Abstract
It was recognized early on that the digitization of medical information would advance the efficiency of diagnostic technology. However, the digitization of image data, which makes up the majority of medical information, is dependent on advances in technologies such as input, processing, transmission, storage, and display. Insufficient advances in such technologies has effectively limited the digitization of image data for medical use. The result of this has been non-networked systems or LANs confined to a single hospital. Such isolated systems integrate only portions of digital medical images such as x-ray computer tomography (CT), magnetic resonance (MR), and computed radiography (CR).
Fortunately, recent advances in the areas of super high definition image I/O, high-quality encoding, super high speed transmission, and high-capacity storage has turned the tide in favor of the digitization and networking of all medical information. This paper will focus on the digitization and networking of medical image information used within hospitals and provide a multifaceted study of the technologies necessary for these advances. This will allow us to discuss the present state of related technical developments and the level that has been attained so far. In addition, we have targeted image information that demands the highest level of quality (radiological and pathological images) for application in medical diagnosis using super high definition images, the image technology being developed by the authors of this paper. We will cover the concrete issues and approaches to solutions that must be investigated when building and networking a digital system.
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References
S. Akselsen, A.K. Eidsvik, and T. Folkow, “Telemedicine and ISDN,” IEEE Communications Magazine, Vol. 31, No. 1, pp. 46–51, Jan. 1993.
T. Ashihara, J. Suzuki, I. Furukawa, A. Okumura, and S. Ono, “The need of super high definition (SHD) images in telepathology-From the analysis of the compression coding characteristics of the pathological images,” Int. Forum on High Quality Digital Video and Its Impact (IFDiV'95), Tokyo, March 1995.
J.T. Bushberg, J.A. Seibert, E.M. Leidholdt, Jr., and J.M. Boone, The Essential Physics of Medical Imaging, Williams & Wilkins, 1994.
W.J. Chimiak, “The digital radiology environment,” IEEE J. Select. Areas in Commun., Vol. 10, No. 7, pp. 1133–1144, Sep. 1992.
J.R. Cox, Jr., E. Muka, G.J. Blaine, S.M. Moore, and R.G. Jost, “Considerations in moving electronic radiography into routine use,” IEEE J. Select. Areas in Commun., Vol. 10, No. 7, pp. 1108–1120, Sep. 1992.
A.J. Duerinckx, G. Hagan, D.J. Valentino, N.J. Mankovich, A. Hayrapetian, R. Franco, and E.G. Grant, “Assessment of ATM for transmission of medical images,” Proc. SPIE, Vol. 2451, pp. 345–359, 1995.
T. Fujii, T. Fujii, and K. Ishimaru, “Evaluation of protocols for the transmission of super high definition images,” Technical Report of IEICE (CS), Sep. 1995.
H.K. Huang, R.K. Taira, S.-L. Lou, A.W.K. Wong, C. Breant, B.K.T. Ho, K.-S. Chuang, B.K. Stewart, K. Andriole, R. Tecotzky, T. Bazzill, S.L. Eldredge, J. Tagawa, Z. Barbaric, M.I. Boechat, T. Hall, J. Bentson, and H. Kangarloo, “Implementation of a large-scale picture archiving and communication system,” Computerized Medical Imaging and Graphics, Vol. 17, No. 1, pp. 1–11, Jan./Feb. 1993.
(JPEG) ISO CD 10918, “Digital compression and coding of continuous-tone still images,” ISO/IEC JTC1/SC2/WG10, Jan. 1991.
K. Kashiwabuchi, I. Furukawa, and S. Ono, “Film-based motion picture digitizing system for super high definition images,” Journal of ITE Japan, Vol. 48, No. 10, pp. 1196–1206, Oct. 1994.
J. Kohli, “Medical imaging applications of emerging broadband networks,” IEEE Commun. Magazine,Vol. 27, No. 12, pp. 8–16, Dec. 1989.
H.U. Lemke, S.T.C. Wong, and H.K. Huang, “System design criteria for ATM oriented broadband medical services,” Proc. SPIE, Vol. 2451, pp. 334–344, 1995.
H. MacMahon, K. Doi, S. Sanada, S.M. Montner, M.L. Giger, C.E. Met, N. Nakamori, F.-F. Yin, X.-W. Xu, H.Yonekawa, and H.Takeuchi, “Data compression: Effect on diagnostic accuracy in digital chest radiography,” Radiology, Vol. 178, No. 1, pp. 175–179, Jan. 1991.
A. Okumura, J. Suzuki, “Nearly lossless compression of color still images and its performance evaluation,” Trans. IEICE, Vol. J78-B-I, No. 7, pp. 279–290, July 1995.
A. Okumura, J. Suzuki, I. Furukawa, and T. Ashihara, “Signal analysis and compression performance evaluation of pathological microscopic images,” IEEE Trans. on Medical Imaging, Vol. 17, No. 1, pp. 701–710, Feb. 1998.
S. Ono, N. Ohta, and T. Aoyama, “All-digital super high definition images,” Signal Processing, Image Communication, Vol. 4, Nos. 4-5, pp. 429–444, Aug. 1992.
S. Ono, J. Suzuki, and N. Ohta, “Super high definition image coding for medical applications,” 26th Int. Conf. on DSP, Cyprus, June 1995.
J. Sayre, D.R. Aberle, M.I. Boechat, T.R. Hall, H.K. Huang, B.K. Ho, P. Kashfian, and G. Rahbar, “Effect of data compression on diagnostic accuracy in digital hand and chest radiography,” Proc. SPIE, Vol. 1653, pp. 232–240, 1992.
J. Suzuki, I. Furukawa, A. Okumura, and T. Ashihara, “Performance analysis of compression techniques for pathological microscopic images,” Proc. SPIE (European Symposium on Advanced Network and Services), Vol. 2451, pp. 68–79, March 1995.
J. Suzuki, I. Furukawa, S. Ono, M. Kitamura, and Y. Ando, “Contrast mapping and evaluation for electronic x-ray images on CRT display monitor,” IEEE Trans. on Medical Imaging, Vol. 16, No. 6, pp. 772–784, Dec. 1997.
S. Wong, L. Zaremba, D. Gooden, and H.K. Huang, “Radiologic image compression-A review,” Proc. of IEEE, Vol. 83, No. 2, pp. 194–219, Feb. 1995.
K. Yamasaki, “Comparative studies on physical characteristics and clinical efficacy of conventional and digitized chest radiographs,” Journal of Japan Medical Radiography, Vol. 49, No. 3, pp. 327–334, March 1989.
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Suzuki, J., Furukawa, I., Fujii, T. et al. Application of Super High Definition Images in Telemedicine: System Requirements and Technologies for Teleradiology and Telepathology. Multimedia Tools and Applications 12, 7–38 (2000). https://doi.org/10.1023/A:1009631927516
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DOI: https://doi.org/10.1023/A:1009631927516