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At least 595 records · Page 33Linked to original sources
PubMed2002

A filter that prevents the spread of mail-attachment-type Trojan horse computer worms.

The malicious code "W32/Sircam" is spread via e-mail and potentially through the file space shared by local area networks. Such Trojan-horse-type computer worms easily penetrate Internet firewalls and propagate via the "backdoor" to other computers. Once a malicious code, such as "W32/Sircam," has been executed on a system, it may reveal or delete confidential data, such as clinical records. In order to protect against the leakage of clinical records, we devised a mail filter that successfully prevents the spread of mail containing this malicious code. It is significant that neither access control nor packet filtering is guaranteed to prevent the spread of this mail-attachment-type Trojan horse computer worm.

Computer Communication Networks↗
PubMed2003

FAIR: a hardware architecture for real-time 3-D image registration.

Mutual information-based image registration, shown to be effective in registering a range of medical images, is a computationally expensive process, with a typical execution time on the order of minutes on a modern single-processor computer. Accelerated execution of this process promises to enhance efficiency and therefore promote routine use of image registration clinically. This paper presents details of a hardware architecture for real-time three-dimensional (3-D) image registration. Real-time performance can be achieved by setting up a network of processing units, each with three independent memory buses: one each for the two image memories and one for the mutual histogram memory. Memory access parallelization and pipelining, by design, allow each processing unit to be 25 times faster than a processor with the same bus speed, when calculating mutual information using partial volume interpolation. Our architecture provides superior per-processor performance at a lower cost compared to a parallel supercomputer.

Algorithms↗
PubMed1994

The HELIOS Unification Bus: a toolbox to develop client/server applications.

In the medical domain, new developments commonly rely on client/server architectures. But face to distributed environments, the software developers encounter a tremendously increasing complexity when building integrated applications. This paper presents the HELIOS Unification Bus (HUB), a communication integration framework for the HELIOS medical software engineering environment that allows the exchange of data between components that can be hosted on heterogeneous machines linked by a network. The HUB is developed as a C++ toolbox over UNIX and TCP/IP. It includes a message routing entity called router and a generic application programming interface (API), implemented as a C++ library, that allows to build easily software components compliant with the standardised HELIOS language. Messages conveyed by the bus are composite objects that are serialized to be transmitted over the bus using the ASN.1 ISO presentation protocol. The article describes the use of the bus to ease the development and execution of distributed medical applications and its role from the communication integration standpoint.

Computer Communication Networks↗
PubMed1993

Use of group 3-level memory telefacsimiles for enhanced interlibrary loan, part II: Network application.

The Interlibrary Loan, Document Delivery, and Union List Task Force of the Health Sciences Libraries Consortium (HSLC) accepted the charge of maximizing use of the advanced features of group 3-level memory telefacsimiles. A pilot project was initiated to address the task force's recommendation to the HSLC Board that all nonrush interlibrary loan (ILL) documents be transmitted to participants within forty-eight hours of request receipt. This paper describes the project, which tests a network application for unattended, overnight transmission of documents. In determining whether this technology could be used as the primary medium for ILL of photocopies, the following criteria were used: the percentage of ILL requests filled by telefacsimile; the speed, quality, and reliability of service; and the impact of telefacsimile on document delivery costs. The article discusses the project history, optimal use of equipment features for library applications, full-scale implementation, and operational issues that affect ILL policy.

Computer Communication Networks↗
PubMed1992

Building information linkages between the physician and the hospital.

The economics and complexity of health care will continue to require better and faster methods of information access. As a multipurpose resource, physician networks can offer a host of benefits to institutions, caregivers, and patients. Early entrants into this technological arena can expect some degree of competitive advantage by attracting physicians who want sophisticated support systems and by expediting referrals for specialized care. Whether or not this proves to be of long-term merit, the need for administrative and patient care information systems will likely increase in the future. In this respect, innovation is purely a point in time.

Computer Communication Networks↗
PubMed2006

A cross-layer diversity technique for multicarrier OFDM multimedia networks.

Diversity can be used to combat multipath fading and improve the performance of wireless multimedia communication systems. In this work, by considering transmission of an embedded bitstream over an orthogonal frequency division multiplexing (OFDM) system in a slowly varying Rayleigh faded environment, we develop a cross-layer diversity technique which takes advantage of both multiple description coding and frequency diversity techniques. More specifically, assuming a frequency-selective channel, we study the packet loss behavior of an OFDM system and construct multiple independent descriptions using an FEC-based strategy. We provide some analysis of this cross-layer approach and demonstrate its superior performance using the set partitioning in hierarchical trees image coder.

Algorithms↗
PubMed1995

CHINs: making the important decisions.

Community health information networks (CHINs) are an evolving concept. In their most basic form, CHINs provide a structure for sharing financial and clinical information among a defined group of entities. However, several key decisions affect how a CHIN will function. Among those decisions are what "community" will be included, what technical infrastructure to use, what organization or group of organizations will lead the CHIN development effort, what types of information will be shared, and how to safe-guard confidentiality.

Clinical Medicine↗
PubMed1987

SSM Data Center: a tool in the healthcare apostolate.

In 1967 the Sisters of St. Mary established the SSM Data Center to support the mission of the healthcare system by providing computer tools for all areas involved in the care of the sick and injured. To accomplish this, the data processing function was organizationally structured to report to the highest decision-making body of the healthcare system. This has encouraged every unit in the healthcare system to actively participate in the development and use of the computer system. The key to the system is a distributed network, which includes a host computer interconnected with microcomputers and minicomputers at each institution within the healthcare system. The center provides services designed around the uppermost administrative level acting as the nucleus but flexible enough to be tailored to each hospital's specific needs. This encourages the sharing of ideas among organizations but allows each hospital to maintain its unique identity and culture. The data center also provides a Resource Center to help in the use of personal computers and a data processing account representative in each hospital who acts as a liaison with the data center.

Catholicism↗
PubMed2000

Evaluation of a networked self-testing program.

The use of a computerized, multiple-choice test bank to present practice and assessment tests on a network was evaluated with 46 men and 119 women from a first-year class in psychology. A correlation of .65 (p < .001) between scores on a traditional paper-and-pencil test and scores on a computerized test provided some validity for the computerized assessment. Regression analysis showed that ability (previous academic performance) and motivation (number of practice tests taken) accounted for 73% of the explained variance in computerized test scores. Sex differences did not enter the regression equation significantly.

Adolescent↗
PubMed1992

Three methods of implementing a picture archiving and communication system.

A picture archiving and communication system (PACS) is a system integration of many components, including radiologic image acquisition devices, computers, communication networks, image display workstations, and data base management systems. The author describes three general approaches to implementing a PACS. In the first approach, the department or institution acts as a systems integrator, designing and implementing the PACS. In the second approach, the PACS is planned on the basis of the department's operations and environment and then a manufacturer is contracted to design and build the system. The third approach is to purchase a turnkey system, with some modifications provided by the manufacturer for a specific clinical application. The author provides examples of each approach in the clinical environment and presents the disadvantages and advantages of each.

Computer Systems↗
PubMed1998

[Teleconsultation network for ophthalmology--experiences and results].

MOTIVATION: Telemedical services for ophthalmology are developed within the OPHTEL project, which has been funded by the European Union and by the Bavarian government in the Bavaria-online initiative. METHODS: Seven private ophthalmologists, one university eye clinic, one clinical Diabetes center and an informatics research institute are connected within a teleconsultation network. Asynchronous (based on Internet E-Mail) and synchronous (based on ISDN-mediated videoconferencing tools) types of teleconsultations are realized. RESULTS: 86 teleconsultations (62 asynchronous, 23 synchronous) took place within the first 10 months. Complex and rare eye diseases as well as interdisciplinary questions (ophthalmology--diabetology) are the main area of medical communication interest. Legal and security problems are discussed. CONCLUSIONS: Telemedical services must be understood as a complete process of medical care on the basis of modern communication technologies, which influences also the management of this process.

Computer Communication Networks↗
PubMed1997

Clinical applications of an ATM/Ethernet network in departments of neuroradiology and radiotherapy.

An integrated system for the multimedia management of images and clinical information has been developed at the Isituto Nazionale Neurologico C. Besta in Milan. The Institute physicians have the daily need of consulting images coming from various modalities. The high volume of archived material and the need of retrieving and displaying new and past images and clinical information has motivated the development of a Picture Archiving and Communication System (PACS) for the automatic management of images and clinical data, related not only to the Radiology Department, but also to the Radiotherapy Department for 3D virtual simulation, to remote teleconsulting, and in the following to all the wards, ambulatories and labs.

Computer Communication Networks↗
PubMed1991

Initial experience with a radiology imaging network to newborn and intensive care units.

A digital image network has been installed in the James Whitcomb Riley Hospital for Children on the Indiana University Medical Center to create a limited all digital imaging system. The system is composed of commercial components, Philips/AT&T CommView system, (Philips Medical Systems, Shelton, CT; AT&T Bell Laboratories, West Long Beach, NJ) and connects an existing Philips Computed Radiology (PCR) system to two remote workstations that reside in the intensive care unit and the newborn nursery. The purpose of the system is to display images obtained from the PCR system on the remote workstations for direct viewing by referring clinicians, and to reduce many of their visits to the radiology reading room three floors away. The design criteria includes the ability to centrally control all image management functions on the remote workstations to relieve the clinicians from any image management tasks except for recalling patient images. The principal components of the system are the Philips PCR system, the acquisition module (AM), and the PCR interface to the Data Management Module (DMM). Connected to the DMM are an Enhanced Graphics Display Workstation (EGDW), an optical disk drive, and a network gateway to an ethernet link. The ethernet network is the connection to the two Results Viewing Stations (RVS) and both RVSs are approximately 100 m from the gateway. The DMM acts as an image file server and an image archive device. The DMM manages the image data base and can load images to the EGDW and the two RVSs. The system has met the initial design specifications and can successfully capture images from the PCR and direct them to the RVSs.(ABSTRACT TRUNCATED AT 250 WORDS)

Computer Communication Networks↗
PubMed1999

High performance medical image processing in client/server-environments.

As 3D scanning devices like computer tomography (CT) or magnetic resonance imaging (MRI) become more widespread, there is also an increasing need for powerful computers that can handle the enormous amounts of data with acceptable response times. We describe an approach to parallelize some of the more frequently used image processing operators on distributed memory architectures. It is desirable to make such specialized machines accessible on a network, in order to save costs by sharing resources. We present a client/server approach that is specifically tailored to the interactive work with volume data. Our image processing server implements a volume visualization method that allows the user to assess the segmentation of anatomical structures. We can enhance the presentation by combining the volume visualizations on a viewing station with additional graphical elements, which can be manipulated in real-time. The methods presented were verified on two applications for different domains.

Algorithms↗
PubMed2003

[Construction of DICOM-WWW gateway by open source, and application to PDAs using the high-speed mobile communications network].

The author constructed a medical image network system using open source software that took security into consideration. This system was enabled for search and browse with a WWW browser, and images were stored in a DICOM server. In order to realize this function, software was developed to fill in the gap between the DICOM protocol and HTTP using PHP language. The transmission speed was evaluated by the difference in protocols between DICOM and HTTP. Furthermore, an attempt was made to evaluate the convenience of medical image access with a personal information terminal via the Internet through the high-speed mobile communication terminal. Results suggested the feasibility of remote diagnosis and application to emergency care.

Computer Communication Networks↗
PubMed2003

Enriching healthcare applications with cryptographic mechanisms and XML- based security services.

The paper presents the enrichment of an existing e-referral / e-prescription application within a Regional Healthcare Information Network with security functionality, solving current authentication, integrity, non-repudiation and confidentiality issues and thus significantly enhancing the overall system security, operability, applicability and user acceptance. The application makes use of an underlying PKI framework, in order to provide strong authentication, digital signature, encryption and time-stamping services. XML is used for the representation of the healthcare data itself, the encrypted form of this data, as well as the relevant data security information, following W3C standards.

Computer Communication Networks↗
PubMed1996

A novel tele-medical environment appropriate for use in tele-advisory and tele-surgery cases.

Tele-medical systems have been recently introduced in the field of networking as promising applications that can significantly improve the offering of medical treatment by providing services such as tele-advising, tele-surgery and remote monitoring in places where the presence of doctors or any medical specialists is difficult or time consuming. Some already existent networking models can be used for the establishment of a connection between the communicating sides. The offered network's security is also a significant factor. The present paper describes a software environment implementing a particular aspect of a tele-medical system. The developed system includes features such as direct communication between doctors and medical assistants, medical information acquisition and storing and high band information transfer in real-time. TCP/IP point-to-point protocol has been used for the implementation of the non bandwidth-critical connections. The application introduces novel features with the use of ATM connection for supporting the time-critical service of video transfer to and from the medical database.

Computer Communication Networks↗
PubMed2005

Dose calculation system for remotely supporting radiotherapy.

The dose calculation system IMAGINE is being developed keeping in mind remotely supporting external radiation therapy using photon beams. The system is expected to provide an accurate picture of the dose distribution in a patient body, using a Monte Carlo calculation that employs precise models of the patient body and irradiation head. The dose calculation will be performed utilising super-parallel computing at the dose calculation centre, which is equipped with the ITBL computer, and the calculated results will be transferred through a network. The system is intended to support the quality assurance of current, widely carried out radiotherapy and, further, to promote the prevalence of advanced radiotherapy. Prototypes of the modules constituting the system have already been constructed and used to obtain basic data that are necessary in order to decide on the concrete design of the system. The final system will be completed in 2007.

Body Burden↗