PubMed HealthSearch

Biomedical subjects

E Pelikan

Publications and source records attributed to E Pelikan.

5 recordsLinked to original sources

Critical success factors for a hospital-wide PACS.

Since 1996 a picture archiving and communications system (PACS) is installed at the university hospital of Freiburg. The PACS is integrated in the hospital information system (HIS) and several modalities of different vendors are attached to it. During the implementation phase three critical factors to the success of our PACS installation where identified: the support of the workflow, the interface of the radiological information system (RIS) to the modalities, and the security policy to allow hospital-wide access to the images and results in the PACS.

Computer Security

[RADIOLIS. A radiologic instruction and training system for systematic evaluation of roentgen images exemplified by focal bone lesions].

RADIOLIS is an instructional software system for radiological training that guides the user through a systematic analysis of an image. The backbone of the analysis is a detailed and structured questionnaire which, as applied to our example, includes all relevant differential-diagnostic criteria for focal bone lesions. The variation range of the radiomorphologic characteristics in the questionnaire is introduced to the user with digitized X-ray images, making the simulation of an image analysis possible. In preparation, diverse teaching/learning methods reinforced by instructional psychology were incorporated during the system's development. At the core of the training system are an expandable image database and a database containing descriptions of image material formulated by radiology experts. The field of focal bone lesions, for instance, has already been integrated into RADIOLIS. A graphic user interface and an interactive dialogue enable both comfortable and simple use of the system and the user-specific structuring of the learning process.

Bone Neoplasms

Texture-based X-ray image segmentation by topological map.

The texture-based segmentation of x-ray images of focal bone lesions using topological maps is introduced. Texture characteristics are described by image-point correlation of feature images to feature vectors. For the segmentation, the topological map is labeled using an improved labeling strategy. Results of the technique are demonstrated on original and synthetic x-ray images and quantified with the aid of quality measures. In addition, a classifier-specific contribution analysis is applied for assessing the feature area.

Bone Diseases

Self organizing maps for the analysis of high resolution ECG in acute myocardial infarction.

An approach for an all-embracing ECG signal analysis is introduced. Self organizing maps are applied to spatial high resolution multilead ECG (body surface ECG) recorded during the acute phase of myocardial infarction to detect characteristic changes. The algorithm deals with the measurement of similarity between different pathological signal types. In opposition to other techniques, the whole ECG-signal coded as a feature vector is used as input for the self organizing map. The results show that this approach is suitable for handling unsharp class transitions common to several problems from the medical domain.

Algorithms

[New developments in the computer-assisted diagnosis of focal bone lesions].

Since the 1960s there have been numerous reports in the literature about computer-aided medical diagnosis and therapy. However, so far computer-aided diagnosis has not become important in the clinical routine or in the field of radiology. This paper describes the hitherto existing proposals for expert systems to evaluate focal bone lesions and presents a new concept. The basic ideas of this program are: (1) a PC-based interactive dialogue along on the basis of a defined questionnaire; (2) the use of certainty factors to handle uncertainty and vagueness in evaluating the different radiological findings and their correlation with diagnoses; (3) the link between visual information and the questionnaire. The aims of such expert systems are (a) a complete and systematic analysis of the films, (b) independency of association with previously diagnosed cases in reporting the films, (c) the procurement and use of radiological descriptive terms, and (d) aid in the radiological evaluation of focal bone lesions.

Bone Neoplasms