Integração RIS/PACS no Hospital das Clínicas de Ribeirão Preto: uma solução baseada em "web"

Abstract

37 INTRODUÇÃOOs sistemas de informação para gerenciamento de imagens e informações clíni-cas surgiram no final da década de 80, quando os processos de aquisição digital começaram a ser utilizados em larga escala nos hospitais. Naquela época, cada equipamento era considerado um sistema isolado, estando conectado somente à sua estação de trabalho e a uma determinada impressora (1) . O potencial diagnóstico dos primeiros sistemas, em conjunto com o crescimento dos processos de distribuição de informação em formato digital, criou a necessidade de estabelecer um padrão para a obtenção e comunicação de imagens médicas em

Characteristics of a Hybrid Image Archiving and Communication System Serving a Neurological-Neurosurgical Facility

“…In Brazil, although the storage of medical images for research purposes is not universal, such systems do exist, mainly in Southern and Southeastern regions, including Curitiba, Porto Alegre, Ribeirão Preto and São Paulo 5,6,11,12 . In some of these locations, PACS systems were implemented thanks to the development of specific software which met the needs of the database, thus reducing operating costs 1,3,4 (Table 4a and…”

Construction of an index of information from clinical practice in Radiology and Imaging Diagnosis based on text mining and thesaurus

“…A total of 61,461 definitive reports were collected from the database of the Radiology Information System at Hospital das Clínicas -Faculdade de Medicina de Ribeirão Preto (RIS/HCFMRP) (1,(17)(18)(19)(20) as follows: 30,000 chest x-ray reports; 27,000 mammography reports; and 4,461 thyroid nodules ultrasonography (US) reports. The difference in the number of reports per type of exam results from the greater or smaller demand according to the workflow in the Unit of Radiodiagnosis of the research headquarters institution.…”

“…The contents analysis process (22) may be described as a systematic, objective and quantitative method of analysis of the characteristics of a message. The most relevant advantages in the application of contents Focused on the human, non computational use of the terminology Medical professional trained in the use of the lexicon for diagnostic description in mammography, breast magnetic resonance imaging and breast ultrasonography (7) Computational implementation of its structure for electronic use in radiology information systems Computational implementation of its structure for electronic use in radiology and other electronic applications (8,26) Computational implementation of its structure for electronic use in radiology and other electronic applications Focused on the human and computational use of the terminology Functionality Classification of clinical cases for the teaching of Radiology (6,20,24) Structuring of information into electronic reports (20,24) Vocabulary modeling for communication compatible with PACS and electronic Radiology information systems (6,20,24) Facilitate the retrieval of images and reports in physical archives (6,20,24) Improving mammographic reports by means of descriptive terminology standardization (7,25,26) Reduce the factors of confusion and uncertainties in the images interpretation (7,25) Facilitate the monitoring of the final result from mammography exams (7,25) Enhance the final quality of the medical assistance to the patient (7,25) Information structuring into electronic reports Terminological supplementation to other vocabularies in the area (8) Possibility of accessing and manipulating the terminology through the internet, with capacity of exportation of the structure in Web Ontology language (owl † ) (8,(27)(28)(29) Indexing and retrieving sources of information in Radiology and Imaging Diagnosis (27,2...…”

“…The ACR Index (Table 2) is a system organized with terms originated from anatomy and pathology, potentially utilized by radiologists in the description of radiological findings. In such system, the terms receive a code (two to four digits for anatomy terms, and two to five digits for pathology terms) separated by a dot delimitating their origin, firstly indicating location (anatomy) and subsequently the lesion or condition (pathology) (6,20,24) . Such coding allows a set of up to ten digits to formalize an informational reference.…”

Uso de mineração de texto como ferramenta de avaliação da qualidade informacional em laudos eletrônicos de mamografia

“…Since 1999, the Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HCFMRP-USP) has a Radiology Information System (RIS) which is in use in the teaching/assistance cycle, allowing the electronic genera-tion of free text clinical reports (14) . Over the last ten years, the RIS-HCFMRP has accumulated approximately one million radiological reports regarding the different types of imaging studies performed at the Center of Radiodiagnosis of the HCFMRP.…”