Saranummi N, Inamura K
VTT Information Technology, Tampere, Finland.
Comput Methods Programs Biomed. 1994 May;43(1-2):3-8. doi: 10.1016/0169-2607(94)90177-5.
The round table discussions dealt with standardisation and its role in PACS and medical imaging, and with the assessment of medical imaging and targeting R & D based on that. Two approaches to enable image files to be transferred were discussed in the standardisation sessions. Firstly, the standardisation efforts in Europe, USA and Japan which all focus on a single standard on image transfer and file format were discussed. A plea was made to merge these three approaches. It was also noted that the Japanese IS&C standard is essentially a standard for off-line PACS. Secondly, an argument was raised that as several i age file formats are already in existence (because of the different computer platforms in use), what is needed are converters between these de-facto formats instead of striving towards one common standard. The round table on assessment focused on the changes in the radiological practices which are already emerging following the introduction of new digital imaging modalities. It was argued that PACS will cause further organisational changes because a hospital-wide PACS enables images to be viewed everywhere. The radiology meetings have been the mechanism for discussing difficult cases. In the PACS world their role may change. However, PACS will only diffuse when it offers clear advantages over the present procedures. This means that PACS, digital imaging and radiology practices evolve in parallel and incrementally.
圆桌会议讨论了标准化及其在PACS和医学成像中的作用，以及基于此对医学成像的评估和研发目标。标准化会议讨论了使图像文件能够传输的两种方法。首先，讨论了欧洲、美国和日本的标准化工作，这些工作都集中在图像传输和文件格式的单一标准上。有人呼吁合并这三种方法。还指出，日本的IS&C标准本质上是一种离线PACS的标准。其次，有人提出，由于已经存在几种图像文件格式（因为使用的计算机平台不同），需要的是这些实际使用的格式之间的转换器，而不是努力实现一个通用标准。评估圆桌会议关注的是随着新数字成像模式的引入已经出现的放射学实践的变化。有人认为，PACS将导致进一步的组织变革，因为全院范围的PACS使图像能够在任何地方查看。放射学会议一直是讨论疑难病例的机制。在PACS领域，其作用可能会改变。然而，只有当PACS比现有程序具有明显优势时，它才会得到推广。这意味着PACS、数字成像和放射学实践是并行且逐步发展的。
