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PACS and Imaging Informatics: Basic Principles and Applications, Second Edition by H. K. Huang, D.Sc., FRCR, FAIMBE

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CHAPTER 24

Multimedia Electronic Patient Record (ePR) System for Image-Assisted Spinal Surgery

The multimedia electronic patient record (ePR) system for image-assisted surgery consists of text, consent forms, imaged, waveforms, and graphics. We use the term ePR in this chapter for convenience. The criteria in multimedia are not only data integration but also some data acquisition and integration has to be performed in real time during the surgery. This type of multimedia ePR is classified as the “dynamic multimedia.” Therefore the real-time component has to be considered rigorously and its handling and managing are different from the static multimedia.

For convenience, Figure 20.9 reproduced here as Figure 24.1, the center rectangle and the lower ellipse in orange color show the position of, and components involved in, the chapter.

In Chapter 23 the static multimedia ePR system in RT was presented as a concept and validated by using a laboratory prototype with 10 virtual patients. In this chapter the dynamic multimedia ePR system for minimally invasive spinal surgery (MISS) will be described. We start from scratch, step by step, to tell what is MISS, why it needs the ePR, how to design based on existing clinical workflow and parameters, implement, and deploy the system for daily clinical operation. The California Spine Institute (CSI) is the clinical partner for developing this system.

24.1 INTEGRATION OF MEDICAL DIAGNOSIS WITH IMAGE-ASSISTED SURGERY TREATMENT

24.1.1 Bridging ...

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