Worldwide implementation of digital imaging in radiology : a resource guide / International Atomic Energy Agency.

Format:

Book

Author/Creator:

International Atomic Energy Agency.

Series:

IAEA human health series ; Number 28.

IAEA Human Health Series, 2075-3772 ; Number 28

Language:

English

Subjects (All):

Diagnostic imaging--Digital techniques.

Diagnostic imaging.

Radiography, Medical--Digital techniques.

Radiography, Medical.

Diagnostic imaging--Methods.

Physical Description:

1 online resource (216 pages) : color illustrations, photographs.

Edition:

1st ed.

Place of Publication:

Vienna, [Austria] : International Atomic Energy Agency, 2015.

Summary:

Providing a basic introduction to digital technology and digital networks, the publication also gives an overview of the issues to consider when implementing such technology in diagnostic radiology. In an area that is under rapid development, it provides a careful analysis of the principles and advice on implementation and sustainability of digital imaging and teleradiology. The transition from film to digitally based medical imaging is complex and requires knowledge and planning to be successful. This comprehensive resource guide contains information on the needs and implications of a transition to digital imaging with case studies for different facilities requiring different levels of communication connectivity. It is aimed at hospital administrators and managers, radiologists and radiographers/technologists, medical physicists and clinical engineers as well as information technology staff.

Contents:

Intro

1. Context and Aims

1.1. Introduction

1.2. Film based imaging

1.3. REASONS FOR USING digital imaging

1.4. Basic objectives and purpose of this publication

1.5. Scope and target audience

2. Digital radiology: a basic overview

2.1. Differences in local and national health care systems

2.1.1. Technical capabilities

2.1.2. Health care infrastructure

2.1.3. Workflow and productivity

2.1.4. Financing a radiology service

2.2. Digital Imaging and informatics Requirements

2.2.1. PACS/RIS

2.2.2. Teleradiology

2.2.3. DICOM and compliance with the Integrating the Healthcare Enterprise initiative

2.3. Resources

2.3.1. Reliable power supply

2.3.2. Climate control

2.3.3. Storage media

2.4. Computer systems

2.5. Mobile and portable imaging systems

2.5.1. Mobile imaging systems

2.5.2. Mobile and portable image review

2.6. STAFF

2.6.1. Radiologists

2.6.2. Radiographers and imaging technologists

2.6.3. Medical physicists

2.6.4. IT staff

2.6.5. PACS management

2.6.6. Non-imaging clinical experts

2.7. Communications infrastructure

2.7.1. Local area network

2.7.2. Internet and external connectivity

2.8. Reporting

2.9. Quality assurance programME

2.10. Clinical audit

2.11. Safety issues

2.12. Security

2.13. Privacy

3. Core Technical Issues

3.1. Key technologies

3.1.1. Standards

3.1.2. Digital image acquisition

3.1.3. Image reporting

3.1.4. Image storage

3.1.5. Image distribution

3.2. Integration of PACS in departmental workflow

3.2.1. Ordering and scheduling

3.2.2. Quality control

3.2.3. Analysis and post-processing

3.2.4. Information management

3.3. Language and localization

3.4. Digital imaging and radiation dose

4. CORE iMPLEMENTATION iSSUES

4.1. Introduction

4.2. Local champion.

4.3. Involvement of stakeholders

4.3.1. Administration

4.3.2. IT

4.3.3. Clinician partners

4.3.4. Radiology staff

4.4. Consultation and advice

4.5. Needs analysis

4.5.1. Current status

4.5.2. Site considerations

4.5.3. Electrical power supply

4.5.4. Climate control

4.5.5. Structural changes

4.5.6. Reading room

4.5.7. Server room

4.6. Functional specification of the digital radiology system

4.6.1. Organizational goals

4.6.2. Uptime

4.6.3. Networking and standards

4.6.4. Network safety and security

4.6.5. Teleradiology

4.7. Technical specifications

4.7.1. X ray equipment

4.7.2. CR equipment

4.7.3. DX equipment

4.7.4. Diagnostic workstation

4.7.5. PACS storage

4.7.6. Web based image distribution

4.7.7. HIS/RIS reconciliation issues and migration issues

4.7.8. Worklists

4.8. RFP process

4.8.1. Documentation

4.8.2. Purchasing contracts

4.8.3. Warranties

4.8.4. Service agreements

4.8.5. Penalties

4.8.6. Quality assurance

4.9. Business considerations

4.9.1. New or pre-owned equipment

4.9.2. Different purchasing models

4.9.3. Payment schemes

4.9.4. Capital costs

4.9.5. Planning costs

4.9.6. Installation costs

4.9.7. Operating costs

4.9.8. Contingencies

4.9.9. Total cost of ownership (life cycle cost)

4.10. Project management

4.10.1. Project manager

4.10.2. Site considerations

4.10.3. Timeline

4.10.4. Configuration and customizations of RIS and PACS

4.10.5. Digital imaging workflow

5. Sustainability and Audit

5.1. Introduction

5.2. Training

5.2.1. Guidelines for effective training

5.2.2. User training

5.2.3. Provider and support training

5.2.4. Staying current - knowledge management and continuing education

5.3. Equipment life cycle management

5.3.1. Hardware cycles.

5.3.2. Software cycles

5.3.3. Upgrades

5.4. Service support and maintenance

5.4.1. On-site

5.4.2. Remote service

5.5. Quality assurance

5.5.1. Administrative procedures

5.5.2. Acceptance of equipment and commissioning testing

5.5.3. Routine quality control testing

5.5.4. Calibrated test instrumentation

5.5.5. Metrics and audits

6. IMPLEMENTATION SCENARIOS

6.1. Common framework

6.1.1. Imaging technologies

6.1.2. Identity management

6.1.3. Storage

6.1.4. Display quality

6.1.5. Connectivity

6.1.6. Distribution

6.1.7. Imaging site requirements

6.1.8. Teleradiology

6.1.9. Project management

6.2. Scenario 1: Disaster relief

6.2.1. Typical installations

6.2.2. Typical use cases

6.2.3. Proposed technologies

6.2.4. Staffing and expertise

6.2.5. Networking and teleradiology issues

6.2.6. Project management issues

6.3. Scenario 2: Small facility

6.3.1. Typical installations

6.3.2. Typical use cases

6.3.3. Staffing and expertise

6.3.4. Networking and teleradiology issues

6.3.5. Project management issues

6.4. Scenario 3: Small urban multimodality imaging centre

6.4.1. Typical installations

6.4.2. Typical use cases

6.4.3. Proposed technologies

6.4.4. Staffing and expertise

6.4.5. Networking and teleradiology issues

6.4.6. Project management issues

Appendix I IMPLEMENTING A LOW COST PACS

Appendix II IMAGE Compression

Appendix III FREE AND OPEN SOURCE SOFTWARE

Appendix V Checklists and Templates

REFERENCES

BIBLIOGRAPHY

GLOSSARY

LIST OF ACRONYMS

Appendix IV RADIOGRAPHIC QUALITY ASSURANCE PROTOCOLS

CONTRIBUTORS to drafting and review

Context and Aims

Introduction

Film based imaging

REASONS FOR USING digital imaging

Basic objectives and purpose of this publication

Scope and target audience.

Digital radiology: a basic overview

Differences in local and national health care systems

Digital Imaging and informatics Requirements

Resources

Computer systems

Mobile and portable imaging systems

STAFF

Communications infrastructure

Reporting

Quality assurance programME

Clinical audit

Safety issues

Security

Privacy

Core Technical Issues

Key technologies

Integration of PACS in departmental workflow

Language and localization

Digital imaging and radiation dose

CORE iMPLEMENTATION iSSUES

Local champion

Involvement of stakeholders

Consultation and advice

Needs analysis

Functional specification of the digitalradiology system

Technical specifications

RFP process

Business considerations

Project management

Sustainability and Audit

Training

Equipment life cycle management

Service support and maintenance

Quality assurance

IMPLEMENTATION SCENARIOS

Common framework

Scenario 1: Disaster relief

Scenario 2: Small facility

Scenario 3: Small urban multimodality imaging centre

Appendix I_MPLEMENTING A LOW COST PACS

Appendix II_IMAGE Compression

Appendix III_FREE AND OPEN SOURCE SOFTWARE

Appendix IV_RADIOGRAPHIC QUALITY ASSURANCE PROTOCOLS

Appendix V_Checklists and Templates

CONTRIBUTORS to drafting and review.

Notes:

Description based on online resource; title from PDF title page (ebrary, viewed June 2, 2017).

ISBN:

92-0-113419-3

OCLC:

987075720