Incremental cost of department-wide implementation of a picture archiving and communication system and computed radiography.

Pratt, Hugh M.; Langlotz, Curtis P.; Feingold, Eric R.; Schwartz, J. Sanford; Kundel, Harold L.

doi:10.1148/radiology.206.1.9423679

Cited by 31 publications

(19 citation statements)

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“…1 However, in conversations with colleagues at other institutions with PACS already installed, there are few sites that are entirely ®lmless. A problem area seems to be diculty in the transition to ®lmless operations by outpatient clinics.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Soft Copy Distribution of Diagnostic Studies Before Soft Copy Interpretation

McEnery

Suitor

Thompson

et al. 2002

Journal of Digital Imaging

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To meet the imaging needs of an expanding clinical campus and clinical volume, a web-based image distribution system (Stentor, San Francisco, CA) was implemented before the implementation of soft copy interpretation. This study sought to assess system utilization as a metric of system's capability to meet demand for enterprise image review. Study period included all examinations stored on the system and subsequently viewed from June 1, 2001 to August 8, 2001. Server log files were analyzed for study storage and subsequent study retrieval. A total of 24,887 studies were stored on the server and available for immediate retrieval, and, of these, 12,458 studies (50%) subsequently were reviewed. Modality-specific study review included 65% for computed radiography, 46% for digital radiography, 56% magnetic resonance, 54% for computed tomography, and 18% for ultrasound scan. Enterprise image distribution before the implementation of picture archiving communication system is a viable operational decision and can be implemented successfully before implementation of soft copy interpretation. System utilization indicates a great value in the electronic availability of image studies.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Soft Copy Distribution of Diagnostic Studies Before Soft Copy Interpretation

McEnery

Suitor

Thompson

et al. 2002

Journal of Digital Imaging

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“…PACS offers the advantages of superior speed of image and radiological report dissemination, parallel viewing anywhere in a large hospital or its remote subsidiary clinics, fewer lost or misplaced images, compact storage, avoidance of environmental unsafe chemicals associated with film processing, and the intangible benefits associated with faster clinical management of patients. On the negative side PACS, in the past, has generally been associated with increased costs a compared with operating a screen-film library 6 , although other observers have claimed that it was economically viable 7 . In any event, with the plummeting cost of computer hardware and much improved image transmission speeds, PACS is much more viable now than ever before.…”

Section: General Radiographymentioning

confidence: 99%

Technical developments in radiology in Australasia dating from 1977

Heggie

2007

Australas. Phys. Eng. Sci. Med.

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This article outlines the enormous technological advances that have taken place in the practice of radiology in Australasia in the 30 years since approximately 1977. These developments have led to significant improvements in image quality across all modalities, including even general radiography, which had as its genesis Roentgen's ground-breaking discovery of X-rays in 1895. However, nowhere has the development been more dramatic than in magnetic resonance imaging (MRI). This may be brought into stark reality by noting that the first MRI image of a human finger was produced in 1976 followed one year later by that of a human chest and the first MRI units were not installed in Australia and New Zealand until 1986 and 1991, respectively. The quality of these early images would be judged as laughable by today's standards where the impressive isotropic imaging that can be achieved at sub-millimetre level by both MRI and CT could not have been dreamed of 30 years ago. The review also highlights some challenges for the future of the medical physics profession.

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“…The exciting concept of a 'film-less' hospital has many benefits for patient care including decreased exposure to radiation, no loss of images and lower rates of rejection [1][2][3] (Table I). Digital imaging may not initially realise cost benefits, 4,5 but advances in technology will rapidly facilitate this. The picture archiving and communication system (PACS) allows the viewing of pictures at diagnostic, consultation and remote computer workstations and the archiving of images on to magnetic or optical media using shortor long-term storage devices.…”

Section: From the Royal Infirmary Of Edinburgh Scotlandmentioning

confidence: 99%

“…A typical chest radiograph can be 10 Megabytes (Mb) and each slice of a CT or MR image can be about 1 Mb. A large radiology department can produce around 120 Gigabytes (Gb) per day 5 and could be required to store many terabytes (1000 Gb). The small numbers of images which would be in current use or required immediately can be stored in a fast access system.…”

Section: Digital Archive and Backupmentioning

confidence: 99%

“…Currently, film printing will be required for 10% to 20% of all investigations. [4][5][6] Within the hospital there can be a local area network (LAN) of either copper or fibre-optic cables for speed and capacity. Outside the hospital there can be a wide area network (WAN), or use of the Internet, to link many sites by a digital telephone line such as the integrated service digital network (ISDN) or satellite.…”

Section: Digital Image Output and Image Accessmentioning

confidence: 99%

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