ABSTRACT
En nuestro país se lucha por la soberanía tecnológica y se impulsa la utilización del software libre. Por esto y con un mejor diseño de las soluciones implementadas por el Centro de Biofísica Médica, el imagis 2.0, como paquete de soluciones de un sistema de almacenamiento y transmisión de imágenes médicas, fue desarrollado bajo la plataforma Linux, haciendo uso de herramientas libres, convirtiéndolo en un sistema más eficiente, estable y robusto. Con este trabajo pretendemos primero realizar un breve recorrido por la historia de los sistemas de almacenamiento y transmisión de imágenes médicas en nuestro país, para luego adentrarnos en una solución implementada bajo plataforma libre que sirve de base a la implementación para especializaciones médicas, exponiendo su uso en los procesos radioterapéuticos(AU)
In our country we fight for technological sovereignty and the use of free software is promoted. For this and with better design solutions implemented by the Center of Medical Biophysics, the imagis 2.0, as a package of solutions of storage and transmission of medical images systems, was developed under the Linux platform, using free tools, making it more efficient, stable and robust. In this paper we first present a brief review of storage and transmission of medical images history in our country, for then get into a deployed under open platform solution that can be using as framework for the implementation for medical specializations, exposing it use in radiotherapeutic procedures(AU)
Subject(s)
Humans , Medical Informatics Applications , Software Design , Radiology Information Systems/standards , CubaABSTRACT
Introduction: This work proposes to improve the transmission of information between requiring physicians and radiologists. Objectives: Evaluate the implementation of a structured report (SR) in a university hospital. Methods: A model of a structured report for thyroid sonography was developed according to information gathered from radiologists and endocrinologists working in this field. The report was based on a web platform and installed as a part of a Radiological Information System (RIS) and a Hospital Information System (HIS). The time for the report generation under the two forms was evaluated over a four-month period, two months for each method. After this period, radiologists and requiring physicians were questioned about the two methods of reporting. Results: For free text, 98 sonograms were reported to have thyroids with nodules in an average time of 8.71 (+/-4.11) minutes, and 59 sonograms of thyroids without nodules were reported in an average time of 4.54 (+/- 3.97) minutes. For SR, 73 sonograms in an average time of 6.08 (+/-3.8) minutes for thyroids with nodules and 3.67 (+/-2.51) minutes for thyroids without nodules. Most of the radiologists (76.2 percent) preferred the SR, as originally created or with suggested changes. Among endocrinologists, 80 percent preferred the SR. Discussion: From the requiring physicians' perspective, the SR enabled standardization and improved information transmission. This information is valuable because physicians need reports prepared by radiologists. Conclusions: The implementation of a SR in a university hospital, under an RIS/HIS system, was viable. Radiologists and endocrinologists preferred the SR when compared to free text, and both agreed that the former improved the transmission of information.
Subject(s)
Humans , Endocrinology/statistics & numerical data , Information Dissemination/methods , Medical Records Systems, Computerized/standards , Radiology Information Systems/classification , Radiology/statistics & numerical data , Hospitals, University , Hospital Information Systems/standards , Prospective Studies , Radiology Information Systems/standards , Thyroid NoduleABSTRACT
O processamento químico de uma radiografia nem sempre é observado com rigor. Isto pode ocorrer por um ato de negligência profissional ou dificuldades de espaço. Estas, quase sempre, säo contornadas com o uso de caixas de revelaçäo portáteis, onde as soluçöes, após certo tempo de uso, säo trocadas. O processamento é feito manualmente pelo método visual uma vez que nas "caixas de revelaçäo" o método tempo/temperatura nem sempre pode ser utilizado. Ocorre que, muitas vezes, o clínico utiliza-se da radiografia, executa o trabalho e näo faz a fixaçäo/lavagem final nos tempos mínimos: 10 e 20 minutos respectivamente. Pouco tempo depois a radiografia estará com excesso de sulfureto de prata (amarelada) e com perda da qualidade da imagem. Aquela radiografia que deverá ir para um arquivo para servir numa futura intervençäo ou em aspecto legal perde a sua finalidade e o cirurgiäo-dentista pode por a perder uma prova que lhe seria favorável