Establishment of Aichi Medical Informative Network for Stroke

爱知县中风医疗信息网络的建立

• 批准号: 11794022
• 负责人: YOSHIDA Jun
• 金额: --
• 依托单位: Nagoya University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for University and Society Collaboration
• 财政年份: 1999
• 资助国家: 日本
• 起止时间: 1999 至 2000
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-11794022/
• 关键词: STROKE; EMERGENCY MEDIClNE; LOCAL MEDICAL NETWORK; IMAGE CONTROL; PATIENT DATABASE; 地域医療; 情報ネットワーク; 愛知県

We established medical information network for stroke, connecting Nagoya Unversity, Aichi Medical Association, and 11 affiliated hospitals through integrated services digitai network (ISDN) (64k - 1. 5M). We evaluated our original data communication equipment to transfer images of computed tomography (CT), magnetic resonance imaging (MRI) or digital subtraction angiography (DSA). In resting images such as CT or MRI, we could get highly-image resolution to be able to diagnose by neurosurgeons in this network. In video-images such as 3 Dimentional CT and Angiography or DSA, we also evaluated. As a result, we needed more than 384k broadcasting control equipment to get images for diagnosis or supportive medical treatments. We also made clinical database systems for patients to receive emergency treatments. In 2000, we enrolled 2989 cases, 240 images, and 69 consultations from general hospitals in this network. In some cases, the network functioned very effectively and was very useful to treat stroke patients. Some patients could discharge with no deficits despite they had suffered from main vessel occlusion in brain. In this study, we could get much data to establish a practical informative network for stroke. In future, we are going to promote attractive local medical information network including home care medicine.

我们建立了中风医疗信息网络，通过综合服务数字网络（ISDN）（64 k- 1. 0）连接名古屋大学、爱知医学会和11家附属医院。5M）。我们评估了我们的原始数据通信设备，以传输计算机断层扫描（CT）、磁共振成像（MRI）或数字减影血管造影（DSA）的图像。在CT或MRI等静止图像中，我们可以获得高图像分辨率，以便神经外科医生在这个网络中进行诊断。在视频图像如三维CT和血管造影或DSA中，我们也进行了评估。因此，我们需要超过384 k的广播控制设备来获取用于诊断或支持性医疗的图像。我们还建立了临床数据库系统，供患者接受紧急治疗。2000年，我们在该网络中从综合医院登记了2989例病例、240张图像和69次咨询。在某些情况下，该网络非常有效，对治疗中风患者非常有用。部分患者尽管脑内主要血管闭塞，但仍能顺利出院。本研究为建立一个实用的脑卒中信息网络提供了大量的数据。未来，我们会推广具吸引力的本地医疗资讯网络，包括家居护理药物。

项目成果

宮地茂,吉田純: "脳卒中治療における血管内手術の役割"治療学. 33. 558-559 (1999)

Shigeru Miyaji、Jun Yoshida：“血管内手术在中风治疗中的作用”治疗学 33. 558-559 (1999)。

宮地茂,根来真,岡本剛,吉田純: "頭蓋外内頚動脈狭窄に対する血管拡張術-臨床的検討に基づくガイドラインの作成-"日本血管外科学会雑誌. 8. 587-593 (1999)

Shigeru Miyaji、Makoto Negoro、Tsuyoshi Okamoto、Jun Yoshida：“颅外颈内动脉狭窄的血管扩张手术 - 根据临床考虑制定指南”日本血管外科学会杂志 8. 587-593 (1999)。

Miyach S,Tanaka T et al: "Embolisation of cerebral arteriovenous malformations to assure successful subsequent radiosurgery"Clinical Neuroscience. 7. 82-85 (2000)

Miyach S、Tanaka T 等人：“栓塞脑动静脉畸形以确保后续放射外科手术的成功”临床神经科学。