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DICOM for Implantations—Overview and Application

机译：DICOM植入物—概述和应用

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Surgeons have to deal with many devices from different vendors within the operating room during surgery. Independent communication standards are necessary for the system integration of these devices. For implantations, three new extensions of the Digital Imaging and Communications in Medicine (DICOM) standard make use of a common communication standard that may optimise one of the surgeon's presently very time-consuming daily tasks. The paper provides a brief description of these DICOM Supplements and gives recommendations to their application in practice based on workflows that are proposed to be covered by the new standard extension. Two of the workflows are described in detail and separated into phases that are supported by the new data structures. Examples for the application of the standard within these phases give an impression of the potential usage. Even if the presented workflows are from different domains, we identified a generic core that may benefit from the surgical DICOM Supplements. In some steps of the workflows, the surgical DICOM Supplements are able to replace or optimise conventional methods. Standardisation can only be a means for integration and interoperability. Thus, it can be used as the basis for new applications and system architectures. The influence on current applications and communication processes is limited. Additionally, the supplements provide the basis for further applications, such as the support of surgical navigation systems. Given the support of all involved stakeholders, it is possible to provide a benefit for surgeons and patients.
机译：在手术期间，外科医生必须在手术室内处理来自不同供应商的许多设备。这些设备的系统集成需要独立的通信标准。对于植入，医学数字成像和通信（DICOM）标准的三个新扩展使用了通用的通信标准，可以优化外科医生目前非常耗时的日常任务之一。本文简要介绍了这些DICOM增补，并根据新标准扩展建议涵盖的工作流向其实际应用提供了建议。详细介绍了两个工作流程，并将其分为新数据结构支持的各个阶段。在这些阶段中应用标准的示例给人以潜在的使用印象。即使提出的工作流程来自不同的领域，我们也确定了可以从手术DICOM补充剂中受益的通用核心。在工作流程的某些步骤中，外科DICOM补充剂能够替代或优化常规方法。标准化只能是集成和互操作性的一种手段。因此，它可以用作新应用程序和系统体系结构的基础。对当前应用程序和通信过程的影响是有限的。另外，补品为进一步应用提供了基础，例如手术导航系统的支持。在所有利益相关者的支持下，有可能为外科医生和患者带来利益。

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