医学影像存档与通讯系统(PACS)的设计与实现  

Design and implementation of picture archiving and communication system

作　　者：冯杰[1] 王鸣鹏[1] 张建国[2] 

机构地区：[1]华东医院,200040 [2]中科院上海技术物理研究所,200083

出　　处：《上海医学影像》2003年第2期95-97,共3页Shanghai Medical Imaging

摘　　要：目的通过构建医学影像存档与通讯系统(PACS),实现医院医学影像信息工作的管理、服务和方法的数字化网络。方法根据医院的特点,采用了适合个体的系统架构和单元设计,分期予以实施。结果目前已完成前两期的建设任务,并对系统进行了测试,同时进行了一些临床应用。结论我院PACS两年来运行的结果表明,该系统性能稳定,达到了设计和实际运行的要求。Objective Huadong hospital in Shanghai with 700 beds provides health care services for inpatients and outpatients, as well as special senior and VIP patients. In order to move to digital imaging based radiology practice, and also provide better intra-hospital clinical services for senior and VIP patients. Methods we started designing and planning PACS implementation on September of 1999. Depending upon the radiology service model and current workflow in Huadong hospital, we implemented PACS in following steps: On phase I, we designed PACS infrastructure and implemented PACS networks connecting to most digital modalities, reading rooms and clinical buildings, we also built NT-based module PACS for different kinds of digital imaging modality with DICOM communication capability. On phase II, we developed an UNIX based PACS central server connecting to the individual module PACS for image routing, querying and retrieving among different departments and modality sections, and also installed specially designed interactive teleconsultation display workstations in radiology sections and clinical departments for consultation services. On phase Ⅲ, we will integrate RIS into PACS infrastructure to optimize PACS dataflow and improve radiology workflow to achieve better performance and more efficient services. Results We have finished the risk of the phase I and the phase Ⅱ. And we have done some test for the system. Now It has been applied clinically. Conclusion Our PACS system has been used for more than 2 years. We think its performance is efficient. It has achieved all goals we designed. In this presentation, we will also discuss the PACS design strategies and implementation methods in Huadong hospital to decrease the risks and to increase the positive responses from the partners and end users.

关 键 词：医学影像存档与通讯系统 PACS 计算机通讯网络 局域网 诊断 

分 类 号：R445[医药卫生—影像医学与核医学] R197.324[医药卫生—诊断学]