PACS/RIS Flashcards

1
Q

what does PACS stand for

A

Picture Archiving and Communications Systems

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2
Q

what does RIS stand for

A

Radiology information Systems

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3
Q

3 points about the structure of the 1980s PACS- modality archive

A

1) simple storage system
2) individual modality based systems
3) no workflow

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4
Q

5 points about the 1990s PACS- department workflow

A

1) multi-modality system
2) focus on workflow
3) simple RIS integration using interfaces/brokers
4) limited enterprise workflow
5) no IT integration

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5
Q

4 points about the current generation of PACS- enterprise workflow

A

1) enterprise solution-hospitals,clincs
2) Integrated RIS/PACS work station
3) web based connectivity with referring physicians
4) Stand alone advanced clinical apps

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6
Q

What is PACS

A

a database of radiology examination details including;

1) images
2) integration to modalities (tells you when scan/exam is complete)

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7
Q

what is RIS

A

a database of radiology examinations including;

1) scheduling
2) image management
3) report capture

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8
Q

in both PACS and RIS what are the two core data records

A

1) patient details

2) examinations

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9
Q

what is DICOM

A

Digital Imaging and Communications in Medicine

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10
Q

4 file types of the medical image

A

1) word
2) powerpoint
3) digital camera files
4) music files

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11
Q

what are the two properties that a DICOM image has

A

1) very high quality

2) image and text (patient details) together- 2 in 1

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12
Q

RIS- Key functionality (7 points)

A

1) integration to external systems
2) scheduling
3) examination details
4) image management
5) report
6) Dose records
7) Statistics

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13
Q

what is PACS and RIS integration

A

close coupling ensures they are in sync

generally establishing communication between two applications on the same computer/mobile device

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14
Q

benefit of PACS/RIS integration

A

common patient and exam database therefore no confusion about status e.g. dictated/reported

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15
Q

what is teleradiology

A

the process of transferring digitised images to clinicians long distances away from the radiology department/hospital

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16
Q

3 advantages of teleradiology

A

1) with web-based PACS this can be done almost instantaneously
2) allows remote reporting- relieves pressure on hospital based radiologists/cost implication
3) allows consultants around the world to hold international conferences for one patient- collaborative diagnosis

17
Q

what are the 2 main concerns of integrated PACS/RIS

A

1) security of database

2) confidentiality

18
Q

how is security of the database maintained

A

storage requires two sites-

1) one hospital based
2) second remote storage sites

19
Q

how is confidentiality protected (2 points)

A

1) high level ‘firewalls’/ encrypted files needed

2) LOGIN passwords and codes needed