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1 From the Department of Radiology (S.K.L., S.K.H.) and the Computer and Communication Center (C.H.P., C.H.W., W.Z.J.), Taichung Veterans General Hospital, 160 (section 3) Taichung Kang Rd, Taichung 40705, Taiwan; and the Department of Diagnostic Radiology, National Defense Medical Center, Taipei, Taiwan (S.K.L.). Presented as an infoRAD exhibit at the 1997 RSNA scientific assembly. Received May 29, 1998; revision requested September 10 and received October 23; accepted December 18. Supported by grant VGHTH 86-030-3 in memory of Chi-shuen Tsou, MD, from the Medical Research Advancement Foundation to the joint research program of Taichung Veterans General Hospital and National Tsing-Hua University. Address reprint requests to S.K.L.
A Java-based teleradiology system that makes use of the Internet has been developed. Using this system, an on-call, off-duty radiologist can make diagnoses and perform consultations easily by reviewing the transferred images at home. The image accessibility of the system allows a hospital with such a system to assist an affiliated rural hospital without a full-time radiologist. The system consists of three components: the image server subsystem, the database server subsystem, and the client subsystem. All client subsystems of the system are designed to be symmetric. Users may retrieve images, manipulate them, and perform remote consultations. In addition, a user may add annotations to an image area of interest. Screen synchronization is achieved by means of the command-passing technique and local command execution to reduce the network bandwidth and transmission demands; user interaction is achieved by means of a synchronized indicator for pointing out areas of interest and dialog windows for conversation. Because Java programs can run on heterogeneous platforms, the need for system maintenance and user training is minimized. Although the drawback of Internet bandwidth still exists, the system enables platform-independent teleradiology via the Internet and allows easy and cost-effective remote consultation.
Index Terms: Computers Images, transmission Teleradiology
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