The instant and simultaneous availability of radiologic examinations has long been of interest to referring clinicians, and certainly to radiologists, within and outside of the hospital. In daily clinical routine, the term “film management problem” has been used to describe a lack of access to this essential part of clinical information. Comprehensive picture archiving and communication systems (PACSs) have been proposed and implemented only within few institutions. This article discusses some of the most important standards, and technical and practical aspects of digital imaging and PACS.
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References
1.
NEMA publications PS 3-1-PS 3.12. Rosslyn, VA: National Electrical Manufacturers Association; 1992–1995:
2.
Ackerman Lv,Giltin Jn..ACR-NEMA digital imaging communication standard: demonstration at RSNA ′92 InfoRad.Radiology. 1992;195:394
3.
Bidgood Wd,Horil Sc,Prior Fw,Van Syckle De..Understanding and using DICOM, the data interchange standard for biomedical imaging.J Am Med Inform Assoc. 1997;4:199-212
4.
ACR standard for teleradiology: resolution 21. Reston, VA: American College of Radiology; 1994:
Lawson C..PACS vendor is helping pediatric hospital system realize online advantages.Adv Admin Radiol. 1996;5:63-64
10.
Wiltgen M,Gell G,Graif E,Stubler S,Kainz A,Pitzler R..An integrated picture and communications system—radiology information system in a radiology department.J Digit Imaging. 1993;6:16-24
11.
Honeyman J,Messinger Jm,Frost Mm,Staab Ev..Evaluation of requirements and planning for picture archiving and communication systems.Radiographics. 1992;12:141-149
12.
Wong Aw,Taira Rk,Huang Hk..Digital archive center: implementation for a radiology department.Am J Radiol. 1992;159:1101-1105
13.
Piqueras J,Carreno Jc,Ovelleiro M,Lucaya J,Enriquez G,Creixell S..Worklists, preloading and archiving strategies; 3 years of clinical experience in the Barcelona PACS.Med Inform. 1994;19:123-128
14.
Breant Cm,Taira Rk,Huang Hk..Integration of a voice processor machine in PACS.Comput Med Imaging Graph. 1993;17:13-19
15.
Kurdziel Ka,Hopper Kd,Zaidel M,Zukowski Mj..“Robo-Rad”: an inexpensive user-friendly multimedia report system for radiology.Telemed J. 1996;2:123-129
16.
16.RamaswamyMChaljubGEschOFanningDVan SonnenbergE.Impact of continuous speech recognition in MRI reporting. 83rd Annual Meeting of the Radiological Society of North America, November 30-December 5, 1997, Chicago, IL. Radiology1997;205:587
17.
17.EschOEverlingSFarrRChaljubGKavanaghPvVan SonnenbergE.Impact of continuous speech recognition on finalization of diagnostic reports in a large academic department. 83rd Annual Meeting of the Radiological Society of North America, November 30-December 5, 1997, Chicago, IL. Radiology1997;205:403
18.
De Simone Dn,Dundel Hl,Arenson Rl.Effect of a digital imaging network on physician behavior in an intensive care unit.Radiology. 1988;169:41-44
Dwyer Sj,Cox Gg,Cook Lt,McMillan Jh,Templeton Aw..Experience with high resolution digital grey scale display systems.Proc SPIE. 1990;1234:132-139
21.
Grimes S..Modular implementation of PACS: preliminary results of the RijksPACS project. Imaging equipment considerations.Eur J Radiol. 1992;16:62-63
22.
Huang Hk,Wong Aw,Zhu X..Performance of asynchronous transfer mode (ATM) local area and wide area networks for medical imaging transmission in clinical environment.Comput Med Imaging Graph. 1997;21:165-173
23.
Kennedy Te,Bronkalla M,Herro P..Evaluating digital archive system performance: looking beyond the jargon.J Cardiovasc Manage. 1995;6:33-34
Aberle Dr,Gleeson F,Sayre Jw.The effect of irreversible image compression on diagnostic accuracy in thoracic imaging.Invest Radiol. 1993;28:398-403
26.
Macmahon H,Doi K,Sanada S.Data compression: Effect of diagnostic accuracy in digital chest radiography.Radiology. 1991;178:175-179
27.
Baker Wa,Hearne Se,Spero La.Lossy (15:1) JPEG compression of digital coronary angiograms does not limit detection of subtle morphological features.Circulation. 1997;96:1157-1164
28.
Mun Sk,Elsayed Am,Tohme Wg,Wu Yc..Teleradiology/telepathology requirements and implementation.J Med Syst. 1995;19:153-163
29.
An application protocol for electronic data exchange in healthcare environments, version 2.2. Ann Arbor, MI: Health Level Seven, Inc.; 1994:
30.
Steckel Rj,Batra P,Johnson S.Comparison of hard and soft-copy digital chest images with different matrix sizes for managing coronary care unit patients.Am J Roentgenol. 1995;164:837-841
31.
Scott Ww,Bluemke Da,Mysko Wk.Interpretation of emergency department radiographs by radiologists and emergency medicine physicians: teleradiology workstation vs. radiograph readings.Radiology. 1995;195:223-229
32.
Goodman Lr,Foley Wd,Wilson Cr,Rimm Aa,Lawson Tl..Digital and conventional chest images: observer performance with film digital radiography system.Radiology. 1986;158:27-33
33.
Halpern Ej,Newhouse Jh,Amis Es.Evaluation of teleradiology for interpretation of intravenous urograms.J Digit Imaging. 1992;5:101-106
34.
Wegryn Sa,Piraino Dw,Richmond Bj.Comparison of digital and conventional muskuloskeletal radiography; an observer performance study.Radiology. 1990;175:225-228
35.
Krupinski Ea,Weinstein Rs,Rozek Sl..Experience-related differences in diagnosis from medical images displayed on monitors.Telemed J. 1996;2:101-108
36.
Ackerman Sj,Gitlin Jn,Gayler Rw,Flagle Cd,Bryan Rn..Receiver operating characteristic analysis of fracture and pneumonia detection: comparison of laser-digitized workstation images and conventional analog radiographs.Radiology. 1993;186:263-268
37.
Cox Gg,Cook Lt,McMillan Jh,Rosenthal Sj,Dwyer Sj..Chest radiography: comparison of high resolution digital displays with conventional and digital film.Radiology. 1990;176:771-776
38.
Curtis Dj,Gayler Bw,Gitlin Jn,Harrington Mb..Teleradiology: results of a field trial.Radiology. 1983;149:415-418
39.
Macmahon H,Metz Ce,Doi K,Kim T,Giger Ml,Chan Hp..Digital chest radiography: effect on diagnostic accuracy of hard copy, conventional video, and reversed gray scale video display formats.Radiology. 1986;158:21-26
40.
Scott Ww,Rosenbaum Je,Ackerman Sj.Subtle orthopedic fractures: teleradiology workstation versus film interpretation.Radiology. 1993;187:811-815
41.
Slasky Bs,Gur D,Good Wf.Receiver operating characteristic analysis of chest image interpretation with conventional, laser printed, and high resolution workstation images.Radiology. 1990;174:775-780
42.
Franken Ea,Driscoll Ce,Berbaum Ks.Teleradiology for a family practice center.JAMA. 1989;261:3014-3015
43.
Slovis Tl,Guzzardo-Dobson Pr..The clinical usefulness of teleradiology of neonates: expanded services without expanded services.Pediatr Radiol. 1991;21:333-335
44.
Disantis Dj,Scatarige Jc,Cramer Ms,Kim Mh..Feasibility of digital teleradiology for imaging evaluation of patients with acute right upper quadrant abdominal pain.Radiology. 1990;177:707-708
45.
Elam Ea,Rehm K,Hillman Bj,Maloney K,Fajardo Ll,McNeill K..Efficacy of digital radiography for the detection of pneumothorax: comparison with conventional chest radiography.AJR. 1992;158:509-514
46.
Goldberg Ma,Rosenthal Di Chew Fs,Blickman Jg,Miller Sw,Mueller Pr..New high-resolution teleradiology system: prospective study of diagnostic accuracy in 685 transmitted clinical cases.Radiology. 1993;186:429-434
47.
Krupinsky Ea,Maloney K,Bessen Sc.Receiver operating characteristic evaluation of computer display of adult portable chest radiographs.Invest Radiol. 1994;29:141-146
48.
Straub Wh,Gur D,Good Wf.Primary CT diagnosis of abdominal masses in a PACS environment.Radiol. 1991;178:739-743
49.
Yoshino Mt,Carmody R,Fajardo Ll,Seeger J,Jones K..Diagnostic performance of teleradiology in cervical spine fracture detection.Invest Radiol. 1992;27:55-57
50.
Lund Pj,Krupinski Ea,Pereles S,Mockbee B..Comparison of conventional and computed radiography: assessment of image quality and reader performance in skeletal extremity trauma.Acad Radiol. 1997;4:570-576
