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Proceedings Paper

Advanced teleradiology: a specification of a DICOM teleradiology application profile
Author(s): Sandra von Gehlen; Steven L. Fritz; Marco Eichelberg; Andrew J. Hewett; Holger Boesenberg; Peter F. Jensch
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Paper Abstract

The functionality of many teleradiology systems is limited to image transfer to a remote workstation. It is not possible to access reports or images from older studies, or to create new reports of current cases. Additionally, teleradiology systems from different vendors are usually not interoperable. Future teleradiology systems should provide bi-directional image transfer as well as image annotation, the possibility to create and send back text reports, and access to previous reports. Furthermore, it becomes increasingly important that teleradiology systems are conformant to the DICOM standard. The advanced teleradiology service (ATS) is compatible to the DICOM standard and is based on the functional model of the standard. In addition to receiving current images which is straightforward, the ATS supports retrieving of correlative images, studies and reports. One further feature of ATS is the review of images which is supported with flexible image compression to keep the demand for bandwidth minimal. Additionally, creating and modifying multimedia results is supported. The multimedia results are based on 'Structured Reporting' (SR) which is a supplement of the DICOM standard. SR offers a mechanism to represent results for many fields of application in medicine. The types of documents supported by SR range from simple text descriptions to multimedia interpretation reports. For this reason it is important to evaluate scenarios and to define the requirements of SR in the radiological environment. The definition of ATS is intended to provide a tested reference architecture for teleradiology to which vendors can adhere in order to develop teleradiology systems with DICOM 'plug and play' capability.

Paper Details

Date Published: 13 July 1998
PDF: 10 pages
Proc. SPIE 3339, Medical Imaging 1998: PACS Design and Evaluation: Engineering and Clinical Issues, (13 July 1998); doi: 10.1117/12.319766
Show Author Affiliations
Sandra von Gehlen, Carl von Ossietzky Univ. Oldenburg (Germany)
Steven L. Fritz, Univ. of Maryland School of Medicine (United States)
Marco Eichelberg, OFFIS--Oldenburger Forschungs- und Entwicklungsinstitut fuer Informatik-Werkzeuge und Syst (Germany)
Andrew J. Hewett, OFFIS--Oldenburger Forschungs- und Entwicklungsinstitut fuer Informatik-Werkzeuge und Syst (Germany)
Holger Boesenberg, Kreiskrankenhaus Ammerland (Germany)
Peter F. Jensch, Carl von Ossietzky Univ. Oldenburg and OFFIS--Oldenburger Forschungs- und Entwicklungsinst (Germany)

Published in SPIE Proceedings Vol. 3339:
Medical Imaging 1998: PACS Design and Evaluation: Engineering and Clinical Issues
Steven C. Horii M.D.; G. James Blaine, Editor(s)

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