CAJ | 학술논문

目的：探讨区域性医学影像会诊体系在推进区域影像同质化中的作用。方法以区域医学影像会诊中心为平台，运用统一的质量标准在区域内实行放射质控一体化管理，通过会诊专家实时把控会诊病例的图像质量和报告质量，每月组织专家和联网单位质控员抽查影像质量和报告质量。对不达标联网单位查找原因，提出整改措施，督促落实，实现质量持续改进。结果经过一年同质化管理，实时会诊病例的图像重拍率和报告退写率分别由10％、12％下降至2％、4％，每月随机抽查病例的图像质量和诊断报告优良率分别由83％、89％上升到98％、100％，达到考核目标要求（优良率≥90％）。结论通过区域性医学影像会诊中心平台对联网单位放射质控进行一体化管理，入网医院所有拍片检查的投照体位、图像大小、报告格式实现统一，影像检查的规范性和准确性达到一致，实现影像检查的同质化。
목적：탐토구역성의학영상회진체계재추진구역영상동질화중적작용。방법이구역의학영상회진중심위평태，운용통일적질량표준재구역내실행방사질공일체화관리，통과회진전가실시파공회진병례적도상질량화보고질량，매월조직전가화련망단위질공원추사영상질량화보고질량。대불체표련망단위사조원인，제출정개조시，독촉락실，실현질량지속개진。결과경과일년동질화관리，실시회진병례적도상중박솔화보고퇴사솔분별유10％、12％하강지2％、4％，매월수궤추사병례적도상질량화진단보고우량솔분별유83％、89％상승도98％、100％，체도고핵목표요구（우량솔≥90％）。결론통과구역성의학영상회진중심평태대련망단위방사질공진행일체화관리，입망의원소유박편검사적투조체위、도상대소、보고격식실현통일，영상검사적규범성화준학성체도일치，실현영상검사적동질화。
Objective To explore the function of the regional medical image network consultation system in propelling the quality control of regional medical image.Methods Based on the regional medical image network con-sultation system,the unified standard of quality control was implemented to reach the integrated management of the imaging quality control in region.The imaging specialists checked the quality of image and report in real time.In addi-tion,the specialists and inspectors monthly examined the quality of image and report.Subsequently,the unqualified causes were analyzed and the improvement measures were used.Finally,the quality of image and report were continu-ously improved.Results After the homogeneity management was applied for one year,the rates of remaking photos and returning the report were significantly decreased from 10% to 2%,and 12% to 4% respectively.Additionally,the rates of good image and report were significantly increased from 83% to 98%,and 89% to 100% respectively.The objective of good rate ≥90% was excellently achieved.Conclusion Based on the regional medical image network consultation system,the management in quality control of the networking hospitals has been uniform,and the technique of examination and the report format have been consistent.The standardability and accuracy of image examination have been realized.