Performance and function of a desktop viewer at Mayo Clinic Scottsdale
Performance and function of a desktop viewer at Mayo Clinic Scottsdale
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DOI：
10.1007/bf03167648
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发表时间：
2000-05-01
影响因子：
4.4
通讯作者：
Erickson, BJ
中科院分区：
文献类型：
--
作者：
Eversman, WG;Pavlicek, W;Erickson, BJ
一个临床观察系统与梅奥诊所斯科茨代尔图片存档和通信系统（PACS）集成，作为电子病历（EMR）的一部分提供图像和报告。查看器的关键属性包括单个用户登录、对所有订购的检查进行以患者为中心的集成EMR图像访问、预先获取相同模式的最近先前检查，以及在显示器上同时提供当前和过去检查的比较的能力。其他功能包括预设窗口、测量工具和多格式显示。前12个月的图像存储在临床服务器上，并且可以在不到一秒钟的时间内查看。桌面上可用的图像包括所有计算机x线摄影（CR），胸部，磁共振图像（MRI），计算机断层扫描（CT），超声（U/S），核，血管造影，胃肠道（Gl）数字点和便携式c臂数字点。对于那些图像可能不在临床服务器上，但其图像驻留在PACS存档（10TB）中的患者，可以从PACS对检查进行特别查询。据报道，临床医生的满意度很高，特别是那些严重依赖于及时访问图像的工作人员，以及那些使用大量胶片的工作人员。桌面查看器用于常驻访问图像。对于没有胶片的大屏幕投影的教学会议也很有用。我们报告了该应用程序的功能、可靠性和图像显示速度的测量结果。版权所有(C) 2000由W.B. Saunders公司。
A clinical viewing system was integrated with the Mayo Clinic Scottsdale picture archiving and communication system (PACS) for providing images and the report as part of the electronic medical record (EMR). Key attributes of the viewer include a single user log-on, an integrated patient centric EMR image access for all ordered examinations, prefetching of the most recent prior examination of the same modality, and the ability to provide comparison of current and past exams at the same time on the display. Other functions included preset windows, measurement tools, and multiformat display. Images for the prior 12 months are stored on the clinical server and are viewable in less than a second. Images available on the desktop include all computed radiography (CR), chest, magnetic resonance images (MRI), computed tomography (CT), ultrasound (U/S), nuclear, angiographic, gastrointestinal (Gl) digital spots, and portable C-arm digital spots. Ad hoc queries of examinations from PACS are possible for those patients whose image may not be on the clinical server, but whose images reside on the PACS archive (10TB). Clinician satisfaction was reported to be high, especially for those staff heavily dependent on timely access to images, as well as those having heavy film usage. The desktop viewer is used for resident access to images. It is also useful for teaching conferences with large-screen projection without film. We report on the measurements of functionality, reliability, and speed of image display with this application. Copyright (C) 2000 by W.B. Saunders Company.