J Korean Soc Ther Radiol Oncol.
2000 Mar;18(1):67-72.
Radiation Oncology Digital Image Chart and Digital Radiotherapy Record System at Samsung
Medical Center
Abstract
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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. METHOD AND MATERIALS: The basic design o f 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 in formation throughout
the department. This system is a subunit of comprehensive radiation oncology managemert system (C-ROMS)
and composed of a picture archiving and communication system (PACS), 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 image... 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; 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.