Digital (R)Evolution in Radiology

Three decades have passed since my first personal experiences, influences and contacts with computer ap­ plications in the field of medicine. These experiences were influenced by diverse presentations, publications and seminars concerning various applications of information technology as early as in 1970 (Univac Inter­ national Executive Centre, Rome). The first clinical proposals and discussions during the first "World Congress of Intensive Care Medicine" (London 197 4) strongly impressed me, since they demonstrated that the future of medicine would be changed rapidly by the use of computer technology. In 1975, when I started my radiology residency, my clinical and academic interests were focused on two major topics: (i) interventional radiology and the clinical responsibility of the radiologist for the patient and (ii) the improvement of radiological services for both the clinician and the patient through the use of digital technology. These two topics, firstly interventional radiology and, secondly, computer technology along with all digital techniques developed in respect to examinations and modalities have been the basis for my "per­ sonal evolution" of medicine, especially of digital radiology. Front Matter....Pages I-XVI Introduction....Pages 1-2 Front Matter....Pages 3-3 Basics of computer technology and digital imaging....Pages 5-10 Internet in medicine: source of a new reality?....Pages 11-22 PACS 2000+ from networks to workflow and beyond....Pages 23-31 Front Matter....Pages 33-33 Request for proposal for PACS and evaluation of tenders....Pages 35-39 Radiology information systems in the digital hospital....Pages 41-46 Radiology information system and picture archiving and communication system: interfacing and integration....Pages 47-55 Horizontal PACS deployment in an integrated system....Pages 57-64 Going filmless in a new hospital setting....Pages 65-72 Large PACS projects....Pages 73-80 A view to the past of the future — A decade of digital (r)evolution at the Danube hospital....Pages 81-95 Front Matter....Pages 97-97 Reporting from monitors....Pages 99-107 Synergy effects of a high-end 3D-workstation within a digital environment....Pages 109-110 Medical reporting using speech recognition....Pages 111-117 Physiological tests and functional diagnosis with digital methods....Pages 119-130 Image fusion....Pages 131-139 Expanding the digital revolution to anthropology....Pages 141-148 PMDA — Personal Medical Digital Assistants Mobile computing in medical environments....Pages 149-154 Information technology (IT) in radiology tele-consultation....Pages 155-160 Teleconsultation in medicine and radiology — theory and legal aspects....Pages 161-165 Front Matter....Pages 97-97 Digital fluororadiography....Pages 167-173 Practical aspects of computed radiography (CR)....Pages 175-187 Digital radiology in chest imaging....Pages 189-203 Digital pediatric radiology....Pages 205-209 The therapeutic value of mapping and 3D modeling of cartilage lesions in the knee....Pages 211-221 Experiences and future aspects of neuronavigation....Pages 223-228 F-18-FDG PET in Oncology....Pages 229-245 Digital revolution in cardiac imaging....Pages 247-257 From single slices to volume imaging: (r)evolution in computed tomography....Pages 259-273 New advances for imaging of laryngotracheal stenosis by post processing of spiral-CT data....Pages 275-285 Front Matter....Pages 287-287 Flat panel detectors — closing the (digital) gap in chest and skeletal radiology....Pages 289-295 Scanhead technology....Pages 297-299 Economic aspects of digital radiology....Pages 301-305 Investing in PACS using real option theory....Pages 307-314 Front Matter....Pages 315-315 Virtual reality — symbiosis of science and art....Pages 317-333 Back Matter....Pages 335-349 The book describes the current state of digital radiology. It does not merely report single experiences, but readers will benefit from the systematic recommendations given. The book describes the development of digital radiology and networking from the late eighties up to now and outlines future perspectives. It gives readers an easy, nonetheless comprehensive overview and also how-to-do guidance for their own activities when implementing a digital radiology system. The book is a synthesis of the editors own 10 years' experience in planning and working with a fully digital, large-scale radiology department and the contributions of internationally well-known experts in the field of digital radiology.