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6/6/2011
1
-is the of radiological patient images,
such as X-rays, CT and MRI, from one location to
another for the purposes of and/or
.
annually growth against an increase of in
the Radiologist.
6/6/2011 2
Providing timely consultative and interpretative
radiologic services.
Making radiologic consultations available without
on-site radiologic support.
Facilitating radiologic interpretations in on-call
situations.
Supporting telemedicine.
6/6/2011 3
Enhancing educational opportunities for
practicing radiologists.
Promoting efficiency and quality improvement.
Providing interpreted images to referring
providers.
Providing supervision of off-site imaging
studies.
6/6/2011 4
international standard for , ,
, and information in
medical imaging.
Includes a definition and a
network communications protocol
6/6/2011 5
stores information about the patient
(Name, Birthdate, and ID number), the modality (device
parameter, Calibration, X-ray dosis and Contrast
media).
in compressed (bitmap) or
uncompressed form (jpeg, gif...)
6/6/2011 6
- a for exchanging
between medical applications.
- Defines a for the transmission of
health-related information.
- is an between Healthcare provider
organization.
6/6/2011 7
6/6/2011 8
- addresses the and of
- improve the and effectiveness of
the nation's by encouraging
the widespread use of electronic data
interchange in the health care system.
6/6/2011 9
- that in the care of patients all required
information for medical decisions is both correct and
available to healthcare professionals.
- Defines a technical for the
implementation of established messaging standards to
achieve specific clinical goals.
- The approach employed in the IHE initiative is not to
define new integration standards, but rather to support
the use of existing standards ( ).
6/6/2011 10
- Comprehensive and integrated information system designed to
manage the , and aspects of a
hospital.
- Encompasses information processing as well as data
processing machines.
to Patient Data, including classification based on
demographic, gender, age... It is especially beneficial at ambulatory
(out-patient) point, hence enhancing continuity of care.
- Improved monitoring of , and study of effectiveness.
6/6/2011 11
used by Radiology
departments to store, manipulate and distribute
patient radiological data and imagery.
and ,
and image capabilities.
RIS HIS and are critical to
efficient workflow to radiology practices.
6/6/2011 12
Picture, videos, ECG, Reports
Archive, Online, Offline
Communication, Networking, Transfer Protocols
System, Architecture.
6/6/2011 13
- Computerized system for the , and
in a networked
environment.
- Provides to patient images and
report information, to authorized users, no matter
where they are located.
6/6/2011 14
a. RTs spend up to 50% of time “handling” film.
b. Reader cannot effectively interpret exams on film.
a. Images available to reader at exam completion.
b. Clinical consults possible via remote access.
a. Eliminate lost film.
b. Improved productivity.
c. Eliminate lost film preventing lost revenue.
6/6/2011 15
Modality
(CT, MRI,
US..)
Secure
network
Storage
Workstation
6/6/2011 16
PACS
Picture Archival & Communication System
Radiology
Dept.
Cardiac
Centre
Gyne
Lab/
Pathology
ICU/ICCU
Wards/
Clinics
6/6/2011 17
6/6/2011 18
Classic concept: two DICOM nodes are
connected, and communication takes place via
secured connections in a VPN tunnel (Virtual
Private Network).
DICOM e-mail.
6/6/2011 19
- across geographic boundaries
with greater control.
- Collects digital imaging studies from multiple,
geographically-dispersed locations and delivers
them , reliably and efficiently to
.
6/6/2011 20
6/6/2011 21
Security: all data is , making it
extremely secure.
Cost: replacing private circuits can save a
considerable amount of money on an annual
basis.
Flexibility: almost all and hence
applications can be routed through a VPN.
6/6/2011 22
6/6/2011 23
- is a protocol that can be
used for a variety of Tele-radiology applications.
- Its use is cost effective, and a
wide range of software applications compatible
to the standard is available, including
.
6/6/2011 24
Expert Emergency (neurosurgery,
neurology……).
without a radiologist at the
location of examination.
Cooperative work.
Image and report .
Integration into an EPR.
of image data and online-conferences.
services.
6/6/2011 25
6/6/2011 26
6/6/2011 27
from the
modality.
 Compression techniques:
image compression
-lossless tecniques: DPCM, HINT, DP,
BPE, MAR.
-compression ratios: 1.5:1 - 3:1
image compression
- JPEG.
- subband coding: wavelets.
Through network: , , ......6/6/2011 28
6/6/2011 29
6/6/2011 30
6/6/2011 31
Data Base
Server
CR/ DR QA
Workstation
Computed
Radiography
or DR
Gateway or
Frame Grabber
Film
Digitizer
Archive
DICOM
Modality
Web Server
RIS
JiveX Diagnostic
Workstations
Image
Server
(RAID)
JiveX Review
Workstations
6/6/2011 32
6/6/2011 33
1- The number of heads.
2- The resolution of display
(2MP, 3MP, 5MP).
3- Active screen diagonal (21",
19“..) 4- Color or Grayscale.
- Manufactures in world:
, , , and
……
in Tele-radiology network we need:
1-PACS server 2- RIS server 3- web server.
…
Manufactures: and ….
the speed of data transmission speed
is .
is the leading company in the world in Networking.
VPN Router is the leader.
6/6/2011 34
6/6/2011 35
6/6/2011 36
6/6/2011 37
6/6/2011 38
6/6/2011 39

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Teleradiology

  • 2. -is the of radiological patient images, such as X-rays, CT and MRI, from one location to another for the purposes of and/or . annually growth against an increase of in the Radiologist. 6/6/2011 2
  • 3. Providing timely consultative and interpretative radiologic services. Making radiologic consultations available without on-site radiologic support. Facilitating radiologic interpretations in on-call situations. Supporting telemedicine. 6/6/2011 3
  • 4. Enhancing educational opportunities for practicing radiologists. Promoting efficiency and quality improvement. Providing interpreted images to referring providers. Providing supervision of off-site imaging studies. 6/6/2011 4
  • 5. international standard for , , , and information in medical imaging. Includes a definition and a network communications protocol 6/6/2011 5
  • 6. stores information about the patient (Name, Birthdate, and ID number), the modality (device parameter, Calibration, X-ray dosis and Contrast media). in compressed (bitmap) or uncompressed form (jpeg, gif...) 6/6/2011 6
  • 7. - a for exchanging between medical applications. - Defines a for the transmission of health-related information. - is an between Healthcare provider organization. 6/6/2011 7
  • 9. - addresses the and of - improve the and effectiveness of the nation's by encouraging the widespread use of electronic data interchange in the health care system. 6/6/2011 9
  • 10. - that in the care of patients all required information for medical decisions is both correct and available to healthcare professionals. - Defines a technical for the implementation of established messaging standards to achieve specific clinical goals. - The approach employed in the IHE initiative is not to define new integration standards, but rather to support the use of existing standards ( ). 6/6/2011 10
  • 11. - Comprehensive and integrated information system designed to manage the , and aspects of a hospital. - Encompasses information processing as well as data processing machines. to Patient Data, including classification based on demographic, gender, age... It is especially beneficial at ambulatory (out-patient) point, hence enhancing continuity of care. - Improved monitoring of , and study of effectiveness. 6/6/2011 11
  • 12. used by Radiology departments to store, manipulate and distribute patient radiological data and imagery. and , and image capabilities. RIS HIS and are critical to efficient workflow to radiology practices. 6/6/2011 12
  • 13. Picture, videos, ECG, Reports Archive, Online, Offline Communication, Networking, Transfer Protocols System, Architecture. 6/6/2011 13
  • 14. - Computerized system for the , and in a networked environment. - Provides to patient images and report information, to authorized users, no matter where they are located. 6/6/2011 14
  • 15. a. RTs spend up to 50% of time “handling” film. b. Reader cannot effectively interpret exams on film. a. Images available to reader at exam completion. b. Clinical consults possible via remote access. a. Eliminate lost film. b. Improved productivity. c. Eliminate lost film preventing lost revenue. 6/6/2011 15
  • 17. PACS Picture Archival & Communication System Radiology Dept. Cardiac Centre Gyne Lab/ Pathology ICU/ICCU Wards/ Clinics 6/6/2011 17
  • 19. Classic concept: two DICOM nodes are connected, and communication takes place via secured connections in a VPN tunnel (Virtual Private Network). DICOM e-mail. 6/6/2011 19
  • 20. - across geographic boundaries with greater control. - Collects digital imaging studies from multiple, geographically-dispersed locations and delivers them , reliably and efficiently to . 6/6/2011 20
  • 22. Security: all data is , making it extremely secure. Cost: replacing private circuits can save a considerable amount of money on an annual basis. Flexibility: almost all and hence applications can be routed through a VPN. 6/6/2011 22
  • 24. - is a protocol that can be used for a variety of Tele-radiology applications. - Its use is cost effective, and a wide range of software applications compatible to the standard is available, including . 6/6/2011 24
  • 25. Expert Emergency (neurosurgery, neurology……). without a radiologist at the location of examination. Cooperative work. Image and report . Integration into an EPR. of image data and online-conferences. services. 6/6/2011 25
  • 28. from the modality.  Compression techniques: image compression -lossless tecniques: DPCM, HINT, DP, BPE, MAR. -compression ratios: 1.5:1 - 3:1 image compression - JPEG. - subband coding: wavelets. Through network: , , ......6/6/2011 28
  • 32. Data Base Server CR/ DR QA Workstation Computed Radiography or DR Gateway or Frame Grabber Film Digitizer Archive DICOM Modality Web Server RIS JiveX Diagnostic Workstations Image Server (RAID) JiveX Review Workstations 6/6/2011 32
  • 33. 6/6/2011 33 1- The number of heads. 2- The resolution of display (2MP, 3MP, 5MP). 3- Active screen diagonal (21", 19“..) 4- Color or Grayscale. - Manufactures in world: , , , and ……
  • 34. in Tele-radiology network we need: 1-PACS server 2- RIS server 3- web server. … Manufactures: and …. the speed of data transmission speed is . is the leading company in the world in Networking. VPN Router is the leader. 6/6/2011 34