Teleradiologie mit DICOM E-mail: Empfehlungen der @GIT

Mildenberger, P.; Kämmerer, M; Engelmann, Uwe; Ruggiero, S.; Klös, G.; Runa, A.; Schröter, Andre; Weisser, G; Walz, M.; Schütze, B.

doi:10.1055/s-2005-858049

Cited by 6 publications

(6 citation statements)

References 6 publications

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“…Several technical options and experiences have been discussed by the members of the group. The result was that only e-mail would allow the establishment of ad hoc connections without (or just minimal) changes to existing security policies and firewall configurations [3].…”

Section: Resultsmentioning

confidence: 99%

DICOM E-mail: Germany's minimum standard for teleradiology

Engelmann

Schütze

Schröter³

et al. 2005

International Congress Series

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Section: Resultsmentioning

confidence: 99%

DICOM E-mail: Germany's minimum standard for teleradiology

Engelmann

Schütze

Schröter³

et al. 2005

International Congress Series

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“…This became a task of the AGIT, German Radiology Society. The first results have been published in German [11]. This contribution describes the results of years 1 and 2 of the initiative.…”

Section: Introductionmentioning

confidence: 94%

Standardization of teleradiology using Dicom e-mail: recommendations of the German Radiology Society

et al. 2005

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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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“…Commercial gateways also allow the integration of these non-DICOM attachments into the DICOM workflow using a web server. DICOM images and non-DICOM attachments are joined with these solutions, as long as they are encoded using the X-tags according to the German national DICOM-e-mail standard [5,6].…”

Section: Server Based Teleradiology Gatewaymentioning

confidence: 99%

“…The national German standard for teleradiology as defined by the German Radiology Society in 2004 is also based on this protocol [5][6][7]. DICOMe-mail is a legacy free protocol and allows the secure exchange of DICOM images and other file based information using standard Internet connections and mailboxes.…”

Section: Introductionmentioning

confidence: 99%

Teleradiology applications with DICOM-e-mail

et al. 2006

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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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Teleradiologie mit DICOM E-mail: Empfehlungen der @GIT

Cited by 6 publications

References 6 publications

DICOM E-mail: Germany's minimum standard for teleradiology

DICOM E-mail: Germany's minimum standard for teleradiology

Standardization of teleradiology using Dicom e-mail: recommendations of the German Radiology Society

Teleradiology applications with DICOM-e-mail

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