Advertisement

European Radiology

, 17:1331 | Cite as

Teleradiology applications with DICOM-e-mail

  • G. WeisserEmail author
  • U. Engelmann
  • S. Ruggiero
  • A. Runa
  • A. Schröter
  • S. Baur
  • M. Walz
Computer Applications

Abstract

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.

Keywords

Teleradiology DICOM-e-mail Telemedicine Internet 

Notes

Acknowledgment

This work was partially supported by the Zukunftsoffensive III of the Social Ministry of the state of Baden-Württemberg, Germany.

References

  1. 1.
    Emailaddresses.com (2005) Overview e-mail services. http://www.emailaddresses.com/email_market_size.htm. Cited 11 May 2005
  2. 2.
    Bergh B, Schlaefke A, Pietsch M, García I, Vogl TJ (2003) Evaluation of a “no-cost” Internet technology-based system for teleradiology and co-operative work. Eur Radiol 13:425–434PubMedGoogle Scholar
  3. 3.
    Mildenberger P, Eichelberg M, Martin E (2002) Introduction to the DICOM standard. Eur Radiol 12:920–927PubMedCrossRefGoogle Scholar
  4. 4.
    DICOM Standards Committee (2000) DICOM supplement 54 (DICOM-E-mail). http://medical.nema.org/DICOM/supps/sup54_pc.pdf. Cited 07 September 2005
  5. 5.
    Mildenberger P, Kämmerer M, Engelmann U, Ruggiero S, Klos G, Runa A, Schröter A, Weisser G, Walz M, Schütze B (2005) Teleradiologie mit DICOM E-Mail: Empfehlungen der @GIT. RoFo-Fortschr Rontg 177:697–702CrossRefGoogle Scholar
  6. 6.
    Weisser G, Walz M, Ruggiero S, Kämmerer M, Schröter A, Runa A, Mildenberger P, Engelmann U (2006) Standardization of teleradiology using DICOM-e-mail: recommendations of the German Radiology Society. EurRadiol 16(3):753–758Google Scholar
  7. 7.
    Engelmann U, Schütze B, Schröter A, Weisser G, Walz M, Kämmerer M, Mildenberger P (2005) DICOM-e-mail: the German minimal standard for teleradiology. In Lempke HU, Inamura K, Doi K, Vannier MW, Farman AG (eds). Proceedings of the 19th international congress and exhibition computer assisted radiology and surgery CARS 2005. Amsterdam: Elsevier pp 926–931Google Scholar
  8. 8.
    Arbeitsgemeinschaft Informationstechnologie (2005) List of vendors supporting DICOM-e-mail. http://www.tele-x-standard.de/html/mitglieder.html. Cited 22 December 2005
  9. 9.
    Homepage of the Teleradiology Project Rhein-Neckar-Triangle, Germany (2005) Das Teleradiologie-Projekt Rhein-Neckar-Dreieck. http://www.teleradiologie-rnd.de. Cited 16 September 2005
  10. 10.
    Engelmann U, Schroeter A, Schweitzer T, Meinzer HP (2002) The communication concept of a regional stroke unit network based on encrypted image transmission and the DICOM-mail standard. In: Lemke HU, Vannier MW, Inamura K, Farman AG, Doi K, Reiber JHC (eds). CARS 2002. Heidelberg: Springer 612–617Google Scholar
  11. 11.
    Weisser G, Walz M, Koester C, Dinter D, Duber C (2002) New concepts in teleradiology with Dicom e-mail. Biomed Tech 90(5):356–359CrossRefGoogle Scholar
  12. 12.
    OpenPGP Alliance (2005) The OpenPGP Alliance homepage. http://www.openpgp.org. Cited 07 September 2005
  13. 13.
    Network Working Group (1998) RFC2440: OpenPGP message format. http://www.ietf.org/rfc/rfc2440.txt. Cited 07 September 2005
  14. 14.
    Walz M, Bolte R, Lehmann KJ, Hothorn T, Brill C, Hotohorn L (1997) ANARAD: Requirements to teleradiology from Germans users point of view. In: Lemke HU, Vannier MW, Inamura K (Eds). Computer Assisted Radiology and Surgery (CAR 1997), Elsevier, Amsterdam, 615–620Google Scholar
  15. 15.
    Walz M, Klose KJ, Wein B (1999) Bericht zu Teleradiologie-Aktivitäten und -Ergebnissen der ANARAD-Studie und AGIT. RoFo-Fortschr Rontg 170: M 107–110Google Scholar
  16. 16.
    Walz M, Brill C, Bolte R, Cramer U, Wein B, Reimann C, Haimerl M, Weisser G, Lehmann KJ, Loose R, Georgi M (2000) Teleradiology requirements and aims in Germany and Europe: status at the beginning of 2000. Eur Radiol 10:1472–1482PubMedCrossRefGoogle Scholar
  17. 17.
    Lienemann B, Hodler J, Luetolf M, Pfirrmann CW (2005) Swiss teleradiology survey: present situation and future trends. Eur Radiol 15:2157–2162PubMedCrossRefGoogle Scholar
  18. 18.
    University Hospital Mannheim (20059 Link to DICOM-e-mail OpenSource software: http://www.teleradiologie-rnd.de/eng/tr-rnd_osource.html. Cited 28 November 2005
  19. 19.
    University Hospital Mainz, Germany (2005) Link to DICOM-e-mail OpenSource software. http://www.tele-x-standard.de/html/download_disclaimer.html. Cited 28 November 2005
  20. 20.
    Network Working Group (1999) RFC2554: SMTP service extension for authentication. http://www.ietf.org/rfc/rfc2554.txt. Cited 07 September 2005
  21. 21.
    European Commission (1998) Medical device directive (MDD) 93/42/EECGoogle Scholar
  22. 22.
    Parisi SB, Mogel GT, Dominguez R, Dao H, Cramer TJ (1998) The effect of 10:1 compression and soft copy interpretation on the chest radiographs of premature neonates with reference to their possible application in teleradiology. Eur Radiol 8:141–143PubMedCrossRefGoogle Scholar
  23. 23.
    Bergh B, Schlaefke A, Frankenbach R, Vogl TJ (2004) Remote access to a web-based image distribution system. Rofo 176:896–901PubMedGoogle Scholar
  24. 24.
    Ludwig K, Bick U, Oelerich M, Schuierer G, Puskas Z, Nicolas K, Koch A, Lenzen H (1998) Is image selection a useful strategy to decrease the transmission time in teleradiology? A study using 100 emergency cranial CTs. Eur Radiol 8:1719–21PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • G. Weisser
    • 1
    Email author
  • U. Engelmann
    • 2
  • S. Ruggiero
    • 1
  • A. Runa
    • 1
  • A. Schröter
    • 3
  • S. Baur
    • 4
  • M. Walz
    • 5
  1. 1.Department of Clinical RadiologyUniversity Hospital MannheimMannheimGermany
  2. 2.Division of Medical and Biological InformaticsGerman Cancer Research CenterHeidelbergGermany
  3. 3.CHILI GmbHHeidelbergGermany
  4. 4.Curagita AGHeidelbergGermany
  5. 5.Medical Office for Quality Assurance in RadiologyHessenGermany

Personalised recommendations