PACS?RIS????? - PowerPoint PPT Presentation

Loading...

PPT – PACS?RIS????? PowerPoint presentation | free to download - id: 510b09-OWI3N



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

PACS?RIS?????

Description:

PACS RIS JB Wang ( ), Ph.D., CTO & CEO www.thinkingsystems.com PACS (JB) www.cnpacs.org – PowerPoint PPT presentation

Number of Views:193
Avg rating:3.0/5.0
Slides: 37
Provided by: JBW7
Learn more at: http://read.pudn.com
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: PACS?RIS?????


1
PACS?RIS?????
  • JB Wang (???), Ph.D., ?????? CTO CEO
    www.thinkingsystems.com
  • ?? PACS ?????(JB) www.cnpacs.org

2
PACS - ???????????
  • Picture Archiving and Communications System
  • ????
  • ?????????????????
  • ??????????????????
  • ? DICOM ? HL7 ???????????????????????????????
  • ? Web ????????????????????, ????????????
  • ????????????????

3
????????????????????
4
RIS ??????
  • ?????????
  • ????????
  • ?????????
  • ????????
  • ??????????
  • ????????????
  • ?????
  • ?? RIS ????? ????

5
PACS ?? 20 ??
  • 1970 ?? CT??????????
  • 1980 ????????? (MRI)?CR ????? (DSA)?
  • 1982 ? SPIE ??????? PACS ???
  • 1983 ???????????????
  • 1985 ????????? DIN-PACS
  • 1985 ?University of Washington ?Georgetown ??
    ???? PACS
  • 1995 ?????? PACS ????
  •  

6
?????????
  • 70 ??? IBM ? DEC mainframe (?? ) ??,??????? 80
    ???
  • 80 ?????????? Unix ?????? Macintosh ? IBM ??????
  • 1981 ? TCP/IP???ARPANET??
  • 1992 ??? Mosaic ???
  • 1990 ??? Internet ??????

7
RIS ? PACS ?(IDX ??)
  • 1974 ???? DEC ??? (mini computer) ?????????
  • 1976 ?????????????
  • 1985??????? HIS ? EMR ??
  • 1991?IDXRad (?? DECRad)RIS??
  • 2002?IDX???4?6???? (460M),?? 4900??? (???? 5000)

8
PACS ?????????
  • PACS ?????? CR/DR?CT ? MR ?? PACS
  • ??????????????PET??????????????????
  • ??????????????/PET ???? mini PACS
  • ???????????? PACS,????????????????

9
PET ???????????
10
PET-CT ?????????
11
?????????
12
??? PACS ???????
  • ????????PET???????????? CT/MR/CR/DR ???
  • ?? PACS ????????????
  • ???????????????
  • ???????????????
  • ?????????????
  • ???????????????

13
??????? (stress-rest)
14
??????????
15
??????
16
??? PACS ???? ???
17
??? ???
18
PACS ????????
  • a

?????????DICOM 3.0?HL7
  • HL 7 Health Level 7
  • RIS-PACS ?? Worklist, MPPS, HL7
  • ????????IHE?HL7 3.0

???
19
PACS ?????????
  • ?????????? DICOM 3.0
  • ?????????????
  • ?????? (????????) ??????? (?????)
  • ? RAID (????????)
  • ? NAS (Network Attached Storage)
  • ?? SAN (Storage Area Network)
  • ?????(?????????)

20
????????????
  • ??????????????????????????????????????????
    ????????????????????
  • ?????????????????????????CT/MR ?????
  • DICOM ?? Hanging Protocol?Grayscale Softcopy
    Presentation State?Print Presentation LUT
  • ???????????????????????????????????????????????
    PET SUV ?? CT ??????

21
CT ??
22
MR ??
23
PACS ????????
  • ?????????????????/????????????????????
  • ?????????????? PACS???????,?????????
  • ?????????????,?????WEB CGI?Java Applet ?ASP
  • ??????????????? plug-in ActiveX ?????? image
    streaming

24
? WEB ???
25
Active X??2D/3D
26
PACS ??????????
  • 1990 ?????? PACS ????????????? Unix
  • 1990 ??????? Windows ?? PACS ????????????
  • ?????? PACS ????? Windows ??,GE?????Agfa?????Fuji
    ????
  • ????????? ??3-4 ?? CPU ??????? 10 ?????? 32
    ???????????? LCD??????? 3 ?,??????

27
PACS ????????
  • 1999 ? ?????????PACS7????????? Dell PC??,CPU?PII 
    400,???64M,???10G,19?1024X768?????????? 20G?RAID,?
    ?? 32?????,??2.3G (? 90.3G)
  • ??????CPU P5 4.02GHz,??? 2GB,??? 120GB,20? 1600
    x 1200 LCD,???????? 2TB ????,?? NAS/SAN ?????
  • ????,???? 4 ??? CPU ?? 10 ?????? 32 ?????? 12
    ??????? LCD ???????? 2.44 ?! ????? 23 ?!

28
PACS?RIS ? HIPAA
  • HIPAA ?? Health Insurance Portability and
    Accountability Act of 1996
  • ???? (Administrative Simplification) ? HIPAA
    ????????,???????
  • ??? (privacy rule) ?HIPAA???????,?????????????????
    ???????????
  • HIPAA ??????? EMR, HIS, RIS ? PACS ?????????

29
RIS ?????
  • ????????? RIS ??????????????????????????????
  • ?? RIS ??????????????
  • RIS ??? HIS ?? (HL7)
  • RIS ???????? PACS ?? (DICOM Modality Worklist),??
    brokerless
  • ?? HISMSS 2003 ??,RIS ?? Web ????????

30
??
31
???????
32
????PACS?HIS?RIS ??
  • ????,??????????????
  • ?????????????? HIS
  • ???????????????? CT
  • ????????? RIS ?? CT ??
  • ???? RIS ??????????????
  • ??????? RIS ???????,??????
  • ??????????,????????
  • ????? RIS/PACS ??????????????,??????????
  • ?????? DICOM, HL7, ?? DICOM ? HL7 ???????? IHE
    ????

33
??PACS RIS??????
  • ?? PACS RIS ??????
  • ?????????,?? IT ???????
  • ????????????????????????,????????
  • ????????,PACS ??????????????,????????????
  • ????????
  • ???????????? CR ? DR?
  • ??CT?MR?ECT?PET?DSA??????
  • ????????????DSA,?????
  • ???????,????????????

34
??
  • PACS ????????????????,???? PACS ????
  • ??PACS ??????????,????????????PET?????????????????
    ???
  • HIS?RIS?????? PACS ??????????????
  • PACS RIS ?????????????,?????????

35
???????????
  • Thinking Systems Corporation 1997???????????
  • ????????????????????????????
  • ??? Thinking PACS 2001?4??? FDA 510(k)??????????
  • ????????????????????????????????????????,Radiologi
    x ????

36
??????? PACS ??
  • ?? PACS ?? www.cnpacs.org ?????????????
  • ??????DICOM?HL7?IHE?HIS?RIS?PACS???????????
  • ? 8?30?????????????1000 ?,??????????
  • ????????,???????????????
About PowerShow.com