Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Continuing quality improvement procedures for a clinical PACS

K P Andriole1, R G Gould, D E Avrin

  • 1University of California San Francisco, Department of Radiology 94143-0628, USA.

Journal of Digital Imaging
|September 15, 1998
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Early warning technology for infectious disease outbreaks in primary and secondary school students based on integrating hospital visit data and monitoring data of school absence due to illness: an effectiveness analysis].

Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi·2026
Same author

Predictive value of R2∗ values derived from blood oxygen level-dependent magnetic resonance imaging for lymph node metastasis after neoadjuvant chemotherapy for cervical squamous cell carcinoma.

Clinical radiology·2026
Same author

[Influence of scanning aid material and post space parameters on the trueness of intraoral scanners for post space: an <i>in vitro</i> study].

Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatology·2025
Same author

[Effect of different intraoral polishing protocols on the bond interface of three types of resin-matrix ceramic onlays].

Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatology·2025
Same author

[The 36th World Congress of Audiology summary and cutting-edge topics sharing].

Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery·2025
Same author

[Study of school influenza epidemic prediction based on Bayesian Structural Time Series model and multi-source data integration].

Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi·2025
Same journal

Bayesian Convolutional Neural Networks in Medical Imaging Classification: A Promising Solution for Deep Learning Limits in Data Scarcity Scenarios.

Journal of digital imaging·2023
Same journal

Detecting and Characterizing Inferior Vena Cava Filters on Abdominal Computed Tomography with Data-Driven Computational Frameworks.

Journal of digital imaging·2023
Same journal

DMCA-GAN: Dual Multilevel Constrained Attention GAN for MRI-Based Hippocampus Segmentation.

Journal of digital imaging·2023
Same journal

Left Ventricular Myocardial Dysfunction Evaluation in Thalassemia Patients Using Echocardiographic Radiomic Features and Machine Learning Algorithms.

Journal of digital imaging·2023
Same journal

Public Imaging Datasets of Gastrointestinal Endoscopy for Artificial Intelligence: a Review.

Journal of digital imaging·2023
Same journal

External Validation of Robust Radiomic Signature to Predict 2-Year Overall Survival in Non-Small-Cell Lung Cancer.

Journal of digital imaging·2023
See all related articles

The University of California at San Francisco implemented a Picture Archiving and Communication System (PACS), achieving a 35% filmless rate. A dedicated quality improvement committee ensured successful integration and user satisfaction for a filmless radiology department.

Area of Science:

  • Medical Imaging
  • Radiology Informatics
  • Health IT

Background:

  • The University of California at San Francisco (UCSF) Radiology Department was transitioning to a filmless environment.
  • A clinically operational Picture Archiving and Communication System (PACS) was implemented.
  • The goal was to achieve 75% filmless operation within one year.

Purpose of the Study:

  • To detail the design and implementation of a clinical PACS at UCSF.
  • To highlight the collaborative effort between academia and industry in PACS development.
  • To describe the infrastructure and strategies employed for successful PACS integration and user adoption.

Main Methods:

  • Digital image acquisition from various modalities including computed radiography (CR), computed tomography (CT), and magnetic resonance (MR) imagers.

Related Experiment Videos

  • Adherence to Digital Imaging and Communications in Medicine (DICOM) standards for communication and image format.
  • Implementation of hierarchical data archiving on RAID and magneto-optical disk jukeboxes.
  • Utilization of an object-oriented Oracle SQL database and HL7 standard for interfacing with the Radiology Information System.
  • Network infrastructure comprising switched and fast Ethernet, ATM over fiber optics, and a wide area network connecting six UCSF sites.
  • Deployment of dual-monitor display stations in key clinical areas like Radiology, Emergency Department (ED), and Intensive Care Units (ICU).
  • Formation of a Continuing Quality Improvement (CQI) committee involving diverse stakeholders for system integration, training, workflow modification, and quality assurance.

    • Main Results:

    • The PACS achieved 35% filmless operation, with a target of 75% within the year.
    • The collaborative design and implementation facilitated a smooth transition.
    • The CQI committee was crucial for developing new procedures, gathering user feedback, and enhancing user satisfaction.
    • Successful clinical operation was achieved, moving UCSF Radiology towards a filmless department.

    Conclusions:

    • The successful implementation of the PACS at UCSF Radiology demonstrates the effectiveness of a collaborative approach.
    • A well-structured Continuing Quality Improvement (CQI) process is essential for the successful clinical operation and user acceptance of PACS.
    • The integration of DICOM, HL7, robust archiving, and networking technologies supports the transition to a filmless radiology department.