Synchronized voice and image annotation in remote consultation and diagnosis for the global PACS

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Abstract
A Global PACS is a medical imaging system which enables the doctors to capture, archive, and retrieve medical images over wide area networks. In previous work, we have developed a distributed software for remote consultation and diagnosis in a Global PACS environment over the Internet or NSFNET. The doctors are able to interactively perform a remote consultation with basic image annotation commands. In this paper, we present a new mechanism for adding voice to this scenario and performing synchronization of voice and image annotation in a remote consultation and diagnosis session.

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