PACS: A Guide to the Digital Revolution / Edition 1

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In the modern age of digital health care and medical imaging informatics, Picture Archiving and Communications Systems (PACS) have become a fundamental part of the technological infrastructure supporting the practice of radiology.

PACS: A Guide to the Digital Revolution, second edition, provides the reader with a comprehensive overview of this blossoming technology. With contributions from leaders in the field of PACS, this user-friendly guide addresses the introductory concepts, computing fundamentals, advanced imaging technologies, and future opportunities. It also offers invaluable concepts and tools that facilitate the financial evaluation of PACS, making it a great resource for those looking to plan for PACS implementation, assess institutional needs, write an RFP, and compare vendors' quotes.

The second edition has been revised and updated to keep pace with the rapidly evolving field of picture archiving and communications systems. This new edition includes:

An overview of the latest medical imaging standards.

A discussion of security issues as they relate to PACS, especially regarding HIPAA.

An introduction to current information on PACS workstations, including the impact of new software and hardware on radiologists.

An updated explanation of data storage and compression that highlights how advancements are applied.

A section on how PACS influences research and education.

This text is geared toward radiologists, technologists, administrators, and IT professionals wishing to be a part of the medical imaging revolution.

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Editorial Reviews

Doody's Review Service
Reviewer: David E Miller, PhD (University of Colorado Health Sciences Center)
Description: This book provides information regarding the acquisition, implementation, and administration of PACS. It covers financial issues, computer and network fundamentals, image acquisition, workflow, data storage, hardware, legal issues and future trends.
Purpose: The authors assume the daunting task of compiling a comprehensive text on the fundamentals of PACS, providing technical overviews and case studies that illuminate important concepts. The objective is certainly worthwhile, as most information on PACS is scattered among stacks of academic papers, vendor literature, and conference proceedings.
Audience: As a whole, the book is targeted to a diverse audience: radiology administrators, radiologists, technologists, PACS administrators, and IT professionals. It also provides useful background material to medical physicists involved with PACS. The chapters tend to be broken down so that each group can quickly access the information pertinent to their discipline. The authors pull insight from leading scientists, physicians, and business professionals in the field.
Features: The book provides an encompassing view of PACS, from financial considerations, to patient and physician impact, to its demand on network and support resources. Those involved in writing a Request for Proposal (RFP) will appreciate the above material, especially the discussions on DICOM conformance and its impact on the software packages and equipment needed to successfully link RIS systems, imaging devices, digitizers, etc. PACS administrators will be grateful for the overview of networking concepts, workflow, quality control, and workstation function and siting requirements. The book nicely details the fundamentals of image data structure, compression techniques and data storage. Departments considering teleradiology should note the sections on system requirements, security, and legal issues. There are occasional references to specific types of computer hardware, storage media, and operating systems. One should be aware that these are constantly evolving. Overall the book is well written, with technical sections presented in a clear but not overly simplified manner. Real-world examples effectively illustrate important concepts.
Assessment: This is a valuable reference for individuals involved in the acquisition, installation, and administration of PACS. Certain topics could be made into their own books, but this book successfully highlights the major issues.
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Product Details

  • ISBN-13: 9780387952918
  • Publisher: Springer-Verlag New York, LLC
  • Publication date: 1/28/2002
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 435
  • Product dimensions: 6.36 (w) x 9.40 (h) x 0.98 (d)

Table of Contents

Sect. I Introduction 1
1 Introduction 3
Sect. II Administrative issues 7
2 Introduction to RIS and PACS 9
3 PACS strategic plan and needs assessment 27
4 Creating the PACS request for proposal and selecting a vendor 45
5 Reengineering workflow : a focus on personnel and process 73
6 Reengineering workflow : the radiologist's perspective 97
7 Financial modeling 125
8 Legal issues and formal policies 145
Sect. III Technical issues 171
9 Computer fundamentals 173
10 Digital imaging fundamentals 183
11 Image acquisition 229
12 Image compression 229
13 PACS architecture 249
14 Networking fundamentals 269
15 Services and operating systems 303
16 Storage and enterprise archiving 319
17 Image displays 347
18 Digital mammography 363
19 Web distribution 373
Sect. IV Clinical issues 383
20 PACS workstation software 385
21 Breast imaging, computer-aided detection, and computer-assisted classification 433
22 Three-dimensional imaging in radiology 447
23 Voice recognition 467
24 Order entry in radiology 483
25 Digital teaching files and education 495
26 Teleradiology 523
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