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Arts and Sciences PET/CT PET/CT System in The EMR and PACS hospital 1 24359 2 44769 1 2 Key words: (1) PET/CT, (2) EMR, (3) HIS, (4) RIS, (5) PACS Summary The PET/CT inspection was started under an electronic medical recording system (EMR) and HIS-RIS-PACS environment in accordance with maintenance of the domestic delivery organization of FDG in October, 2005. Health medical examination is in the mainstream, and is inspecting about 1500 cases per year of PET/CT inspections. It can be applying smoothly combining an electronic portion and a PHS telephone of the hospital. The report can see a picture and a view report within in 3 seconds after about 500 sets of electronic medical recoding systems as a result of fee collection processing, an inspection order, and a picture. FDG-PET/CT2005 10 FDG EMR HIS RIS PACS 1,500 500 3 1999 EMR 1 HIS RIS PACS 1 2 3 2005 10 FDG-PET PET/CT PET/CT Hironori Tochiyama 1) (24359), Fumika Aose 2) (44769) 1) Radiological technologist, Part of secretariat, Tsuyama central hospital 2) Radiological technologist, Part of radiology, Tsuyama central hospital PET/CT 1. 1-1 EMR E-KARTE CTC HIS MACS order RIS MACS RIS PACS EV INSITE PSP EV PSP PET/CT DISCOVERY LS GE 1-2 PET/CT PET/CT RIS PACS EMRPET/CT 16 272 2013. vol.60 no.725

CT MRI 100 PET/CT 1-3 PET/CT PET/CT 2005 102011 11 1-4 PET/CTSPECT 7 5W 1H ID 915 key EHR PACS PET/CT 6 PET/CT 1-5 PET/CT CT MRI 1999SPECT SPECT 4 PET/CT SPECT PET/CT 1 SPECT SPECT 1 1-6 1-7PACS PET/CT 1-8 PDFEMR 5 2. 2-1 PET/CT Fig. 1 2005 10 10% 30% 2100 3 2011 11 1,443 2-2 2005 102011 11 6 100 03 17 273

2005 Oct. Dec. 2006 2007 2008 2009 2010 Fig. 1 PET/CT PATIENTS 2011 Jan. Nov. Medical check 40 81 127 86 81 62 26 In Medical 163 882 1125 1143 1265 1380 1417 Introduced Patients 19 89 82 116 106 121 165 Introduced Ratio 9.40% 9.20% 6.50% 9.40% 7.90% 8.40% 11.40% Sum Patients 203 963 1252 1229 1346 1442 1443 Fig. 2 PET/CT ordering monitor image device data GB NM 27.9 US 680.3 XA 922.4 RF 739.8 ES 397.2 MR 4885 CT 12068.3 CR 10044.5 PET/CT 127.6 sum 29893 2005/10/20 2012/11/25 Fig. 4 PACS server data CT MRI 2-4 Fig. 3 PET/CT 14 Fig. 3 The attention paper for the PET/CTpatients 2-3 PET/CTFig. 2 2-5 PACS Fig. 4PET/CT 2005 10 2012 11 PET/CT PET/CT1 PET MDCT 3 5 190Mbyte 1,500 200Mbyte 1,500 300Gbyte PACS 18 274 2013. vol.60 no.725

PET/CT Arts and Sciences 03 Fig. 5 PET/CT report breast ca post therapy follow 15 1 6PET/CT 127.6Gbyte MDCT 10,044.5Gbyte PACS PACS 2-6 Fig. 5 PET/CT Fig. 5 CT MRI PET/CT PET/CT 3. 3-1 PET/CT PET/CT PET/CT 4 2 1 PET/CT 25 3-2 PET/CT 6 EMR HIS RIS PACS 2, 3, 5, 7 19 275

3-3 1,500 6 GE PSP 28 3-4 PDF EMR ID Key 5 PDF PET/CT FDG 1, 2003 2. http://www.jami.jp/citizen/ doc/ekarte.pdf 2,, 58, 8, 1066-1071, 2002. 3 EMR, 51, 23-29, 2004. 4 EMR, 13, 24-26, 2003. 5 EMR,,, 2001 188-91, 2001. 6, FDG-PET/CT 1, 69 (8), 1887-1891, 2008. 7,, 2012 2, 72-78, 2012. 20 276 2013. vol.60 no.725