论文标题
基于区块链的医疗图像共享和自动化关键通知通知:一个新颖的框架
Blockchain-based Medical Image Sharing and Automated Critical-results Notification: A Novel Framework
论文作者
论文摘要
在远程放射学方面,医学图像被传输给异地放射科医生进行解释,并将命令报告发送回原始地点,以帮助及时诊断和适当的患者护理。尽管远程放射学提供了巨大的好处,包括时间和成本效率,下班后的承保范围以及人员短缺管理,但仍有一些技术和运营限制可以克服其全部潜力。我们分析了当前的远期工作流程,以识别效率低下。图像不可用和延迟的关键结果沟通源于远程放射学实践和医疗机构之间缺乏系统整合,这是导致周转时间延长的最重要的因素之一。在本文中,我们提出了一个基于区块链的医疗图像共享和自动化关键通知平台,以解决当前限制。我们认为,所提出的平台将通过消除中介机构的需求来提高工作流程的效率,并通过消除将医疗图像存储在硬副本中来使患者受益。尽管取得了相当大的进步,但仍需要对治理和HIPAA合规性进行进一步的研究,以优化新应用程序的采用。为了实现工作范式的想法,我们将在下一阶段的研究中实施原型。
In teleradiology, medical images are transmitted to offsite radiologists for interpretation and the dictation report is sent back to the original site to aid timely diagnosis and proper patient care. Although teleradiology offers great benefits including time and cost efficiency, after-hour coverages, and staffing shortage management, there are some technical and operational limitations to overcome in reaching its full potential. We analyzed the current teleradiology workflow to identify inefficiencies. Image unavailability and delayed critical result communication stemmed from lack of system integration between teleradiology practice and healthcare institutions are among the most substantial factors causing prolonged turnaround time. In this paper, we propose a blockchain-based medical image sharing and automated critical-results notification platform to address the current limitation. We believe the proposed platform will enhance efficiency in workflow by eliminating the need for intermediaries and will benefit patients by eliminating the need for storing medical images in hard copies. While considerable progress was achieved, further research on governance and HIPAA compliance is required to optimize the adoption of the new application. Towards an idea to a working paradigm, we will implement the prototype during the next phase of our study.