PACS and RIS

Zapf, Christian; Bermann, Andreas; Sunderbrink, Dirk

doi:10.1007/978-3-540-74658-4_65

Cited by 2 publications

(2 citation statements)

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“…Similarly, other health professionals have no concerns about reading such images and reports when access is within the domain of a health care organization. Image related data and working functions are accessed in a workflow supported by the picture archive and communication systems (PACS) and radiology information systems (RIS) of a radiology department [ 10 , 11 ]. When access is required from a remote location, health care organizations typically adopt a suitable teleradiology solution.…”

Section: The Tension Between Local and Global Radiology Practicesmentioning

confidence: 99%

“…Therefore, when ICTs were introduced into the radiology department to deal with personal and identifiable clinical and demographic information, they were used to support radiology practices that usually worked on a local basis. The examples include: (1) medical images generated on film were replaced by direct digital capture to produce a digital image available in DICOM standard format; (2) management of the physical films of medical images in the radiology department was replaced by PACS working according to DICOM requirements for image communication between individual components, such as imaging equipment, diagnostic and post-processing workstations, archive systems, and image distribution workplaces [ 10 , 11 ]; (3) the radiological workflow was mostly transposed to RIS/PACS, comprising software modules for creating orders, scheduling, reading, reporting, medical coding, recording services, and interfacing for billing systems, among others [ 11 ].…”

Section: Social Radiology Information Infrastructure Wrestles With Thmentioning

confidence: 99%

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Towards Social Radiology as an Information Infrastructure: Reconciling the Local With the Global

Motta

2014

JMIR Med Inform

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The current widespread use of medical images and imaging procedures in clinical practice and patient diagnosis has brought about an increase in the demand for sharing medical imaging studies among health professionals in an easy and effective manner. This article reveals the existence of a polarization between the local and global demands for radiology practice. While there are no major barriers for sharing such studies, when access is made from a (local) picture archive and communication system (PACS) within the domain of a healthcare organization, there are a number of impediments for sharing studies among health professionals on a global scale. Social radiology as an information infrastructure involves the notion of a shared infrastructure as a public good, affording a social space where people, organizations and technical components may spontaneously form associations in order to share clinical information linked to patient care and radiology practice. This article shows however, that such polarization establishes a tension between local and global demands, which hinders the emergence of social radiology as an information infrastructure. Based on an analysis of the social space for radiology practice, the present article has observed that this tension persists due to the inertia of a locally installed base in radiology departments, for which common teleradiology models are not truly capable of reorganizing as a global social space for radiology practice. Reconciling the local with the global signifies integrating PACS and teleradiology into an evolving, secure, heterogeneous, shared, open information infrastructure where the conceptual boundaries between (local) PACS and (global) teleradiology are transparent, signaling the emergence of social radiology as an information infrastructure.

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Section: The Tension Between Local and Global Radiology Practicesmentioning

confidence: 99%

Section: Social Radiology Information Infrastructure Wrestles With Thmentioning

confidence: 99%