基于医学影像存储与传输系统的结构化报告模块的设计与实现  

Design and practice for a picture archiving and communication system based structured report module

作　　者：田军章 张雪林[2] 江桂华 欧景才 伍平阳 洪文松 吉琳 郑丽吟 黄大江 

机构地区：[1]广东省一七七医院影像科,广州510317 [2]第一军医大学南方医院医学影像中心 [3]广东省一七七医院设备科,广州510317 [4]广东省一七七医院信息科,广州510317

出　　处：《中华放射学杂志》2004年第5期539-542,共4页Chinese Journal of Radiology

基　　金：广东省医学科学研究基金资助项目 (A2 0 0 3 616)

摘　　要：目的设计并开发基于医学影像存储与传输系统 (PACS)的结构化报告模块 ,应用计算机生成图文并茂的诊断报告并实现诊断报告与图像的同步传输。方法 PACS采用 10 0 0M主干网 ,10 0M交换到桌面 ;应用Delphl6 0 ,VC ++6 0等编程语言 ,设计结构化诊断报告为基本项目区、影像征象区、诊断意见区、建议区、签名区、图像区等 6个功能模块区 ;设计通过对医学数字成像与传输标准 (DICOM)复合对象的引用 ,在诊断报告中直接插入DICOM的医学图像或者波形 ;设计并构造整个系统环境所需的基本函数库。结果基于PACS的结构化报告模块能将影像诊断报告按照计算机可以明确无误的结构方式组织起来 ,缩短诊断报告时间和周期 ,提高对报告原始资料信息的利用率。结论结构化报告模块有利于促进影像诊断工作与临床教学、科研等工作的结合 ,提高影像诊断工作质量和效率。Objective To design and explore structured report module based on PACS, and to make diagnostic reports with pictures and words in application of computer implementing synchronous transmission of reports and pictures.Methods 1000 Mb trunk net was adopted in PACS and 100 Mb was exchanged on tabletop. Structured report was designed with six function modules including basic item area, image sign area, diagnostic impression area, advice area, signature area, and picture area by application of programming language such as Delphi 6.0 and VC ++6.0.DICOM. Medical images or waveform were inserted directly in the diagnosis report through citing DICOM composite object. Basic function library was designed and constructed in whole system environment.Results The structured report module based on PACS could structure image diagnosis report in inerrability structure in term of compute. The time and period of reports were shortened and utilization of report original datum were improved.Conclusion The structured report module was in favor of promotion to combine with clinic teaching and scientific research. The quality and efficiency of image diagnosis work were raised by structured report module.

关 键 词：医学影像存储与传输系统 结构化报告模块 设计 计算机化病案系统 放射学信息系统 

分 类 号：TP29[自动化与计算机技术—检测技术与自动化装置]