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保障放射科实践安全:基于 10 年来涉及医学影像的网络攻击和 HIPAA 违规事件的证据,为放射科医生汇编的策略。

Securing Your Radiology Practice: Evidence-Based Strategies for Radiologists Compiled From 10 Years of Cyberattacks and HIPAA Breaches Involving Medical Imaging.

出版信息

Perspect Health Inf Manag. 2022 Jul 1;19(3):1c. eCollection 2022 Summer.

PMID:36035332
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9335165/
Abstract

While there is significant literature discussing physical and cybersecurity risks around health information technology in general, the number of publications that specifically address medical imaging is much smaller, and many of these focus on the technical security requirements for the exchange of medical images over public networks rather than practical guidelines for radiologists and technicians. This study examines the US Department of Health and Human Services database of reported breaches involving medical imaging from 2010-2020, identifies the most common contributing factors to those breaches, and offers recommendations for radiology practices to prevent each, based on the National Institute of Standards and Technology (NIST) guidelines as well as measures proposed in the literature on health information technology.

摘要

虽然有大量文献讨论了一般健康信息技术的物理和网络安全风险,但专门针对医学成像的出版物数量要少得多,而且其中许多出版物侧重于公共网络上医学图像交换的技术安全要求,而不是针对放射科医生和技术人员的实际指南。本研究检查了 2010 年至 2020 年美国卫生与公众服务部报告的涉及医学成像的违规数据库,确定了导致这些违规的最常见因素,并根据国家标准与技术研究院 (NIST) 指南以及健康信息技术文献中提出的措施,为放射科实践提供了预防建议。

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1
Securing Your Radiology Practice: Evidence-Based Strategies for Radiologists Compiled From 10 Years of Cyberattacks and HIPAA Breaches Involving Medical Imaging.保障放射科实践安全:基于 10 年来涉及医学影像的网络攻击和 HIPAA 违规事件的证据,为放射科医生汇编的策略。
Perspect Health Inf Manag. 2022 Jul 1;19(3):1c. eCollection 2022 Summer.
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J Digit Imaging. 2020 Dec;33(6):1527-1542. doi: 10.1007/s10278-020-00393-3. Epub 2020 Oct 29.
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Medical image security in a HIPAA mandated PACS environment.《健康保险流通与责任法案》(HIPAA)规定的PACS环境中的医学图像安全
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Security model for picture archiving and communication systems.图像存档与通信系统的安全模型
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When it comes to securing patient health information from breaches, your best medicine is a dose of prevention: A cybersecurity risk assessment checklist.在保护患者健康信息不被泄露方面,最好的办法是采取预防措施:一份网络安全风险评估清单。
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A HIPAA-compliant architecture for securing clinical images.一种符合健康保险流通与责任法案(HIPAA)的用于保护临床图像安全的架构。
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HIPAA compliance: the law, reality, and recommendations.《健康保险流通与责任法案》合规性:法律、现实与建议
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引用本文的文献

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Front Artif Intell. 2024 Dec 9;7:1400732. doi: 10.3389/frai.2024.1400732. eCollection 2024.
2
Improving radiology information systems for inclusivity of transgender and gender-diverse patients: what are the problems and what are the solutions? A systematic review.改善放射学信息系统以实现对跨性别和性别多样化患者的包容性:问题与解决方案有哪些?一项系统综述。
J Med Radiat Sci. 2024 Dec;71(4):591-607. doi: 10.1002/jmrs.808. Epub 2024 Jul 18.

本文引用的文献

1
Solutions for Cybersecurity Threats Facing Radiology Practices.放射科应对网络安全威胁的解决方案。
J Am Coll Radiol. 2021 Nov;18(11):1566-1568. doi: 10.1016/j.jacr.2021.05.009. Epub 2021 Jun 18.
2
Cybersecurity Challenges for PACS and Medical Imaging.医学影像 PACS 的网络安全挑战
Acad Radiol. 2020 Aug;27(8):1126-1139. doi: 10.1016/j.acra.2020.03.026. Epub 2020 May 15.
3
A Socio-Technical Approach to Preventing, Mitigating, and Recovering from Ransomware Attacks.一种预防、减轻和从勒索软件攻击中恢复的社会技术方法。
Appl Clin Inform. 2016 Jun 29;7(2):624-32. doi: 10.4338/ACI-2016-04-SOA-0064. eCollection 2016.
4
Data breaches of protected health information in the United States.美国受保护健康信息的数据泄露事件。
JAMA. 2015 Apr 14;313(14):1471-3. doi: 10.1001/jama.2015.2252.