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研究生:孫碧鴻
研究生(外文):Pi-hung Sun
論文名稱:影像儲傳系統雛型建構─以openSourcePACS為例
論文名稱(外文):A Prototype of Picture Archiving and Communication System(PACS) Framework─An Example for openSourcePACS
指導教授:劉育寰
指導教授(外文):Yuh-hwan Liu
學位類別:碩士
校院名稱:嘉南藥理科技大學
系所名稱:醫療資訊管理研究所
學門:商業及管理學門
學類:醫管學類
論文種類:學術論文
論文出版年:2010
畢業學年度:98
語文別:中文
論文頁數:133
中文關鍵詞:PACSopenSourcePACS
外文關鍵詞:PACSopenSourcePACS
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影像儲傳系統(picture archiving and communication system, PACS)是一種專門用來儲存、取得、傳送與展示醫療影像的電腦或網路系統,於1982年首次由放射醫師所提出,目的為提昇醫療診斷時效。但完整的商業PACS導入與維護費用,往往遠大於一般中小型醫院所能負擔的金額。而過去許多關於醫學影像的免費軟體,往往只提供特定範圍的解決方案,而不具備一個完整的架構。
目前有很多關於醫療影像處理軟體的研究,但屬於開放源碼(open source)而且是完整應用軟體的研究並不多。openSourcePACS專案是由UCLA以開放源碼所開發的具可擴充性的PACS應用軟體,其架構與功能完整。openSourcePACS主要是以Java及JSP所開發的轉診系統網頁應用程式,架構在JBoss應用程式伺服器之下,以PostgreSQL為資料庫系統。本研究則針對openSourcePACS之建置與安裝方法做詳細的介紹,並示範如何利用其可擴充(extensible)的特點,增修額外功能。希望藉由本研究的成果,能讓後進開發者在最短時間內了解此openSourcePACS系統,並完成導入醫院的目標。
The picture archiving and communication system (PACS), first discussed at meetings of radiologists in 1982, has been developed in an attempt to provide economical storage, rapid retrieval of images, access to images acquired with multiple modalities, and simultaneous access at multiple sites, and is used to increase the performance of clinical diagnosis. Unfortunately, the price of the commercial PACS is generally higher than the budget of the small and medium-sized hospitals. A lot of free software about the medical image of the past, often only offer the solution of the particular range, and does not possess an intact structure.
There are many researches about medical image processing, but the researches of integrated application software built by open source seem to lack. The openSourcePACS project, written with open source and developed by UCLA, is extensible application software of PACS that contains complete architectures and functions. The openSourcePACS is a referral system, a web application written by Java and JSP language, working under JBoss application server with PostgreSQL database system. The aim of our research is to illustrate the construction and installation of openSourcePACS in detail, and demonstrates how to create additional functions by using its extensible feature. It is hoped that subsequent developers can understand the openSourcePACS system as soon as possible and implement the system for hospital use.
目錄(Contents)
中文摘要 ................................................................................................................................. III
Abstract ................................................................................................................................... IV
目錄(Contents) ......................................................................................................................... VI
圖目錄(Figute Contents) ....................................................................................................... VIII
表目錄(Table Contents) ............................................................................................................ X
1. 序論 ................................................................................................................................... 1
1.1. PACS 的發展 ............................................................................................................. 1
1.2. PACS 的標準 ............................................................................................................. 1
1.3. 國內建置PACS 現況 ................................................................................................ 2
1.4. 研究限制 .................................................................................................................... 3
2. 文獻探討 ............................................................................................................................ 4
2.1. 廣義系統架構分析 .................................................................................................... 4
2.1.1. 五種PACS 實施模式 ...................................................................................... 4
2.1.2. 三種PACS 架構概念 ...................................................................................... 7
2.2. 商業PACS 軟體解決方案 ...................................................................................... 16
2.3. PACS 相關自由軟體 ............................................................................................... 16
2.3.1. 函式庫 .......................................................................................................... 16
2.3.2. 顯示或處理軟體 .......................................................................................... 17
2.3.3. PACS 系統或平台 ......................................................................................... 18
2.3.4. 腦部影像處理或顯示軟體 .......................................................................... 18
2.4. 研究目標 .................................................................................................................. 18
3. 系統架構與專案解析 ...................................................................................................... 21
3.1. openSourcePACS 系統架構 .................................................................................... 21
A. image order entry ......................................................................................... 21
B. imageServer .................................................................................................. 22
C. imaeViewer .................................................................................................. 22
D. reporting/results view .................................................................................. 23
3.2. openSourcePACS 安裝流程 .................................................................................... 23
3.2.1. Ant 安裝步驟 ............................................................................................... 23
3.2.2. openSourcePACS 安裝步驟 ......................................................................... 23
3.3. openSourcePACS 功能介紹 .................................................................................... 31
3.4. 開發工具的使用 ...................................................................................................... 36
3.4.1. Eclipse ........................................................................................................... 37
3.4.2. NetBeans ...................................................................................................... 43
3.5. openSourcePACS 之Ant 專案解析 ........................................................................ 45
4. openSourcePACS 運作 .................................................................................................... 49
4.1 op-client .................................................................................................................... 52
A. 登入視窗 .................................................................................................. 54
B. 預設視窗 .................................................................................................. 54
4.1.1 Administration Client .................................................................................... 57
4.1.2 Reconciler Client ........................................................................................... 69
4.1.3 Radiologist’s Workstation Client ................................................................... 71
4.2 The Referral Order Server (ROS) ............................................................................ 77
4.2.1 Login ............................................................................................................. 81
4.2.2 New order ..................................................................................................... 83
4.2.3 View Order/Reports ..................................................................................... 86
4.2.4 Change Password 與Logout ....................................................................... 89
5. 實作 ................................................................................................................................. 91
6. 結論與期望 ...................................................................................................................... 96
7. Reference .......................................................................................................................... 97
8. 附錄 ................................................................................................................................. 99
附錄1:openSourcePACS 之Ant 編譯訊息 ................................................................. 99
附錄2:錯誤訊息 ......................................................................................................... 115
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台中榮民總醫院的經驗談」,資訊與電腦,164 期,1994 年3 月,頁
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2007 年,http://www.doh.gov.tw/。
[4] H. K. Huang, D.Sc., FRCR(Hon.), “PACS AND IMAGING
INFORMATICS”, WILEY, 2005
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[7] DeVIDE, http://code.google.com/p/devide/, 2010
[8] Voreen, http://www.voreen.org/, 2010
[9] DCMIK, http://dicom.offis.de/dcmtk.php.en, 2010
[10] ImLib3D, http://imlib3d.sourceforge.net/, 2010
[11] Papyrus, http://www.sim.hcuge.ch/uin/, 2010
[12] Dicom2, http://www.barre.nom.fr/medical/dicom2/#TOC, 2010
[13] Dicom3Tools, http://www.dclunie.com/dicom3tools.html, 2010
[14] IDICON, http://www.inf.u-szeged.hu/~idicon/, 2010
[15] (X)MedCon, http://xmedcon.sourceforge.net/Main/HomePage, 2010
[16] XNView ,http://www.xnview.com/, 2010
[17] DicomWorks, http://www.dicomworks.com/, 2010
[18] FP Image, http://www.fpimage.com/info.html, 2010
[19] IrfanView, http://www.irfanview.com/, 2010
[20] Rubo Medical Imaging, http://www.rubomed.com/, 2010
[21] iRad, http://irad.sourceforge.net/, 2010
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[23] SMISDK, http://code.google.com/p/smisdk/, 2010
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http://download.cnet.com/MedINRIA/3000-2054_4-10814867.html, 2010
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[26] Kradview, http://www.orcero.org/irbis/kradview/, 2010
[27] Amide, http://amide.sourceforge.net/, 2010
[28] CTSim, http://www.ctsim.org/, 2010
[29] 3DSlicer, http://www.slicer.org/, 2010
[30] DICOM Validation Tool, http://sourceforge.net/projects/dvt/, 2010
[31] BioImageXD, http://www.bioimagexd.net/, 2010
[32] ParaView, http://www.paraview.org/, 2010
[33] Ogles, http://ogles.sourceforge.net/Ogles/ogles-doc/, 2010
[34] ImageMagick, http://www.imagemagick.org/, 2010
[35] OsiriX, http://www.osirix-viewer.com/, 2010
[36] EViewBox, http://eviewbox.sourceforge.net/, 2010
[37] ImageJ, http://rsbweb.nih.gov/ij/, 2010
[38] DICOM Router, http://www.iftm.de/telemedizin/dicomrouter.htm, 2010
[39] Endrov, http://www.endrov.net, 2010
[40] Xebra, http://sourceforge.net/projects/xebra/, 2010
[41] MiniWEBPACS, http://sourceforge.net/projects/miniwebpacs/, 2010
[42] O3-RWS, http://o3-rws.sourceforge.net/, 2010
[43] CDMEDIC PACS, http://cdmedicpacsweb.sourceforge.net/Home.html,
2010
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[45] Clear Canvas Workstation, http://www.clearcanvas.ca/dnn/, 2010
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[48] PHP-Nuke Healthcare, http://sourceforge.net/projects/phpnukehealth/,
2010
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[50] Ecg2png, http://www.cardiothink.com/downloads/ecg2png/, 2010
[51] Tempo, http://tempo.sourceforge.net/, 2010
[52] Brainstorm, http://neuroimage.usc.edu/brainstorm/, 2010
[53] BrainVISA, http://www.brainvisa.info/, 2010
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Publications Co., 2003.
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版。
[56] OpenEJB, http://openejb.apache.org/, 2010
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