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2004 Volume 60 Issue 6 Pages
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Article type: Index
2004 Volume 60 Issue 6 Pages
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2004 Volume 60 Issue 6 Pages
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[in Japanese]
Article type: Article
2004 Volume 60 Issue 6 Pages
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2004 Volume 60 Issue 6 Pages
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2004 Volume 60 Issue 6 Pages
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2004 Volume 60 Issue 6 Pages
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MASAO HOSHINA, [in Japanese], [in Japanese], [in Japanese]
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2004 Volume 60 Issue 6 Pages
755-757
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TOKUO UMEDA
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2004 Volume 60 Issue 6 Pages
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TOKUO UMEDA
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2004 Volume 60 Issue 6 Pages
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YOSHIMI ANZAI, SATOSHI MINOSHIMA
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2004 Volume 60 Issue 6 Pages
762-771
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HIROMI YOSHIKAWA
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2004 Volume 60 Issue 6 Pages
772-776
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AKINOBU MIURA
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2004 Volume 60 Issue 6 Pages
777-786
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KOZO KUMAGAI, [in Japanese], [in Japanese], [in Japanese], [in Japanes ...
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2004 Volume 60 Issue 6 Pages
787-795
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HIDEHIRO KAWASAKI, [in Japanese], [in Japanese], [in Japanese], [in Ja ...
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2004 Volume 60 Issue 6 Pages
796-801
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AKIHIRO TAKEMURA
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2004 Volume 60 Issue 6 Pages
802-807
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SATOSHI OHNO
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2004 Volume 60 Issue 6 Pages
808-810
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TAKAYOSHI TERASHITA, TAKANORI NAKABA, YOSHIHIRO FUSE, KATSUHIKO OGASAW ...
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2004 Volume 60 Issue 6 Pages
811-817
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Systems for recording data on radiopharmaceuticals have changed following the Medical Care Law on concentration limits of radioisotopes in drainage, exhaust gas, and the atmosphere. A Web-based system that includes a patient information subsystem, DICOM imaging subsystem, and laboratory order subsystem has been developed for the receipt, use, stock prescription, disposal, and accounting of radiopharmaceuticals was developed using a Web-based system in order to simplify radiation safety management operations such as changes and additions to record book forms. In verifying the usefulness of the system and its recording and search times, it was found that the new Web-based system provides superior performance.
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MASAHIKO OMATSU, HIDENOBU TACHIBANA, TOKUO UMEDA
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2004 Volume 60 Issue 6 Pages
818-828
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The current medical system does not allow sufficient time for medical interviews, a situation that can create problems in patient-doctor relationships and result in a variety of problems. The importance of narrative based medicine (NBM) has been raised as a result of the overemphasis on evidence based medicine (EBM) in recent years. From this point of view, we have developed an electronic medical recording (EMR) system for clinics that uses the Internet and is based on patient participation, in pursuit of NBM. This system enables the patient to report information prior to the face-to-face interview with his or her doctor. In this way, the patient has more time to summarize and explain physical conditions and concerns. These reports from patients are automatically saved to the EMR database, without any additional workload. Therefore, this system will provide more effective communication between patient and doctor. In addition, the doctor is able to receive the results of medical treatment directly, in addition to the patient's other records. These sets of records will contribute to more efficient operation of the clinic. At this time, we have improved this system on the assumption that outsourcing the server will avoid the burden of maintenance. This prototype system uses a personal identification number (PIN) and an encode/decode algorithm for security. The secure PIN enables us to use conventional e-mail. Through experimental clinical testing, the effects on mutual understanding in medical examinations were studied. We are confident that this system based on patient narratives will contribute greatly to the spread of EMR systems for clinics operated by family physicians.
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SHUJI YAMAMOTO, YOSHIYUKI FURUKAWA, TAKASHI MATSUMOTO, SATORU TAKAHASH ...
Article type: Article
2004 Volume 60 Issue 6 Pages
829-834
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A PACS system for data management in multi-slice CT examination was upgraded using interactive 3D and 4D workstations and network computing technology. We categorized the original PACS(CT-PACS)as follows: (1)a fault-tolerant system linked with the hospital information system (HIS) and radiology information system (RIS); (2) an interactive network system using a workstation with real-time 3D and 4D reconstruction; (3) a system for research and development of software for 3D image analysis on the CT-PACS system. Because of the use of cooperative diagnostic supporting tools, no major problems occurred in daily clinical practice or research and education. In conclusion, CT-PACS with real-time 3D and 4D workstations was found to be helpful to radiologists and researchers in reading and analyzing large volumetric data.
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NORIYA YOKOHAMA, GO KAGIYA
Article type: Article
2004 Volume 60 Issue 6 Pages
835-841
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We developed management system for medical information such as radiation therapy information and associated medical image information. Features of the system are to browse medical information with web browser through network. The system was constructed by open source software, which made proprietary client software unnecessary. Clinical studies suggested that the system proved useful in terms of paperless managemet. In addition, useful features are visibility and portability to browse medical information using PDA (Personal Data Assistant) via wireless LAN (Local Area Network). We also proposed a new approach which can contribute to remote areas by providing medical information using the Internet.
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YOSHIHISA SHINGAI, SHIGEO NATSUZUMI, KEISUKE MATSUMOTO, YASUHIRO KANAD ...
Article type: Article
2004 Volume 60 Issue 6 Pages
842-851
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We are developing an open-type Radiology Information System (RIS) under the project name KPECK.Part of the RIS has already been employed in Kouri Hospital of Kansai Medical University. The RIS isbased on a database of the history of clinical study and exposure. We tried using the JJ1017(ver1.0)codefor the master-table of the database. The JJ1017 code, which is standardized by JIRA and JAHIS, is used incommunicating information between the RIS and medical modalities. Through construction of the data-base, we found a technique by which the JJ1017 code could be applied to its master-table. In coordinatingthe JJ1017 code with the master-table of the database, we extended various study codes and systematicallycoordinated them with the architecture of the database.
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MITSUTOSHI AKIYAMA, MlTSUSHI NISHIO
Article type: Article
2004 Volume 60 Issue 6 Pages
852-858
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In recent years, the distribution of medical information through Internet technology has been increasingly promoted as a result of the December 2001 initiative of the Ministry of Health, Labor and Welfare known as "the grand design for the application of welfare and medical care information technology in the field of health." In June 1999, we developed a bed management system that uses a local area network(LAN). The ultimate goals of this systems configuration were the development of an order-entry system, an electronic health-record system, and improved information sharing. The system, which was created by employing widely used software, rationalized daily work by integrating patient information, hospitalization information, radiological examination reservation information, physiological examination reservation information, and rehabilitation reservation information. The radiological examination reservation information system that our radiology department uses is one of these systems. Electronic preservation of the reservation list is carried out in the radiology department, and information on examinations is input. The resulting full-scale order-entry system was introduced in July 2002, and it has improved the sharing of information among staff members.
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Article type: Appendix
2004 Volume 60 Issue 6 Pages
859-863
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2004 Volume 60 Issue 6 Pages
867-868
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2004 Volume 60 Issue 6 Pages
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2004 Volume 60 Issue 6 Pages
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2004 Volume 60 Issue 6 Pages
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2004 Volume 60 Issue 6 Pages
881-883
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2004 Volume 60 Issue 6 Pages
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Article type: Bibliography
2004 Volume 60 Issue 6 Pages
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2004 Volume 60 Issue 6 Pages
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2004 Volume 60 Issue 6 Pages
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Article type: Cover
2004 Volume 60 Issue 6 Pages
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