Image Retrieval Expert System (IRES), a knowledge-based system for automatic image retrieval, is being prototyped at the University of Arizona (U of A). IRES is to couple with the distributed database system designed for Structured PACS (S-PACS)1 to achieve the high system performance required by radiologists. IRES encompasses the "intelligence" of multiple expert radiologists. The system will predict and migrate the "old" images needed for comparison purposes during radiological exam readings from slower or remote storage devices to the local buffers of workstations. The use of IRES with the PACS Distributed Database System (DDBS) is expected to shorten the PACS system response time, save the time of radiologists in selecting films, minimize the turnaround time of the exam interpretation function, and increase diagnostic effectiveness by providing relevant images automatically. This paper presents the implementation details of this IRES prototype.
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