Hallac Rami R, Dumas Blaike M, Seaward James R, Herrera Royiel, Menzies Christopher, Kane Alex A
1 Department of Plastic Surgery, UT Southwestern, Dallas, TX, USA.
2 Analytical Imaging and Modeling Center, Children's Medical Center, Dallas, TX, USA.
Cleft Palate Craniofac J. 2019 Apr;56(4):552-555. doi: 10.1177/1055665618787399. Epub 2018 Jul 11.
Digital photographs have become an integral part in plastic and reconstructive surgery. They are significant in clinical research and outcome evaluation. There is a need for effective and secure methods to store, search, and retrieve those photographs. We developed a Health Insurance Portability and Accountability Act compliant searchable database to archive and index clinical information for clinical and research purposes.
At our craniofacial clinic, digital media (2-D, 3-D, and 4-D photographs) are obtained on a regular basis to evaluate and document treatment outcomes. In addition, patients are asked to enroll in our institutional review board (IRB)-approved imaging database. Daily, we link all digital photographs to the patient encounter through EPIC's Media Manager. This allows us to automatically identify and extract new digital media, patient demographics, diagnosis codes, relevant providers, and the text of the clinic notes to our digital database. To search our extensive database, we employed the VIEW search engine.
To date, our database contains more than 277 000 images of 11 000 patients where more than 1900 patients are enrolled in the IRB study. This search engine allows full-text search with query response time between 2 and 5 seconds. The search engine displays the returned through a web page interface, which includes image thumbnails and the relevant part of the clinic note. In addition, a patient-specific chart allows the user to examine all patient notes and photographs.
Our solution allows providers and researchers to retrieve all digital media securely and efficiently.
数码照片已成为整形与重建外科手术中不可或缺的一部分。它们在临床研究和疗效评估中意义重大。因此，需要有效且安全的方法来存储、搜索和检索这些照片。我们开发了一个符合《健康保险流通与责任法案》的可搜索数据库，用于存档和索引临床信息，以用于临床和研究目的。
在我们的颅面诊所，定期获取数字媒体资料（二维、三维和四维照片）以评估和记录治疗效果。此外，我们要求患者加入我们机构审查委员会（IRB）批准的影像数据库。每天，我们通过EPIC的媒体管理器将所有数码照片与患者就诊信息相关联。这使我们能够自动识别并提取新的数字媒体资料、患者人口统计学信息、诊断代码、相关医护人员以及临床记录文本，并将其存入我们的数字数据库。为了搜索我们庞大的数据库，我们采用了VIEW搜索引擎。
截至目前，我们的数据库包含11000名患者的超过277000张图像，其中超过1900名患者参与了IRB研究。该搜索引擎支持全文搜索，查询响应时间在2到5秒之间。搜索引擎通过网页界面显示搜索结果，其中包括图像缩略图和临床记录的相关部分。此外，特定患者图表允许用户查看所有患者记录和照片。
我们的解决方案使医护人员和研究人员能够安全高效地检索所有数字媒体资料。
