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. 2009 Dec;22(6):605-19.
doi: 10.1007/s10278-008-9130-3. Epub 2008 May 30.

Recording and reenactment of collaborative diagnosis sessions using DICOM

Affiliations

Recording and reenactment of collaborative diagnosis sessions using DICOM

Aldo von Wangenheim et al. J Digit Imaging. 2009 Dec.

Abstract

This paper presents a radiological collaborative tool capable of direct manipulation of Digital Imaging and Communications in Medicine (DICOM) images on both sides, and also recording and reenacting of a recorded session. A special collaborative application protocol formerly developed was extended and used as basis for the development of collaborative session recording and playback processes. The protocol is used today for real-time radiological meetings through the Internet. This new standard for collaborative sessions makes possible other uses for the protocol, such as asynchronous collaborative sessions, decision regulation, auditing, and educational applications. Experimental results are given which compare this protocol with other popular collaborative approaches. Comparison of these results shows that the proposed protocol performs much better than other approaches when run under controlled conditions.

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Figures

Fig 1
Fig 1
State-diagram for a direct connection between two clients.
Fig 2
Fig 2
Structure of the XVRRL file.
Fig 3
Fig 3
XML structure for shared DICOM files.
Fig 4
Fig 4
Tools negotiated at a session initiation.
Fig 5
Fig 5
Shared VoIP data representation.
Fig 6
Fig 6
Body of the description of command actions performed during the session.
Fig 7
Fig 7
Bandwidth consumption during the collaborative work.
Fig 8
Fig 8
Average values of latency time collected over 256 Kbytes/s.
Fig 9
Fig 9
Average values of latency time collected over 512 Kbytes/s.
Fig 10
Fig 10
Average values of latency time collected over an unlimited bandwidth.
Fig 11
Fig 11
Rendering error using NetMeeting. Some screen areas remain without being updated after presentation state change (changing layout from three-column to two-column) is complete.
Fig 12
Fig 12
Rendering error using Polycom. Some screen areas remain without being updated after presentation state change (changing layout from three-column to two-column) is complete.

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