Liu / Wang PACS and Digital Medicine

Essential Principles and Modern Practice
1. Auflage 2010
ISBN: 978-1-4200-8366-8
Verlag: Taylor & Francis
Format: PDF
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, 367 Seiten

To improve efficiency and reduce administrative costs, healthcare providers, insurance companies, and governments are increasingly using integrated electronic health record (EHR) and picture archiving and communication systems (PACS) to manage patients’ medical information. Reflecting the latest applications of PACS technology, PACS and Digital Medicine: Essential Principles and Modern Practice discusses the essential principles of PACS, EHR, and related technological advancements as well as practical issues concerning the implementation, operation, and maintenance of PACS and EHR systems.

The book focuses on various components of PACS that use state-of-the-art technologies. The authors first present topics to consider prior to implementation, including design principles for PACS components and theory. They also cover post-installation quality control; security and privacy policies; maintenance, including upgrade/integration with other information systems; and governing standards. Each chapter includes an introduction to basic concepts and principles relevant to the topics, before exploring challenges that PACS users may encounter in daily work. Discussions are supplemented with more than 130 illustrations, along with case studies of implementation in two organizations.

A useful guide and broad overview of the field, this book presents key principles and practical steps for PACS and EHR implementations and maintenance. Although the technology and standards of healthcare IT will evolve over time, the theory and practical advice found in this text will remain pertinent in the future.

Zielgruppe

Medical physicists, radiologists, clinical engineers, technologists, healthcare IT professionals, and healthcare and PACS administrators; graduate students in medical physics and radiology residents.

Autoren/Hrsg.

Liu, Yu

Wang, Jihong

Fachgebiete

• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizinische Fachgebiete Bildgebende Verfahren, Nuklearmedizin, Strahlentherapie Radiologie, Bildgebende Verfahren

Inhaltsverzeichnis

Introduction
History of PACS: The Transition to Digital Medicine
Technology Advancements Enabling Today’s PACS
Defining PACS
Current Status

PACS Servers and Workstations
PACS Server
Types of Image Display Workstation in PACS
PACS Workstation Architecture
Environment for PACS Workstations
Radiology Workflow
Speech Recognition for Report Dictation
New Developments

Image Display Devices in PACS
Introduction
Softcopy Image Display System
Overview of Image Display Technologies
Quality Standards for Display Devices
Quality Control and Quality Assurance for Image Display Devices in PACS

Networking Technologies
Ethernet Local Area Network and TCP/IP
Wide Area Network

Network Topology
Network Design Consideration
Optical Fiber Communication
Network Security
Wi-Fi and Wireless Local Area Network

Backup and Alternative Network Using the Internet

Data Storage
Data Storage Media Types

Digital Storage Device Interface
Data Storage Attaching Configurations
Redundant Arrays of Independent Disks
Image Data Compression
Content Addressed Storage

Short-Term and Long-Term Storage for PACS/Electronic Health Record (EHR)

Healthcare Information Integration
Health Level 7 (HL7)
Digital Imaging and Communications in Medicine (DICOM)
Integrating the Healthcare Enterprise (IHE)
IHE Technical Frameworks

Teleradiology

Teleradiology Overview

Technical Considerations for Teleradiology Implementation
Teleradiology Quality Control
Legal and Social Considerations
Challenges and Future Trends in Teleradiology

Practical PACS Implementation
Financial Analysis
Planning and Development
PACS Equipment Selection and Contract Preparation
Implementation
Case Studies

Upgrading and Replacing Legacy PACS
Legacy System and IT Infrastructure Assessment
PACS/Radiology Information System (RIS) Upgrade Considerations
PACS Replacement Planning
Network Infrastructure Upgrade
Legacy PACS Data Migration
Replacement System Go-Live and Training

Future Development

Enterprise PACS
Introduction

Cardiology PACS

Pathology PACS
Radiation Oncology PACS

Endoscopy and Other Visible Light Specialties

Electronic Health Record and Personal Health Record Implementation
Introduction
HL7 EHR Model
HL7 Personal Health Record (PHR) System Model
Standards Used in EHR and PHR
Guide for EHR Implementations
Health Information Exchange at Regional and National Levels

Quality Control, Security, and Downtime Management
PACS Patient File Reconciliation and Quality Control
Downtime Planning

Health Insurance Portability and Accountability Act (HIPAA)
Contingency Plan and Disaster Recovery
Security Management Process
Device and Access Control

DICOM and IHE Security Mechanism
Index
A Bibliography appears at the end of each chapter.

Über Autor(innen)

Yu Liu, Ph.D., DABR, is a senior imaging physicist certified by the American Board of Radiology. He works in the radiology department at St. Luke’s Medical Center of Aurora Healthcare in Milwaukee, Wisconsin. Since 1997, he has been involved in PACS implementation and operation. He earned his Ph.D. in biomedical engineering from Duke University.
Jihong Wang, Ph.D., DABR, is an associate professor at the MD Anderson Cancer Center in Houston, Texas. He implemented the first major PACS system for the University of Texas Southwestern Medical School in Dallas while he was a faculty member there from 1996–2004. He earned his Ph.D. in medical physics from the University of Colorado at Boulder.