8th International Inter University Scientific Meeting
Academy of Studenica
NEW TRENDS IN DIAGNOSTICS AND THERAPY OF MALIGNANT TUMORS
Organizer: Institute of Oncology Sremska Kamenica, Yugoslavia
Co-organizers:
Institute for Oncology and Radiology, Belgrade, Yugoslavia;
"Aristotel School", Thessaloniki, Greece
President: Prof.Dr. Vladimir Vit. Baltiæ
ISSN 1450-708

Content
5 /2001
 
TELERADIOLOGY - PREREQUISITES (ARCHIVING, VIEWING, INTERPRETATION AND AQUISITATION OF MEDICAL IMAGES) AND CHALLENGES
S. Zdravkoviæ, D. Devaja Striber. V. Ivanoviæ
Institute of Oncology Sremska Kamenica, Yugoslavia
 
  ABSTRACT
In the article the basic principles of teleradiology, Picture Archiving and Communication System (PACS), Digital Imaging and Communications in Medicine (DICOM) standard together with the project of a PC based DICOM gateway for distribution of medical images were described. The distribution of medical images within and outside the Center for Imaging Diagnostic in the Institute of Oncology is available. The integration of medical images with health care information systems poses a complex challenge in a computer network: distribution to clinicians, making DICOM images consistent across information systems and integration of teleradiology into PACS. The transfer of medical data within heterogeneous hardware and software infrastructure requires platform-independent standardized protocols and data formats such as DICOM. A novel, Web-based DICOM server can provide easily and inexpensive distribution of medical images thanks to the DICOM standardization and World Wide Web (WWW) technology. Using WWW browser, such as Netscape or Internet Explorer, enhanced with a DICOM plug-in, images can be easily sent to the server from any DICOM workstation and than can be viewed remotely. The system serves multiple users simultaneously regardless users access the server by Institute's Local Area Network (LAN) or the WWW. The DICOM standardization, WWW technology, LAN, PACs and medical images generated in DICOM format (or pre-DICOM format - can be transformed in DICOM format) are prerequisites for teleradiology. Challenges of teleradiology are various: continuing learning process for physicians to be able to use new technology of teleradiology, creating the best standards for securing the exchange of private information (medical images and other information) via LAN or Wide Area Network (WAN), developing and implementing a new technology (Internet2, 3-D spherical shaped monitors, which could make a revolution in viewing and interpreting medical images). Finally, probably the most interesting challenge is how to be well-prepared for coming scientific and technological innovations, designed in cosmos maybe, with solutions, which we can hardly imagine now.
 
  Keywords: Teleradiology; PACS; DICOM; Intranet/Internet  
© Academy of Studenica, 2002