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An Evaluation Protocol for Picture Archiving and Communication System: a Systematic Review.

Mohsen S Tabatabaei1, Mostafa Langarizadeh1, Kamran Tavakol2

  • 1Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences. Tehran, Iran.

Acta Informatica Medica : AIM : Journal of the Society for Medical Informatics of Bosnia & Herzegovina : Casopis Drustva Za Medicinsku Informatiku Bih
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PubMed
Summary

This study proposes a logical evaluation protocol for Picture Archiving and Communication Systems (PACS). The protocol is designed to assess PACS suitability for healthcare institutions, especially in developing countries.

Keywords:
Evaluation protocolPACSpicture archiving and communication systemsystematic review

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Area of Science:

  • Medical Imaging Informatics
  • Health Information Systems

Background:

  • Picture Archiving and Communication Systems (PACS) are crucial for managing medical images in healthcare.
  • Evaluating PACS is essential to ensure technical, structural, and operational fitness.
  • New hospitals and developing countries often require specific PACS evaluation guidance.

Purpose of the Study:

  • To systematically review existing literature and propose a logical evaluation protocol for PACS.
  • To provide a tool for assessing PACS suitability, particularly for institutions in developing countries.

Main Methods:

  • Systematic review of 267 articles published between 2000 and 2017 from major scientific databases.
  • Data extraction and tabulation followed by review by three independent expert panels.
  • Statistical analysis of outcome data with reliability established at 0.82 using Pearson's correlation coefficient.

Main Results:

  • An optimal PACS evaluation protocol was developed, organized into nine key sections.
  • The protocol includes 20 essential components covering system configuration, network, storage, compression, image input, characteristics, presentation, communication, and security.
  • Expert panels ranked outcome data, ensuring a structured approach to PACS assessment.

Conclusions:

  • The developed protocol offers an objective tool for evaluating new or existing PACS in healthcare institutions.
  • It is particularly beneficial for healthcare settings in developing countries.
  • Potential limitations include resource constraints in certain clinical settings and host countries.