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At least 91 records · Page 5Linked to original sources

Design and implementation of World Wide Web-based tools for image management in computed tomography, magnetic resonance imaging, and ultrasonography.

This article describes our experience in developing and using several web-based tools to facilitate access to and management of images from inside and outside of our department. Having recently eliminated film in ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI), a simple method was required to access imaging from computers already existing throughout the hospital. The success of the World Wide Web (WWW), the familiarity of endusers with web browsers, and the relative ease of developing user interfaces virtually dictated that such an approach be pursued in our case. The resulting web-based tools allow validated users to search our Digital Imaging and Communications in Medicine (DICOM)-compliant archive servers for specific exams; to download image data from a remote site; to request the retrieval of data from long-term storage; to view images, and to perform certain DICOM routing operations. The existing infrastructure of the internet has allowed us to develop a low-cost system capable of being used for teleradiology. Since low-level, machine-specific interface programming was avoided, these tools were developed rapidly and are easily adapted. The familiarity of browser-based interfaces has facilitated user acceptance, and the benefit of platform independence minimizes software portability concerns.

Computer Communication Networks↗

CancerGenes: a gene selection resource for cancer genome projects.

The genome sequence framework provided by the human genome project allows us to precisely map human genetic variations in order to study their association with disease and their direct effects on gene function. Since the description of tumor suppressor genes and oncogenes several decades ago, both germ-line variations and somatic mutations have been established to be important in cancer-in terms of risk, oncogenesis, prognosis and response to therapy. The Cancer Genome Atlas initiative proposed by the NIH is poised to elucidate the contribution of somatic mutations to cancer development and progression through the re-sequencing of a substantial fraction of the total collection of human genes-in hundreds of individual tumors and spanning several tumor types. We have developed the CancerGenes resource to simplify the process of gene selection and prioritization in large collaborative projects. CancerGenes combines gene lists annotated by experts with information from key public databases. Each gene is annotated with gene name(s), functional description, organism, chromosome number, location, Entrez Gene ID, GO terms, InterPro descriptions, gene structure, protein length, transcript count, and experimentally determined transcript control regions, as well as links to Entrez Gene, COSMIC, and iHOP gene pages and the UCSC and Ensembl genome browsers. The user-friendly interface provides for searching, sorting and intersection of gene lists. Users may view tabulated results through a web browser or may dynamically download them as a spreadsheet table. CancerGenes is available at http://cbio.mskcc.org/cancergenes.

Databases, Genetic↗

A web application to manage a database for liquid nitrogen tanks.

Summary We have developed a software, Cell Database, for archiving records about cells stored in liquid nitrogen tanks. Once installed on a web server, the database is accessed through a standard web browser. This user-friendly and self-explanatory application is independent of computer platform and periodic upgrades of a commercial software. Our web application allows import of data from other database programs and adaptation to different tank formats, types of samples, and archiving needs.

Cells↗

A simple method for displaying cine images on web-based teaching files.

OBJECTIVE: Our objective was to develop a simple method for displaying dynamic cine images on Web-based teaching files. CONCLUSION: We developed a simple method for displaying cine images on Web-based teaching files using an open-source utility, the Java applet. This interactive utility offers improved 3D visualizations compared with the traditional approach using thumbnail and static images. Because Java is a built-in component of common Web browsers and computer systems, no other software was required. We have used this applet successfully for more than 2 years in our Web-based teaching system, including in our teaching files and on our case-of-the-week page.

Computer-Assisted Instruction↗

MyPACS.net: a Web-based teaching file authoring tool.

OBJECTIVE: We sought to develop a Web service that would easily allow radiologists to create their own online teaching file cases from any Web browser. CONCLUSION: We created MyPACS, a hosted teaching file authoring tool that allows easy uploading of images and descriptive information from any computer with Web access. Radiologists may designate their cases to be public or private (viewable only by the case author), and cases may be retrieved on searching for multiple parameters.

Authorship↗

Interactive web-based radiology teaching file.

This multimedia radiology teaching file was developed for medical students, residents, physicians, and researchers to present teaching components related to clinical studies. Patient studies are used to create teaching cases, user can also create lecture series and custom presentations (catalogs) by linking related text and images. The user is able to make and preserve his/her own notes related to reviewed information. From the computer workstation, the user can perform search our case library by American College of Radiology (ACR) codes, keywords, modalities, or text. Results are presented in custom pages and include text lists, thumbnails lists, rescaled images, and full-size images. Text can be easily printed in custom format or exported to an ASCI file. To preserve the privacy of the student, access to our database is granted to the web browser by log-in panel. Image and text can be imported from Digital Imaging and Communications in Medicine (DICOM)-compatible devices or entered by using web forms. In conclusion, we developed a multifunctional interactive teaching environment accessible for multiplatform internet users.

Computer Security↗

A WEB-based telePACS using an asymmetric satellite system.

We have developed a WWW-based TelePACS that can access every permitted PACS server via the Internet. Java programming techniques were used to implement the system, which can access and retrieve medical information and images through Web browsers only such as Netscape without specific tools. We also have developed a consolidator that performs as a manager to connect a conventional PACS server to a Web-based TelePACS server. We have developed the Asymmetric Satellite Data Communication System (ASDCS) as a fast communication system. The ASDCS uses a receive-only satellite link for data delivery and a terrestrial network for control communication. In conclusion, we were able to develop a cost-effective and fast PACS using Web technology. Web technology expanded the scope of use for a dedicated PACS from intrahospital to public use.

Humans↗

[Current internet technology for gynecology--from hypertext transfer protocol to embedded web server].

The scientific and commercial use of the internet has caused a revolution in information technologies and has influenced medical communication and documentation. Web browsers are the becoming universal starting point for all kinds of client-server applications. Many commercial and medical systems--such as information reservation systems--are being shifted towards web-based systems. This paper describes new techniques. Security problems are the main topics for further developments in medical computing.

Computer Security↗

An automated, web-enabled and searchable database system for archiving electrogram and related data from implantable cardioverter defibrillators.

The advent of implantable cardioverter defibrillators (ICDs) has resulted in significant reductions in mortality in patients at high risk for sudden cardiac death. Extensive related basic research and clinical investigation continue. ICDs typically record intracardiac electrograms and inter-beat intervals along with device settings during episodes of device delivery of therapy. Researchers wishing to study these data further have until now been limited to viewing paper plots. In support of multi-center clinical studies of patients with ICDs, we have developed a web based searchable ICD data archiving system, which allows users to use a web browser to upload ICD data from diskettes to a server where the data are automatically processed and archived. Users can view and download the archived ICD data directly via the web. The entire system is built from open source software. At present more than 500 patient ICD data sets have been uploaded to and archived in the system. This project will be of value not only to those who wish to conduct research using ICD data, but also to clinicians who need to archive and review ICD data collected from their patients.

Arrhythmias, Cardiac↗

A practical method for the remote control of the scanning electron microscope.

We have developed a remote control system for the scanning electron microscope (SEM). It is called Web-SEM and can be accessed by anyone through the Web browser. It is not necessary to install special software to control the SEM. Because the operating performance changes with the amount of traffic on the Internet, we have connected the Web-SEM to a LAN/Internet in order to overcome this. We have checked the performance of the remote control operation and we were able to perform focus adjustment, stage movement, etc. over the Internet by improving the method of operation and image transfer.

Data Display↗

OpenRIMS: an open architecture radiology informatics management system.

The benefits of an integrated picture archiving and communication system/radiology information system (PACS/RIS) archive built with open source tools and methods are 2-fold. Open source permits an inexpensive development model where interfaces can be updated as needed, and the code is peer reviewed by many eyes (analogous to the scientific model). Integration of PACS/RIS functionality reduces the risk of inconsistent data by reducing interfaces among databases that contain largely redundant information. Also, wide adoption would promote standard data mining tools--reducing user needs to learn multiple methods to perform the same task. A model has been constructed capable of accepting HL7 orders, performing examination and resource scheduling, providing digital imaging and communications in medicine (DICOM) worklist information to modalities, archiving studies, and supporting DICOM query/retrieve from third party viewing software. The multitiered architecture uses a single database communicating via an ODBC bridge to a Linux server with HL7, DICOM, and HTTP connections. Human interaction is supported via a web browser, whereas automated informatics services communicate over the HL7 and DICOM links. The system is still under development, but the primary database schema is complete as well as key pieces of the web user interface. Additional work is needed on the DICOM/HL7 interface broker and completion of the base DICOM service classes.

Databases, Factual↗

The display of photographic-quality images on the Web: a comparison of two technologies.

Downloading medical images on the Web creates certain compromises. The tradeoff is between higher resolution and faster download times. As resolution increases, download times increase. High-resolution (photographic quality) electronic images can potentially play a key role in medical education and patient care. On the Internet, images are typically formatted as Graphics Interchange Format (GIF) or the Joint Photographic Experts Group (JPEG) files. However, these formats are associated with considerable data loss in both color depth and image resolution. Furthermore, these images are available in a single resolution and have no capability of allowing the user to adjust resolution as needed. Images in the photo compact disc (PCD) format have higher resolutions than GIF or JPEG, but suffer the disadvantage of large file sizes leading to long download times on the Web. Furthermore, native web browsers are not currently able to read PCD files. The FlashPix format (FPX) offers distinct advantages over the PCD, GIF, and JPEG formats for display of high-resolution images on the Web. A Java applet can be easily downloaded for viewing FPX images. FPX images are higher resolution than JPEG and GIF images. FPX images offer rich resolutions comparable to PCD images with shorter download times.

Internet↗

Virtual workspaces in I2Cnet.

The objective of I2Cnet (Image Indexing by Content network) is to provide network-transparent content-based access to medical image archives as an Internet/intranet value-added service. Through a typical web browser, healthcare professionals interact with image collections, browse images similar to a query image, compare these images to images from other collections, and contribute their own images or comments. Specific I2Cnet services available on the World Wide Web (WWW) include image processing and feature extraction, content- and annotation-based search for images and image-related information, and authoring of annotations and image descriptions. Virtual workspaces provide the necessary mechanisms to support user sessions in I2Cnet, providing for service interoperability, persistence, and user interaction. In the course of a user session, which begins with a workspace log-in and ends explicitly with a workspace log-out or implicitly by exiting the browser, virtual workspaces maintain the common context.

Computer Communication Networks↗

On-line simulations of models for backward masking.

Five simulations of quantitative models of visual backward masking are available on the Internet at http://www.psych.purdue.edu/-gfrancis/Publications/BackwardMasking/. The simulations can be run in a Web browser that supports the Java programming language. This article describes the motivation for making the simulations available and gives a brief introduction as to how the simulations are used. The source code is available on the Web page, and this article describes how the code is organized.

Computer Simulation↗

Web-based VR training simulator for percutaneous rhizotomy.

Virtual Reality offers great potential for surgical training--yet is typically limited by the dedicated and expensive equipment required. Web-based VR has the potential to offer a much cheaper alternative, in which simulations of fundamental techniques are downloaded from a server to run within a web browser. The equipment requirement is modest--an Internet-connected PC or small workstation--and the simulation can be accessed worldwide. In a collaboration between computer scientists and neurosurgeons, we have studied the use of web-based VR to train neurosurgeons in Percutaneous Rhizotomy--a treatment for the intractable facial pain which occurs in trigeminal neuralgia. This involves the insertion of a needle so as to puncture the foramen ovale, and lesion the nerve. Our simulation uses VRML to provide a 3D visualization environment, but the work immediately exposes a key limitation of VRML for surgical simulation. VRML does not support collision detection between objects--only between viewpoint and object. Thus collision between needle and skull cannot be detected and fed back to the trainee. We have developed a novel solution in which the training simulation has linked views: a normal view, plus a view as seen from the tip of the needle. Collision detection is captured in the needle view, and fed back to the viewer. A happy consequence of this approach has been the chance to aid the trainee with this additional view from needle tip, which helps locate the foramen ovale. The technology to achieve this is Java software communicating with the VRML worlds through the External Authoring Interface (EAI). The training simulator is available on the Web, with accompanying tutorial on its use. A major advantage of web-based VR is that the techniques generalize to a whole range of surgical simulations. Thus we have been able to use exactly the same approach as described above for neurosurgery, to develop a shoulder arthroscopy simulator--where again collision detection, and the view from the scope, are fundamental.

Computer-Assisted Instruction↗

Using component technologies for web based wavelet enhanced mammographic image visualization.

The poor contrast detectability of mammography can be dealt with by domain specific software visualization tools. Remote desktop client access and time performance limitations of a previously reported visualization tool are addressed, aiming at more efficient visualization of mammographic image resources existing in web or PACS image servers. This effort is also motivated by the fact that at present, web browsers do not support domain-specific medical image visualization. To deal with desktop client access the tool was redesigned by exploring component technologies, enabling the integration of stand alone domain specific mammographic image functionality in a web browsing environment (web adaptation). The integration method is based on ActiveX Document Server technology. ActiveX Document is a part of Object Linking and Embedding (OLE) extensible systems object technology, offering new services in existing applications. The standard DICOM 3.0 part 10 compatible image-format specification Papyrus 3.0 is supported, in addition to standard digitization formats such as TIFF. The visualization functionality of the tool has been enhanced by including a fast wavelet transform implementation, which allows for real time wavelet based contrast enhancement and denoising operations. Initial use of the tool with mammograms of various breast structures demonstrated its potential in improving visualization of diagnostic mammographic features. Web adaptation and real time wavelet processing enhance the potential of the previously reported tool in remote diagnosis and education in mammography.

Female↗

Internet-based display of remotely-acquired ambient radiation data.

The World-Wide Web is a powerful medium for disseminating radiation information in a readily and universally retrievable manner. Ambient monitoring of radiation measurements at a New York City location (Jacobi Hospital, Bronx, NY 10461), with automated publication of the data on the Web, has been ongoing since 1998. Several times daily, specialized communications software automatically retrieves the data by modem to a central base computer from where it is uploaded to an Internet-accessible Web page. The data are then accessible by standard Internet Web browser at the address www.aw-el.com/nyc/. This automated acquisition and display system has run with uninterrupted operation and minimal operator intervention for over 3 years. As the Internet becomes a ubiquitous conduit for information transmittal, the Web can serve as an effective means of display for radiation data, with relevance to many health physics applications discussed herein.

Data Display↗

Tools for remote usability evaluation of Web applications through browser logs and task models.

The dissemination of Web applications is extensive and still growing. The great penetration of Web sites raises a number of challenges for usability evaluators. Video-based analysis can be rather expensive and may provide limited results. In this article, we discuss what information can be provided by automatic tools able to process the information contained in browser logs and task models. To this end, we present a tool that can be used to compare log files of user behavior with the task model representing the actual Web site design, in order to identify where users' interactions deviate from those envisioned by the system design.

Consumer Behavior↗