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首页> 外文期刊>Journal of Digital Imaging >An Automated DICOM Database Capable of Arbitrary Data Mining (Including Radiation Dose Indicators) for Quality Monitoring
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An Automated DICOM Database Capable of Arbitrary Data Mining (Including Radiation Dose Indicators) for Quality Monitoring

机译：能够进行任意数据挖掘（包括辐射剂量指示器）的自动化DICOM数据库，用于质量监控

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The U.S. National Press has brought to full public discussion concerns regarding the use of medical radiation, specifically x-ray computed tomography (CT), in diagnosis. A need exists for developing methods whereby assurance is given that all diagnostic medical radiation use is properly prescribed, and all patients’ radiation exposure is monitored. The “DICOM Index Tracker©” (DIT) transparently captures desired digital imaging and communications in medicine (DICOM) tags from CT, nuclear imaging equipment, and other DICOM devices across an enterprise. Its initial use is recording, monitoring, and providing automatic alerts to medical professionals of excursions beyond internally determined trigger action levels of radiation. A flexible knowledge base, aware of equipment in use, enables automatic alerts to system administrators of newly identified equipment models or software versions so that DIT can be adapted to the new equipment or software. A dosimetry module accepts mammography breast organ dose, skin air kerma values from XA modalities, exposure indices from computed radiography, etc. upon receipt. The American Association of Physicists in Medicine recommended a methodology for effective dose calculations which are performed with CT units having DICOM structured dose reports. Web interface reporting is provided for accessing the database in real-time. DIT is DICOM-compliant and, thus, is standardized for international comparisons. Automatic alerts currently in use include: email, cell phone text message, and internal pager text messaging. This system extends the utility of DICOM for standardizing the capturing and computing of radiation dose as well as other quality measures.
机译：美国国家新闻社已将有关在诊断中使用医学辐射（特别是X射线计算机断层扫描（CT））的问题引起了广泛的关注。需要开发一种方法，以确保正确规定所有诊断性医疗辐射的使用，并监测所有患者的辐射暴露。 “ DICOM Index Tracker©”（DIT）可以透明地捕获企业中CT，核成像设备和其他DICOM设备中所需的医学数字成像和通信（DICOM）标签。它的最初用途是记录，监视并向医疗专业人员提供超出内部确定的触发辐射作用水平的偏移的自动警报。灵活的知识库了解使用中的设备，可以向系统管理员自动发出有关新标识的设备型号或软件版本的警报，以便DIT可以适应新设备或软件。剂量模块在接收后接受乳房X线照相术的乳房器官剂量，XA方式的皮肤空气比释动能值，计算机X线照相法的暴露指数等。美国医学物理学会推荐了一种有效剂量计算的方法，该方法是使用具有DICOM结构剂量报告的CT单元进行的。提供Web界面报告，用于实时访问数据库。 DIT符合DICOM，因此是国际比较的标准。当前使用的自动警报包括：电子邮件，手机短信和内部寻呼机短信。该系统扩展了DICOM的实用性，用于标准化辐射剂量的捕获和计算以及其他质量度量。

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