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PACS: the silent revolution.

U Bick1, H Lenzen

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Picture Archiving and Communication Systems (PACS) hardware is available, but software needs improvement. Modern PACS must support radiologists in image interpretation and communication for efficient hospital operations.

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Area of Science:

  • Medical Imaging
  • Health Informatics
  • Radiology Information Systems

Background:

  • The concept of Picture Archiving and Communication Systems (PACS) and filmless hospitals emerged over 15 years ago.
  • Digital image acquisition, storage, communication, and display are core functions of PACS.
  • Early attempts at PACS implementation faced challenges, but necessary hardware is now mature.

Purpose of the Study:

  • To review the hard- and software requirements for efficient PACS operation.
  • To analyze the costs and benefits associated with PACS implementation.
  • To discuss future developments in PACS technology.

Main Methods:

  • Literature review of PACS development, focusing on hardware and software advancements.
  • Analysis of the evolution of PACS software functionalities beyond basic image management.
  • Examination of integration aspects with radiological and hospital information systems.

Main Results:

  • While PACS hardware is readily available, software development has lagged.
  • Recent advancements show software evolving to support radiologists in interpretation and communication.
  • Key software features include context-dependent display, workflow management, and computer-assisted diagnosis.

Conclusions:

  • Efficient PACS operation requires robust software that actively supports clinical tasks.
  • Integration with other information systems is crucial for seamless workflow.
  • Future PACS development will focus on enhanced diagnostic support and workflow optimization.