Abstract
In recent years, as the social environment surrounding healthcare has been more demanding, it is more important than ever for multiple healthcare facilities to cooperate effectively using ICT. One outstanding solution includes outsourcing of imaging diagnosis such as CT or MRI, which may be proliferated because of its convenience and scalability. However, when it comes to cardiac imaging, it is extremely important to prepare for the unexpected cardiac risk of subjects. It may be of great importance not only for the efficiency and reliability of transfer but also for improvement of clinical outcome to share the imaging results instantly between facilities. To solve this potential problem, we newly developed an image sharing system for acute medicine (ISSAM) utilizing mobile devices. It consists of Linux-based server application for file sharing with authentication and delivery by HTTP over SSL and imaging server of various formats such as PDF, jpeg, and DICOM, together with virtual private network (VPN). Our system enables medical staffs to share medical imaging in PC browser as well as in mobile devices. Its central functions were tested and feasibility was confirmed. We are launching clinical trials to compare this system with conventional way in the cardiac imaging clinic in terms of stratification for acute cardiovascular risk.
