Enterprise-wide PACS: Beyond Radiology, an Architecture to Manage All Medical Images1

Relationship Between the Bevel of the Tuohy Needle and Catheter Direction in Thoracic Epidural Anesthesia

“…PACS shares the same resolution level with simple x-ray, but we can change the shadow, magnify views, and compare several pictures on the monitor to construct imaginary 3-dimensional views of the catheter. 5, 6 We achieved satisfactory views from PACS without using contrast media. However, in 4 of 106 patients, the catheter did not appear distinct from surrounding soft tissues.…”

“…Images can be manipulated to clarify lesions. 5,6 We evaluated whether PACS gives adequate visualization of catheter location, thus reducing the possible hazards related to contrast media.…”

Trends in PACS architecture

“…Overall organization and viewing facilities of a diagnostic PACS generally are not adapted to the more unstructured use of reference images [2]. In addition, a traditional PACS is structurally dependent on the DICOM format and related services, whereas many of the media used in a hospital were generated by consumer-level devices and are in the formats that are typically used in office applications [5].…”

An Engineering View on Megatrends in Radiology: Digitization to Quantitative Tools of Medicine

“…Many clinical departments, such as cardiology, dentistry, and radiation therapy, are incorporating medical imaging modalities into their workflow (7). Recently, the DICOM standards have been extended to incorporate medical specialties, such as radiotherapy, cardiology, pathology, and ophthalmology, such that the images can be viewed with respect to their specialty-specific information (8, 9).…”