CAJ | 학술논문

　　目的：解决影像科PACS信息向临床科室扩展过程中遇到的普遍性问题，实现临床PACS中心规范化、公用平台型建设，降低投入成本，提高系统兼容性和实用性。方法：通过建立标准化中心PACS的病人检查主索引，使用标准DICOM Storage Class协议，接收符合DICOM规范的所有医学影像，并应用IPSAN架构建设存储设备，把不同部门、不同类型的影像数据统一接入临床PACS中心，以满足临床需求。结果：通过对病人识别码的规范和中心PACS数据库规范化建设，使用DICOM Storage SCU/SCP、DICOM Query/Retrieve SCU/SCP服务传送、获取图像信息，实现了不同类型检查数据的统一管理、共享，解决了异构系统兼容性问题。分级数据管理，使用IPSAN网络存储设备和数据无损压缩技术将大大提高存储效能，减少远期投入。结论：使用公共平台型方案建设的中心PACS将具备区域医疗的特性，能接入不同PACS厂商的数据，真正实现投入最优化，信息共享、资源整合最大化。
　　목적：해결영상과PACS신식향림상과실확전과정중우도적보편성문제，실현림상PACS중심규범화、공용평태형건설，강저투입성본，제고계통겸용성화실용성。방법：통과건립표준화중심PACS적병인검사주색인，사용표준DICOM Storage Class협의，접수부합DICOM규범적소유의학영상，병응용IPSAN가구건설존저설비，파불동부문、불동류형적영상수거통일접입림상PACS중심，이만족림상수구。결과：통과대병인식별마적규범화중심PACS수거고규범화건설，사용DICOM Storage SCU/SCP、DICOM Query/Retrieve SCU/SCP복무전송、획취도상신식，실현료불동류형검사수거적통일관리、공향，해결료이구계통겸용성문제。분급수거관리，사용IPSAN망락존저설비화수거무손압축기술장대대제고존저효능，감소원기투입。결론：사용공공평태형방안건설적중심PACS장구비구역의료적특성，능접입불동PACS엄상적수거，진정실현투입최우화，신식공향、자원정합최대화。
Objectives:To building a standardization PACS platform to resolve the universal problems encountered in the process of radiology PACS extended to the clinical department, reducing input costs, improve compatibility and usefulness system. Methods:By making standard main index of the examination information database, using DICOM standard interface to receiving all kind of DICOM format medical imaging, stored in IPSAN disk array, to meet clinical demand. Results:With a specialization definition of the patient unique identifier and PACS database, using standard DICOM storage SCU/SCP and DICOM Query/Retrieve SCU/SCP service to receive or distribute DICOM images, enable to unified manage and share the data of different modality ,the compatibility issues of heterogeneous system were resolved. The mode of tiered data management, IPSAN network storage and data compression technology would greatly improve storage efficiency, Reducing the long-term investment. Conclusions:Public platform construction of PACS will have the feature of regional medical, Data compatible with different PACS vendors, realize optimization of cost, maximize information sharing, resource integration.