&lt;title&gt;MDIS workstation: an update of performance after nearly two years of clinical use&lt;/title&gt;

Leckie, Robert G.; Goeringer, Fred; Smith, D.L.; Meyer, Chris; Siegel, Eliot L.; Kim, Yongmin

doi:10.1117/12.174015

Cited by 5 publications

(3 citation statements)

References 5 publications

(6 reference statements)

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“…Image quality and ease of manipulation Reviewing images on 2 K monitors obtained using computed radiography (CR) or high resolution digitizers gives acceptable image quality to make the primary diagnosis [4][5]. The Macintosh mouse driven interface makes the workstation user friendly.…”

Section: Introductionmentioning

confidence: 99%

“…Over the last year, the greatest area of engineering concentration has been improving the image navigation on the workstation to allow radiologists to review images more quickly. Recently with new software, we have demonstrated the ability to read images more quickly softcopy from the workstation than hardcopy from film if the film is not prehung on large alternator boards [5] . Software improvements in 1994 are expected to further improve softcopy reading times.…”

Section: Introductionmentioning

confidence: 99%

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<title>Clinical experience with teleradiology in the U.S. military</title>

Leckie

Goeringer

Vincent³

et al. 1994

SPIE Proceedings

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The U.S. military through the Medical Diagnostic Imaging Support(MDIS) system is installing teleradiology at multiple medical treatment facilities throughout the US and abroad. The goals are to improve patient care, maximize limited resources, and realize cost savings. This presentation reviews early experience with clinical use of the MDIS teleradiology configuration. Emphasis is on lessons learned in the areas of image quality, speed of image transmission, communication between sites, and the advantages of the MDIS two-way teleradiology configuration.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

<title>Clinical experience with teleradiology in the U.S. military</title>

Leckie

Goeringer

Vincent³

et al. 1994

SPIE Proceedings

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“…Furthermore, a recent MAMC pilot study reading only chest radiographs having multiple prior comparison examinations showed a 7.7% faster throughput rate for softcopy compared with hardcopy diagnosis. 34 Automatic intelligent prefetch discussed earlier is one of the most important issues for successful filmless operations of the MDIS system. 17 Clinicians and radiologists both agree that this feature is one of the most essentiaI additions to the MDIS system at MAMC.…”

Section: Radiologist Acceptancementioning

confidence: 99%

Evaluation of the Medical Diagnostic Imaging Support system based on 2 years of clinical experience

Smith

Bender

et al. 1995

J Digit Imaging

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The Medical Diagnostic Imaging Support (MDIS) system at Madigan Army Medical Center (MAMC) has been operational in a phased approach since March 1992. Since then, nearly all image acquisition has been digital with progressively increasing primary softcopy diagnosis used. More than 375,000 computed radiography (CR) images as well as other modality images have been archived. Considerable experience in installation and implementation phasing has been gained. The Iocation and ergonomic aspects of equipment placement were refined with time. The original clinical scenario was insufficiently detailed and additions were made to facilitate smoother and more complete transition toward a filmless environment. The MDIS system effectiveness and performance have been good in terms of operational workload throughput, background operations, and reliability. The important areas regarding reliability are image acquisition, output, display, database operations, storage, and the local area network. Fail-safe strategies have been continually improved to maintain continuous clinical image availability during the times when the MDIS system or components malfunction. Many invaluable lessons have been learned for effective quality assurance in a hospital-wide picture archiving and communication system. These issues include training, operational quality control, practical aspects of CR image quality, and increased timeliness in the generation and distribution of radiographic reports. Clinical acceptability has been a continuous process as each phase has been implemented. Clinical physicians quickly used the workstations soon after the start of MDIS at MAMC. The major advantage for clinicians has been the amount of time saved when retrieving multimodality images for review. On the other hand, the radiologists have been slower in their acceptance of the workstation for routine use. Radiologists need the completed software and hardware implementation to achieve the throughput necessary for a high-volume practice setting in making primary softcopy diagnoses. This is a US government work. There are no restrictions on its use. KEY WORDS: filmless hospital, Medical DiagnosticImaging Support (MDIS) System, picture archiving and communication system (PACS).

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