Abstract
Medical imaging processing solutions provide a PACS environment which can deliver real-time visualiza-tion of multi-planar reconstruction (MPR) and three dimensional reconstruction images (3DRI) through the interaction of CT data (DICOM format), image processing/delivery servers and hospital-sourced client PCs on a local area network. We introduced a bidirectional image diagnostic method for analyzing temporal bone lesions, using a medical imaging processing system. One patient who underwent surgery for congenital cholesteatoma was evaluated using this system. MPRs and 3DRIs from his temporal bone CT data were thus established ‘on-demand’ by means of using the image processing/delivery server. This system was considered to provide a more accurate imaging diagnosis than a traditional diagnosis using CT images on films or on display through our electronic medical chart system, because advanced MPR and 3DRI images from large slice CT studies can be efficiently processed in real-time by otolaryngologists who skilled in interpreting audiometric data and local findings.