Some cost-benefit considerations for PACS: a radiological perspective

Strickland, Nicola H.

doi:10.1259/0007-1285-69-828-1089

Cited by 45 publications

(14 citation statements)

References 24 publications

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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%

“…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%

See 1 more Smart Citation

Digital Imaging in Trauma and Orthopaedic Surgery

Wade

Oliver

McBride

2000

The Journal of Bone and Joint Surgery. British volume

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Section: From the Royal Infirmary Of Edinburgh Scotlandmentioning

confidence: 99%

Section: Digital Image Output and Image Accessmentioning

confidence: 99%

Digital Imaging in Trauma and Orthopaedic Surgery

Wade

Oliver

McBride

2000

The Journal of Bone and Joint Surgery. British volume

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“…Die gesamte Bildinformation wird gespeichert -somit sind Fensteränderungen, Bildmanipulationen und Messungen jederzeit mög-lich. Der Raumbedarf für ein digitales Archiv ist deutlich geringer als für ein konventionelles Röntgenbildarchiv [11].…”

Section: Pacs · Filmless · Mriunclassified

Filmlose Magnetresonanztomographie

et al. 1999

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At our hospital, an average MRI examination comprises 170 images. These examinations were evaluated exclusively on digital reporting systems with two high-resolution monitors for a period of 1 year. A retrospective analysis of this reporting method in comparison with films on a conventional viewing wall was performed with subjective and objective data. Radiologists and technicians were requested to evaluate the system on a subjective scale from 1 to 5 for seven topics (image analysis, inspection, time for reporting, handling, comparison with previous reports, quality of PC laser prints, training period). Moreover, personal interviews were conducted and protocols taken. Patient and image frequency, film costs, data transfer time and amount of system failures were evaluated as objective data. The most important results were: Two thirds of the film checking radiologists prefer the conventional viewing walls over the computer monitors. However, 70% of the residents prefer using the computer monitor for reporting. Seventy percent of the interviewed radiologists considered comparison with former examinations on film very difficult. Digitizing of former MRI examinations was not a convincing method; printing on a standard PC laser printer was considered to yield insufficient quality. The different acceptance between radiologists and residents seems to be related to different experiences. The reduction in film costs (48.6%) will improve further with complete PACS installation in the whole hospital. Data transfer rates are still poor; further improvement of network performance is necessary for convenient work. One whole MRI examination and report could be stored on CD-ROM for a cost of less than 2 euros. This could be a future means of cheap archiving and documentation suitable for viewing on any PC with DICOM III viewer. Images and reports could stay with the patients as in the past.

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“…The potential of this information technology has been well documented, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] primarily by groups that, according to the diffusion of innovation theory, 17 can be categorized as innovators and early adopters. But, will the hospitals that follow in their footsteps, referred to as "the late majority" using this theoretical framework, achieve the same results without the presence of the innovators but building on their experience?…”

Section: Introductionmentioning

confidence: 99%

Introducing PACS to the Late Majority. A Longitudinal Study

et al. 2008

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The purpose of this study was to study whether the benefits from introducing a picture archiving and communication systems (PACS) reported by innovators and early adopters also can be achieved by a hospital belonging to the "late majority" and to see whether such benefits are sustained, using report turnaround time (RTAT) as an indicator. Activity-related data was retrieved from the radiology information system (RIS) over a 2-year period. The median RTAT for preliminary reports was initially reduced from 12 to 2 h then increased to 3 h. For final reports, the median RTAT was initially reduced from 23 to 13 h then gradually reverted back to 22 h. Innovators and early adopters demonstrate not only that positive results can be achieved but also the importance of involving key personnel. We believe that such involvement and the focus on wider organizational concerns are important when introducing PACS to the late majority, both for achieving and sustaining positive results.

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Some cost-benefit considerations for PACS: a radiological perspective

Cited by 45 publications

References 24 publications

Digital Imaging in Trauma and Orthopaedic Surgery

Digital Imaging in Trauma and Orthopaedic Surgery

Filmlose Magnetresonanztomographie

Introducing PACS to the Late Majority. A Longitudinal Study

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