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At least 199 records · Page 11Linked to original sources
PubMed1995

Teleradiology/telepathology requirements and implementation.

Teleradiology and telepathology form an integral part of the telemedicine concept. Teleradiology is becoming a mature technology because of advances in imaging technology, database design and communications infrastructure and capabilities. Telepathology has also made significant progress but more development is needed in the definition of required images, database design and standards. While the requirements of most clinical applications of teleradiology are well established, telemammography still presents some impediments. Technical difficulties in telemammography are presented in terms of the lack of a clinically accepted digital imaging system and large data volume required per image. Another important aspect in tele-imaging is the database question. Workstations constitute a window into database. Comprehensive database development is the most difficult and expensive technology for tele-imaging and operational features of such systems are discussed. Finally, we explore current examples of the use of telepathology and teleradiology in the global telemedicine context.

Computer Communication Networks↗
PubMed1995

Synchronous and asynchronous telemedicine.

This paper outlines the differences between telemedicine applications in terms of their synchronous or asynchronous nature. The differences in the demands of these two forms of telemedicine are significant and should be considered in the development of any telemedicine system. It is the asynchronous applications that are most likely to provide real change in the practice of medicine.

Computer Communication Networks↗
PubMed1995

Defense Simulation Internet: next generation information highway.

The Department of Defense has been engaged in the Defense Modeling and Simulation Initiative (DMSI) to provide advanced distributed simulation warfighters in geographically distributed localities. Lessons learned from the Defense Simulation Internet (DSI) concerning architecture, standards, protocols, interoperability, information sharing, and distributed data bases are equally applicable to telemedicine. Much of the vision and objectives of the DMSI are easily translated into the vision for world wide telemedicine.

Computer Communication Networks↗
PubMed1989

Distributed computer system for capture, analysis and display of biological data.

A distributed real-time computer system has been developed to automate the collection, analysis and display of biological (pharmacological) data. It comprises a series of laboratory interface devices (CED 1401/1609) connected to a micro-VAX II via multiple IEEE-488 buses. The micro-VAX II is integrated to the main site computers using Ethernet running DECnet. The micro-VAX II system supports a multi-user, multipreparation and multitasking environment and it provides rapid transfer, storage, analysis and display of data. The system saves the pharmacologists from the manual analysis of their data, typically saving them four days of analysis per experiment and has improved both the quality of data detected and their subsequent analysis. Also, the development of a standard data capture procedure on common hardware along with the modular design of application software has almost quartered project development times.

Computer Communication Networks↗
PubMedDate not supplied

Use of computers in pediatrics: basic aspects.

Computer: 1. An electronic device designed to accept data, perform prescribed mathematical and logical operations at high speed, and display the results of these operations. 2. A person who computes; computist (1640-50).

Computer Communication Networks↗
PubMed1987

Introduction to microcomputer hardware and software.

Although general purpose computers have been available for more than 40 years, the dramatic plunge in the cost of electronics in the past 10 years has finally made significant computing power affordable to almost anyone. However, a large number of people including professionals have little idea of how a computer really works or what it can and cannot do. Presented here is an introduction to the hardware and software of microcomputers which assumes no working knowledge of electronics or programming. The fundamental pieces of a microcomputer are explained, giving some insight into the reasons why present microcomputers are built the way they are. This is followed by a discussion of the fundamentals of how software is used to make the hardware compute. The various levels of software are discussed, then the most commonly used types of user application software are described, and finally some suggestions are made on how to choose a personal computer.

Computer Communication Networks↗
PubMed1989

Mini-micro-mainframe computer marriage: combining technologies in a radiology results reporting system.

The minicomputer-based information system in the Department of Radiology at the Medical College of Georgia Hospital and Clinics was placed in service in February, 1982. This system represents a sizable investment in minicomputer hardware in addition to more than 6 years of software customization. One serious deficiency in the original system was the lack of a radiology results reporting facility. Several options were considered to provide the department with this capability. The most obvious option was retiring the existing system and replacing it with one of a number of commercial products already offering results reporting. In-house development of a reporting facility lent itself more readily to microcomputers than to the existing minicomputer system. Due to system customization, economic and time constraints, it was decided to merge an in-house developed microcomputer-based report module into our existing minicomputer system. The minicomputer was able to communicate with and transfer files to and from both micro and mainframe systems. Combining technologies allowed us to continue taking advantage of our sizable investment in money, time, and customization while providing a microcomputer-based report module. Radiology reports are now typed on microcomputer word processors and bulk transferred to the minicomputer. The minicomputer provides access to both unapproved and approved reports on system terminals throughout the department. It also enhances reports by merging patient demographics and registration information. Using existing communications facilities to the hospital mainframe system, reports are provided throughout the institution.

Computer Communication Networks↗
PubMed1995

Opinion: a prototype for a computerized national mammography registry and tracking system using telecommunications and the Internet.

In this report, we analyze the feasability and discuss the potential benefits of using currently available technology for the wide-area registration and tracking of mammography patients. In our prototype, three dissimilar computer systems transmitted mammographic data (demographics and the results of mammograms) in a standardized format to a central data repository. Two of the three systems were dedicated computerized mammography systems and one was a general-purpose radiology information system. High-speed modems and the Internet were used to connect with the central repository, which could be queried in real time by remote users. Our results indicated that a busy mammography practice, using the slowest transmission method we tested (14-kilobaud modem), could transmit several days of mammographic data to a central repository in a matter of minutes. To implement systems that provide nation-wide mammographic tracking and follow up, more in-depth planning, development, and testing are necessary.

Computer Communication Networks↗
PubMed1994

Redirection of client/server relationship of X Window system as a simple, low-cost, departmental picture archiving and communication system solution for nuclear medicine.

Picture archiving and communication systems (PACS) offer significant advantages over current film-management techniques. However, PACS are complex and expensive, factors that have limited their entry into the radiology and nuclear medicine communities. We present a simple, low-cost PACS solution that allows viewing of images from different computer systems by redirection of the X Window system. In this technique, multiple copies of the imaging software are remotely opened from generic UNIX workstations interfaced to the main computer system via Transmission Control Protocol/Internet Protocol over Ethernet. The X Window system that provides the windowing system for the main computer is redirected to the workstations' displays. With this technique, viewing and processing of images on a remote station is virtually identical to working at the main computer's console. The technique requires that the commercial imaging system's hardware, operating system, and imaging software support multiuser multitasking and the execution of multiple copies of its imaging software, and that they use X Windows as the graphical system. Advantages of the technique include low cost, ease of maintenance, ease of interconnecting different types of computers, the capacity to view images regardless of file format, and the capacity to both view and process images. The latter is a necessity for modalities such as nuclear medicine. A disadvantage of the technique is that the number of nodes that can be supported is limited.

Computer Communication Networks↗
PubMed1990

Electronic imaging in a teaching hospital intensive care unit: evaluation of the clinical review system.

An intrahospital image-communication and display system was installed and is in continuous use. All images obtained in the medical intensive care unit (MICU) are digitized in the radiology department, then transmitted, stored and retrieved at the nurses' station in the MICU. This unit was easy to install, required minimal user training, and has been in continuous use for 1 year with negligible down time. The details of this system are provided in this report.

Computer Communication Networks↗
PubMed1987

A microcomputer-based distributed data management system for a large cooperative study of transfusion associated acquired immunodeficiency syndrome.

This paper describes the details of a microcomputer-based, distributed data management system in the acquisition of data collected in a large multicentered cooperative investigation of transfusion-transmitted acquired immunodeficiency syndrome (AIDS). Clinical, virological, and immunological data are obtained from six clinical centers and six central laboratories using a variety of hardware components and software packages. Data are merged and processed on a mainframe computer at the Biostatistics Office at the University of Southern California. The advantages and disadvantages of this system are discussed relative to the dynamics of the study, the magnitude and nature of the database, and the organization of the distributed centers involved.

Acquired Immunodeficiency Syndrome↗
PubMed1992

Experience with an operational nuclear medicine PACS in the Utrecht University Hospital.

At the department of nuclear medicine of the University Hospital Utrecht a single modality PACS has been operational since mid 1990. After 1 year of operation the functionality, the organizational and economical consequences and the acceptability of the PACS are evaluated. The functional aspects reviewed are: viewing facilities, patient data management, connectivity, reporting facilities, archiving, privacy and security. It is concluded that the improved quality of diagnostic viewing and the potential integration with diagnosis, reporting and archiving are highly appreciated. The many problems that have occurred during the transition period, however, greatly influence the appreciation and acceptability of the PACS. Overall, we feel that on the long term there will be a positive effect on the quality and efficiency of the work done in our department.

Computer Communication Networks↗
PubMed1995

Pathways.

Hospital Information Systems (HIS) in their various forms are receiving wider acceptance and recognition due to the overwhelming global need to improve the efficiency and cost effectiveness of the provision of health care. Many of the technological limitations of the past have been, or are being, overcome. This makes HIS viable and extremely valuable to all members of the health care delivery team. Due to the magnitude of investment in the implementation and support of HIS, in terms of both financial and human effort, and the rapid rate at which information technology is developing, hospital managers in many parts of the world face the dilemma of whether to invest in HIS now or wait a little longer until the development has 'settled down' and become more affordable. We are certain of two things with respect to information technology (IT); these are that hardware technology will continue to develop at an ever increasing rate, and that the cost thereof will continue to decrease, to the extent that many are of the opinion that the IT revolution is now upon us. The question of whether an evolutionary or revolutionary development in HIS will ensue continues. It is believed that financial considerations will dictate. It is however generally accepted that a fast-track evolutionary development in HIS will take place due to the need to protect the investments of the past, and organisational dependence on operational HIS.(ABSTRACT TRUNCATED AT 250 WORDS)

Computer Communication Networks↗
PubMed1995

European standards development in healthcare informatics: actual and future challenges.

This paper focuses on the current and future standardisation activities in CEN TC251 (European Standardisation Committee, Technical Committee on Medical Informatics). The progress of the Committee's standards development is summarized per working group. The main challenges of the next years are enumerated: coordination across working groups and project teams, quality management, and international harmonisation (especially with the USA).

Accreditation↗
PubMed1995

The status of healthcare standards in the United States.

Healthcare standards in the US are produced by six standard developers organizations: ACR/NEMA, ASC X12N, ASTM, HL7, IEEE, and NCPDP. The activities of these groups are coordinated through the ANSI HISPP. While considerable progress has been made in the area of data interchange standards, little progress has been made in the area of vocabulary standards.

Computer Communication Networks↗
PubMed1995

Healthcare Information Framework.

CEN committee TC 251 Medical Informatics, has set up a project team charged with producing a European pre-standard ENV on Healthcare Information Framework (HIF). The HIF is based on abstraction from a specific information system architecture to a reference architecture and further to a conceptual architectural framework based on serving open, distributed and heterogeneous healthcare enterprises. To specify the suitable healthcare information system architecture modelling of the healthcare enterprise is required. As there is no one method serving all needs, the HIF gives guidance on what aspects to look at in selecting a suitable modelling method. It is expected that the work will be completed by early 1995.

Artificial Intelligence↗