【摘要】 目的　探讨在组建图像存储与传输系统 (picturearchivingandcommunicationsystem ,PACS)过程中的总体设计及如何进行具体每一步的实施方案。方法　把具有医学数字成像及通讯(digitalimagingandcommunicationinmedicine,DICOM)标准接口或非DICOM标准接口的影像设备进行联网 ,制定资源共享、系统存储的解决方案 ,建立典型的医院放射科PACS系统 ,连接目前医院现有的设备 ,服务器采用WindowsNT +SQLServer 7.0组成 ,解决管理及存储问题 ,工作站基于浏览 (WEB)方式访问 ,扩大客户端的使用权限 (license) ,数量为 10 0个 ,磁盘阵列 (RAID 5 )在线存储 3个月 ,线性磁带库 (DLT)为离线海量存储 ;扩展全院并解决放射学信息系统 (radiologyinformationsystems ,RIS )、PACS的数据共享连接 ;建立地区影像数据交换中心。结果　建立了典型的医院放射科PACS系统 ,连接了目前医院现有的设备 ,实现了放射科初步的无胶片化方式 ;将PACS扩展到了全院的临床科室、手术室、急诊室等 ,以及实现了和已有的医院信息系统 (hospitalinformationsystems,HIS)、其他医院网络联网 ,建立起了影像数据中心 ;实现了和本地区其他医院及其他地区的影像数据中心的联网 ,使用起来较为得心应手 ,方便了医生 ,提高了工作效率。结论　实践证明更多还原

【Abstract】 Objective To discuss the whole design and to carry through the implement project in building picture archiving and communication system(PACS). Methods All modalities with or without DICOM were integrated into PACS to store the whole images and share those resources. Windows NT and SQL 7.0 were used on the servers to store all kinds of patient image files, and those images could be viewed on all the web based clinical workstations and the license was up to 100. RAID 5 online HDD which had the capability to store images for 3 months and DLT long term archive storage up to 7 T in size were built in the system. The PACS already finished the integration with RIS and HIS to expand images to the whole hospital and ready to be an imaging center of one area. Results The founded typical PACS connected hospital equipments at present and realized primary no film mode in department of radiology. The PACS had extended to the whole hospital clinical rooms, surgery, and emergency treatment room, etc. The PACS was connected to the HIS and networks of other hospitals. The center of image data was established, realizing the connection among the center of image data together with current area and other area hospitals. The PACS was easy to use for the doctors and improved the work efficiency. Conclusion The practice has proved that current project related PACS planning as a whole practice in step by step is viable and successful.更多还原