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A new needle-crystalline computed radiography detector.

The most successful digital radiography detectors to date have been storage phosphor plates used in computed radiography (CR). The detector is cheap, has good producibility, and is robust. Direct radiography (DR) systems are being developed based on flat-panel technology. Better image quality is claimed for some DR systems. On the other hand, DR detectors have low producibility and robustness, and a high price. A new CR detector is being developed at Agfa that combines the advantages of CR and DR. It is a storage phosphor plate made up of needle-shaped crystals. The phosphor efficiently converts absorbed x-ray quanta into photostimulable centers for efficient read out. It has a large dynamic range and its emission is efficiently detected with both photomultiplier tube (PMT) and charge coupled device (CCD). It is shown that CR systems based on the new detector offer image quality that matches that of the best DR systems.

Computer Storage Devices↗

Oral diagnostic reporting and synchronized image filing using magneto-optical disks.

An experimental radiologic reporting system has been developed and tested. The rewritable and compact magneto-optical disk (MOD) is applied to storing medical images with oral diagnostic reports of these radiologic images. The disk is 5.25 inches in diameter, has 600 MB memory capacity, is erasable, light and compact. Advantages are simultaneous recording of radiologic images and their oral reports by radiologists, and application to circulation of media inside the hospital as well as to filing of medical images. The MOD has a multimedia function of communication and filing. When medical images are taken and stored, oral interpretation by radiologists can be simultaneously added. Physicians can get information of the images and their reports by oral speech at the same time in front of computer workstation. Furthermore, integration of a voice recognition capability is now being undertaken.

Image Processing, Computer-Assisted↗

Development of medical information transfer system using personal-agent optical disks.

The establishment of a better local area medical centre containing hospitals and clinics is thought to be a very important issue. The medical information system, which should be accepted by both hospitals and clinics, has been studied using graphic user interface (GUI) and a three dimensional structure. Our system files medical records and blood examination data as well as diagnostic images, which may be the first attempt in the world. It has been favourably evaluated by physicians through clinical evaluation.

Evaluation Studies as Topic↗

[Multiprocessor study and design for digital color ultrasonic medical imaging system].

In this paper, the design of a multi-processor for digital color ultrasonic medical imaging system is discussed. It is a shared memory multiprocessor of MIMD architecture. The whole system is devided into several parts according to the complexity of the signal-processing, and each part is allocated a certain duties. Besides, the solving method of multiprocessor's bus conflicting is discussed and an architecture block diagram is given in the paper.

Equipment Design↗

Digital panoramic and extraoral imaging.

Intraoral, panoramic, and extraoral radiographs are the primary means of diagnosing hard-tissue disorders of the dentomaxillofacial region. These imaging methods require the use of x-ray film and subsequent chemical processing to produce diagnostic images. A goal of recent research has been the replacement of this film-based technology with computer-based devices that use electronic or storage phosphor receptors to record the x-ray image in a digital format. This article discusses some of these emerging technologies and their potential effect on the future of panoramic and extraoral radiology.

Humans↗

The development and practical use of information systems in the pharmaceutical industry.

To provide information on the efficacy, safety, and quality of medicine promptly and accurately, we have developed two databases: a literature database with numerical data, and a Drug Information database. By an easy-to-use, company-wide information network system, over 1,000 medical representatives in more than 80 offices throughout Japan can retrieve information. Information derived from the system is displayed on the terminal and the original documents are automatically output through a facsimile.

Databases, Bibliographic↗

Picture archiving and communication systems: an overview.

Organizational techniques that enable small departments to function efficiently often fail as departments become larger. With the recent growth in imaging technology, the capacity of film-based systems to meet the increasing needs of radiology departments has decreased. Electronic picture archiving and communication systems (PACS) have been developed in an attempt to provide economical storage, rapid retrieval of images, access to images acquired with multiple modalities, and simultaneous access at multiple sites. Input to a PACS may come from digital or analog sources (when the latter have been digitized). A PACS consists primarily of an image acquisition device (an electronic gateway to the system), data management system (a specialized computer system that controls the flow of information on the network), image storage devices (both short- and long-term archives), transmission network (which serves local or wide areas), display stations (which include a computer, text monitor, image monitors, and a user interface), and devices to produce hard-copy images (currently, a multiformat or laser camera). The goals of PACS are to improve operational efficiency while maintaining or improving diagnostic ability.

Radiology Information Systems↗

Computer hardware and software.

Basic hardware and software components of computers are described and related concepts are defined using examples related to the hospital pharmacy department. Hardware components described include the central processing unit, storage devices, and input and output devices. System software, application software, computer language, and computer characteristics for hospital pharmacy systems are identified. Trends toward computer miniaturization, increased processing capacity at reduced costs, and new software technologies will enable an accelerated pace of new system development and implementation. Applications that are now difficult to justify because of high development cost or low benefit to the hospital will become more easily cost justified.

Computers↗

Computed radiography and image workstation from the radiologist's point of view.

A computed radiography system (Digiscan, Siemens) connected to an image workstation (Siemens) has been used for 1 1/2 years in our department. The image quality is good and it has been possible to reduce radiation dose by about 30% without any appreciable loss of image quality. The image workstation has been used in cases where image postprocessing is considered to be useful. For routine reporting of X-ray images the workstation is too slow although the image quality is comparable to that of the computed radiography film.

Computer Systems↗

Visibility of simulated microcalcifications--a hardcopy-based comparison of three mammographic systems.

Full-field digital mammography systems are currently available for clinical use. These digital systems offer improved image quality, flexible image processing, display, storage, retrieval, and transmission. These systems employ a variety of different x-ray detectors based on storage phosphors (in computed radiography), charge-coupled devices (CCDs), or amorphous silicon flat panels (FPs). The objective of this study is to compare three different types of mammographic detectors: screenfilm (SF) combination, a CsI-based FP detector, a CCD and x-ray phosphor-based detector for their performance in detection of simulated microcalcifications. Microcalcifications (MCs) were simulated with calcium carbonate grains of various sizes (90-355 microm). They were overlapped with a slab of simulated 50% adipose/50% glandular breast tissue for a uniform background or an anthropomorphic breast phantom for a tissue structure background. Images of the phantoms, acquired with and without magnification, were reviewed by mammographers, physicists, and students. A five-point confidence level rating was given for each MC reviewed. Average ratings from the mammographers were used to compare the performances of the three imaging systems, various MC size groups, and two magnification modes. The results indicate that with uniform background and no magnification, the FP system performed the best while the SF system did slightly better than the CCD system. With magnification added, all detection tasks were improved except for the smallest and largest one or two size groups. In particular, detection in the SF and CCD images was significantly improved over that in the FP images. With tissue structure background and no magnification, the FP system was outperformed by the SF and the CCD systems. With magnification added, the performance of the FP and the CCD systems was improved significantly. With this improvement, the SF and FP systems were outperformed by the CCD system.

Breast↗

On-line computer system to minimize laser injuries during surgery: preliminary system layout and proposal of the key features.

The aim of this paper is to investigate some new user interface ideas and related application packages which aim to improve the degree of safety in an operating room during surgical operations in which an invasive laser beam is deployed. The overall value of the proposition is that a means is provided which ensures the successful completion of the surgical case while minimizing the risk of thermal and mechanical injuries to healthy tissues adjacent to the surgical field. According to surgeons operating with a variety of CO2 lasers available at both the National Cancer Institute in Milan, Italy, and the Sackler School of Medicine, Tel Aviv University, Israel, each laser device presents different cutting and coagulation properties. In order to identify which 'ideal' procedure might corroborate the subjective impression of each surgeon and also to provide one common tool to ensure procedures with a high level of safety, the author has worked for several months with surgeons and technicians of both Institutions to define the general design of a new on-line surgical operation planning and design system to be used during the pre-operative briefing activities and also as a consultation tool during operation. This software package will be developed and tested on both 'C' and FORTRAN compilers running on a commercially available PC which is driving a continuous wave (CW) CO2 laser device via its Instrument Bus interface. The present proposal describes the details of a software package called LCA (Laser-beam Controller and Adviser) which performs several controls in parallel on the key output parameters of a laser beam device during its utilization in delicate surgical operations. The required performances of this device needed during a given surgical operation are pre-simulated and compared against the well-known safety limits, which are stored in the computer's mass storage. If the surgeon's decision about the laser device set-up are considered to be too close to the required physiological safety limits, then the SW alerts the surgeon and proposes alternatives based on other combinations of both HW and SW configurations. An additional application of LCA uses this SW as a warning tool during the operation itself. If a wrong set-up of the laser device is accidentally used, an alarm will be generated and the laser beam automatically switched-off prior to an 'incident report' printout. The operation will continue only when the surgeon validates the choices that the SW suggests for implementation. If necessary, the surgeon can switch off the device and continue to operate it manually. In this case, the surveillance mode will be totally excluded.

Bone Cements↗

Computers are stepping stones to improved imaging.

Never before has the radiology industry embraced the computer with such enthusiasm. Graphics supercomputers as well as UNIX- and RISC-based computing platforms are turning up in every digital imaging modality and especially in systems designed to enhance and transmit images, says author Greg Freiherr on assignment for Computers in Healthcare at the Radiological Society of North America conference in Chicago.

Data Display↗

An overview of Electronic Document Management System product offerings.

The goal of this article is to provide insight in the evaluation of Electronic Document Management Systems (EDMSs) and the current EDMS vendors and their product offerings. Comparisons are made between the vendors and the products over the past decade. Appendix A and Appendix B outline many of today's key vendor offerings. Issues such as HIPAA and medical errors are discussed as it becomes clearer that the quality of patient care can be positively impacted with the application of information technology such as EDMSs.

Commerce↗

Basic concepts for nuclear magnetic resonance imaging.

The basic concepts necessary to understand the physical basis of NMR imaging are presented in this didactic article. It is intended as a starting point for the radiologist or medical physicist who is addressing the topic of NMR for the first time. The basic of the NMR phenomena is described with introduction of the concepts of magnetic moment, magnetic fields, magnetic resonance, net magnetic moment of a sample, NMR excitation and NMR emission. The equipment necessary to observe these NMR properties of matter is summarized as well as the procedures for basic pulsed NMR experiments. The physical concepts for spatial localization of NMR emissions are introduced with physical analogies to stringed musical instruments. Several alternative imaging modalities are compared with greatest emphasis on the inversion recovery technique which yields images weighted by tissue T values. The six subsystems of an NMR imaging device (primary magnet, computer, radio equipment, magnetic gradient, data storage and display subsystems) are described in an overview fashion. The paper is followed by a series of study questions to test the reader's comprehension of basic NMR imaging concepts.

Humans↗