Programové Vybavení Pro Provoz Nukleární Medicíny Software

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Programové Vybavení Pro Provoz Nukleární Medicíny Software ČESKÉ VYSOKÉ UČENÍ TECHNICKÉ V PRAZE FAKULTA BIOMEDICÍNSKÉHO INŽENÝRSTVÍ Katedra biomedicínské techniky Programové vybavení pro provoz nukleární medicíny Software Systems for Nuclear Medicine Diplomová práce Studijní program: Biomedicínská a klinická technika Studijní obor: Systémová integrace procesů ve zdravotnictví Autor diplomové práce: Bc. Jana Švagriková Vedoucí diplomové práce: MUDr. Jan Bruthans, Ph.D. Kladno 2018 PROHLÁŠENÍ Prohlašuji, že jsem diplomovou práci s názvem „Programové vybavení pro provoz nukleární medicíny“ vypracovala samostatně a použila k tomu úplný výčet citací použitých pramenů, které uvádím v seznamu přiloženém k diplomové práci. Nemám závažný důvod proti užití tohoto školního díla ve smyslu § 60 Zákona č. 121/2000 Sb., o právu autorském, o právech souvisejících s právem autorským a o změně některých zákonů (autorský zákon), ve znění pozdějších předpisů. V Kladně 18.05.2018 …...….………...………………... Bc. Jana Švagriková PODĚKOVÁNÍ Na tomto místě bych ráda poděkovala svému vedoucímu diplomové práce panu MUDr. Janu Bruthansovi, Ph.D. za vedení a připomínky k mé práci, jeho rady a konzultace. Dále bych chtěla poděkovat všem osloveným společnostem za jejich informace a poskytnuté materiály. Poděkování patří také všem zúčastněným odborníkům. V neposlední řadě děkuji své rodině a přátelům. ABSTRAKT Diplomová práce s názvem „Programové vybavení pro provoz nukleární medicíny“ se zaměřuje na zhodnocení existujících softwarových produktů, zejména radiologických informačních systémů pro využití v provozu nukleární medicíny. Hlavním cílem bylo zmapování současného aktuálního stavu problematiky s důrazem na Českou republiku. Vybrané systémy byly nejprve popsány pomocí deskriptivní metody. Pomocí analýzy SWOT byly zhodnoceny možnosti jednotlivých systémů. Pro výběr ideální varianty systémů byla zvolena metoda multikriteriálního rozhodování, metoda TOPSIS. Závěrem byl vytvořen návrh na doporučení pro uživatele systémů a celkové zhodnocení formou diskuse. Klíčová slova nukleární medicína, software, provoz, porovnání, informační systém, radiologický informační systém ABSTRACT Abstract Diploma thesis “Software Systems of Nuclear Medicine“ is focused on assessing existing software products, particularly radiological information systems for use in the nuclear medicine operation. The main goal was mapping of current state of this matter with emphasis on Czech Republic. Selected systems were firstly described by descriptive method. Functions of particular systems were assessed using SWOT analysis. For the selection of optimal variation of systems multiple-criteria decision analysis was used – namely TOPSIS method. Final part consists of suggestion with recommendation for system users and general evaluation in form of discussion. Keywords Nuclear medicine, software, operation, comparison, information systém, radiological information systém Obsah Úvod ................................................................................................................................ 13 1 Současný stav problematiky .................................................................................... 14 1.1 Nukleární medicína .......................................................................................... 14 1.2 Informační technologie .................................................................................... 15 1.3 E-health ............................................................................................................ 16 1.4 Telemedicína .................................................................................................... 16 1.4.1 Telemedicína ............................................................................................. 16 1.4.2 Teleradiologie ........................................................................................... 17 1.5 Informační systém (IS) ..................................................................................... 18 1.5.1 Požadavky na aplikaci NIS ....................................................................... 19 1.5.2 NIS v ČR ................................................................................................... 19 1.5.2.1 STAPRO, s.r.o....................................................................................... 19 1.5.2.2 ICZ a.s. .................................................................................................. 19 1.5.2.3 Medicalc software s.r.o. ........................................................................ 20 1.5.2.4 STEINER s.r.o. ..................................................................................... 20 1.5.2.5 AGEL a.s. .............................................................................................. 20 1.5.3 NIS v zahraničí ......................................................................................... 22 1.5.3.1 USA ....................................................................................................... 22 1.5.3.2 Velká Británie ....................................................................................... 22 1.5.3.3 Anglie .................................................................................................... 22 1.5.3.4 Německo ............................................................................................... 23 1.5.4 Radiologický informační systém (RIS) .................................................... 23 1.5.4.1 Dodavatelé RIS v ČR ............................................................................ 23 1.5.4.2 Umožnění standardního RIS ................................................................. 24 1.5.4.3 Modul pro nukleární medicínu obecně ................................................. 25 1.6 Související pojmy ............................................................................................. 27 1.6.1 Systém PACS ............................................................................................ 27 1.6.1.1 PACS na úrovni ČR .............................................................................. 27 1.6.2 Standardy a protokoly ............................................................................... 28 1.6.2.1 Datový standard DICOM ...................................................................... 29 1.6.2.2 Datový standard HL7 ............................................................................ 29 1.6.2.3 Datový standard DASTA ...................................................................... 29 1.6.3 Národní radiologické standardy ................................................................ 30 1.6.4 Legislativa oboru nukleární medicíny ...................................................... 31 Seznam aktuálně platné legislativy oboru nukleární medicíny .......................... 31 1.6.5 Strategie implementace ............................................................................. 34 1.6.5.1 Čtyři možné strategie pro zavedení nového IS nebo jeho části ............ 34 2 Metody ..................................................................................................................... 35 2.1 SWOT analýza ................................................................................................. 35 2.2 Nákladově-výstupové metody hodnocení ........................................................ 37 2.2.1 CEA .......................................................................................................... 37 2.3 Multikriteriální vyhodnocovací metody ........................................................... 38 2.3.1 Saatyho metoda ......................................................................................... 38 2.3.2 TOPSIS ..................................................................................................... 39 2.4 Metoda sběru dat .............................................................................................. 42 2.4.1 Sběr dat od uživatelů ................................................................................. 42 2.4.2 Sběr dat od dodavatelů .............................................................................. 42 3 Výsledky .................................................................................................................. 43 3.1 Deskriptivní metoda ......................................................................................... 43 3.1.1 FONS Akord ............................................................................................. 43 3.1.1.1 Produkt Radiologie................................................................................ 44 3.1.1.2 Přehled klíčových funkcí ....................................................................... 45 3.1.2 Radius ....................................................................................................... 47 3.1.2.1 Přehled klíčových funkcí ....................................................................... 48 3.1.3 Medicalc .................................................................................................... 49 3.1.3.1 Medicalc4 .............................................................................................. 50 3.1.3.2 Přehled klíčových funkcí ....................................................................... 51 3.1.4 S4M Radiologie ........................................................................................ 52 3.1.4.1 Přehled klíčových funkcí ....................................................................... 53 3.1.5 IKIS ..........................................................................................................
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