南京市区域远程影像中心平台的设计与研究
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摘要
目的 :为缓解偏远地区和基层群众看病难、看病贵以及医疗资源分布不均衡的问题,设计区域远程影像中心平台。方法:基于区域影像归档和通信系统(picture archiving and communication systems,PACS)平台,通过DICOM和HL7异构模块对非标准的PACS图像及文本进行标准化转换,并利用KM-SES远程诊断系统将医疗或临床、通信网络、数据库等各方面集成为一体,构成区域影像中心平台的整体体系。结果:该平台的应用实现了院内、院外影像业务流程管理一致、质控一致,缩短了就诊时间,降低了空置率。结论:该平台通过开展远程会诊、远程诊断及检查预约等多种模式,可以使偏远地区和基层群众享受高质量、高水平的诊疗服务。
Objective To establish a regional remote imaging diagnosis platform to solve the problems in medical treatment of the population in remote areas and etc as well as the non-balanced medical resources distribution. Methods Standardization transform of non-standard PACS images and texts was executed with PACS platform, DICOM and HL7 heterogeneous module.KM-SES remote diagnosis system was used to integrate the components of clinical operation, communication network,database and etc so as to construct a regional imaging platform. Results The platform standardized the imaging process and quality control inside and outside the hospital, and contributed to shortening the treatment time and reducing the vacancy rate.Conclusion The platform implements remote consultation, diagnosis and examination appointment, and facilitates the medical service to the population in remote areas.
Objective To establish a regional remote imaging diagnosis platform to solve the problems in medical treatment of the population in remote areas and etc as well as the non-balanced medical resources distribution. Methods Standardization transform of non-standard PACS images and texts was executed with PACS platform, DICOM and HL7 heterogeneous module.KM-SES remote diagnosis system was used to integrate the components of clinical operation, communication network,database and etc so as to construct a regional imaging platform. Results The platform standardized the imaging process and quality control inside and outside the hospital, and contributed to shortening the treatment time and reducing the vacancy rate.Conclusion The platform implements remote consultation, diagnosis and examination appointment, and facilitates the medical service to the population in remote areas.
引文
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[2]胡俊峰,朱启标,钱建生.医学影像实时采集与网上传输系统的研究[J].医疗卫生装备,2004,25(11):45.
[3]林亚忠,林顺和,陈加强,等.医疗决策支持系统的构建及应用研究[J].医疗卫生装备,2015,36(4):117-119.
[4]王志远,余厚军.医学图像通讯标准DICOM原理与应用[J].现代医用影像学,2000,9(2):84-87.
[5]张健,池峰,高新波,等.基于DICOM标准的大型医学影像分布式存储系统研究[J].计算机应用研究,2004,21(4):85-87.
[6]马文虎,刘友华,翟油华.基于IHE的医学影像信息系统集成研究与实现[J].信息技术与信息化,2011,2(2):52-55.
[7]李维,陈祁.基于IHE PIX的MPI研究及其在医院的应用分析[J].医疗卫生装备,2011,32(6):41-43,46.
[8]刘仲明,王放,郑小林.医院影像归档与存储系统中影像数据长期存储问题的研究[J].第三军医大学学报,2005,27(11):1 123-1 126.
[9]刘谦.基于大集中模式的区域医学影像信息系统建设的探索[J].医疗卫生装备,2010,31(3):54-55.
[10]周萍.PACS中医学影像数据存储及管理方案的设计与研究[J].中国市场,2008,3(1):130-131.
[11]万艳丽,郭珉江,马豪,等.海量医学影像自动语义标注研究[J].中国数字医学,2015,5(5):83-86.
[12]宇文姝丽,杨小平.电子病历存储模式研究[J].医学信息学杂志,2011,32(3):7-12.
[13]郝永,陈为军,陈书林,等.医学影像存储与传输系统存储模式的探讨[J].医疗设备信息,2006,21(2):12-13.