Radiation Oncology Digital Image Chart 8nd Digital Radiotherapv Record System at Samsung Medical Center

디지털 화상 병력 시스템과 디지털 방사선치료 기록 시스템의 개발과 사용 경험

  • Huh Seung Jae (Department of Radiation Oncology, Samsung Medical Center and the Sungkyunkwan University School of Medicine) ;
  • Ahn Yong Chan (Department of Radiation Oncology, Samsung Medical Center and the Sungkyunkwan University School of Medicine) ;
  • Lim Do Hoon (Department of Radiation Oncology, Samsung Medical Center and the Sungkyunkwan University School of Medicine) ;
  • Cho Chung Keun (Department of Radiation Oncology, Samsung Medical Center and the Sungkyunkwan University School of Medicine) ;
  • Kim Dae Yong (Department of Radiation Oncology, Samsung Medical Center and the Sungkyunkwan University School of Medicine) ;
  • Yeo Inhwan (Department of Radiation Oncology, Samsung Medical Center and the Sungkyunkwan University School of Medicine) ;
  • Kim Moon Kyung (Department of Radiation Oncology, Samsung Medical Center and the Sungkyunkwan University School of Medicine) ;
  • Chang Seung Hee (Department of Radiation Oncology, Samsung Medical Center and the Sungkyunkwan University School of Medicine) ;
  • Park Suk Won (Department of Radiation Oncology, Samsung Medical Center and the Sungkyunkwan University School of Medicine)
  • 허승재 (성균관대학교 의과대학 삼성서울병원 치료방사선과) ;
  • 안용찬 (성균관대학교 의과대학 삼성서울병원 치료방사선과) ;
  • 임도훈 (성균관대학교 의과대학 삼성서울병원 치료방사선과) ;
  • 조정근 (성균관대학교 의과대학 삼성서울병원 치료방사선과) ;
  • 김대용 (성균관대학교 의과대학 삼성서울병원 치료방사선과) ;
  • 여인환 (성균관대학교 의과대학 삼성서울병원 치료방사선과) ;
  • 김문경 (성균관대학교 의과대학 삼성서울병원 치료방사선과) ;
  • 장승회 (성균관대학교 의과대학 삼성서울병원 치료방사선과) ;
  • 박석원 (성균관대학교 의과대학 삼성서울병원 치료방사선과)
  • Published : 2000.03.01

Abstract

Background :The authors have developed a Digital image chart(DIC) and digital Radiotherapy Record System (DRRS). We have evaluated the DIC and DRRS for reliability, usefulness, ease of use, and efficiency. Materials and Methods :The basic design of the DIC and DRRS was to build an digital image database of radiation therapy Patient records for a more efficient and timely flow of critical image information throughout the department. This system is a submit of comprehensive radiation oncology management system (C-ROMS) and composed of a picture archiving and communication system (PACS), a radiotherapy information database, and a radiotherapy imaging database. The DIC and DRRS were programmed using Delphi under a Windows 95 environment and is capable of displaying the digital images of patients identification photos, simulation films, radiotherapy setup, diagnostic radiology images, gross lesion Photos, and radiotherapy Planning isodose charts with beam arrangements. Twenty-three clients in the department are connected by Ethernet (10 Mbps) to the central image server (Sun Ultra-sparc 1 workstation). Results :From the introduction of this system in February 1998 through December 1999, we have accumulated a total of 15,732 individual images for 2,556 patients. We can organize radiation therapy in a 'paperless' environment in 120 patients with breast cancer. Using this system, we have succeeded in the prompt, accurate, and simultaneous access to patient care information from multiple locations throughout the department. This coordination has resulted in improved operational efficiency within the department. Conclusion :The authors believe that the DIC and DRRS has contributed to the improvement of radiation oncology department efficacy as well as to time and resource savings by providing necessary visual information throughout the department conveniently and simultaneously. As a result, we can also achieve the 'paperless' and 'filmless' practice of radiation oncology with this system.