In a few years we are likely to see 3D images generated instantly, and with comparable resolution to today's 2D views. Inclusion of functional information, possibly at the molecular level, could also assist in clinical decision-making. Some specialist clinicians with intimate knowledge of their field of interest are likely to have a better understanding of the pathology and physiology of an organ system than a general radiologist. So given that the images will be presented in a more familiar format, why should clinicians and surgeons wait for a general radiologist to read them? If radiologists wish to retain their role as the experts in image interpretation, they will not only need a thorough understanding of imaging and radiological anatomy, but also a detailed understanding of pathology and physiology. It is clearly unrealistic to expect most people to gain that knowledge across a range of fields, hence the need for subspecialization. There are already commercial moves to harness the expertise of superspecialist radiologists, using teleradiology, to provide expert opinions in particularly difficult cases. This is just the beginning of a major shift in the pattern of practice in radiology. The radiology community cannot ignore impending technological developments. If radiologists take no interest in the emergence of highly detailed, user-friendly images, then the clinicians and surgeons will organise their own department-based image interpretation. However, radiologists are very good at adapting to technological change and are very likely to rise to these challenges. Far from having a sell-by date, radiology has a bright future.
Radiology ; standards ; trends ; Time Factors

Considering the real conditions in China, the strategy and scheme of DICOM-E-Mail's clinical applications in China are discussed in this paper.
China ; Computer Communication Networks ; Electronic Mail ; instrumentation ; standards ; Radiology Information Systems ; instrumentation ; standards ; Teleradiology ; instrumentation ; standards

PACS (Picture Archiving and Communication System) is successfully applied in Huzhou Central Hospital, and is well integrated with its HIS system by WEBSERVICE middleware. The system supports DICOM 3.0 Standard, and DICOM gateways are installed for modalities that do not support DICOM so as to have implemented the digitalization of all the image departments in the hospital.
Computer Communication Networks ; standards ; Radiology Information Systems ; Software ; Software Design

This paper describes a web service for biomedical image mosaicing. A web site based on CGI (Common Gateway Interface) is implemented. The system is based on Browser/Server model and is tested in www. Finally implementation examples and experiment results are provided.
Internet ; standards ; Programming Languages ; Radiology Information Systems ; Software

DICOM-e-mail is a secure teleradiology protocol released by German Radiology Society and has already been applied clinically. To improve the robustness of the system, the protocol has been upgraded by adding some mechanisms such as system feedback. Moreover, a test method is also implemented by sending erroneous mails to application software that supports DICOM-e-mail. Through the tests for two different DICOM-e-mail teleradiology application, the validity of the new protocol is proved and at the same time some bugs are found. The implementation of the latest protocol and the general error tests can help to make the whole teleradiology system a better robustness. The implementation of DICOM-e-mail protocol in our country is also discussed in this paper.
Computer Communication Networks ; standards ; Computer Security ; standards ; Electronic Mail ; standards ; Humans ; Internet ; Radiology Information Systems ; standards ; Software ; Teleradiology

Based on DICOM, three DICOM objects of RT S. S, RT Plan, RT Image are designed to implement the information sharing of different TPS, and to implement the information exchanging and sharing of the radiotherapy planning systems (TPS) of different manufacturers. The information exchange of different TPS based on DICOM is feasible.
Computer Communication Networks ; Humans ; Radiology Information Systems ; standards ; Radiotherapy ; standards ; Radiotherapy, Computer-Assisted ; methods

China ; Computer Communication Networks ; economics ; Hospital Information Systems ; economics ; standards ; Radiology Information Systems ; economics ; standards

Digital Imaging Communications in Medicine(DICOM) was brought forward by ACR and NEMA to solve the joining problem of medical equipment. It is a public international standard now. Using DICOM in teleradiology is very important, especially for China. In this paper the authors analyze the contents and specialty of DICOM and make comments on how to use it in teleradiology and picture access and communication system(PACS).
Computer Communication Networks ; standards ; Radiology Information Systems ; standards ; Software ; Systems Integration ; Teleradiology

The Digital Imaging and Communications in Medicine (DICOM) Standard was developed by National Electrical Manufacturers Association (NEMA) and the American College of Radiology (ACR) for medical image archiving and communication. The Standard is widely used in medicine now. But it does not define image semantic content sufficiently, so there is a difficulty in the implementation based on semantic content. In this article are discussed the semantic hierarchy structure in medical image and the method to describe the image content used in the DICOM Standard. We point out the limitations of DICOM in image semantic content description, and then set forth a way to extend the semantic content description by using DICOM private attributes.
Computer Communication Networks ; standards ; Humans ; Image Processing, Computer-Assisted ; standards ; Programming Languages ; Radiology Information Systems ; standards ; Semantics

With the development of medical information, Picture Archiving and Communications System (PACS), Hospital Information System/Radiology Information System(HIS/RIS) and other medical information management system become popular and developed, and interoperability between these systems becomes more frequent. So, these enclosed systems will be open and regionalized by means of network, and this is inevitable. If the trend becomes true, the security of information transmission may be the first problem to be solved. Based on the need for network security, we investigated the Digital Imaging and Communications in Medicine (DICOM) Standard and Transport Layer Security (TLS) Protocol, and implemented the TLS transmission of the DICOM medical information with OpenSSL toolkit and DCMTK toolkit.
Computer Security ; standards ; Diagnostic Imaging ; Hospital Information Systems ; Information Storage and Retrieval ; methods ; standards ; Radiology Information Systems ; standards ; Remote Consultation ; methods ; standards