{"title":"Report on the evaluation of a teleradiology pilot project between Royal Alexandra Hospital for Children and Nepean Hospital July-September 1993","authors":"B. Crowe, D. Hailey, M. de Silva","doi":"10.1109/IMAC.1995.532584","DOIUrl":"https://doi.org/10.1109/IMAC.1995.532584","url":null,"abstract":"A teleradiology pilot project was conducted between Royal Alexandra Hospital for Children, Camperdown, Sydney and the Nepean Hospital, a distance of 48 km. The project involved the transmission of some 600 pediatric X-rays at full resolution over the three month period July-September, 1993. The equipment used was a Kodak film digitiser and image viewing work stations at each hospital, connected to a Telecom Microlink 128 Kbps service by Network Designers ISIS Access Server Kit. Evaluation of the project was conducted by the Australian Institute of Health and Welfare. The results of the trial demonstrated that it was possible to transmit pediatric chest images of diagnostic quality in a reliable and secure manner. As the cost of air-lifting pediatric patients and supporting relatives from country to metropolitan centres can range from $AU7,000 to $AU10,000 per episode, it is considered that the establishment of a teleradiology system can be cost justified, particularly if regard is given to the intangible benefits of providing a 24-hour specialist pediatric diagnostic service to remote hospitals.","PeriodicalId":273407,"journal":{"name":"Proceedings of the Fourth International Conference on Image Management and Communication (IMAC 95)","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128245439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Y. Ando, O. Kawaguchi, M. Kitamura, K. Ogasawara, A. Kubo, Y. Arai
{"title":"Data conversion between IS&C format and DICOM format images in a personal computer environment","authors":"Y. Ando, O. Kawaguchi, M. Kitamura, K. Ogasawara, A. Kubo, Y. Arai","doi":"10.1109/IMAC.1995.532568","DOIUrl":"https://doi.org/10.1109/IMAC.1995.532568","url":null,"abstract":"This paper describes an image viewing process on the Image Save And Carry (IS&C) and the Digital Imaging and Communications in Medicine (DICOM) and conversion between these standards. The personal computer based image viewer can convert image format and is implemented on the image transmission application extending IS&C system by using the DICOM transfer function. The Japanese Ministry of Health and Welfare showed the technical criteria (security, long-term reliability and compatibility) for the electronic storage of the medical images in 1994. This viewer will conform this criteria. This system is a prototype IS&C viewing station which currently implemented on DOS/V 6.2 and MS-Windows 3.1 environment. We think that the linage station have to archive and transmit images with a simple operation. This system lets us make efficient use of the medical image information without difficulties.","PeriodicalId":273407,"journal":{"name":"Proceedings of the Fourth International Conference on Image Management and Communication (IMAC 95)","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127099600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of rural remote site production of digital images employing a film digitizer or a computed radiography (CR) system","authors":"D. Shock, M. Frick, K. Douglass","doi":"10.1109/IMAC.1995.532563","DOIUrl":"https://doi.org/10.1109/IMAC.1995.532563","url":null,"abstract":"This project describes two digital image acquisition methods for transmission from two rural sites to a remote site for primary interpretation of images. Practical considerations or implementation of rural teleradiology links are discussed. Digital image production occurred by either employing a film digitizer or a computed radiography (CR) system. Adequate image resolution was possible for most clinical applications for both methods (minimum array size of 2048/spl times/2048/spl times/10-12 bits for digital transmission). Benefits of CR included reduction in the image production cycle time and improved image handling. The technical sophistication and the cost of the link are directly proportional. Film digitizer technology was two to three times less expensive than CR. CR, on the other hand, offered significant operative expense reductions in the long run. Both CR and digitizer approaches are clinically useful methods for teleradiology. The type of equipment depends on the requirements of the applications needed and financial resources available.","PeriodicalId":273407,"journal":{"name":"Proceedings of the Fourth International Conference on Image Management and Communication (IMAC 95)","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132700355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"RIS interface for mammography results and patient reporting","authors":"J. L. Halverson, D.L. Dolezal","doi":"10.1109/IMAC.1995.532567","DOIUrl":"https://doi.org/10.1109/IMAC.1995.532567","url":null,"abstract":"Using an existing mainframe computer (an IBM 3090), a computerized process for mammography result notification and follow up was developed in a 380 physician multispecialty clinic. Prior to implementation each individual physician used a process unique to their practice to notify patients of mammography and breast ultrasound results and of the need for follow-up examinations. Effectiveness varied and all were cumbersome and time consuming. The system was centralized in the Radiology Department and has improved the efficiency and accuracy of notification and has enhanced the quality of care.","PeriodicalId":273407,"journal":{"name":"Proceedings of the Fourth International Conference on Image Management and Communication (IMAC 95)","volume":"151 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134264460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Phased approach to DICOM compliant medical imaging system as part of a health care network","authors":"D. Shock, M. Frick, K. Douglass","doi":"10.1109/IMAC.1995.532560","DOIUrl":"https://doi.org/10.1109/IMAC.1995.532560","url":null,"abstract":"The basic promise of image management and communication systems (IMACS) is to provide efficient radiology services and quick image access to clinicians. The paper describes an approach to a system-wide image information system at West Virginia University Hospital. The system has used traditional capital expenditures, cluster integration and DICOM compliance over a five year period.","PeriodicalId":273407,"journal":{"name":"Proceedings of the Fourth International Conference on Image Management and Communication (IMAC 95)","volume":"160 34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130509434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Dembeyiotis, N. Katevas, G. Konnis, D. Koutsouris, S. Pavlopoulos
{"title":"An image processing and management system for radiology","authors":"S. Dembeyiotis, N. Katevas, G. Konnis, D. Koutsouris, S. Pavlopoulos","doi":"10.1109/IMAC.1995.532928","DOIUrl":"https://doi.org/10.1109/IMAC.1995.532928","url":null,"abstract":"The geographical morphology of Greece has a significant effect on the structure and operational characteristics of the Greek health care system. The remote location of many rural health care centers and the concentration of major hospitals in the few big cities have an effect on both the quality and availability of health care that is provided. We are developing a strategic plan that would allow hospitals and health care centers across Greece to exchange medical data in digital form and have access to telemedicine and teleconsulting facilities. Two pilot networks are currently being implemented. The first network is designed to allow for telemedicine and teleconsulting services on the island of Evia. The second pilot network will be an image management and communication system (IMAC) and will be implemented in the Onassio Hospital in Athens. Preliminary results are very promising for the final implementation of this pilot project.","PeriodicalId":273407,"journal":{"name":"Proceedings of the Fourth International Conference on Image Management and Communication (IMAC 95)","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115876725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A scalable teleradiology information system","authors":"B. Ho, R. Taira, H. Kangarloo, R. Steckel","doi":"10.1109/IMAC.1995.532572","DOIUrl":"https://doi.org/10.1109/IMAC.1995.532572","url":null,"abstract":"The University of California, Los Angeles (UCLA) has launched a global teleradiology project to provide subspecialist consultation to remote regions with the intent to deliver higher quality health care and contain the rising cost of health care. The initial client site at Melbourne, Florida has been in operation since Feb. 1995. Potential future sites include South and Central American and Asian Pacific regions. The teleradiology infrastructure for supporting this project consists of (1) a cost-effective telecommunication network, (2) an image management system, and (3) a complete information system which contains relevant patients' demographic and clinical support data. This infrastructure must be scalable to incorporate unlimited future sites. Of the three, the information system component is the least understood. It must meet four clinical requirements using various state-of-the-art database technologies: (1) it must manage patient data that are dispersed among multiple distributed databases; (2) it must be extremely reliable; (3) it should capture, index and display, for the consulting radiological subspecialist, all relevant information, including imaging required for optimal decision-making; and (4) it must also provide a effective means of reporting findings, impressions and conclusions to the referring physician.","PeriodicalId":273407,"journal":{"name":"Proceedings of the Fourth International Conference on Image Management and Communication (IMAC 95)","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121895963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Internet as a consultation medium for telepathology: a cooperative study","authors":"A. M. Elsayed, Y. Shimosato, Y. Yagi","doi":"10.1109/IMAC.1995.532579","DOIUrl":"https://doi.org/10.1109/IMAC.1995.532579","url":null,"abstract":"Summary form only given. For this application, we utilized Unix-based computer systems. The communication link between our two institutes is based upon TCP/IP and UDP/IP for the US and Japan respectively. An analysis of a sample communication is provided. We prepared the cases to be exchanged, relayed them by FTP, and subsequently held interactive teleconferences centered on the transmitted cases. We followed the following steps in our preparations: (1) record documentation of the sessions; (2) schedule four 15-minute segments for each weekly session; (3) acquire the images and write files to local workstations and FTP files to remote workstations; (4) conduct the scheduled teleconference sessions. From our experience, the Internet appears to be a promising medium for providing a low-cost vehicle for international inter-institutional consultation and pathology case exchange.","PeriodicalId":273407,"journal":{"name":"Proceedings of the Fourth International Conference on Image Management and Communication (IMAC 95)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131227970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Siegel, S. Pomerantz, Z. Protopapas, E. Pickar, J. Diaconis, B. Reiner, R. Allman, R. Shannon
{"title":"PACS in a \"digital hospital\": preliminary data from phase III evaluation of the experience with filmless operation at the Baltimore VA Medical Center","authors":"E. Siegel, S. Pomerantz, Z. Protopapas, E. Pickar, J. Diaconis, B. Reiner, R. Allman, R. Shannon","doi":"10.1109/IMAC.1995.532557","DOIUrl":"https://doi.org/10.1109/IMAC.1995.532557","url":null,"abstract":"The operation of the radiology department and hospital was analyzed prior to and after the installation of a hospital-wide picture archiving and communication system (PACS). Significant improvements in radiologist productivity, timeliness of imaging reports, and film retake and film loss rates were recorded. Preliminary economic analysis suggests that capital depreciation and maintenance costs are matched by savings in film costs and personnel. The use of the PACS may also increase the efficiency of clinicians and other hospital staff which could result in substantial savings on a hospital-wide basis. Further savings may be achieved by sharing the PACS among multiple medical centers. Clinicians expressed a preference for PACS over film, typically utilized the system 3-5 times per day, taught themselves how to use the PACS rather than take the formal training course, and indicated that their rate of consultations with radiologists had not changed or that it had decreased after the transition to filmless radiology.","PeriodicalId":273407,"journal":{"name":"Proceedings of the Fourth International Conference on Image Management and Communication (IMAC 95)","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124833032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Designing a telemedicine platform for three different medical applications","authors":"W. Tohme, W. Hayes, S. Mun, D. Komo, M. Meissner","doi":"10.1109/IMAC.1995.532566","DOIUrl":"https://doi.org/10.1109/IMAC.1995.532566","url":null,"abstract":"This project is being undertaken between the Imaging Science and Information Systems (ISIS) Center of the Georgetown University Medical Center (GUMC) and the Departments of Internal Medicine, Surgery and Pediatrics at GUMC. It investigates the design and technical efficacy of a common Personal Computer (PC) platform for three different medical applications. This platform will be used for each project with different configurations depending on the clinical needs. The efficacy of a common telemedicine platform has not been evaluated in the literature. The first application, with the Department of Internal Medicine, Division of Clinical Pharmacology, investigates the usefulness of Telemedicine when used for a clinical pharmacology consultation service from an off-site location. The second application, with the Department of Surgery, Division of Urology, tests the utility of a telemedicine platform including radiology images for a surgical stone disease consultation service from an off site location in West Virginia. The third application, with the Department of Pediatrics, will test telemedicine for clinical subspecialty pediatrics consultation service from an off-site location in Virginia as well as allowing the resident to 'attend' grand rounds at GUMC.","PeriodicalId":273407,"journal":{"name":"Proceedings of the Fourth International Conference on Image Management and Communication (IMAC 95)","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127852083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}