The Experts below are selected from a list of 4917 Experts worldwide ranked by ideXlab platform
M. Walz - One of the best experts on this subject based on the ideXlab platform.
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Teleradiology applications with DICOM-e-mail
European Radiology, 2006Co-Authors: G. Weisser, U Engelmann, A Schroter, S. Ruggiero, A. Runa, S. Baur, M. WalzAbstract:For the connection of several partners to a Dicom-e-mail based Teleradiology network concepts were developed to allow the integration of different Teleradiology applications. The organisational and technical needs for such an integration were analysed. More than 60 institutions including 23 hospitals in the Rhein-Neckar-Region, Germany were connected. The needed functionality was grouped in six Teleradiology applications (emergency consultation, tele-guided examinations, expert consultations, cooperative work, scientific cooperations and homework with on call services) and their technical and organisational needs according to availability, speed of transfer, workflow definitions and data security needs was analysed. For the local integration of Teleradiology services the setup and workflow is presented for a standalone Teleradiology workstation and a server based Teleradiology gateway. The line type needed for different groups of applications and users is defined. The security concept and fallback strategies are laid out, potential security problems and sources of errors are discussed. The specialties for the emergency Teleradiology application are presented. The DICOM-e-mail protocol is a flexible and powerful protocol that can be used for a variety of Teleradiology applications. It can meet the conditions for emergency applications but is limited if synchronous applications like teleconferences are needed.
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standardization of Teleradiology using dicom e mail recommendations of the german radiology society
European Radiology, 2006Co-Authors: G. Weisser, A Schroter, S. Ruggiero, A. Runa, M. Walz, M Kammerer, Peter Mildenberger, U EngelmannAbstract:Until recently there has been no standard for an interoperable and manufacturer-independent protocol for secure Teleradiology connections. This was one of the main reasons for the limited use of Teleradiology in Germany. Various Teleradiology solutions have been developed in the past, but the vast majority have not been interoperable. Therefore an ad hoc Teleradiology connection was impossible even between partners who were already equipped with Teleradiology workstations. Based on the evaluation of vendor-independent protocols in recent years the IT Working Group (AGIT) of the German Radiology Society set up an initiative to standardize basic Teleradiology. An e-mail based solution using the Dicom standard for e-mail attachments with additional encryption according to the OpenPGP standard was found to be the common denominator. This protocol is easy to implement and safe for personalized patient data and fulfills the legal requirements for Teleradiology in Germany and other countries. The first version of the recommendation was presented at the 85th German Radiology Convention in 2004. Eight commercial and three open-source implementations of the protocol are currently available; the protocol is in daily use in over 50 hospitals and institutions.
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The future of Teleradiology: results of Teleradiology Expert Meeting of the Health Network Congress 2001
Radiologe, 2002Co-Authors: M. Walz, Dietmar Dinter, Gerald Weisser, C. Reimann, R. Bolte, C. DüberAbstract:: Legal prerequisites have substantial influence on the development of Teleradiology. At an expert meeting (Mannheim, 8.6.2001) a proposal for a Teleradiology article in the new German x-ray ordinance has been set up. An exception of the demand for a doctor trained in radiation protection at the point of examination shall be established for emergency cases. To realize the intended improvement of patient care measurements for quality assurance concerning the medical personnel and processes are necessary. Along with other current developments the basis of secure regional Teleradiology networks is now built up.
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Teleradiology requirements and aims in germany and europe status at the beginning of 2000
European Radiology, 2000Co-Authors: M. Walz, G. Weisser, C. Reimann, R. Bolte, C Brill, U H Cramer, B Wein, Martin Haimerl, K J Lehmann, R LooseAbstract:Specific radiological requirements have to be considered for realization of telemedicine. In this article the goals and requirements for an extensive implementation of Teleradiology are defined from the radiological user's point of view. Necessary medical, legal and professional prerequisites for Teleradiology are presented. Superior requirements, such as data security and privacy or standardization of communication, must be realized. Application specific requirements, e. g. quality and extent of teleradiological functions as well as technological alternatives, are discussed. Each project must be carefully planned in relation to one's own needs, extent of functions and system selection. Topics like legal acceptance of electronic documentation, reimbursement of Teleradiology and liability must be clarified in the future.
G. Weisser - One of the best experts on this subject based on the ideXlab platform.
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Teleradiology applications with DICOM-e-mail
European Radiology, 2006Co-Authors: G. Weisser, U Engelmann, A Schroter, S. Ruggiero, A. Runa, S. Baur, M. WalzAbstract:For the connection of several partners to a Dicom-e-mail based Teleradiology network concepts were developed to allow the integration of different Teleradiology applications. The organisational and technical needs for such an integration were analysed. More than 60 institutions including 23 hospitals in the Rhein-Neckar-Region, Germany were connected. The needed functionality was grouped in six Teleradiology applications (emergency consultation, tele-guided examinations, expert consultations, cooperative work, scientific cooperations and homework with on call services) and their technical and organisational needs according to availability, speed of transfer, workflow definitions and data security needs was analysed. For the local integration of Teleradiology services the setup and workflow is presented for a standalone Teleradiology workstation and a server based Teleradiology gateway. The line type needed for different groups of applications and users is defined. The security concept and fallback strategies are laid out, potential security problems and sources of errors are discussed. The specialties for the emergency Teleradiology application are presented. The DICOM-e-mail protocol is a flexible and powerful protocol that can be used for a variety of Teleradiology applications. It can meet the conditions for emergency applications but is limited if synchronous applications like teleconferences are needed.
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standardization of Teleradiology using dicom e mail recommendations of the german radiology society
European Radiology, 2006Co-Authors: G. Weisser, A Schroter, S. Ruggiero, A. Runa, M. Walz, M Kammerer, Peter Mildenberger, U EngelmannAbstract:Until recently there has been no standard for an interoperable and manufacturer-independent protocol for secure Teleradiology connections. This was one of the main reasons for the limited use of Teleradiology in Germany. Various Teleradiology solutions have been developed in the past, but the vast majority have not been interoperable. Therefore an ad hoc Teleradiology connection was impossible even between partners who were already equipped with Teleradiology workstations. Based on the evaluation of vendor-independent protocols in recent years the IT Working Group (AGIT) of the German Radiology Society set up an initiative to standardize basic Teleradiology. An e-mail based solution using the Dicom standard for e-mail attachments with additional encryption according to the OpenPGP standard was found to be the common denominator. This protocol is easy to implement and safe for personalized patient data and fulfills the legal requirements for Teleradiology in Germany and other countries. The first version of the recommendation was presented at the 85th German Radiology Convention in 2004. Eight commercial and three open-source implementations of the protocol are currently available; the protocol is in daily use in over 50 hospitals and institutions.
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Teleradiology requirements and aims in germany and europe status at the beginning of 2000
European Radiology, 2000Co-Authors: M. Walz, G. Weisser, C. Reimann, R. Bolte, C Brill, U H Cramer, B Wein, Martin Haimerl, K J Lehmann, R LooseAbstract:Specific radiological requirements have to be considered for realization of telemedicine. In this article the goals and requirements for an extensive implementation of Teleradiology are defined from the radiological user's point of view. Necessary medical, legal and professional prerequisites for Teleradiology are presented. Superior requirements, such as data security and privacy or standardization of communication, must be realized. Application specific requirements, e. g. quality and extent of teleradiological functions as well as technological alternatives, are discussed. Each project must be carefully planned in relation to one's own needs, extent of functions and system selection. Topics like legal acceptance of electronic documentation, reimbursement of Teleradiology and liability must be clarified in the future.
Pekka Ruotsalainen - One of the best experts on this subject based on the ideXlab platform.
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Privacy and security in Teleradiology
European Journal of Radiology, 2010Co-Authors: Pekka RuotsalainenAbstract:Teleradiology is probably the most successful eHealth service available today. Its business model is based on the remote transmission of radiological images (e.g. X-ray and CT-images) over electronic networks, and on the interpretation of the transmitted images for diagnostic purpose. Two basic service models are commonly used Teleradiology today. The most common approach is based on the message paradigm (off-line model), but more developed Teleradiology systems are based on the interactive use of PACS/RIS systems. Modern Teleradiology is also more and more cross-organisational or even cross-border service between service providers having different jurisdictions and security policies. This paper defines the requirements needed to make different Teleradiology models trusted. Those requirements include a common security policy that covers all partners and entities, common security and privacy protection principles and requirements, controlled contracts between partners, and the use of security controls and tools that supporting the common security policy. The security and privacy protection of any Teleradiology system must be planned in advance, and the necessary security and privacy enhancing tools should be selected (e.g. strong authentication, data encryption, non-repudiation services and audit-logs) based on the risk analysis and requirements set by the legislation. In any case the Teleradiology system should fulfil ethical and regulatory requirements. Certification of the whole Teleradiology service system including security and privacy is also proposed. In the future, Teleradiology services will be an integrated part of pervasive eHealth. Security requirements for this environment including dynamic and context aware security services are also discussed in this paper. © 2009 Elsevier Ireland Ltd. All rights reserved.
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privacy and security in Teleradiology
European Journal of Radiology, 2010Co-Authors: Pekka RuotsalainenAbstract:Teleradiology is probably the most successful eHealth service available today. Its business model is based on the remote transmission of radiological images (e.g. X-ray and CT-images) over electronic networks, and on the interpretation of the transmitted images for diagnostic purpose. Two basic service models are commonly used Teleradiology today. The most common approach is based on the message paradigm (off-line model), but more developed Teleradiology systems are based on the interactive use of PACS/RIS systems. Modern Teleradiology is also more and more cross-organisational or even cross-border service between service providers having different jurisdictions and security policies. This paper defines the requirements needed to make different Teleradiology models trusted. Those requirements include a common security policy that covers all partners and entities, common security and privacy protection principles and requirements, controlled contracts between partners, and the use of security controls and tools that supporting the common security policy. The security and privacy protection of any Teleradiology system must be planned in advance, and the necessary security and privacy enhancing tools should be selected (e.g. strong authentication, data encryption, non-repudiation services and audit-logs) based on the risk analysis and requirements set by the legislation. In any case the Teleradiology system should fulfil ethical and regulatory requirements. Certification of the whole Teleradiology service system including security and privacy is also proposed. In the future, Teleradiology services will be an integrated part of pervasive eHealth. Security requirements for this environment including dynamic and context aware security services are also discussed in this paper.
U Engelmann - One of the best experts on this subject based on the ideXlab platform.
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Teleradiology applications with DICOM-e-mail
European Radiology, 2006Co-Authors: G. Weisser, U Engelmann, A Schroter, S. Ruggiero, A. Runa, S. Baur, M. WalzAbstract:For the connection of several partners to a Dicom-e-mail based Teleradiology network concepts were developed to allow the integration of different Teleradiology applications. The organisational and technical needs for such an integration were analysed. More than 60 institutions including 23 hospitals in the Rhein-Neckar-Region, Germany were connected. The needed functionality was grouped in six Teleradiology applications (emergency consultation, tele-guided examinations, expert consultations, cooperative work, scientific cooperations and homework with on call services) and their technical and organisational needs according to availability, speed of transfer, workflow definitions and data security needs was analysed. For the local integration of Teleradiology services the setup and workflow is presented for a standalone Teleradiology workstation and a server based Teleradiology gateway. The line type needed for different groups of applications and users is defined. The security concept and fallback strategies are laid out, potential security problems and sources of errors are discussed. The specialties for the emergency Teleradiology application are presented. The DICOM-e-mail protocol is a flexible and powerful protocol that can be used for a variety of Teleradiology applications. It can meet the conditions for emergency applications but is limited if synchronous applications like teleconferences are needed.
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standardization of Teleradiology using dicom e mail recommendations of the german radiology society
European Radiology, 2006Co-Authors: G. Weisser, A Schroter, S. Ruggiero, A. Runa, M. Walz, M Kammerer, Peter Mildenberger, U EngelmannAbstract:Until recently there has been no standard for an interoperable and manufacturer-independent protocol for secure Teleradiology connections. This was one of the main reasons for the limited use of Teleradiology in Germany. Various Teleradiology solutions have been developed in the past, but the vast majority have not been interoperable. Therefore an ad hoc Teleradiology connection was impossible even between partners who were already equipped with Teleradiology workstations. Based on the evaluation of vendor-independent protocols in recent years the IT Working Group (AGIT) of the German Radiology Society set up an initiative to standardize basic Teleradiology. An e-mail based solution using the Dicom standard for e-mail attachments with additional encryption according to the OpenPGP standard was found to be the common denominator. This protocol is easy to implement and safe for personalized patient data and fulfills the legal requirements for Teleradiology in Germany and other countries. The first version of the recommendation was presented at the 85th German Radiology Convention in 2004. Eight commercial and three open-source implementations of the protocol are currently available; the protocol is in daily use in over 50 hospitals and institutions.
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a three generation model for Teleradiology
International Conference of the IEEE Engineering in Medicine and Biology Society, 1998Co-Authors: U Engelmann, A Schroter, Ulrike Baur, O Werner, Markus Schwab, Henning Muller, Hanspeter MeinzerAbstract:This paper proceeds from the definition of Teleradiology. It identifies three different generations of Teleradiology systems and includes those systems that are not regarded as Teleradiology systems by the authors. A list of requirements pertinent to users of first-generation Teleradiology systems is introduced. Most of the requirements have been realized in a new generation Teleradiology system called CHILL.
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how to deal with security issues in Teleradiology
Computer Methods and Programs in Biomedicine, 1997Co-Authors: Hans Jurgen Baur, U Engelmann, Ulrike Baur, Andre Schröter, F Saurbier, Hanspeter MeinzerAbstract:Abstract The use of teleradiological systems for medical image communication is increasing significantly. Digital images can be transferred over public telephone (e.g. ISDN) lines to colleagues for interpretation and/or consultation. Thus, a new quality is being introduced into the process of radiological diagnostics. However, technical implementation of such systems is accompanied by little consideration of legal, i.e. data protection and security, issues. In this paper we describe a concept for data protection in Teleradiology which unites aspects of privacy and security as well as user aspects. After highlighting the legal situation in Germany we describe the methodology used for deriving the security profile for Teleradiology in Germany. As a result the set of security measures which have to be employed with a Teleradiology system is listed. A detailed description follows of how the software requirements are implemented in the Teleradiology software MEDICUS.
Giles W Boland - One of the best experts on this subject based on the ideXlab platform.
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comparison of european esr and american acr white papers on Teleradiology patient primacy is paramount
Journal of The American College of Radiology, 2015Co-Authors: E R Ranschaert, Giles W Boland, Andre J Duerinckx, Frits Barneveld H BinkhuysenAbstract:Abstract The ACR and European Society of Radiology white papers on Teleradiology propose best practice guidelines for Teleradiology, with each body focusing on its respective local situation, market, and legal regulations. The organizations have common viewpoints, the most important being patient primacy, maintenance of quality, and the "supplementary" position of Teleradiology to local services. The major differences between the white papers are related mainly to the market situation, the use of Teleradiology, teleradiologist credentialing and certification, the principles of "international" Teleradiology, and the need to obtain "informed consent" from patients. The authors describe these similarities and differences by highlighting the background and context of Teleradiology in Europe and the United States.
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acr white paper on Teleradiology practice a report from the task force on Teleradiology practice
Journal of The American College of Radiology, 2013Co-Authors: Ezequiel Silva, Jonathan Breslau, Robert M Barr, Lawrence A Liebscher, Michael Bohl, Thomas R Hoffman, Giles W Boland, Cynthia Sherry, Samir S Shah, Mike TilkinAbstract:Teleradiology services are now embedded into the workflow of many radiology practices in the United States, driven largely by an expanding corporate model of services. This has brought opportunities and challenges to both providers and recipients of Teleradiology services and has heightened the need to create best-practice guidelines for Teleradiology to ensure patient primacy. To this end, the ACR Task Force on Teleradiology Practice has created this white paper to update the prior ACR communication on Teleradiology and discuss the current and possible future state of Teleradiology in the United States. This white paper proposes comprehensive best-practice guidelines for the practice of Teleradiology, with recommendations offered regarding future actions.
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Teleradiology another revolution in radiology
Clinical Radiology, 1998Co-Authors: Giles W BolandAbstract:Teleradiology systems are rapidly being deployed by an increasing number of radiological services. Many articles have already been published on the technological developments of Teleradiology but little attention has been given to its expected impact on the delivery of health care. This review article will therefore outline the historical and current technological developments of Teleradiology and its potential future implementation into mainstream radiology.
