???????????? ???????????? ????????? ?????????????? ????? ??????? ??????????? ?? ?????? PACS ? ???????? ????????

1
???????????? ???????????? ?????????
?????????????? ????? ??????? ??????????? ??
?????? PACS ? ???????? ????????
?????????? ?????? ????????

• 2011

2
??? ????? PACS

• ??????? ???????? ? ???????? ??????????? (Picture
  Archiving and Communicating System)
• ?????????? ???????????? ? ????????????
  ???????????, ???????????????? ??? ??????????????
  ? ????????????? ????????, ?????????, ??????????,
  ??????????????? ? ??????????????? ???????????
  ???????? ??????????????? ???????????

3
PACS Synapse
WEB - Server
RIS / HIS
DICOM / HL7

• ???? ??????
• ??????? ????????

4
??????????? ?????????? ? PACS???? ???
????????????? ??????
5
???????? ?????????? ? PACS????????????? ??????

• ?????????? ? PACS ? ????? ??? ?????????
  ????????????
• ??????????? ??????? ? ????????? ???????????????
  ??????

• ?????????? ? ????????????? PACS ???????????
• ????????? ??????? ??????? ?????? ? ?????????
  ???????? ?????????????
• ??????????? ????????????? ????????? /
  ????????????
• ????? ??????? ????? ???
• ?????????????????? ? ??????????
• Web ?????? ? ???????????? ?? ????? ????? (???,
  ???????? ?????????)
• ?????????? ?????? ? ?????? ? ????????????? ????
  ?????????????
• ??????????????????? ?????????? ? ???/??? ?
  ??????? PACS, ????????? DICOM, HL7, IHE
• ????????????????
• ?????? ??????????????? ?????? ??? ???? ???
  ???????, ???????????? ??????????? ??????
• ??????????? ????????? ??????? (? ?.?. ?????????
  ?????????? ????????? ???????)

6
???????? ?????????? ? PACS????????????? ??????
7
?????? ??????????? Synapse PACS ??? ???? ???
????? 3????/?
8
??????????? ??????????? Synapse??????
????????????? ? VMware
9
?????????????????? PACS?????????? ???????????
????????????
VMware VirtualCenter?????????? ??????? ?????????
???????????? SAN ??? ?????? VMotion
VM 4
VM 3
VM 2
VM 1
ESX Server
VM
ESX Server
VM
VM
VM
VM
ESX Server
Dell EMC SAN
VM
VM
ESX Server
VM
VM
VM
IT ?????????????????? ??????? ?????????
ESX Server
VMware ESX Server on Dell PE6850s
10
IHE XDS ?????????
???????? ?????????????? ???????? PID
?????????????
?????? ??????????
??????????? ??????????
??????????? ??????????
?????????
????????? ??????????
??????????? ??????????
??????????????????
11
???????? ?????? ?? ???? ?????????? ??????
???????????
Reference
180
100 KB
8 MB
130
Clinical
270 KB
1 2,5
Original lossless
3,2 MB
12
??????????? PACS
SAP
?????? ?? ????????????
?????? ???????? ? ???????????? ? ??????? DICOM
?????? ???????? ? ???????????? ? ??????? HL7
DICOM ??????
HL7 ??????

• ??????????? ????????
• ???????? ? ??????????
• ??????????? ?? ????????????

????????? ???????????
??????????? DICOM
???? ??????
?????? ????????
Cache-????????????????????? ????????
CD \ DVD
??????????? ??????????? ? DICOM ??????
WEB-??????
HSM
??????? ????????
????? ??-???? ??????? RAID ??????
LTO
13
??????????? PACS Synapse ? ???
14
???????????? ??????? PACS Synapse ??????
??????, ??????
???????????? ??????????? ???????????
?????? ??????????? ??????
??????????? AUSL ?????? (AUSL) ????????
????????? ???????? ???????? ????????
??????? ???????? ??????? ???????? ????? ????????
????????? ???????? ?????? ?????? ????????
????????????? ?????? ????? ????????? ????????
???????
15
??????????? PACS Synapse ?????? ??????, ??????
16
???????????? ??????? PACS Synapse ?????
??????????????? ??????? (???????), ???

• 6 ??????????????? ??????
• ????? 800 000 ??????????????? ???????????? ? ???
• 6.5 ???. ????????????, ????????????? ?? ????????
  ?????? PACS
• 24,000 ?????????????
• ????? 600 ?????? ???????????????? ????????????
• ????? ????????? ?? 75?? ? ???? ????????? ??????
  (????? 150??)
• ?????????? ? ??????? PACS ? ???

17
???????????? ??????? PACS Synapse ?????
??????????????? ??????? (???????), ???
18
???????????? ??????? PACS Synapse Baptist
memorial, ???
19
??????????????????? / ?????????????

• ????????? ???????????????? ?????????? ????????
  ??????
• DICOM (The Digital Imaging and Communications in
  Medicine) ???????? ??????????????? ? ?????????
  ??????????? ??????????? ?????? ???? ?????????? ??
  ?????????????
• HL7 (Health Level 7) ???????? ??? ???????????
  ??????? ??????, ?????????? ? ?????????
  ??????????? ?????????? ? ????????
• ??????? IHE (Integrating the Healthcare
  Enterprise) ??????????????? ???????????
  ??????????, ??????? ??????????? ??? ??????????
  ????????????? ???????????????? ?????????? ????
  DICOM, HL7, ? ????? ?????????? ????????????
  ??????. ??? ???? ?????? ??????????? ????, ???
  ?????? ????????? ?????? ?????????? ?
  ????????????? ? ????? ?????????????? ???????????
  ????????????.

20
??????????????????? / ?????????????
http//www.vmware.com/solutions/business-critical-
apps/fujifilm.html
DICOM conformance statement
http//www.voyanthealth.com/voyantflow.jsp
21
Synapse PACS ? ?????? SaaS / cloud
22
Synapse PACS ? ?????? SaaS???? ????? ? ???????,
???
http//www.rsdcolorado.com/pacs.htm
23
Synapse PACS ? ?????? SaaS???? ????? ? ???????,
???
24
Synapse PACS ? ?????? SaaS???? ????? ? ???????,
???
??????????-????? ? ???????, ??? (Fujifilm SaaS)
??????? ???????????????? ??????
SSL
VPN
??????????????? ?????? ?????????????????????????
???????
???????????????????? ??????
25
Synapse PACS ??????????????, ???

• ??????????????? ????? Reliable Imaging, USA
• ?????? ?? ?????????? ??????? ???????????????
  ???????????
• ???????????? PACS Synapse Fujifilm

http//www.reliableimaging.com/synapse.asp
26
?????? Synapse PACS ????? ?????????Synapse
Mobility
27
???????? ?????????? PACS Synapse
28
PACS Synapse ?????? ?????? ? ?????????????
??? ?????- ????????????
?????? Synapse
???????? ??
??? ?????? ???????? ? ?????? ?????????? ? ???????
2-3 ?
?????? ??????, ?????????, ???????? ??
?????? ?????? ? ?????? ??????????? ? ??????????
? ????? ????? ?? ?????? ?????
29
AON - ?????????? ?????? ???????????
RAID
??? ??????? ????? ???????? ? ????????? ?????
Reference
Clinical
??? ?????????
Original
??? ???????????
30
PACS ???????????? ?????????
Web Server Clients
Database Server
Archive Server
Modality Acquisition Gateways
RIS PACS Broker
Archive Device
NT Clinical Diagnostic Workstations
??????? PACS ??????? ????????????? ???????????
??????? ??? ?????? ?????? ?? ??? PACS Synapse
?????????? ?????? ???????
31
PACS Synapse ??????????? ????????????
PACS Synapse ?? ??????? ??????? ?????????
?????????????? ? ????? ???? ?????????? ??
???????????? ? ?????????? ????????????????
SOFTWARE RIS DICOM Acq. Database Web Server
?????? RAID
??? ?????- ????????????
?????
32
PACS Synapse ??????????? ????????????
PACS Synapse ????? ?????????????? ???????,
??????? ????? ??????????? ?????? ? ??????
???????????? ??? ? ????????? ??????????

• SOFTWARE
• RIS
• Database

• SOFTWARE
• DICOM Acq.
• Web Server

• SOFTWARE
• DICOM Acq.
• Web Server

?????? RAID
??????? ????? ??????-?????????????
?????
33
??????? ?????? ????????????

• ???? ? ??????? ?????? ???????????? ?????
  ??????????? ??? ???????????? ????????? ???
  ???????
• ??? ????????
• ID ????????
• ???????? ?????????
• ???? / ????? ????????????
• ??? ????????????
• ?????? ????????????

?????????? ?????? ???????????? ?????????
???????????? ??????? ???????
34
??????????? ????????? ? ??????? ???????????
?????? ? ???????? ?????????
??????? ?????? ? ?????? ?????????? ? ????????
??????? ?????? ???????????? ????????? ? ???????
???????????
35
?????????? MultiView?????????? ?????????? ??? ?
????
??????? ? http//hospital_A
??????? ? http//hospital_B
36
Synapse 3D3?-?????? ?????????????
Synapse 3D ??? ????? ??? 3?-??????
?????????????, ??????????????? ??????????????? ?
Synapse PACS ???????? ??? ??????? ????? ???????,
??? ? ??????????? ?????? ??? ????? ?????????? ?
??????????? (? ??? ?????, ?????? ?????? ? ??????,
?????????? ??????, ??????? ??????, ??????????????
????????? ??????, ?????? ??????? ? ??.)
?????????? ?????? ????????????
37
??????????? PACS Synapse ? ????
??????????? Synapse ? ????
??????
????????, ????, ??????, ?????????
????? 2900 ??????????? PACS Synapse ? 2010?.
38

• ???????!