The German teleradiology system MEDICUS system description and experiences in a German field test |
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| Affiliation: | 1. Deutsches Krebsforschungszentrum (German Cancer Research Center), Abteilung Medizinische und Biologische Informatik, Im Neuenheimer Feld 280, D-69121 Heidelberg, Germany;2. Abteilung Onkologische Diagnostik und Therapie, Im Neuenheimer Feld 280, D-69121 Heidelberg, Germany;3. Uppsala University, CMD, Centre for Human-Computer Studies, Lägerhyddvägen 18, S-75237 Uppsala, Sweden;1. College of Agricultural Science and Engineering, Hohai University, Nanjing, China;2. College of Water Conservancy and Hydropower Engineering, Hohai University, Nanjing, China;1. Faculty of Health, Deakin University, Melbourne, Victoria, Australia;2. Australian Genomics, Murdoch Children’s Research Institute, Melbourne, Victoria, Australia;3. Melbourne Genomics Health Alliance, Walter and Eliza Hall Institute, Melbourne, Victoria, Australia;4. Department of Paediatrics, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia;5. School of Population Health, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia;6. Australian Institute of Health Innovation (AIHI), Macquarie University, Sydney, New South Wales, Australia;1. Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine at UCLA, Los Angeles, California;2. Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, California;3. Department of Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, California;4. Department of Psychology, University of California, Los Angeles, Los Angeles, California;5. Center for Functional and Molecular Imaging, Georgetown University Medical Center, Washington, DC;6. Advanced MRI Section, Laboratory of Functional and Molecular Imaging, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland;7. Department of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio, San Antonio, Texas;1. Centre for Health Informatics, City University London, London, UK;2. UCD School of Medicine and Medical Science, Dublin, Ireland;3. Center of Excellence for Biomedical Research, University of Genoa, Genoa, Italy;4. Department of Infectious Diseases, Sanremo Hospital, Sanremo, Italy;5. Department of Infectious Diseases, IRCSS AOU San Martino Hospital-IST, Genoa, Italy;1. Department of Plastic and Reconstructive Surgery, 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China;2. Department of Endocrinology and Metabolism, 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China;3. Institute of Gastroenterology, Zhejiang University (IGZJU), China;4. Department of Molecular and Medical Pharmacology, UCLA David Geffen School of Medicine, Los Angeles, CA 90095, USA;5. Clinical Biochemistry Group, Medizinische Klinik und Poliklinik IV, University of Munich, Schillerstrasse 42, D-80336 Munich, Germany |
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| Abstract: | MEDICUS is a teleradiology system which has been developed in a joint project of the German Cancer Research Center (Deutsches Krebsforschungszentrum) and the Transfer Center Medical Informatics (Steinbeis-Transferzentrum Medizinische Informatik) in Heidelberg, Germany. The system is designed to work on ISDN lines as well as in a local area network. Special attention has been given to the design of the user interface and data security, integrity, and authentication. The software is in use in 13 radiology departments in university clinics, small hospitals, private practices, and research institutes. More than 25 thousand images have been processed in 6 months. The system is in use in six different application scenarios. MEDICUS is running under the UNIX operating system. The connection of the modalities could in most cases not be realized with the DICOM protocol as older machines were not equipped with this standard protocol. Clinical experiences show that the MEDICUS system provides a very high degree of functionality. The system has an efficient and user friendly graphical user interface. The result of a comparison with other systems shows that MEDICUS is currently the best known teleradiology system. Cost reductions are already obvious, but additional research has to be performed in this field. An even more powerful commercial successor is currently under construction at the Steinbeis-Transferzentrum Medizinische Informatik in Heidelberg. |
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