计算机系统在解放军医学图书馆的应用综述

回顾了计算机系统在解放军医学图书馆的应用概况,对系统升级进行了必要性和可行性分析,对新旧系统的应用进行了对比分析,提出了一些问题的解决办法。     

基于人工智能的远程医疗在慢性创面管理中的应用

当前,我国创面修复仍处于初期,基层医院从事创面专业的医师较少,为了满足基层慢性创面 患者的诊治需求,辅助并提高基层医院慢性创面的临床诊疗水平,本研究团队开发出一种基于人工智能 （AI）的慢性创面远程管理系统——愈悦,旨在指导慢性创面患者更为便捷、精准地寻求医疗服务,提高 基层医院的诊疗质量,促进二级和三级医院之间的双向转诊流程,使有限的医疗资源得到合理利用。     

影像诊断数据智能化管理程序的设计及其价值评估

目的设计一种用于快速处理各种影像诊断文字资料的应用程序。方法利用影像诊断各类文字资料的固有规律,通过建立一个可变的标准数据库的方法,用ＦｏｘＰｒｏ２．５设计出用于处理影像诊断文字资料的应用软件。结果该软件具有自动记忆、自动调整功能,可用于预约登记、诊断报告处理、病人查询、统计分析等各种影像诊断数据处理,各类影像诊断数据处理速度显著提高,诊断报告处理速度较手工书写报告速度提高了８７％。结论该软件具有操作简便、处理速度快等优点,具有很高的实用价值和推广应用价值。     

《磁共振成像原理与技术》多媒体软件的制作

目的 开发辅助教学软件,为提高影像诊断者ＭＲＩ认知和诊断水平提供手段。方法 诊断专业与计算机工程人员合作。在正确理解教学知识点文字描述的基础上制作 出近３０个三维（３Ｄ）,动画来模拟知识点所要传授的内容,并辅以语音解说,图像,视频等其他媒体,借助超文本链接技术,使各种煤体有机结合起来,解决原来复杂,抽象的内容。结果 完成了一套实用的《磁共振成像原理与技术》计算机多媒体软件,应用于广东省高校电化教育     

帕金森病立体定向手术靶点定位软件

目的设计并验证帕金森病立体定向手术靶点定位软件.方法推导出任意靶点两种坐标(大脑原点,即AC-PC线中点坐标系坐标和立体定位架坐标系坐标)之间的相互换算;数字化三维坐标重建Schaltenbrand-Wahren人脑立体定向图谱,形成随AC-PC长度缩放的导航图谱.编成软件实现(1)图谱中选靶点,得出其两种坐标;(2)输入两种坐标中的一项,得出另一项,并在图谱中显示靶点.对软件的实用性、准确性进行了验证.结果帕金森病立体定向手术靶点定位软件,靶点定位直观准确,消除了定向架的影响、简化了计算、提高了SW图谱的适应性.     

医学检查报告数据库管理系统的研制

建立一个计算机化的医学检查报告的书写与管理数据库系统。用基于Windows95的Visual FoxPro5．0数据库软件建立报告资料的关系型数据库,并编写出能自动运行的程序和交互操作的用户界面。系统具有出报告、调报告和系统管理等功能。能自动记忆每次写入的报告并分类保存以供直接调用;报告保存在计算机硬盘和软盘中,可用多种方式查询调用;内设多处排错程序。保证了系统的安全可靠。系统以关系型数据库书写和保存医学检查报告,打印的报告规范美观．出报告过程极为快捷,保存和调用迅速便利,资料管理安全简洁,安装和维护方便。根本改变了传统的手工报告书写和管理方式。     

Reducing Racial Disparities in the Timeliness of Potential Lung Cancer Evaluation With a Novel Application-Supported Rapid Outpatient Diagnostic Program: An Interrupted Time Series Analysis

IntroductionRapid outpatient diagnostic programs (RODP) expedite lung cancer evaluation, but their impact on racial disparities in the timeliness of evaluation is less clear.Materials and MethodsThis was a retrospective analysis of the impact of an internally developed application-supported RODP on racial disparities in timely referral completion rates for patients with potential lung cancer at a safety-net healthcare system. An application screened referrals to pulmonology for indications of lung mass or nodule and presented relevant clinical information that enabled dedicated pulmonologists to efficiently review and triage cases according to urgency. Subsequent care coordination was overseen by a dedicated nurse coordinator. To determine the program's impact, we conducted an interrupted time series analysis of the monthly fraction of referrals completed within 30 days, stratified by those identified as White, non-Hispanic and those that were not (racial and ethnic minorities).ResultsThere were 902 patients referred in the 2 years preintervention and 913 in the 2 years postintervention. Overall, the median age was 63 years, and 44.7% of referred patients were female. 44.2% were White, non-Hispanic while racial and ethnic minorities constituted 54.3%. After the intervention, there was a significant improvement in the proportion of referrals completed within 30 days (62.4% vs. 48.2%, P <.01). The interrupted time series revealed a significant immediate improvement in timely completion among racial and ethnic minorities (23%, P < .01) that was not reflected in the majority White, non-Hispanic subgroup (11%, not significant).ConclusionA thoughtfully designed and implemented RODP reduced racial disparities in the timely evaluation of potential lung cancer.     

Systematic review of the software used for virtual surgical planning in craniomaxillofacial surgery over the last decade

Craniomaxillofacial surgery has been experiencing a deep conceptual change in surgical planning over the last decade, with virtual reality technologies becoming widely adopted. The high demand has led to an exponential increase in available software. The aim of this review was to outline the current literature and provide evidence on the most used software for virtual surgical planning (VSP), and also to define contemporary knowledge on which procedures are more ready candidates for VSP. A search was performed in the major databases, and screening of the results according to the PRISMA statement identified 535 articles reporting the implementation of preoperative VSP during the years 2010–2020. A total of 77 different software programs were identified. The surgical procedures were assigned a standardized nomenclature and further simplified into 10 categories for analysis: temporomandibular joint (TMJ), implants (IMPL), malformations (MALF), reconstruction (REC), oncology (ONCO), oral surgery (ORAL), orthognathic surgery (ORTH), cranial surgery (CRANIO), trauma (TRAUMA), miscellaneous (OTHER). The journals they were reported in and the sample size of each study were also investigated. The results showed that the Materialise suite was the most widespread tool for VSP, with a prevalence of 36.3%, followed by the Geomagic family. Several packages were found to be associated with a specific type of surgical procedure. This review offers a synopsis of the array of VSP software reported in the literature and sets the basis for an informed, evidence-based use of this software in craniomaxillofacial surgery.