Mendelson David S, Bak Peter R G, Menschik Elliot, Siegel Eliot
Department of Radiology and Information Technology, Mount Sinai Medical Center, New York, NY 10029, USA.
Radiographics. 2008 Nov-Dec;28(7):1817-33. doi: 10.1148/rg.287085174. Epub 2008 Sep 4.
The sharing of radiologic images has become a fundamental part of radiology services and is essential for delivering high-quality care. Film is quickly becoming obsolete as a means of transporting and sharing large volumes of imaging data. Image sharing has evolved from film to transportable media (eg, compact disks) to direct electronic exchange over the Internet. The latter two means of image sharing have associated work flow-related and technical challenges for which solutions are being developed. Integrating the Healthcare Enterprise (IHE) provides a standards-based approach to the development of robust, universally accepted solutions. Several IHE profiles have been developed to provide a framework for current image sharing efforts. The Philadelphia and New Jersey Health Information Exchanges and the Canada Health Infoway represent efforts to apply IHE technical profiles to facilitate the secure and confidential exchange of electronic images over the Internet. The research community is concomitantly developing solutions that solve image exchange issues that are specific to research (eg, the sharing of deidentified data) but that might also be encountered in the general population. The personal health record is a more recent development that may provide consumers with direct control over the process of sharing images electronically with their healthcare providers.
放射影像的共享已成为放射学服务的一个基本组成部分，对于提供高质量医疗服务至关重要。作为传输和共享大量影像数据的一种方式，胶片正迅速过时。影像共享已从胶片发展到可移动介质（如光盘），再到通过互联网进行直接电子交换。后两种影像共享方式存在与工作流程相关的技术挑战，目前正在开发解决方案。整合医疗卫生企业（IHE）为开发强大的、普遍接受的解决方案提供了一种基于标准的方法。已经制定了多个IHE概要文件，为当前的影像共享工作提供框架。费城和新泽西州卫生信息交换所，以及加拿大卫生信息高速公路，都代表了应用IHE技术概要文件，以促进通过互联网安全、保密地交换电子影像的努力。与此同时，研究界也在开发一些解决方案，以解决特定于研究的影像交换问题（如去识别数据的共享），但这些问题在普通人群中也可能会遇到。个人健康记录是一个较新的发展，它可能为消费者提供直接控制与医疗服务提供者进行电子影像共享过程的权力。
