Mattheus R
Technical Committee on Medical Informatics of the European Standardisation Committee (CEN TC 251/4), Brussels, Belgium.
Eur J Radiol. 1993 Jun;17(1):28-37. doi: 10.1016/0720-048x(93)90025-i.
For several years now, users have been waiting for standards allowing medical images to be exchanged, managed, stored and manipulated. Standards are prerequisites for the development of PACS and IMACS systems. It is because of the lack of standards that PACS have not yet widely been implemented. The ACR-NEMA committee (American College of Radiology--National Electronical Manufactures Association) are developing an image communication standard: DICOM 3.0. This should allow interconnection of different imaging modalities and other PACS nodes. Part of the DICOM 3.0 work will be demonstrated at RSNA 93 with involvement of Europe. In the European Standardization Committee (CEN), the technical committee responsible for the standardization activities in Medical Informatics (CEN TC 251), has agreed upon the directions and the scopes to be followed in this field. They are described in the directory of the European standardization requirements for health care informatics and programme for the development of standard adopted on 28 February 1991 by CEN TC 251. Top-down objectives describe the common framework and items like terminology, security, while the more bottom-up oriented items describe fields like medical imaging and multi-media. Since CEN TC 251 started working, an important coordination took place between Europe and the US and Japan, resulting in a common future approach. CEN TC 251 is setting the scene for a more technologically independent standard on a mid term basis. This standard will first have to be proto-typed before it can be published, because it must be possible to implement the standard, too much complexity will not be accepted by the industry. The European imaging standardization work based on the ISO/IPI standard, will be briefly explained; as well as the general framework model and object oriented model; the interworking aspects, and the relation to ISO standards. One should realize be realised that a standard is needed, which is not too ambitious. Because DICOM 3.0 will be ready soon, Europe has decided to support these activities and will concentrate on the next step to be taken.
多年来，用户一直在等待允许医学图像进行交换、管理、存储和处理的标准。标准是PACS和IMACS系统发展的先决条件。正是由于缺乏标准，PACS尚未得到广泛实施。美国放射学会-美国国家电子制造商协会（ACR-NEMA）委员会正在制定一项图像通信标准：DICOM 3.0。这将允许不同成像模态和其他PACS节点相互连接。DICOM 3.0工作的一部分将在欧洲参与的情况下于1993年北美放射学会年会上展示。在欧洲标准化委员会（CEN）中，负责医学信息学标准化活动的技术委员会（CEN TC 251）已就该领域应遵循的方向和范围达成一致。它们在1991年2月28日由CEN TC 251通过的医疗保健信息学欧洲标准化要求目录和标准制定计划中有所描述。自上而下的目标描述了通用框架和术语、安全等项目，而更侧重于自下而上的项目描述了医学成像和多媒体等领域。自CEN TC 251开始工作以来，欧洲与美国和日本之间进行了重要的协调，形成了共同的未来方法。CEN TC 251正在为中期制定一个技术上更独立的标准奠定基础。该标准在发布之前必须先进行原型设计，因为必须能够实施该标准，行业不会接受过于复杂（的标准）。将简要解释基于ISO/IPI标准的欧洲成像标准化工作；以及通用框架模型和面向对象模型；互通方面，以及与ISO标准的关系。应该认识到需要一个不过于雄心勃勃的标准。由于DICOM 3.0很快就会准备好，欧洲已决定支持这些活动，并将专注于接下来要采取的步骤。
