Hui-Qun Wu1, Zheng-Min Lv2, Xing-Yun Geng2, Kui Jiang2, Le-Min Tang3, Guo-Min Zhou4, Jian-Cheng Dong2. 1. Key Laboratory of Medical Imaging Computing and Computer Assisted Intervention (MICCAI) of Shanghai, Shanghai 200032, China ; Department of Medical Informatics, Medical School of Nantong University, Nantong 226001, Jiangsu Province, China. 2. Department of Medical Informatics, Medical School of Nantong University, Nantong 226001, Jiangsu Province, China. 3. Department of Medical Image Engineering, Medical School of Nantong University, Nantong 226001, Jiangsu Province, China. 4. Key Laboratory of Medical Imaging Computing and Computer Assisted Intervention (MICCAI) of Shanghai, Shanghai 200032, China ; Department of Anatomy, Histology and Embryology; School of Basic Medical Sciences; Shanghai 200032, China.
Abstract
AIM: To address issues in interoperability between different fundus image systems, we proposed a web eye-picture archiving and communication system (PACS) framework in conformance with digital imaging and communication in medicine (DICOM) and health level 7 (HL7) protocol to realize fundus images and reports sharing and communication through internet. METHODS: Firstly, a telemedicine-based eye care work flow was established based on integrating the healthcare enterprise (IHE) Eye Care technical framework. Then, a browser/server architecture eye-PACS system was established in conformance with the web access to DICOM persistent object (WADO) protocol, which contains three tiers. RESULTS: In any client system installed with web browser, clinicians could log in the eye-PACS to observe fundus images and reports. Multipurpose internet mail extensions (MIME) type of a structured report is saved as pdf/html with reference link to relevant fundus image using the WADO syntax could provide enough information for clinicians. Some functions provided by open-source Oviyam could be used to query, zoom, move, measure, view DICOM fundus images. CONCLUSION: Such web eye-PACS in compliance to WADO protocol could be used to store and communicate fundus images and reports, therefore is of great significance for teleophthalmology.
AIM: To address issues in interoperability between different fundus image systems, we proposed a web eye-picture archiving and communication system (PACS) framework in conformance with digital imaging and communication in medicine (DICOM) and health level 7 (HL7) protocol to realize fundus images and reports sharing and communication through internet. METHODS: Firstly, a telemedicine-based eye care work flow was established based on integrating the healthcare enterprise (IHE) Eye Care technical framework. Then, a browser/server architecture eye-PACS system was established in conformance with the web access to DICOM persistent object (WADO) protocol, which contains three tiers. RESULTS: In any client system installed with web browser, clinicians could log in the eye-PACS to observe fundus images and reports. Multipurpose internet mail extensions (MIME) type of a structured report is saved as pdf/html with reference link to relevant fundus image using the WADO syntax could provide enough information for clinicians. Some functions provided by open-source Oviyam could be used to query, zoom, move, measure, view DICOM fundus images. CONCLUSION: Such web eye-PACS in compliance to WADO protocol could be used to store and communicate fundus images and reports, therefore is of great significance for teleophthalmology.
Keywords:
integrating the healthcare enterprise; picture archiving and communication system; teleophthalmology; web access to DICOM persistent object
Authors: Deborah A Askew; Lisa Crossland; Robert S Ware; Stephen Begg; Peter Cranstoun; Paul Mitchell; Claire L Jackson Journal: Contemp Clin Trials Date: 2012-05-01 Impact factor: 2.226