Are Hospital-wide PACS Implementations Possible now (soon)?
Until now, clinical trials of PACS have been limited in two dimensions. Firstly, the implementation concerned only part of the hospital or specific categories of images. Secondly, the PACS was used in parallel, and not instead of film. Recently, three large PACS implementation projects have been announced, i.e. SMZO-Vienna, MDIS-USA and Hammersmith-London. These projects break new ground, since they are concerned with hospital-wide and virtually fdmlers PACS.
Based on our experiences within the Dutch PACS project (1986–1989), the AIIVI/HIPACS project (1989–1990) and the information obtained from many visits to PACS sites we feel that before PACS may be implemented hospital-wide and filmless in clinical routine quite some technical problems with the currently available systems need to be solved. This paper presents the bottlenecks perceived: eg. diagnostic requirements on image quality, needed network, storage and workstation performance and system availability, HIS/RIS-PACS integration and impact on the organization of the hospitals. Suggested research to contribute to the elimination of the shortcomings of the current generation PACS will be discussed.
KeywordsMigration Europe Beach Editing
Unable to display preview. Download preview PDF.
- 1.Mosser H, Mandl A, Urban M, Hradil H, Hruby W (1991) The Vienna SMZO project, Proc. NATO ASI PACS in Medicine, October 1990, Springer Verlag, in printGoogle Scholar
- 2.Goeringer F (1991) Medical Diagnostic Imaging Support system for military medicine, Proc. NATO ASI PACS in Medicine, October 1990, Springer Verlag, in print.Google Scholar
- 3.Glass HI, Slark NA (1991), PACS and related research in the United Kingdom, Proc. NATO ASI PACS in Medicine, October 1990, Springer Verlag, in printGoogle Scholar
- 4.BAZIS, Utrecht University Hospital, Philips (1991), Concluding Report Dutch PACS Project Picture Archiving and Communication System Phase-I (1986-1989), Leiden/Utrecht/Eindhoven, The Netherlands, March 1990.Google Scholar
- 5.HIPACS-I (1991), Hospital Integrated Picture Archiving and Communication Systems: Second Generation Concept, Springer Verlag, Berlin, in printGoogle Scholar
- 6.Ottes FP, de Valk JPJ, Croon HM, Barneveld Binkhuysen FH, Seeley GW, Winter LHL, Schultze Kool JL (1989), Diagnostic image quality evaluation chain: applications of the FEASIBLE package in practice, Proceedings Medical Imaging III Conference, January 1989, Newport Beach, SPIE VoL 1093, pp. 2 - 9.Google Scholar
- 8.Van Poppel BM, Lodder H, Elsakkers PH, Koens ML, Bakker AR (1991), Prefetching offers prospects for a quick responding PACS, in this volume.Google Scholar
- 10.Taira RK, Chan KK, Stewart BK, Weinberg WS (1991), PACS reliability issues, Proc. NATO ASI PACS in Medicine, October 1990, Springer Verlag, in printGoogle Scholar
- 11.Rienhoff O, Greinacher CFC, editors (1988), A general PACS-RIS interface, In: Lecture notes in Medical Informatics, Springer Verlag, Berlin.Google Scholar