PACS的高级预防维护技术

目的 通过讨论PACS高级预防维护技术,供同他人在日常维护过程中有一定地借鉴作用.方法 从PACS数据库性能检测与优化,存储设备检测及PACS各应用软件模块三方面进行阐述.结果 经过医院一线安装维护人员和PACS厂家多年实践的总结,拥有一定的可参考依据.结论 PACS的高级预防维护是一个复杂的系统工程,包括一般维护和高级维护在内的实践理论才刚刚起步,科学的、规范化的预防维护需要不断地完善和发展.     

PACS clinical experience at Georgetown University

Georgetown University Hospital has been operating an image management and communications system (IMACS or PACS) for 3.5 years. This work was initially funded under the Army Medical Research and Development Command Digital Imaging Network Systems (DINS) project. The system was taken from a research system supporting only radiology tasks to one extended to clinical use, and has been used in clinical work for 3 years. This paper will summarize our PACS clinical experience and will describe the operational features implemented and those still necessary.     

IMPAX PACS在黑龙江省区域化医疗远程会诊中的初步应用

目的:研究黑龙江省不同医疗机构之间新型协同服务模式,加强垦区各级医疗机构的信息化基础建设,建立基于医学影像存档与通信传输系统(Picture Archiving and Communications System,PACS)的数字化医疗区域。方法:将哈尔滨医科大学附属第四医院现有的影像数据归档,集成到IMPAX PACS数据中心(Internet Data Center,IDC),作为整个区域医疗的影像中心。通过IDC交换平台的延伸覆盖,以及医院信息系统(Hospital Information System,HIS)与XERO集成,可经网络调阅IDC中的影像,实现远程影像会诊。结果:建立基于IMPAX PACS的区域医疗;工程覆盖1家省会大医院和垦区2家综合性医院、5家二级医院、11家农场医院,实现联网医院间的影像学远程会诊。结论:PACS区域远程医疗系统的建立为基层百姓就医提供方便,影像学远程会诊可有效避免影像学重复检查,双向转诊、信息共享给患者带来更多的便利和实惠,具有巨大的社会效益。     

Influence of health care systems on the market for picture archiving and communication systems

An analysis is given of the relation between health care systems and the PACS market. Two driving forces exist in the market: quality and price. It is argued that the quality driven market is mainly independent of the health care system and will be the force that drives the introduction of the health care system and will be the force that drives the introduction of PACS in the forthcoming years. Finally a change of focus is suggested from only archiving and communication to a more general concept of image networking, serving more goals than only the goal of working filmlessly.     

Experience with an operational nuclear medicine PACS in the Utrecht University Hospital

At the department of nuclear medicine of the University Hospital Utrecht a single modality PACS has been operational since mid 1990. After 1 year of operation the functionality, the organizational and economical consequences and the acceptability of the PACS are evaluated. The functional aspects reviewed are: viewing facilities, patient data management, connectivity, reporting facilities, archiving, privacy and security. It is concluded that the improved quality of diagnostic viewing and the potential integration with diagnosis, reporting and archiving are highly appreciated. The many problems that have occurred during the transition period, however, greatly influence the appreciation and acceptability of the PACS. Overall, we feel that on the long term there will be a positive effect on the quality and efficiency of the work done in our department.     

Automated molecular microscopy: the new Leginon system

We report here on the current state of our efforts in automated molecular microscopy. Our primary automated data acquisition software system, Leginon, has been completely redesigned over the past two years. The new distributed system has been developed using the Python programming language and is compatible with both Linux and Windows operating systems. The new flexible architecture was designed to allow for the development of customized data collection protocols, several of which are described here. The system has been used to acquire data for approximately 150 experiments and we have demonstrated the capacity for high throughput data acquisition by acquiring images of more than 100,000 particles in a single session at the microscope.     

PACS辅助教学在医学影像学实习教学中的应用探讨

尝试应用影像存储及传输系统(Picture Archiving and Communication System,PACS),对我院临床本科生进行影像学实习教学。首先应用PACS建立电子影像学图片库,学生在PACS联网的计算机上学习教学内容,通过定期随堂测验、期末考试和课后问卷调查评估PACS辅助教学的教学效果,对PACS辅助教学在医学影像学实习教学中的应用价值进行探讨。与以往传统医学影像学实习教学方法相比,PACS辅助教学在医学影像学实习教学中具有激发学生学习主动性、提高学习效率和学生读片能力的优越性,显著提高教学效果和教学质量,对促进医学影像学教学改革具有重要意义。     

郑州市第五人民医院PACS医学影像系统设计

本文介绍了郑州市第五人民医院PACS医学影像系统,描述了系统的目标,构架,功能和特点,采用了功能化的模块设计。可满足后续设备联入系统,已应用于医院的医疗过程中,解决了医学图像的获取,显示,存储,传输和管理等问题。符合DICOM3.0国际信息交换标准,实现了数字化,网络化和无胶片化的现代化医学影像诊断与管理,显著提高了诊疗质量和工作效率,降低了医疗成本,增加了经济收入和社会效益,对其它医院实现数字化进程也具有一定的借鉴意义。     

The Research and Design of SOA-Based Systems

According to the traditional IT system to integrated the parts and brings much repetition and high cost is insufficient,service oriented architecture is put forward solutions.Further introduces the service oriented architecture theory knowledge,transverse relative to the traditional development advantages,fully demonstrates the main trend of the service oriented architecture that drive.Discusses in detail the service oriented architecture(SOA),the core concept and design principles,and security measures to IBM led the company put forward using the service oriented architecture modeling,and to service the abstract concept to carry on the analysis.The core of service oriented is the component architecture and service data object,combining components and data on the part of the object oriented service principle.And Web services and SOA are compared to further understanding the connotation of SOA,and can support is given based on SOA application system of the specific technology,finally,the paper discusses the SOA further research direction.     

PUNCH: An architecture for Web-enabled wide-area network-computing

This paper addresses the architectural issues that arise in the design of a universally accessible wide-area network-computing system that is capable of making automatic cost/performance tradeoff decisions at run-time. The core system is designed around a three-level hierarchically distributed architecture, a choice driven by the dynamic, incremental, and distributed nature of the information associated with run-time cost/performance tradeoff decisions. Support for independent replication of each component in the hierarchy contributes to the overall scalability and reliability of the architecture. Meta-information is managed in a scalable manner by employing self-encoded resource identifiers that allow O(1) access to all managed information. Security and access control across administrative domains are provided by partitioning the infrastructure into independently-managed cells, and by giving administrators the ability to customize user-views directly at the location at which the request is processed. Demand-driven resource management is achieved by predicting the run-specific resource usage characteristics of tools via machine learning techniques. The concepts described in this paper are embodied in the Purdue University Network-Computing Hubs (PUNCH), a demand-based network-computing system that allows users to access and run unmodified tools via standard World Wide Web browsers. Tools do not have to be written in any particular language, and access to the source or object code is not required. The PUNCH infrastructure can be distributed in a manner that allows tools to be (user-transparently) executed wherever they reside. Currently, PUNCH contains over thirty tools developed by eight universities and four vendors, and serves more than five hundred users. During the past three years, PUNCH users have logged more than one million hits and have performed over seventy thousand simulations. This revised version was published online in July 2006 with corrections to the Cover Date.     

Overview of some methodological problems in assessment of PACS

The purpose of technology assessment of picture archiving and communications systems (PACS) is to establish the need for the technology, provide a measure of functionality and to establish the costs and benefits associated with the introduction of the system. Given concerns about the clinical acceptability of PACS, it is unlikely that radiologists will change from existing film based systems until a clear demonstration of costs and benefits has been performed. The major need at present is to quantify the benefits which may flow from the introduction of PACS system in a standard manner which can be accepted by all parties involved.     

基于设计的研究作为知识生产的新模式——以“基于设计的博士项目”为例

介绍柏林工业大学“基于设计的博士项目（PEP）”，以弥补在建筑和风景园林学科研究领域的不足。为此，提出了“狭义设计”的概念。与可以定义为“规划”的广义设计概念不同，此概念更加关注具体、精准的设计项目。叙述了该项目基于认知理论的发展简史，并涉及基于设计研究的特殊方法和加入该项目的申请流程。     

Failure-Atomic File Access in the Slice Interposed Network Storage System

This paper presents a recovery protocol for block I/O operations in Slice, a storage system architecture for high-speed LANs incorporating network-attached block storage. The goal of the Slice architecture is to provide a network file service with scalable bandwidth and capacity while preserving compatibility with off-the-shelf clients and file server appliances. The Slice prototype virtualizes the Network File System (NFS) protocol by interposing a request switching filter at the client's interface to the network storage system. The distributed Slice architecture separates functions typically combined in central file servers, introducing new challenges for failure atomicity. This paper presents a protocol for atomic file operations and recovery in the Slice architecture, and related support for reliable file storage using mirrored striping. Experimental results from the Slice prototype show that the protocol has low cost in the common case, allowing the system to deliver client file access bandwidths approaching gigabit-per-second network speeds.     

Natural-constructive approach to modeling the cognitive process

We present a “natural-constructive approach” to modeling the cognitive process, which is based on the dynamic theory of information, the technique of nonlinear differential equations, and the concept of a “dynamic formal neuron.” The version of cognitive architecture that was designed within the natural-constructive approach is presented. One important constructive feature of this architecture consists in splitting up the entire system into two similar hemi-systems (by analogy with the right and left cerebral hemispheres). One of these is responsible for the generation of information and learning, with other one being responsible for the reception and processing of well-known information. This functional specialization is provided by the presence of noise (a random factor) in the generation hemi-system; in the reception hemi-system, all the processes should proceed successively rather than stochastically. The interpretation of the concepts of intuition, logic, consciousness, and sub-consciousness is discussed. The architecture that is designed within the natural-constructive approach is compared with other theoretical approaches (graph theory and the “cognitom” concept), and with anatomical data. The concept of an experiment is proposed that could verify or disprove the main inferences of the natural-constructive approach.     

Processing of physiological signals in automotive research.

The development of innovative driver assistance systems requires the evaluation of the predisposed hypotheses such as acceptance and driving safety. For this purpose, the conduction of experiments with end-users as subjects is necessary. Analysis and evaluation are based on the recording of numerous sensor values and system variables. Video, gaze and physiological data are recorded for the analysis of gaze distraction and emotional reactions of subjects to system behaviour. In this paper, a modular data streaming and processing architecture is suggested and a concept for this architecture is defined for consistent data evaluation, which integrates off-the-shelf products for data analysis and evaluation.     

A Web-Based Data Architecture for Problem-Solving Environments: Application of Distributed Authoring and Versioning to the Extensible Computational Chemistry Environment

Next-generation problem-solving environments (PSEs) promise significant advances over those now available. They will span scientific disciplines and incorporate collaboration capabilities. They will host feature-detection and other agents, allow data mining and pedigree tracking, and provide access from a wide range of devices. Fundamental changes in PSE architecture are required to realize these and other PSE goals. This paper focuses specifically on issues related to data management and recommends an approach based on open, metadata-driven repositories with loosely defined, dynamic schemas. Benefits of this approach are discussed, and the redesign of the Extensible Computational Chemistry Environment's (Ecce) data storage architecture to use such a repository is described, based on the distributed authoring and versioning (DAV) standard. The suitability of DAV for scientific data, the mapping of the Ecce schema to DAV, and promising initial results are presented.     

Continuous computation in engineered gene circuits

In this paper we consider the problem of representation and measurement in genetic circuits, and investigate how they can affect the reliability of engineered systems. We propose a design scheme, based on the notion of continuous computation, which addresses these issues. We illustrate the methodology by showing how a concept from computer architecture (namely, branch prediction) may be implemented in vivo, using a distributed approach. Simulation results confirm the in-principle feasibility of our method, and offer valuable insights into its future laboratory validation.     

Matchmaking: An extensible framework for distributed resource management

Federated distributed systems present new challenges to resource management. Conventional resource managers are based on a relatively static resource model and a centralized allocator that assigns resources to customers. Distributed environments, particularly those built to support high-throughput computing (HTC), are often characterized by distributed management and distributed ownership. Distributed management introduces resource heterogeneity: Not only the set of available resources, but even the set of resource types is constantly changing. Distributed ownership introduces policy heterogeneity: Each resource may have its own idiosyncratic allocation policy. To address these problems, we designed and implemented the Matchmaking resource management framework. Customers and resources are all described by classified advertisements (classads) written in a simple but powerful formal language that describes their attributes and allocation policies. A Matchmaker server uses a policy-independent matching operation to discover pairings. It notifies the parties to the match, which use a separate, bilateral claiming protocol to confirm the allocation. The resulting framework is robust, scalable and flexible, and can evolve with changing resources. Matchmaking is the core of the Condor High Throughput Computing System developed at the University of Wisconsin — Madison. Condor is a production-quality system used by scientists and engineers at sites around the world. Condor derives much of its flexibility, robustness and efficiency from the matchmaking architecture. We describe the use of matchmaking in Condor, presenting several examples that illustrate its flexibility and expressiveness. This revised version was published online in July 2006 with corrections to the Cover Date.