Hi - PACS 的結(jié)構(gòu)及臨床應(yīng)用研究
曾南林,杜 勇,張小明,蹇 樸,董國(guó)禮,李春平,翟昭華
摘 要:目的 組建醫(yī)院綜合影像存儲(chǔ)與傳輸系統(tǒng)Hi - PACS(hospital integrated picture archiving and communication sys2
tem ,是“第二代PACS”) ,探討Hi - PACS 的結(jié)構(gòu)及其發(fā)展模式。方法 我們用高速以太網(wǎng)構(gòu)建Hi - PACS 的基礎(chǔ)網(wǎng)絡(luò)
框架,把多個(gè)mini - PACS、D - PACS 集合在一個(gè)系統(tǒng)中,各影像科室、臨床科室通過(guò)該網(wǎng)互相連通,實(shí)現(xiàn)影像圖像資料
的共享。網(wǎng)絡(luò)主干由光纜、交換機(jī)構(gòu)成,各分支由100M集線器、雙絞線、RJ45 插頭與影像設(shè)備構(gòu)成星型拓?fù)浣Y(jié)構(gòu)。
TCP/ IP、DICOM協(xié)議。操作系統(tǒng)為Windows9x/ NT/Me/ 2000/ XP、UNIX。建立Internet 網(wǎng)站使影像圖像進(jìn)入廣域網(wǎng)。使
用軟件把DICOM格式的圖像轉(zhuǎn)換成JPEG、GIF 格式,用Dreamweaver、Flash、FrontPage 制作網(wǎng)頁(yè),用Ws FTP 把網(wǎng)頁(yè)傳送
到Internet 網(wǎng)站。網(wǎng)址為http :/ / www. imaging - nsmc. com. cn 或http :/ / cbyimage. myetang. com。結(jié)果 實(shí)現(xiàn)了數(shù)字化醫(yī)
學(xué)圖像在Hi - PACS 各模塊間的傳送、中心存儲(chǔ)、激光膠片打印機(jī)共享、無(wú)膠片多媒體幻燈片和課件的制作,不同操作
系統(tǒng)(UNIX 和Windows NT/ 9x/Me/ 2000/ XP) 間的圖像交流,不同格式圖像(DICOM、JPEG、BMP、TIF、LWF、GIF、SWF、AVI)
相互轉(zhuǎn)換、兼容。進(jìn)入Internet 用于遠(yuǎn)程會(huì)診、遠(yuǎn)程教育、遠(yuǎn)程放射學(xué)及文獻(xiàn)資料查閱。結(jié)論 Hi - PACS 的建立方便
了影像圖像的管理及影像學(xué)臨床與教學(xué)、科研工作,推動(dòng)了數(shù)字化醫(yī)院的變革。
關(guān)鍵詞:放射學(xué)信息系統(tǒng);醫(yī)院信息系統(tǒng);計(jì)算機(jī)通信網(wǎng)絡(luò)
中圖分類號(hào):R319 文獻(xiàn)標(biāo)識(shí)碼:B 文章編號(hào):1009 - 7090(2002) 03 - 0160 - 04
Configuration of Hi - PACS and Its Clinical Application ZENGNan - lin ,DU Yong ,ZHANG Xiao - ming ,J IAN Pu , Dong
Guo - Li ,LI Chun - Ping ,ZHAI Shao - hua Department of Radiology , Affiliated Hospital of North Sichuan Medical College , Nan2
chong 637000 , China
Abstract :Objective The hospital integrated picture archiving and communication system (Hi - PACS , the second generation of
PACS) was established , and the configuration and development of Hi - PACSwere discussed. Methods The Hi - PACSwas estab2
lished by the high speed networks , and many mini - PACS and D - PACSwere integrated into one system. The clinical an image de2
partments were connected through the network. The website was established and the images were displaced on internet. Results
The communication of digital images , image processing , preparation of multimedia slides and multimedia course , diagnostic report
sharing printing , and different operating system(UNIX and Windows NT/ 9x/Me/ 2000/ XP) communication in Hi - PACS , and com2
patibility of different format images(DICOM,JPEG,BMP ,TIF ,LWF , GIF ,SWF ,AVI) were achieved successfully , and the images
were imput into internet for tele - education , tele - consultation and tele - radiology. Conclusion The establishment of Hi - PACS
promotes the innocation of digitized hospital and facilitates the activiities of research , education and clinical practice in image sci2
ences.
Key words :radiology information systems ;hospital information systems ;com |
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