Rubin Daniel L
Department of Radiology and the Center for Biomedical Informatics Research, Stanford University, 251 Campus Drive, Stanford, CA 94305, USA.
Acad Radiol. 2009 May;16(5):524-34. doi: 10.1016/j.acra.2009.01.009.
Informatics methods and systems in support of clinical care are well established in the health care enterprise. The new paradigm of patient-centered radiology creates new requirements and challenges that can be enabled by informatics. In particular, computer support can help referring physicians tailor their imaging requests to those procedures that would be most helpful for their patients'clinical context. Informatics methods can assist radiologists in recognizing important findings in images as well as helping them decide the best course of action for patients given the radiologic imaging results and other clinical data. Finally, informatics methods can help engage patients in their care by providing information about their imaging procedures and results. All of these informatics technologies share in common the ability to bring together critical knowledge filtered according to the specific requirements of patients undergoing radiologic imaging, a key component of patient-centered radiology. The goals of this article are to review the opportunities for informatics in supporting patient-centered radiology, to demonstrate the potential utility of these methods, and to point radiologists to the ways that informatics will help them provide care that is tailored to each patient.
支持临床护理的信息学方法和系统在医疗保健企业中已得到充分确立。以患者为中心的放射学新范式带来了新的要求和挑战，而信息学能够助力应对这些挑战。具体而言，计算机支持可以帮助转诊医生根据对患者临床情况最有帮助的那些检查程序来定制其影像检查申请。信息学方法可以协助放射科医生识别影像中的重要发现，并根据放射学影像结果及其他临床数据帮助他们为患者确定最佳治疗方案。最后，信息学方法可以通过提供有关患者影像检查程序及其结果的信息，帮助患者参与到自身的护理过程中。所有这些信息学技术都具备将根据接受放射学影像检查患者的特定需求筛选出的关键知识汇聚起来的能力，这是以患者为中心的放射学的一个关键组成部分。本文的目的是回顾信息学在支持以患者为中心的放射学方面的机遇，展示这些方法的潜在效用，并为放射科医生指出信息学将如何帮助他们提供针对每个患者量身定制的护理。
