Department of Radiology and Biomedical Imaging, University of California San Francisco, 505 Parnassus Ave, San Francisco, CA, 94143, USA.
Department of Radiology, MedStar Georgetown University Hospital, 3800 Reservoir Rd., Washington, DC, 20007, USA.
J Digit Imaging. 2020 Jun;33(3):602-606. doi: 10.1007/s10278-019-00317-w.
Radiologists are an integral component in patient care and provide valuable information at multidisciplinary tumor boards. However, the radiologists' role at such meetings can be compromised by technical and workflow limitations, typically including the need for complex software such as picture archiving and communication system (PACS) applications which are difficult to install and manage in disparate locations with increasing security and network limitations. Our purpose was to develop a web-based system for easy retrieval of images and notes for presentation during multidisciplinary conferences and tumor boards. Our system allows images to be viewed from any computer with a web browser and does not require a stand-alone PACS software installation. The tool is launched by the radiologist marking the exam in PACS. It stores relevant text-based information in a MySQL server and is indexed to the conference for which it is to be used. The exams are then viewed through a web browser, via the hospital intranet or virtual private network (VPN). A web-based viewing platform, provided by our PACS vendor, is used for image display. In the 28 months following implementation, our web-based conference system was well-received by our radiologists and is now fully integrated into daily practice. Our method streamlines radiologist workflow in preparing and presenting medical imaging at multidisciplinary conferences and overcomes many previous technical obstacles. In addition to its primary role for interdepartmental conferences, our system also functions as a teaching file, fostering radiologist education within our department.
放射科医生是患者护理的重要组成部分，他们在多学科肿瘤委员会上提供有价值的信息。然而，放射科医生在这些会议上的角色可能会受到技术和工作流程限制的影响，这些限制通常包括需要复杂的软件，如影像归档和通信系统 (PACS) 应用程序，这些软件在具有不断增加的安全和网络限制的不同地点安装和管理都很困难。我们的目的是开发一个基于网络的系统，以便在多学科会议和肿瘤委员会上轻松检索图像和注释以供演示。我们的系统允许任何带有网络浏览器的计算机查看图像，并且不需要单独的 PACS 软件安装。该工具由在 PACS 中标记检查的放射科医生启动。它将相关的基于文本的信息存储在 MySQL 服务器中，并为要使用的会议进行索引。然后可以通过医院内部网或虚拟专用网络 (VPN) 通过网络浏览器查看这些检查。我们的 PACS 供应商提供了一个基于网络的查看平台，用于显示图像。在实施后的 28 个月中，我们的基于网络的会议系统受到了放射科医生的欢迎，现已完全融入日常实践。我们的方法简化了放射科医生在多学科会议上准备和呈现医学影像的工作流程，并克服了许多先前的技术障碍。除了在部门间会议中的主要作用外，我们的系统还作为教学档案，促进了我们部门内的放射科医生教育。
