Tools for Managing Image Flow in the Modality to Clinical-Image-Review Chain

Clark, Kenneth W.; Melson, David L.; Moore, Stephen; Blaine, G. James; Moulton, Ralph A; Clayton, William K; Peterson, Colin S; Vendt, Bruce A.

doi:10.1007/s10278-003-1724-1

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…However, researchers involved in such work are cautioned that the problems with the present Radiology IT architecture run far deeper than can possibly be outlined in a single paper. To mention a few of these issues, environments with multiple RIS and PACS [16] installations add complexity, radiologists demand more extensive and relevant information about patients during interpretation [17], and sharing PACS among disparate institutions [18].…”

Section: Alternative Solutionsmentioning

confidence: 99%

Radiology IT: Applications Integration vs. Consolidation

Kijewski

2010

J Digit Imaging

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The question of whether Radiology IT systems should be composed of multiple applications integrated using standard data exchange protocols, such as DICOM and HL7, or implemented using consolidation of applications and systems has been debated for the past 30 years. The adequacy of the former approach has become a burning issue because the demands on Radiology IT systems have increased greatly. We report here on the experience of the Radiology Information Technology (IT) implementation at the Memorial Sloan-Kettering Cancer Center (MSKCC) over the past 11 years; during this time, the weekly image accumulation rate increased from 100,000 to 2,000,000 images. During the implementation period, major difficulties were encountered, largely as a result of the inadequacies of the Radiology IT architecture widely used in the healthcare industry. The approach we chose to correct some of these difficulties has been consolidation of some of the multiple systems and applications. Three examples of systems consolidation are discussed: (1) converting a dual-tier image storage system to a single tier, (2) consolidation of Mammography reading into PACS, and (3) enabling 3D visualization and analysis on the PACS workstation. Nevertheless, substantial research and development are needed in order to proceed with more extensive systems consolidation and, thus, a more manageable IT installation.

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Section: Alternative Solutionsmentioning

confidence: 99%

Radiology IT: Applications Integration vs. Consolidation

Kijewski

2010

J Digit Imaging

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“…A few studies on this topic have been published, but a standardized approach to measure TTDs does not exist. Clark et al 6 describe an intricate system to monitor image flow between modalities and PACS, which generates performance data as well. Most authors, 7,8 however, rely on manual measurements using stopwatches to determine the TTD of images.…”

Section: Introductionmentioning

confidence: 99%