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Downloaded From: http://proceedings.spiedigitallibrary.org/ on 06/23/2016 Terms of Use: http://spiedigitallibrary.org/ss/TermsOfUse.aspx Dr. Joe Darlak. Can I make a comment in view of your remarks. I think that we, working diagnostic radiologists, have been out in the field, we have seen the millions of standard X-ray units out there that create the film. I think that is where the problem is. I think that we should have a parallel effort, that we need some fast film scanning device to get it into a PAC system. I think that that is where the major emphasis should lie. I know its easy to go digital, but some of us don't have that 25% of our equipment or effort in digital radiography.Dr. Carol Newton. One more point?Bill Glenn. Well, one point, if you fail to take a step for medical communication of images and soak up some of what will become available in communications space on those satellites, then porno kings will get it from you and you won't have it in the future.Dr. Carol Newton. Just the issue of the question of sharing. It seems to me that you have probably got, with the security codes and special keys, as good a system as any for limiting the availability of these films to whomever you wish to have them. So, that is the last point the speaker from the floor brought up. I don't regard that as being too serious if its well done.Jef Kouwenberg. I think it may create a situation that (allows) management to make quality control checks. In our situation where medical records are stored, sometimes it appears that lab results are not correctly interpreted, that a wrong diagnosis is made. There are things that can be revealed when the information is made available. Then there will not be the issue of making a PACS with locks on that image information because there are people who are entitled to see that information and it is no longer information reserved strictly to the person who made that diagnosis. That is the problem I see.Bill Glenn. The gentleman in the blue suit.