• Title/Summary/Keyword: teleradiology

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Implementation of Web Based Teleradiology Internet PACS (웹 기반 원격 방사선 인터넷 PACS 구현)

  • 지연상;이성주
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.4 no.5
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    • pp.1105-1110
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    • 2000
  • In the past high cost and complex system configuration often discouraged hospitals from building teleradiology system or PACS(Picture Archiving and Communication System). But new standard platforms enable us to construct the same system with very low cost and simple configurations. internet as a communication channel made us overcome the regional limit and communication cost, and WWW technologies simplified the complex problems on the software developments, configurations and installations. So whoever has a Web browser to access internet can review medical images at anywhere. And we adopted DICOM technology which is a standard for medical imaging, thus we could resolve the interface problems among medical imaging systems such as modalities or archives. The implementation is comprised of three part DICOM/WWW interface subsystem, image format conversion subsystem and viewing applets which are displayed on users WWW browsers. In addition, Teleradiology intrenet PACS system includes DICOM converter that non-DICOM file format converts standard file format.

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Evaluation of Radiographic Positioning Techniques Used in Local Hospitals after Teleradiology Consultation

  • Sojin Kim;Miju Oh;Yooyoung Lee;Minju Lee;Jiyoung Ban;Uhjin Kim;Jiwoon Park;Jaepung Han;Dongwoo Chang
    • Journal of Veterinary Clinics
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    • v.39 no.6
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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.

WWW based Implementation of Medical Image Management System (WWW기반의 의학영상 관리 시스템 구현)

  • Kim, D.W.;Lee, T.S.;Song, C.H.;Lee, D.H.;Cha, E.J.
    • Proceedings of the KOSOMBE Conference
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    • v.1996 no.11
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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.

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A Design and Implementation of XML DTDs for Integrated Medical Information System (통합의료정보 시스템을 위한 XML DTD 설계 및 구현)

  • 안철범;나연묵
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.40 no.6
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    • pp.106-117
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    • 2003
  • The advanced medical information systems usually consist of loosely-coupled interaction of independent systems, such as HIS/RIS and PACS. To support easier information exchange between these systems and between hospitals, and to support new types of medical service such as teleradiology, it becomes essential to integrate separated medical information and allow them to be exchanged and retrieved through internet. This thesis proposes an integrated medical information system using XML. We analyzed HL7 and DICOM standard formats, and designed an integrated XML DTD. We extracted information from HL7 messages and DICOM files and generated XML document instances and XSL stylesheets based on the proposed XML DTD. We implemented the web interface for the integrated medical information system, which supports data sharing, information exchange and retrieval between two different standard formats. The proposed XML-based integrated medical information system will contribute to solve the problems of current medical information systems, by enabling integration of separated medical informations and by allowing data exchange and sharing through internet. The proposed system with XML is more robust than web-based medical information systems developed by using HTML, because XML itself provides more flexibility and extensibility than HTML.

Digital X-ray Imaging in Dentistry (치과에서 디지털 x-선 영상의 이용)

  • Kim Eun-Kyung
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.29 no.2
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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.

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Development of Fast Internet based TelePAGS using Satellite Channel (위성 통신을 이용한 고속 인터넷 기반의 원격 PACS 개발)

  • Choi, I.K.;Kim, S.J.;Lee, J.Y.;Hwang, S.C.;Lee, M.H.
    • Proceedings of the KIEE Conference
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    • 1999.07g
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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.

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Process Evaluation and Influencing Factors of Building up a Network System between a National University Hospital and a Public Community Hospital in a Korean Provincial Area (한 광역자치도에서 국립대병원과 지방의료원간 협력체계 구축 사례의 성립 요인 및 과정평가)

  • Lee, Weon-Young
    • The Korean Journal of Health Service Management
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    • v.6 no.4
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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.