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Cholangiocarcinoma is the most common in northeast Thailand and the second of most common primary liver cancer worldwide. As an online information system, it reduces the burden more clinical research and education are required and eliminates the restrictions of the traditional isolated PACS workstations. In addition, The periductal fibrosis ultrasound images can be applied for the cholangiocarcinoma screening system. However, the ultrasound images are lack of contrast and a lot of speckle noise. This study developed a web-based integrated clinical information system and periductal fibrosis ultrasound image processing for cholangiocarcinoma to enable rapid access to both digital images and associated text reports for audit, education and research. Emphasizing confidentiality of anonymised data and access control, the system provides a virtual collaboration platform integrating various clinical data sets for research and continuing education. What’s more, the study presented image processing algorithm to improve the lack of contrast, reduce the speckle noise and preserving the edge, smooth region in periductal fibrosis ultrasound image. The system can potentially support remote consulting and statistical analysis of aggregated multimodality data. Furthermore, the performance of algorithm from the experimental results shown that increase the performance for enhancing the periductal fibrosis ultrasound image for cholangiocarcinoma screening system.

A Web-based Integrated Medical Information System for Cholangiocarcinoma Screening and Periductal Fibrosis Ultrasound Image Processing