for dentomaxillofacial radiology was reported in 1992. IMACS in dental hospital has been increasing. Meanwhile. researches about computer-assisted diagnosis, such as structural analysis of bone trabecular patterns of mandible. feature extraction, automated identification of normal landmarks on cephalometric radiograph and automated image analysis for caries or periodontitis. have been performed actively in the last decade. Further developments in digital radiographic imaging modalities. image transmission system. imaging processing and automated analysis software will change the traditional clinical dental practice in the 21st century.

• 대한전기학회:학술대회논문집
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• 대한전기학회 1999년도 하계학술대회 논문집 G
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• pp.3249-3252
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• 1999

In this paper, we present the Tele-PACS of radiology, which uses the communication network as asymetric satellite data communication system. The asymetric satellite data communication system uses receive-only satellite links for data delivery and PSTN(Public Switched Telephone Network) modem or N-ISDN(Integrate Services Digital Network) for communication. The satellite communication linking shows the very high-speed performance than terrestial linking such as 28.8 kbps modem linking and 56Kbps linking. The satellite linking is 5 - 10 times faster than the 56Kbps linking. We conclude that 1) Satellite networking is currently the cheapest and fastest solution for internet access. 2) Web-based Image-Viewer enables small size hospitals in rural area to connect to central PACS easily and to retrieve the image data reliably. 3) The suggested teleradiology system using satellite networking could be adequate to fast telemedicine and telecare for rural hospitals especially located in geographically isolated areas such as islands.

• 보건의료산업학회지
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• 제6권4호
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• pp.219-229
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• 2012

This study aimed to explore influencing factors on the establishment of the network system between public hospitals and to make a process evaluation of it. we analyzed the case of a strategic alliance contracted by a National University Hospital(NUH) and a Community Hospital(CH). Main points of the project were regular dispatch of clinical specialists in the NUH such as gastroenterologist and running teleradiology program. The NUH considered the improvement of it's image as a public hospital as a successful element of the network program. The provincial office which have to manage the CH satisfied with these program in terms of helping CH in need of clinical specialists. Staffs in the CH pointed out the problem of discontinuity for patients who visited the CH. Three institutes argued that continuous support of central government in the relevant institution and budget could play the most important role in the advance of the network system between public hospitals.