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Proceedings Paper

Ongoing evaluation of PACS in a clinical setting
Author(s): Martin Trefler; Edward Russell
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Paper Abstract

The radiology department of Jackson Memorial Hospital processes 255,000 clinical examinations each year -- 65,000 of which are portable x rays. Film transportation and loss are major obstacles to the smooth operation of this department. To assist in the solution of these problems we have designed and begun the piecemeal installation of a clinical PACS. This system is based on a platform of IBM RISC/6000 computers and software developed by Genesys Corporation. The initial installation involved the digitization of the portable x rays from three ICUs. The images (in the form of a matrix of 2048 X 1648 pixels) are then entered into the network and can be viewed simultaneously in the radiology department and in the ICU. The second phase of installation, involving the images from two CT scanners and two MRI scanners is currently underway. We have evaluated the system from several standpoints. The first is user acceptance. The users are the radiologists who must make the diagnosis at the workstation and the referring physicians who need the diagnosis quickly but also require the image. The radiologists must be comfortable with their diagnosis based on the images presented at the two viewer workstation. This is compared to the use of a multiviewer which presents many radiographs simultaneously. The second parameter for evaluation involves the impact on patient care in terms of the time elapsed between the taking of the radiograph and the presentation to the physician of the image and the diagnosis.

Paper Details

Date Published: 1 May 1992
PDF: 4 pages
Proc. SPIE 1653, Medical Imaging VI: Image Capture, Formatting, and Display, (1 May 1992); doi: 10.1117/12.59525
Show Author Affiliations
Martin Trefler, Univ. of Miami School of Medicine (United States)
Edward Russell, Univ. of Miami School of Medicine (United States)


Published in SPIE Proceedings Vol. 1653:
Medical Imaging VI: Image Capture, Formatting, and Display
Yongmin Kim, Editor(s)

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