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The one
constant in medicine is change. New developments, new discoveries,
new procedures, and of course new technologies are being introduced
every day. And everyone involved in the healthcare profession wants
the best for the patients and so strives to keep up. Every doctor,
and hospital, every healthcare facility and clinic strives to stay
as close to the edge of medical technology as practical. Everyone
wants what’s best, what’s safe, what’s prudent and
realistically what’s affordable. One
solution toward serving all of these needs is the integration of
technologies. We have all seen how technology and networking has
drastically affected the private business sector by improved productivity,
reduction of overhead costs, and providing for better overall service.
In medicine, we have seen this early data integration with PACS
networks and data management, and the adoption of the DiCOM standards.
Interconnectivity is
important to cost- effectiveness in health care. This is best accomplished
through the use of digital technology, which is why so many manufactures
are adopting the DiCOM format in almost of the newer equipment.
With integrated and
networked digital technology users can provide imaging services
within facilities and across geographic regions, gain maximum benefit
from existing resources, and keep costs down through compatibility
of new equipment and systems.
For example, workstations, intraoral camera systems, intraoral digital
radiography systems, digital panoramic machines, CT scanners, MR
imagers, film digitizers, shared archives, laser printers and host
computers and mainframes made by multiple vendors and located at
one site or many sites can “talk to one another” by
means of DiCom across an “open-system” network. As a
result, medical/dental images can be captured and communicated more
quickly, physicians and dentists can make diagnoses sooner, and
treatment decisions can be made sooner. Processing of reimbursements
for therapy can be enhanced.
However the challenge
is the analog to digital conversion and integration of both technologies
into one usable cohesive network of modalities.
Analog-to-digital conversation
is an electronic process in which a continuously variable (analog)
signal is changed, without altering its essential content, into
a multi-level (digital) signal. The input to an analog-to-digital
converter (ADC) consists of a voltage that varies among a theoretically
infinite number of values. Examples are sine waves, the waveforms
representing human speech, and the signals from a conventional television
camera. The output of the ADC, in contrast, has defined levels or
states. The numbers of states is almost always a power of two—that
is 2,4,8,16,etc. The simplest digital signals have only two states,
and are called binary. All whole numbers can be represented in binary
forms as strings of ones and zeros.
Digital signals propagate
more efficiently than analog signals, largely because digital impulses,
which are well defined and orderly, are easier for electronic circuits
to distinguish from noise, which is chaotic. This is the chief advantage
of digital modes in communications. Computers “talk”
and “think” in terms of binary digital data; while a
microprocessor can analyse analog data, it must be converted into
digital form for the computer to make sense of it.
A typical telephone
modem makes use of an ADC to convert the incoming audio from a twisted-pair
line into signals the computer can understand. In a digital processing
system, an ADC is required if the signal input is analog.
To complicate this
even further, or to simplify it depending upon your perspective,
is the adoption of the DiCOM standard.
The digital Imaging
and Communications in Medicine (DiCOM) Standard is a detailed specification
that describes a means of formatting and exchanging images and associated
information. DiCOM relies on computer industry standard network
connections, and media devices that address the communication and
storage of digital images from diagnostic modalities such as CT,MR,PET,
Nuclear Medicine, Ultrasound, X-ray, CR, digital radiography, digitized
film, video capture and HIS/RIS information. It also supports the
connection of networked printers, such as laser imagers (cameras).
DiCOM has been embraced
by other worldwide standards organizations outside of Cardiology
and Radiology. For example, DiCOM has been adopted by the Committee
European de Normalization (CEN TC 251) and the Japanese Industry
Association for Radiation Apparatus (JIRA). The DiCOM standard has
now been implemented in an increasing number of medical products
from various vendors.
As far as examples
of this evolution of technology in more direct terms you only need
look as far as the modern radiology department. Departments where
chemical processors are being phased out in favour of newly introduced
self-calibrating diagnostic calibre grayscale workstations that
are DiCOM compatible and can be managed across an entire enterprise.
This is but a small first glimpse at the future of medical network
technology. Soon a DiCOM network will be commonplace, linking together
all of the imaging equipment within not only one hospital, but also
many.
Ultrasounds, Mobile
C-Arms, Flouro, Angio, and CRT/MRI, all networked to Dry Film Images,
DiCOM and non DiCOM Laser printers, color and grayscale printers,
DiCOM Archives and HIS/RIS systems all monitored and integrated
to PACS, workstations and even tele-Radiology across and entire
enterprise. All of this equipment tied into a common network and
able to pass information back and fort as freely as a PC network
in any workplace.
This is what you will
see in new installations. Digital DiCOM suits, operation rooms,
radiology departments, imaging centers all integrated and accessible.
Of course this comes with a pretty hefty price tag. And most organizations
are not able to put the necessary capitol resources into something
of this magnitude.
Recognizing this, the
AMPRONIX corporation has come up with a number of unique solutions,
that combined provides complete digital conversion technology without
a system wide replacement of all existing analog equipment. AMPRONIX,
a California USA based corporation has been an provide of medical
imaging equipment and solutions for over 22 years. As they are involved
in both the service and replacement of existing imaging equipment,
they have become expert in the challenges faces by both the biomedical
engineers and the administrative staff with their budgetary constraints.
AMPRONIX has grown
to be one of the leading value added master distributors and authorized
service canters serving America, Europe and the Middle east and
so is natural advocate of in-place equipment integration.
The plan AMPRONIX provides
integrates existing analog equipment to selective DiCOM devices
integrated into current network capable technology. AMPRONIX works
with an origination to mix and match digital and analog products
to create a transitional solution. By offering DiCOM converters
that interface between most existing imaging hardware and a DiCOM
network .
AMPRONIX provides a
custom solution with standard equipment to provide a simples solution.
Additionally they have interpreters for Laser printers, carry a
full film imaging solution from Sony, and even offer a high quality
diagnostic Greyscale LCD workstation that can interface directly
to an analog system with BNC connectors and be reintegrated later
to digital. This removes old style CRT monitors without having to
replace entire system and creates the DiCOM workstations. AMPRONIX
even provides trade in value on existing CRTS helping off set a
little of the cost.
With an X-ray film
scanner for conversion of existing films, the Sony dry film imager
for producing new films, digital X-ray plates that integrate into
existing radiology equipment. DiCOM converters and Interface devices
for all other non DiCOM storage and Archiving devices and the gray
scale and color displays for diagnosis and review of the captured
and stored images- medical organizations can now step into a fully
digital solution for a fraction of the cost of a new digital suite.
And as all of the equipment is reverse integrate able, each piece
can be replaced or augmented on the new DiCOM network.
A lower cost solution
to the inevitable transition to digital technology provides for
a faster return on the existing capitol investment. And the conversion
from analog to digital in medical imaging is opening exciting new
opportunities for health care organization to increase the quality
and cost effectiveness of patient care. For more information on
the SeeReal 3D display or any of the other fine products and services
offered by AMPRONIX go to their web site at www.AMPRONIX.com, email
them at info@AMPRONIX.com, or call them 01-949-788-9930. AMPRONIX,
clearly the best choice.
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