The development of an effective unified information space of the regional radiology diagnostics service is possible by connecting all outpatient cancer care centers and medical organizations to distributed medical image storage systems under the management of regional radiological information systems within the framework of the regional programs “Creation of the unified digital circuit in healthcare based on the unified state health information system” of the territorial subjects of the Russian Federation. The aim of the research is to study the features of using radiological information systems in the oncological profile and develop recommendations for creating distributed archives of medical images in the oncology service within the framework of the federal project. The paper considers the results of the implementation of software products “LINS LookInside ”, “LINS Makhaon ” in the framework of implementation of local and regional projects in cancer clinics. The data on the connected diagnostic equipment and integration with medical information systems are provided. It has been established that each medical organization with an oncological profile should have its own local PACS installed. Using the example of federal cancer centers, it is recommended to include endoscopic departments, radionuclide and ultrasound diagnostics rooms in radiological information systems, as well as to install and connect systems for automatic publication of CD/DVD discs with DICOM studies.
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2. Vladzimirskij A.V. Telemedicina : Curatio Sine Tempora et Distantia. M., 2016. 663 р. ( In Russ. ).
3. Gamirov R.R. Pervye rezul'taty mammograficheskogo skrininga raka molochnoj zhelezy na baze referens-centra RKOD MZ RT v ramkah celevoj otraslevoj programmy po snizheniyu smertnosti ot raka molochnoj zhelezy v Respublike Tatarstan na 2008–2010 gody. Povolzhskij onkologicheskij vestnik. 2011 ; 1 ( 1 ): 31–33. ( In Russ. ).
4. Gamirov R.R. Organizaciya i rezul'taty mammograficheskogo skrininga pri massovom obsledovanii zhenskogo naseleniya Kazani i otdel'nyh territorij Respubliki Tatarstan. Povolzhskij onkologicheskij vestnik. 2014 ; 4 : 4–10. ( In Russ. ).
5. Gusev A.V. Perspektivy nejronnyh setej i glubokogo mashinnogo obucheniya v sozdanii reshenij dlya zdravoohraneniya. Vrach i informacionnye tekhnologii. 2017 ; 3 : 92–105. ( In Russ. ).
6. Gusev V.N. Sovremennye metody postroeniya raspredelennogo regional'nogo arhiva medicinskih izobrazhenij. Tatishchevskie chteniya : aktual'nye problemy nauki i praktiki. Materialy XVI Mezhdunarodnoj nauchno-prakticheskoj konferencii. 2019 : 138–141. ( In Russ. ).
7. Glushkova I.V. Regional'naya radiologicheskaya informacionnaya sistema Krasnodarskogo kraya : organizaciya raboty referensnogo kliniko-diagnosticheskogo centra po patologii molochnoj zhelezy. Vrach i informacionnye tekhnologii. 2018 ; S1 : 18–27. ( In Russ. ).
8. Dubrovin A.V. Ot PACS k teleradiologii. Vrach i informacionnye tekhnologii. 2017 ; 3 : 106–111. ( In Russ. ).
9. Z h ujkova L.D. Onkologicheskaya zabolevaemost ' v Sibirskom i Dal'nevostochnom federal'nyh okrugah. Sibirskij onkologicheskij zhurnal. 2019 ; 18 ( 6 ): 5–11. ( In Russ. ).
10. Koshkarov A.A. Regional'naya radiologicheskaya informacionnaya sistema : novye vozmozhnosti raspredelennogo hraneniya medicinskih izobrazhenij v Krasnodarskom. Tezisy dokladov mezhdunarodnogo kongressa « Informacionnye tekhnologii medicine 2017» [ Elektronnyj resurs ]. M.: Konsef , 2017. ( In Russ. ). Available at: https://itmcongress.ru/dl/2017/09/regionalnaja_radiologicheskaja_ informacionnaja_sistema.pdf.
11. Morozov S.P. Teleradiologiya v Rossijskoj federacii : dostignutyj uroven '. Vrach i informacionnye tekhnologii. 2019 ; 2 : 67–73. ( In Russ. ).
12. Morozov S.P. Referens-centr luchevoj diagnostiki : obosnovanie i koncepciya. Menedzher zdravoohraneniya. 2019 ; 8 : 25–34. ( In Russ. ).
13. Morozov S.P. Osnovy menedzhmenta medicinskoj vizualizacii. Moskva: GEOTAR-Media, 2020. 432 р. ( In Russ. ).
14. Muhin Y u.Y u. Podhody k parametricheskoj ocenke i sopostavleniyu funkcij medicinskih informacionnyh system. Informacionnye i izmeritel'nye upravlyayushchie sistemy. 2013 ; 10 ( 11 ): 19–31. ( In Russ. ).
15. Semenov A.B. O postroenii regional'noj sistemy upravleniya medicinskimi izobrazheniyami. Tezisy dokladov mezhdunarodnogo kongressa « Informacionnye tekhnologii medicine 2016» [ Elektronnyj resurs ]. M.: Konsef , 2016. ( In Russ. ). Available at: http://itm.consef.ru/dl/2016/08/16/o-postroenii-regionalnoy-sistemy-upravleniya-meditsinskimi-izobrazheniyami.pdf.
16. Sobchenko K.V. Razrabotka algoritma avtomatizirovannogo vejvlet-analiza dannyh o rabote registratury klinicheskogo onkolog icheskogo dispansera na regional'nom urovne. Vrach i informacionnye tekhnologii. 2018. Special'nyj vypusk Trudy Mezhdunarodnogo kongressa « Informacionnye tekhnologii v medicine 2018» 11–12 oktyabrya , 2018 : 66–73. ( In Russ. ).
17. Federal'nyj zakon «O vnesenii izmenenij v otdel'nye zakonodatel'nye akty Rossijskoj Federacii po voprosam primeneniya informacionnyh tekhnologij v sfere ohrany zdorov'ya » ot 29.07.2017 № 242-FZ. ( In Russ. ).
18. Bashshur R.L., Krupinski E.A., Thrall J.H., Bashshur N. The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence. Telemed J E Health. 2016 ; 11 ( 22 ): 868–898.
19. Digital Imaging and Communications in Medicine (DICOM). Available at: http://www.nema.org/Standards/Pages/Digital-Imaging-and-Communications-in-Medicine.aspx.
For citation
Koshkarov A. A., Murashko R. A., Elishev V. G., Shevkunov L.N., Frolova I. G., Chojnzonov E.L., Dubrovin A.V., Umetskiy I. N. Features of distributed storage of medical images in the oncology service as part of the implementation of the Unified Digital Circuit. Medical doctor and information technology. 2020; S1: 15-27. (In Russ.). doi : 10.37690/1811-0193-2020-S1-15-27.
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