RESUMEN
RATIONALE AND OBJECTIVES: To show the impact of the introduction of multi-detector computed tomography (CT) on radiologic workflow and to demonstrate how this reflects on picture archiving and communications systems (PACS) requirements. MATERIALS AND METHODS: Production measurements were obtained from different CT scanners (first two single-slice CT scanners; from December 2001 single and 4-slice CT; from April 2002 single and 16-slice CT) in number of patients from the radiologic information system. Implications on our PACS were recorded in terms of images and studies stored. Furthermore, our PACS design was made so that optimal use of 3-dimensional imaging within the radiologic workflow was possible. Finally, the number of non-diagnosed studies were recorded every day since the start of the transition to a filmless radiology department. RESULTS: This PACS design achieved a high level of integration between simple viewing and advanced 3-dimensional imaging and is optimized for handling large amounts of data. Overall increase of patients scanned with CT from January 2002-December 2003 was 54%. The number of series increased by 286% from December 2001-April 2003 and by 130% from April 2002-December 2003. From January 2002-February 2003, the number of images per patient increased from 175 to 450 (157%). Non-diagnosed studies decreased from about 100-120 before to practically zero after PACS implementation. CONCLUSION: PACS significantly increases productivity because of availability of the images and elimination of certain manual tasks. These results show that although the amount of examinations increases significantly with the introduction of MDCT, simultaneous introduction of PACS and filmless operation allows radiologists to handle the growth in workload.
Asunto(s)
Imagenología Tridimensional/métodos , Sistemas de Información Radiológica , Tomografía Computarizada por Rayos X/métodos , Eficiencia , Humanos , Imagenología Tridimensional/instrumentación , Radiología , Tecnología RadiológicaRESUMEN
PURPOSE: Reducing ice friction was one of the motives for developing the klapskate. However, the magnitude of power dissipation that occurs with conventional skates when a skater plantar flexes his ankle and the tip of the blade is pressed into the ice has not been quantified previously. In this study, we examine how ice friction varies during a single stroke with conventional skates and estimate the reduction in ice friction that might be obtained with klapskates. METHODS: Five elite speed skaters performed a series of trials at constant velocity and a series of maximal accelerations. Energy dissipated to ice friction during a stroke with conventional skates was analyzed using an instrumented skate and high-speed 3D kinematic analysis. The energy that would be dissipated when klapskates were used was estimated from the collected data with conventional skates. RESULTS: The estimated difference in power loss between conventional and klapskates was less dramatic than has been suggested frequently. Pressing the tip of the blade into the ice comprises only 0.84 W of the total power dissipated by ice friction (54 W) during constant velocity speed skating. During an all-out acceleration, this power loss reached 4.55 W. CONCLUSION: We conclude that only a minor part of the benefit of klapskates can be attributed to a reduction in ice friction. It is shown that this relatively small increase in ice friction is related to the large length of the skate blade.