Figueiredo João Filho Matos, Motta Gustavo Henrique Matos Bezerra
Center of Informatics, Federal University of Paraíba, João Pessoa, PB, Brazil.
Stud Health Technol Inform. 2013;192:778-82.
The popularity of teleradiology services has enabled a major advance in the provision of health services to areas with difficult geographical access. However, this potential has also brought with it a number of challenges: the large volume of data, characteristic of imaging tests, and security requirements designed to ensure confidentiality and integrity. Moreover, there is also a number of ethical questions involving the dominant model on the market, whereby this service is outsourced to private companies, and is not directly undertaken by professional radiologists. Therefore, the present paper proposes a cooperative model of teleradiology, where health professionals interact directly with the hospitals providing patient care. This has involved the integration of a wide range of technologies, such as the interconnection models Peer-to-Peer, Cloud Computing, Dynamic DNS, RESTful Web Services, as well as security and interoperability standards, with the aim of promoting a secure, collaborative asynchronous environment. The developed model is currently being used on an experimental basis, providing teleradiology support to cities in the north-eastern hinterland of Brazil, and is fulfilling all expectations.
远程放射学服务的普及使得在向地理上难以到达的地区提供医疗服务方面取得了重大进展。然而，这种潜力也带来了一些挑战：成像检查特有的大量数据，以及旨在确保保密性和完整性的安全要求。此外，还存在一些涉及市场主导模式的伦理问题，即这项服务外包给了私人公司，而不是由专业放射科医生直接承担。因此，本文提出了一种远程放射学合作模式，其中医疗专业人员直接与提供患者护理的医院进行互动。这涉及到多种技术的整合，如对等互联模型、云计算、动态域名系统、RESTful网络服务，以及安全和互操作性标准，目的是促进一个安全、协作的异步环境。所开发的模型目前正在进行实验性使用，为巴西东北部内陆地区的城市提供远程放射学支持，并达到了所有预期。
