SlideShare a Scribd company logo
Why PACS in Modern Medicine?   2 nd  European Tutorial of Radiology LVIV/Ukraina January 2011 Frans Dhaenens MD
Remember: PACS   ,[object Object],[object Object],[object Object],[object Object],[object Object]
AGFA PACS/RIS .   МРТ КТ УЗ Ангио Яд.мед. Рентген Дигитайзер Сервер  управления  потоками Сервер  Базы  Данных PACS Архив 1 год Архивный  сервер Архив  на 10 лет Диагностические станции Web  c ервер Рабочие станции клиницистов  Web Сервер коммуникации Сервер  RIS C танции  RIS PACS RIS C танции  RIS
Some other abbreviations ,[object Object],[object Object],[object Object],HIS RIS PACS EPR
History of PACS(1980) and Tele-radiology (1960) ,[object Object],[object Object],[object Object]
Historical   roots  of PACS:  The  appearance of DIGITAL Modalities CT, MRI, US in 70ties, 80ties Digital Modalities
What is PACS ??  History ,[object Object],[object Object]
PACS connects CT, MRI, US, DR,.. PACS In the Radiology Department Radiologist Specialist Hospital
PACS = flexibility & creativity
A short history of PACS: standards & control CONTROL PACS 1982 PACS 2012 Standards & Security Modality->Departmental->Hospital->Multi-site->GRID-PACS NEMA/DICOM  cardio, dental, RT, visual-light HL7 + IHE MPI  + XDS RIS = Radiological Information System HIS = Hospital I.S. EPR = Electr. Pat. Rec. “ CODE” Virtuality
Technical evolution of all PACS functions 1980 2012 P ICTURES A rchiving C ommunication S ystems 2D tapes ATM, video Hardware + show an image Represent 5D datasets Internet archives Internet/web/ Wifi Functionality+ knowledge
Drivers for the PACS evolution ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mayo:  Image Information Overload of MDCT, PACS visualization ,[object Object],[object Object],[object Object]
 
…  Triggered a Variety of Visualization Applications… Now you have all the images... So what?
Role of Diagnostic Imaging in Future Healthcare Patient-Disease “ Personalized Medicine”
Radiology: the Analog Workflow Experience Specialties Knowledge Patient Process Turnaround Time IMAGES Information Report DATA Modality IMAGES DATA Information Hospital/ World
Radiology: the Digital Workflow Experience Specialties Knowledge Patient Process Turnaround Time IMAGES Information Report DATA Modality IMAGES DATA Information Hospital/ World PACS RIS HIS EPR  -50% Databases + WEB
Evolution of PACS ,[object Object],[object Object],[object Object],[object Object],[object Object]
From Modalities to Multi-Site PACS Business  Intelligence  Server Kit PACS Departmental “ enterprise” Radiologist Specialist Clinical Workstation EPR HIS/RIS Hospital 1 Hospital 2 Hospital 3 Multi-site PACS Teleradiology $$
Starting a PACS: several steps ,[object Object],[object Object],[object Object],[object Object]
Step 1 = Radiology RIS +PACS
Step 2 = Clinical PACS + WS
Doctor-Patient: Technology Mismatch
Step 3 = Enterprise-PACS filmless and paperless part of EPR
HÔPITAL EUROPÉEN GEORGES POMPIDOU - PARIS R E S E A U I M A G E 10/100 Mbits ATM 1 0 / 1 0 0 M b i t s INTERPRETATION DIAGNOSTIC 4X VIDEO Bloc Opératoire    see more    do more   URGENCES 1er ETAGE 2ème ETAGE Médecine Nucléaire 3ème ETAGE PTI - PTNI 6ème - 7ème ETAGE ACQUISITION - TRAITEMENT ACQUISITION - TRAITEMENT REPROGRAPHIE VISUALISATION SALLES CONFERENCE VISUALISATION 10X PC DICOM IMPAX CS500 100 à 300 clients WEB 25 IMPAX DS 3000 LUMYSIS 75 TS 5 ADC ID VIPS VIPS ADC VIPS VIPS ADC ID TS 5 LUMYSIS ADW LUMYSIS TS 5 NM NM NM NM NM NM GESTION et COMMUNICATION A 5200 E 4500 SERVEUR DATA BASE DLT 9710 ARCHIVE SERVEUR 1 + WORFLOW MANAGER 1 E 450 ARCHIVE SERVEUR 2 + WORFLOW MANAGER 2 E 450 E 250 E 250 E 250 HP  LH4 WEB 1000 SERVER WORKFLOW MANAGER 3 WORKFLOW MANAGER 4 WORKFLOW MANAGER 5 PACS BROKER HP  LH4 INTEGRATION DRYSTAR 3000 DRYSTAR 2000 R I S R A D O S
Hardware can be fairly complex
Hospital –Doctors Office: HIS-PACS communication ,[object Object],[object Object]
Does hospital-wide PACS work ? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Leuven University Hospitals ±   500.000  exams a year + 250.000 reports a year are dictated or typed directly  into the computer  by the radiologists  !
PACS rollout - month 10 Q4 2001 Radiology Department essentially filmless Q1 2001 First workstations in Radiology Department 2001 2002 2003 January 2001 Preparation of PACS project
month 26 Q4 2001 Radiology Department essentially filmless Q1 2001 First workstations in Radiology Department January 2002 Pediatrics & ICU  filmless July 2002 No CR film printing October 2002 No MR/CT  film printing March 2003 Orthopedics filmless 2001 2002 2003 January 2001 Preparation of PACS project
Benefit of PACS: faster diagnosis
Benefit of PACS: faster diagnosis
How to buy a PACS? ,[object Object],[object Object],[object Object],[object Object]
PACS Toys for real doctors?
PACS dangers: chaos in the archives
PACS dangers:  OVERLOAD system too small
From Modalities to Multi-PACS Business  Intelligence  Server Kit PACS Departmental “ enterprise” Radiologist Specialist Clinical Workstation EPR HIS/RIS Hospital 1 Hospital 2 Hospital 3 Multi-site PACS Teleradiology $$
Reasons  for MULTI-SITE PACS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Multi-site PACS:  critical factors ,[object Object],[object Object],[object Object],[object Object],[object Object]
How  Master Patient Index  (MPI) is working Querable DICOM patient ID NON-Querable DICOM patient ID Global Patient Information MPI Initiate HIS Patient  information RIS Multi-site MPI=Master Patient Index Patient Information Domain LOCAL LOCAL DICOM Header
PACS MPI Integration Example GPI = G15975 Kate Lamb PID = C678 Mrs. K. Jones PID = D753 GPI = G15975 Catherine Lamb PID = A123 Katharine Jones PID = B455 GPI = G15975 GPI = G15975 Katherine L. Jones MPI#  G15975
Levels of  Maturity  of Multi-Site PACS Level 1 Share  Resources Level 2 Share  Data Level   3 Share  Workflow Patient Identity Management Consent Management Increase in Maturity Security Management
Deployment Models –  Centralized vs. Hub & Spoke
Agfa  experience with PACS ,[object Object],[object Object],[object Object],[object Object],[object Object]
Adventist Health System, Florida ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Toronto East Network Canada ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
United Kingdom: all hospitals digital ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Agfa  PACS in 2 clusters ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tele-radiology based on PACS ,[object Object],[object Object],[object Object],[object Object]
Classics in telemedicine
64 % -> 18 % NEWS:  AGFA rewarded HIS for 100 million Euro
Overview of a large Tele-radiology site in Germany
Workflow Kliniken Villingen-Schwenningen: satellite asks help DICOM Pseudonymisation  Firewall +VPN DICOM C-STORE DICOM C-STORE Automatic pseudonymisation Workstation Modality HTTP e-mail notification DICOM C-STORE Internet AGFA Teleradiology client AGFA  SA Workstation DICOM C-FIND/MOVE AGFA WEB1000 server HTTP Remote opinion Satellite Site Central Site IPSec SAT-ID + SAT-PID SAT-ID + SAT-ACC# Anonymous patient Firewall +VPN SAT-PID SAT-ACC# SAT-Patient name SAT-Patient address SMTP URL access Central repository of pseudonymised studies @
Reports & Communication =  e-mail  satellite    central
Message received
Workflow Kliniken Villingen-Schwenningen: central radiology answers Firewall +VPN Workstation HTTP Internet AGFA Teleradiology client AGFA teleradiology server HTTP Satellite Site Central Site IPSec Firewall +VPN SMTP Mail server SMTP Report Report Template Images HTTP Report Report storage on filesystem Report @
Back-up from second Central site ,[object Object],[object Object],[object Object],[object Object],[object Object],DICOM Pseudonymisation  Firewall +VPN DICOM C-STORE DICOM C-STORE Workstation Modality HTTP e-mail notification DICOM C-STORE Internet AGFA  SA Workstation DICOM C-FIND/MOVE Satellite Central Site A IPSec SAT-ID + SAT-PID SAT-ID + SAT-ACC# Anonymous patient Firewall +VPN SAT-PID SAT-ACC# SAT-Patient name SAT-Patient address Workstation DICOM C-STORE Central Site B Firewall +VPN DICOM C-STORE HTTP AGFA Teleradiology server Local C-STORE to DICOM/MIME gateway Encrypted e-mail DICOM C-STORE IPSec Remote DICOM/MIME to  C-STORE gateway DICOM C-FIND/MOVE Encrypted e-mail SMTP SMTP Automatic pseudonymisation
How far can PACS go ?? ,[object Object],[object Object],[object Object]
“ Virtual” GRID-PACS: the future coming now ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Virtual GRID-PACS: Purposes = CAD & second-opinion & knowledge for lung-nodules
Virtual GRID-PACS: how it looks You sit here Cancer database Cancer database
Virtual GRID-PACS: how it works
No Blind Communication Patient is here
Secure transmission of massive datasets: MDCT, cardio, angio Cine Images Transmission of Encrypted Cine Images
Grid–PACS= retrieval time in seconds: 4 Gb in 300 secs
PACS the basis for the future  of  “Diagnostic Imaging” ,[object Object],[object Object]
New technology, new habits

More Related Content

What's hot

HospitalSoftwareShop - Radiology Information System RIS
HospitalSoftwareShop - Radiology Information System RISHospitalSoftwareShop - Radiology Information System RIS
HospitalSoftwareShop - Radiology Information System RIS
hospitalsoftwareshop
 
Picture archiving-communication-system-PACS
Picture archiving-communication-system-PACSPicture archiving-communication-system-PACS
Picture archiving-communication-system-PACS
CareEMR
 
HospitalSoftwareShop PACS | A Powerful, Web-based, Cost-Effective PACS
 HospitalSoftwareShop PACS | A Powerful, Web-based, Cost-Effective PACS HospitalSoftwareShop PACS | A Powerful, Web-based, Cost-Effective PACS
HospitalSoftwareShop PACS | A Powerful, Web-based, Cost-Effective PACS
hospitalsoftwareshop
 
Integrated RIS PACS System
Integrated RIS PACS SystemIntegrated RIS PACS System
Integrated RIS PACS System
Telerad Tech Pvt Ltd
 
PICTURE ARCHIEVING COMMUNICATION SYSTEM
PICTURE ARCHIEVING COMMUNICATION SYSTEMPICTURE ARCHIEVING COMMUNICATION SYSTEM
PICTURE ARCHIEVING COMMUNICATION SYSTEMshivani gupta
 
Picture Archiving and Communication Systems (PACS) – A New Paradigm in Health...
Picture Archiving and Communication Systems (PACS) – A New Paradigm in Health...Picture Archiving and Communication Systems (PACS) – A New Paradigm in Health...
Picture Archiving and Communication Systems (PACS) – A New Paradigm in Health...
Apollo Hospitals
 
Health IT & Picture Archiving and Communication Systems
Health IT & Picture Archiving and Communication SystemsHealth IT & Picture Archiving and Communication Systems
Health IT & Picture Archiving and Communication Systems
Rogier Van de Wetering, PhD
 
GiniPACS
GiniPACSGiniPACS
Picture Archiving and Communication Systems (PACS)
Picture Archiving and Communication Systems (PACS)Picture Archiving and Communication Systems (PACS)
Picture Archiving and Communication Systems (PACS)Tanveer Abbas
 
Teleradiology (2012)
Teleradiology (2012) Teleradiology (2012)
Teleradiology (2012)
Kashif Mirza
 
Teleradiology: Concepts and Evolution
Teleradiology: Concepts and EvolutionTeleradiology: Concepts and Evolution
Teleradiology: Concepts and Evolution
Erik R. Ranschaert, MD, PhD
 
Picture Archiving and Communication System (PACS)
Picture Archiving and Communication System (PACS)Picture Archiving and Communication System (PACS)
Picture Archiving and Communication System (PACS)
Shweta Tripathi
 
Teleradiology
TeleradiologyTeleradiology
Teleradiology
Juman Ghazi
 
Teleradiology Concepts and Models
Teleradiology Concepts and ModelsTeleradiology Concepts and Models
Teleradiology Concepts and Models
RadiologyClub
 
Pacs configuration
Pacs configurationPacs configuration
Pacs configuration
Ramzee Small
 
Teleradiology
TeleradiologyTeleradiology
Teleradiology
Bhawana Sahu
 
Pacs
PacsPacs

What's hot (20)

PACS
PACSPACS
PACS
 
HospitalSoftwareShop - Radiology Information System RIS
HospitalSoftwareShop - Radiology Information System RISHospitalSoftwareShop - Radiology Information System RIS
HospitalSoftwareShop - Radiology Information System RIS
 
Picture archiving-communication-system-PACS
Picture archiving-communication-system-PACSPicture archiving-communication-system-PACS
Picture archiving-communication-system-PACS
 
HospitalSoftwareShop PACS | A Powerful, Web-based, Cost-Effective PACS
 HospitalSoftwareShop PACS | A Powerful, Web-based, Cost-Effective PACS HospitalSoftwareShop PACS | A Powerful, Web-based, Cost-Effective PACS
HospitalSoftwareShop PACS | A Powerful, Web-based, Cost-Effective PACS
 
NORrad PACS Program Northern Radiology – Picture Archive Communication System
NORrad PACS Program Northern Radiology – Picture Archive Communication SystemNORrad PACS Program Northern Radiology – Picture Archive Communication System
NORrad PACS Program Northern Radiology – Picture Archive Communication System
 
Integrated RIS PACS System
Integrated RIS PACS SystemIntegrated RIS PACS System
Integrated RIS PACS System
 
PICTURE ARCHIEVING COMMUNICATION SYSTEM
PICTURE ARCHIEVING COMMUNICATION SYSTEMPICTURE ARCHIEVING COMMUNICATION SYSTEM
PICTURE ARCHIEVING COMMUNICATION SYSTEM
 
Picture Archiving and Communication Systems (PACS) – A New Paradigm in Health...
Picture Archiving and Communication Systems (PACS) – A New Paradigm in Health...Picture Archiving and Communication Systems (PACS) – A New Paradigm in Health...
Picture Archiving and Communication Systems (PACS) – A New Paradigm in Health...
 
Health IT & Picture Archiving and Communication Systems
Health IT & Picture Archiving and Communication SystemsHealth IT & Picture Archiving and Communication Systems
Health IT & Picture Archiving and Communication Systems
 
GiniPACS
GiniPACSGiniPACS
GiniPACS
 
Picture Archiving and Communication Systems (PACS)
Picture Archiving and Communication Systems (PACS)Picture Archiving and Communication Systems (PACS)
Picture Archiving and Communication Systems (PACS)
 
Teleradiology (2012)
Teleradiology (2012) Teleradiology (2012)
Teleradiology (2012)
 
PACS Presentation HIMSS 2015-Teleradiology
PACS Presentation HIMSS 2015-TeleradiologyPACS Presentation HIMSS 2015-Teleradiology
PACS Presentation HIMSS 2015-Teleradiology
 
Teleradiology: Concepts and Evolution
Teleradiology: Concepts and EvolutionTeleradiology: Concepts and Evolution
Teleradiology: Concepts and Evolution
 
Picture Archiving and Communication System (PACS)
Picture Archiving and Communication System (PACS)Picture Archiving and Communication System (PACS)
Picture Archiving and Communication System (PACS)
 
Teleradiology
TeleradiologyTeleradiology
Teleradiology
 
Teleradiology Concepts and Models
Teleradiology Concepts and ModelsTeleradiology Concepts and Models
Teleradiology Concepts and Models
 
Pacs configuration
Pacs configurationPacs configuration
Pacs configuration
 
Teleradiology
TeleradiologyTeleradiology
Teleradiology
 
Pacs
PacsPacs
Pacs
 

Viewers also liked

Introduction to digital radiography and pacs
Introduction to digital radiography and pacsIntroduction to digital radiography and pacs
Introduction to digital radiography and pacsRad Tech
 
PACS architecture
PACS architecturePACS architecture
PACS architecture
prasadvagal
 
RIS, PACS, DICOM - Hospital Garrahan
RIS, PACS, DICOM - Hospital GarrahanRIS, PACS, DICOM - Hospital Garrahan
RIS, PACS, DICOM - Hospital Garrahan
bmarfuresco
 
Dicom
DicomDicom
DICOM Structure Basics
DICOM Structure BasicsDICOM Structure Basics
DICOM Structure Basics
Gunjan Patel
 
PACS, RIS y HIS
PACS, RIS y HISPACS, RIS y HIS
Presentacionris pacs-dicom-v4-120906201823-phpapp01
Presentacionris pacs-dicom-v4-120906201823-phpapp01Presentacionris pacs-dicom-v4-120906201823-phpapp01
Presentacionris pacs-dicom-v4-120906201823-phpapp01
Brisa Roldan
 
Cloud PACS Introductions and Benefits
Cloud PACS Introductions and BenefitsCloud PACS Introductions and Benefits
Cloud PACS Introductions and Benefits
Mahmoud Bakhtvar
 
Clase 04 Arquitectura PACS
Clase 04 Arquitectura PACSClase 04 Arquitectura PACS
Clase 04 Arquitectura PACS
Eduardo Silva
 
Planning & orag.imaging services
Planning & orag.imaging servicesPlanning & orag.imaging services
Planning & orag.imaging servicesNc Das
 
Digital Radiography
Digital RadiographyDigital Radiography
Digital Radiography
ricksw78
 
Agfa dose management for image quality
Agfa   dose management for image qualityAgfa   dose management for image quality
Agfa dose management for image quality
Trimed Media Group
 
iPad for (tele)radiology, a critical appraisal
iPad for (tele)radiology, a critical appraisaliPad for (tele)radiology, a critical appraisal
iPad for (tele)radiology, a critical appraisal
Erik R. Ranschaert, MD, PhD
 
AGFA - Dose Management for Image Quality
AGFA - Dose Management for Image QualityAGFA - Dose Management for Image Quality
AGFA - Dose Management for Image QualityTriMed Media Group
 
Sipacs Presentation
Sipacs PresentationSipacs Presentation
Sipacs PresentationJeff Mowatt
 

Viewers also liked (17)

Pacs
PacsPacs
Pacs
 
Introduction to digital radiography and pacs
Introduction to digital radiography and pacsIntroduction to digital radiography and pacs
Introduction to digital radiography and pacs
 
PACS architecture
PACS architecturePACS architecture
PACS architecture
 
RIS, PACS, DICOM - Hospital Garrahan
RIS, PACS, DICOM - Hospital GarrahanRIS, PACS, DICOM - Hospital Garrahan
RIS, PACS, DICOM - Hospital Garrahan
 
Dicom
DicomDicom
Dicom
 
DICOM Structure Basics
DICOM Structure BasicsDICOM Structure Basics
DICOM Structure Basics
 
PACS, RIS y HIS
PACS, RIS y HISPACS, RIS y HIS
PACS, RIS y HIS
 
Pacs y Ris
Pacs y RisPacs y Ris
Pacs y Ris
 
Presentacionris pacs-dicom-v4-120906201823-phpapp01
Presentacionris pacs-dicom-v4-120906201823-phpapp01Presentacionris pacs-dicom-v4-120906201823-phpapp01
Presentacionris pacs-dicom-v4-120906201823-phpapp01
 
Cloud PACS Introductions and Benefits
Cloud PACS Introductions and BenefitsCloud PACS Introductions and Benefits
Cloud PACS Introductions and Benefits
 
Clase 04 Arquitectura PACS
Clase 04 Arquitectura PACSClase 04 Arquitectura PACS
Clase 04 Arquitectura PACS
 
Planning & orag.imaging services
Planning & orag.imaging servicesPlanning & orag.imaging services
Planning & orag.imaging services
 
Digital Radiography
Digital RadiographyDigital Radiography
Digital Radiography
 
Agfa dose management for image quality
Agfa   dose management for image qualityAgfa   dose management for image quality
Agfa dose management for image quality
 
iPad for (tele)radiology, a critical appraisal
iPad for (tele)radiology, a critical appraisaliPad for (tele)radiology, a critical appraisal
iPad for (tele)radiology, a critical appraisal
 
AGFA - Dose Management for Image Quality
AGFA - Dose Management for Image QualityAGFA - Dose Management for Image Quality
AGFA - Dose Management for Image Quality
 
Sipacs Presentation
Sipacs PresentationSipacs Presentation
Sipacs Presentation
 

Similar to Why PACS is Modern Medicine?

fundamentals-of-pacs (1).ppt
fundamentals-of-pacs (1).pptfundamentals-of-pacs (1).ppt
fundamentals-of-pacs (1).ppt
PriyeshKumar91
 
PICTURE ARCHIVING AND COMMUNICATION SYSTEM.pptx
PICTURE ARCHIVING AND COMMUNICATION SYSTEM.pptxPICTURE ARCHIVING AND COMMUNICATION SYSTEM.pptx
PICTURE ARCHIVING AND COMMUNICATION SYSTEM.pptx
TanishKhandelwal2
 
PICTURE ARCHIVING AND COMMUNICATION SYSTEM.pptx
PICTURE ARCHIVING AND COMMUNICATION SYSTEM.pptxPICTURE ARCHIVING AND COMMUNICATION SYSTEM.pptx
PICTURE ARCHIVING AND COMMUNICATION SYSTEM.pptx
TanishGupta42
 
Image data beyond radiology: new developments
Image data beyond radiology: new developmentsImage data beyond radiology: new developments
Image data beyond radiology: new developments
Erik R. Ranschaert, MD, PhD
 
Telemedicine Circuits Based On Standards
Telemedicine Circuits Based On StandardsTelemedicine Circuits Based On Standards
Telemedicine Circuits Based On StandardsFranklin Calle Zapata
 
HospitalSoftwareShop PACS | A Powerful, Web-based, Cost-Effective PACS</ti...
HospitalSoftwareShop PACS | A Powerful, Web-based, Cost-Effective PACS</ti...HospitalSoftwareShop PACS | A Powerful, Web-based, Cost-Effective PACS</ti...
HospitalSoftwareShop PACS | A Powerful, Web-based, Cost-Effective PACS</ti...
hospitalsoftwareshop
 
e-Health Care - Gyanesh Pandey, Chairman & Managing Director, HSCC(India) Lim...
e-Health Care - Gyanesh Pandey, Chairman & Managing Director, HSCC(India) Lim...e-Health Care - Gyanesh Pandey, Chairman & Managing Director, HSCC(India) Lim...
e-Health Care - Gyanesh Pandey, Chairman & Managing Director, HSCC(India) Lim...
eGov Magazine
 
Erequesting and the Electronic Healthcare Record
Erequesting and the Electronic Healthcare RecordErequesting and the Electronic Healthcare Record
Erequesting and the Electronic Healthcare RecordAnant Patel
 
H2O World - Machine Learning to Save Lives - Taposh Dutta Roy
H2O World - Machine Learning to Save Lives - Taposh Dutta RoyH2O World - Machine Learning to Save Lives - Taposh Dutta Roy
H2O World - Machine Learning to Save Lives - Taposh Dutta Roy
Sri Ambati
 
pacs-140504092954-phpapp01.pdf
pacs-140504092954-phpapp01.pdfpacs-140504092954-phpapp01.pdf
pacs-140504092954-phpapp01.pdf
monicaaneesha
 
In Touch Overview 1 April 06
In Touch Overview 1 April 06In Touch Overview 1 April 06
In Touch Overview 1 April 06telemedicina
 
Unlocking Efficiency How PACS in Radiology Are Saving Time and Improving Pati...
Unlocking Efficiency How PACS in Radiology Are Saving Time and Improving Pati...Unlocking Efficiency How PACS in Radiology Are Saving Time and Improving Pati...
Unlocking Efficiency How PACS in Radiology Are Saving Time and Improving Pati...
PostDICOM
 
Power Point Assignment
Power Point AssignmentPower Point Assignment
Power Point Assignment
ebrown0040
 
Radiology Information System.pdf
Radiology Information System.pdfRadiology Information System.pdf
Radiology Information System.pdf
Jolie Martin
 
EiTESAL eHealth Conference 14&15 May 2017
EiTESAL eHealth Conference 14&15 May 2017 EiTESAL eHealth Conference 14&15 May 2017
EiTESAL eHealth Conference 14&15 May 2017
EITESANGO
 
The Infrastructure Behind eHealth
The Infrastructure Behind eHealthThe Infrastructure Behind eHealth
The Infrastructure Behind eHealth
Health Informatics New Zealand
 
Wireless Healthcare World
Wireless Healthcare WorldWireless Healthcare World
Wireless Healthcare World3GDR
 
Healthcare Software Ecosystem
Healthcare Software EcosystemHealthcare Software Ecosystem
Healthcare Software Ecosystem
Aptuso Ltd.
 
2004 10-19 rudi vdv
2004 10-19 rudi vdv2004 10-19 rudi vdv
2004 10-19 rudi vdvguest3cf4991
 
WIMAX - A Solution for Tele -Medicine
WIMAX -  A Solution for Tele -MedicineWIMAX -  A Solution for Tele -Medicine
WIMAX - A Solution for Tele -Medicine
AJAL A J
 

Similar to Why PACS is Modern Medicine? (20)

fundamentals-of-pacs (1).ppt
fundamentals-of-pacs (1).pptfundamentals-of-pacs (1).ppt
fundamentals-of-pacs (1).ppt
 
PICTURE ARCHIVING AND COMMUNICATION SYSTEM.pptx
PICTURE ARCHIVING AND COMMUNICATION SYSTEM.pptxPICTURE ARCHIVING AND COMMUNICATION SYSTEM.pptx
PICTURE ARCHIVING AND COMMUNICATION SYSTEM.pptx
 
PICTURE ARCHIVING AND COMMUNICATION SYSTEM.pptx
PICTURE ARCHIVING AND COMMUNICATION SYSTEM.pptxPICTURE ARCHIVING AND COMMUNICATION SYSTEM.pptx
PICTURE ARCHIVING AND COMMUNICATION SYSTEM.pptx
 
Image data beyond radiology: new developments
Image data beyond radiology: new developmentsImage data beyond radiology: new developments
Image data beyond radiology: new developments
 
Telemedicine Circuits Based On Standards
Telemedicine Circuits Based On StandardsTelemedicine Circuits Based On Standards
Telemedicine Circuits Based On Standards
 
HospitalSoftwareShop PACS | A Powerful, Web-based, Cost-Effective PACS</ti...
HospitalSoftwareShop PACS | A Powerful, Web-based, Cost-Effective PACS</ti...HospitalSoftwareShop PACS | A Powerful, Web-based, Cost-Effective PACS</ti...
HospitalSoftwareShop PACS | A Powerful, Web-based, Cost-Effective PACS</ti...
 
e-Health Care - Gyanesh Pandey, Chairman & Managing Director, HSCC(India) Lim...
e-Health Care - Gyanesh Pandey, Chairman & Managing Director, HSCC(India) Lim...e-Health Care - Gyanesh Pandey, Chairman & Managing Director, HSCC(India) Lim...
e-Health Care - Gyanesh Pandey, Chairman & Managing Director, HSCC(India) Lim...
 
Erequesting and the Electronic Healthcare Record
Erequesting and the Electronic Healthcare RecordErequesting and the Electronic Healthcare Record
Erequesting and the Electronic Healthcare Record
 
H2O World - Machine Learning to Save Lives - Taposh Dutta Roy
H2O World - Machine Learning to Save Lives - Taposh Dutta RoyH2O World - Machine Learning to Save Lives - Taposh Dutta Roy
H2O World - Machine Learning to Save Lives - Taposh Dutta Roy
 
pacs-140504092954-phpapp01.pdf
pacs-140504092954-phpapp01.pdfpacs-140504092954-phpapp01.pdf
pacs-140504092954-phpapp01.pdf
 
In Touch Overview 1 April 06
In Touch Overview 1 April 06In Touch Overview 1 April 06
In Touch Overview 1 April 06
 
Unlocking Efficiency How PACS in Radiology Are Saving Time and Improving Pati...
Unlocking Efficiency How PACS in Radiology Are Saving Time and Improving Pati...Unlocking Efficiency How PACS in Radiology Are Saving Time and Improving Pati...
Unlocking Efficiency How PACS in Radiology Are Saving Time and Improving Pati...
 
Power Point Assignment
Power Point AssignmentPower Point Assignment
Power Point Assignment
 
Radiology Information System.pdf
Radiology Information System.pdfRadiology Information System.pdf
Radiology Information System.pdf
 
EiTESAL eHealth Conference 14&15 May 2017
EiTESAL eHealth Conference 14&15 May 2017 EiTESAL eHealth Conference 14&15 May 2017
EiTESAL eHealth Conference 14&15 May 2017
 
The Infrastructure Behind eHealth
The Infrastructure Behind eHealthThe Infrastructure Behind eHealth
The Infrastructure Behind eHealth
 
Wireless Healthcare World
Wireless Healthcare WorldWireless Healthcare World
Wireless Healthcare World
 
Healthcare Software Ecosystem
Healthcare Software EcosystemHealthcare Software Ecosystem
Healthcare Software Ecosystem
 
2004 10-19 rudi vdv
2004 10-19 rudi vdv2004 10-19 rudi vdv
2004 10-19 rudi vdv
 
WIMAX - A Solution for Tele -Medicine
WIMAX -  A Solution for Tele -MedicineWIMAX -  A Solution for Tele -Medicine
WIMAX - A Solution for Tele -Medicine
 

More from tomograph_dp_ua

ХОНДРОМАТОЗ СУСТАВОВ
ХОНДРОМАТОЗ СУСТАВОВХОНДРОМАТОЗ СУСТАВОВ
ХОНДРОМАТОЗ СУСТАВОВ
tomograph_dp_ua
 
Диагностика заболеваний поджелудочной железы. материалы укрнииг (2)
Диагностика заболеваний поджелудочной железы. материалы укрнииг (2)Диагностика заболеваний поджелудочной железы. материалы укрнииг (2)
Диагностика заболеваний поджелудочной железы. материалы укрнииг (2)
tomograph_dp_ua
 
Перспективы цифровой радиологии - изменение парадигм в диагностике острой бол...
Перспективы цифровой радиологии - изменение парадигм в диагностике острой бол...Перспективы цифровой радиологии - изменение парадигм в диагностике острой бол...
Перспективы цифровой радиологии - изменение парадигм в диагностике острой бол...
tomograph_dp_ua
 
Неходжкинская лимфома с поражением вилочковой железы и надпочечников
Неходжкинская лимфома с поражением вилочковой железы и надпочечниковНеходжкинская лимфома с поражением вилочковой железы и надпочечников
Неходжкинская лимфома с поражением вилочковой железы и надпочечников
tomograph_dp_ua
 
Радиологическая диагностика травматических повреждений позвоночника
Радиологическая диагностика травматических повреждений позвоночникаРадиологическая диагностика травматических повреждений позвоночника
Радиологическая диагностика травматических повреждений позвоночника
tomograph_dp_ua
 
Варианты нормальной анатомии мозга на МР изображении
Варианты нормальной анатомии мозга на МР изображенииВарианты нормальной анатомии мозга на МР изображении
Варианты нормальной анатомии мозга на МР изображении
tomograph_dp_ua
 
Применение изоосмолярных рентгеноконтрастных веществ при КТ
Применение изоосмолярных рентгеноконтрастных веществ при КТПрименение изоосмолярных рентгеноконтрастных веществ при КТ
Применение изоосмолярных рентгеноконтрастных веществ при КТ
tomograph_dp_ua
 
Возможности МР исследований в гинекологической практике
Возможности МР исследований в гинекологической практикеВозможности МР исследований в гинекологической практике
Возможности МР исследований в гинекологической практикеtomograph_dp_ua
 
Основные физические принципы магнитно-резонансной томографии глазами врача-ра...
Основные физические принципы магнитно-резонансной томографии глазами врача-ра...Основные физические принципы магнитно-резонансной томографии глазами врача-ра...
Основные физические принципы магнитно-резонансной томографии глазами врача-ра...tomograph_dp_ua
 
Оценка перфузии миокарда
Оценка перфузии миокардаОценка перфузии миокарда
Оценка перфузии миокардаtomograph_dp_ua
 
МРТ и КТ в диагностике заболеваний перикарда и воспаления миокарда
МРТ и КТ в диагностике заболеваний перикарда и воспаления миокардаМРТ и КТ в диагностике заболеваний перикарда и воспаления миокарда
МРТ и КТ в диагностике заболеваний перикарда и воспаления миокардаtomograph_dp_ua
 
Клинические проблемы и анатомия коронарных сосудов - что надо помнить
Клинические проблемы и анатомия коронарных сосудов  - что надо помнитьКлинические проблемы и анатомия коронарных сосудов  - что надо помнить
Клинические проблемы и анатомия коронарных сосудов - что надо помнить
tomograph_dp_ua
 
Спинальный стеноз
Спинальный стенозСпинальный стеноз
Спинальный стенозtomograph_dp_ua
 
Актуальные вопросы МР диагностики при болях в пояснице
Актуальные вопросы МР диагностики при болях в поясницеАктуальные вопросы МР диагностики при болях в пояснице
Актуальные вопросы МР диагностики при болях в поясницеtomograph_dp_ua
 
Компьютерная томография в диагностике онкологических поражений печени
Компьютерная томография в диагностике онкологических поражений печениКомпьютерная томография в диагностике онкологических поражений печени
Компьютерная томография в диагностике онкологических поражений печени
tomograph_dp_ua
 
Диагностический подход к стандартному рентгенологическому обследованию грудно...
Диагностический подход к стандартному рентгенологическому обследованию грудно...Диагностический подход к стандартному рентгенологическому обследованию грудно...
Диагностический подход к стандартному рентгенологическому обследованию грудно...
tomograph_dp_ua
 
Значение рентгенограммы в диагностике болезней сердца
Значение рентгенограммы в диагностике болезней сердцаЗначение рентгенограммы в диагностике болезней сердца
Значение рентгенограммы в диагностике болезней сердца
tomograph_dp_ua
 
КТ и МРТ в нейрорадиологии
КТ и МРТ в нейрорадиологииКТ и МРТ в нейрорадиологии
КТ и МРТ в нейрорадиологии
tomograph_dp_ua
 
Роль и место мультиспиральной компьютерной томографии в урологической практике
Роль и место мультиспиральной компьютерной томографии в урологической практикеРоль и место мультиспиральной компьютерной томографии в урологической практике
Роль и место мультиспиральной компьютерной томографии в урологической практике
tomograph_dp_ua
 
Компьютерная томография легких
Компьютерная томография легкихКомпьютерная томография легких
Компьютерная томография легких
tomograph_dp_ua
 

More from tomograph_dp_ua (20)

ХОНДРОМАТОЗ СУСТАВОВ
ХОНДРОМАТОЗ СУСТАВОВХОНДРОМАТОЗ СУСТАВОВ
ХОНДРОМАТОЗ СУСТАВОВ
 
Диагностика заболеваний поджелудочной железы. материалы укрнииг (2)
Диагностика заболеваний поджелудочной железы. материалы укрнииг (2)Диагностика заболеваний поджелудочной железы. материалы укрнииг (2)
Диагностика заболеваний поджелудочной железы. материалы укрнииг (2)
 
Перспективы цифровой радиологии - изменение парадигм в диагностике острой бол...
Перспективы цифровой радиологии - изменение парадигм в диагностике острой бол...Перспективы цифровой радиологии - изменение парадигм в диагностике острой бол...
Перспективы цифровой радиологии - изменение парадигм в диагностике острой бол...
 
Неходжкинская лимфома с поражением вилочковой железы и надпочечников
Неходжкинская лимфома с поражением вилочковой железы и надпочечниковНеходжкинская лимфома с поражением вилочковой железы и надпочечников
Неходжкинская лимфома с поражением вилочковой железы и надпочечников
 
Радиологическая диагностика травматических повреждений позвоночника
Радиологическая диагностика травматических повреждений позвоночникаРадиологическая диагностика травматических повреждений позвоночника
Радиологическая диагностика травматических повреждений позвоночника
 
Варианты нормальной анатомии мозга на МР изображении
Варианты нормальной анатомии мозга на МР изображенииВарианты нормальной анатомии мозга на МР изображении
Варианты нормальной анатомии мозга на МР изображении
 
Применение изоосмолярных рентгеноконтрастных веществ при КТ
Применение изоосмолярных рентгеноконтрастных веществ при КТПрименение изоосмолярных рентгеноконтрастных веществ при КТ
Применение изоосмолярных рентгеноконтрастных веществ при КТ
 
Возможности МР исследований в гинекологической практике
Возможности МР исследований в гинекологической практикеВозможности МР исследований в гинекологической практике
Возможности МР исследований в гинекологической практике
 
Основные физические принципы магнитно-резонансной томографии глазами врача-ра...
Основные физические принципы магнитно-резонансной томографии глазами врача-ра...Основные физические принципы магнитно-резонансной томографии глазами врача-ра...
Основные физические принципы магнитно-резонансной томографии глазами врача-ра...
 
Оценка перфузии миокарда
Оценка перфузии миокардаОценка перфузии миокарда
Оценка перфузии миокарда
 
МРТ и КТ в диагностике заболеваний перикарда и воспаления миокарда
МРТ и КТ в диагностике заболеваний перикарда и воспаления миокардаМРТ и КТ в диагностике заболеваний перикарда и воспаления миокарда
МРТ и КТ в диагностике заболеваний перикарда и воспаления миокарда
 
Клинические проблемы и анатомия коронарных сосудов - что надо помнить
Клинические проблемы и анатомия коронарных сосудов  - что надо помнитьКлинические проблемы и анатомия коронарных сосудов  - что надо помнить
Клинические проблемы и анатомия коронарных сосудов - что надо помнить
 
Спинальный стеноз
Спинальный стенозСпинальный стеноз
Спинальный стеноз
 
Актуальные вопросы МР диагностики при болях в пояснице
Актуальные вопросы МР диагностики при болях в поясницеАктуальные вопросы МР диагностики при болях в пояснице
Актуальные вопросы МР диагностики при болях в пояснице
 
Компьютерная томография в диагностике онкологических поражений печени
Компьютерная томография в диагностике онкологических поражений печениКомпьютерная томография в диагностике онкологических поражений печени
Компьютерная томография в диагностике онкологических поражений печени
 
Диагностический подход к стандартному рентгенологическому обследованию грудно...
Диагностический подход к стандартному рентгенологическому обследованию грудно...Диагностический подход к стандартному рентгенологическому обследованию грудно...
Диагностический подход к стандартному рентгенологическому обследованию грудно...
 
Значение рентгенограммы в диагностике болезней сердца
Значение рентгенограммы в диагностике болезней сердцаЗначение рентгенограммы в диагностике болезней сердца
Значение рентгенограммы в диагностике болезней сердца
 
КТ и МРТ в нейрорадиологии
КТ и МРТ в нейрорадиологииКТ и МРТ в нейрорадиологии
КТ и МРТ в нейрорадиологии
 
Роль и место мультиспиральной компьютерной томографии в урологической практике
Роль и место мультиспиральной компьютерной томографии в урологической практикеРоль и место мультиспиральной компьютерной томографии в урологической практике
Роль и место мультиспиральной компьютерной томографии в урологической практике
 
Компьютерная томография легких
Компьютерная томография легкихКомпьютерная томография легких
Компьютерная томография легких
 

Recently uploaded

24 Upakrama.pptx class ppt useful in all
24 Upakrama.pptx class ppt useful in all24 Upakrama.pptx class ppt useful in all
24 Upakrama.pptx class ppt useful in all
DrSathishMS1
 
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdfAlcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Dr Jeenal Mistry
 
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptxTriangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Dr. Rabia Inam Gandapore
 
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
i3 Health
 
Charaka Samhita Sutra Sthana 9 Chapter khuddakachatuspadadhyaya
Charaka Samhita Sutra Sthana 9 Chapter khuddakachatuspadadhyayaCharaka Samhita Sutra Sthana 9 Chapter khuddakachatuspadadhyaya
Charaka Samhita Sutra Sthana 9 Chapter khuddakachatuspadadhyaya
Dr KHALID B.M
 
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
bkling
 
Evaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animalsEvaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animals
Shweta
 
Prix Galien International 2024 Forum Program
Prix Galien International 2024 Forum ProgramPrix Galien International 2024 Forum Program
Prix Galien International 2024 Forum Program
Levi Shapiro
 
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Savita Shen $i11
 
How to Give Better Lectures: Some Tips for Doctors
How to Give Better Lectures: Some Tips for DoctorsHow to Give Better Lectures: Some Tips for Doctors
How to Give Better Lectures: Some Tips for Doctors
LanceCatedral
 
KDIGO 2024 guidelines for diabetologists
KDIGO 2024 guidelines for diabetologistsKDIGO 2024 guidelines for diabetologists
KDIGO 2024 guidelines for diabetologists
د.محمود نجيب
 
heat stroke and heat exhaustion in children
heat stroke and heat exhaustion in childrenheat stroke and heat exhaustion in children
heat stroke and heat exhaustion in children
SumeraAhmad5
 
Ophthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE examOphthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE exam
KafrELShiekh University
 
Ocular injury ppt Upendra pal optometrist upums saifai etawah
Ocular injury  ppt  Upendra pal  optometrist upums saifai etawahOcular injury  ppt  Upendra pal  optometrist upums saifai etawah
Ocular injury ppt Upendra pal optometrist upums saifai etawah
pal078100
 
The Normal Electrocardiogram - Part I of II
The Normal Electrocardiogram - Part I of IIThe Normal Electrocardiogram - Part I of II
The Normal Electrocardiogram - Part I of II
MedicoseAcademics
 
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...
VarunMahajani
 
basicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdfbasicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdf
aljamhori teaching hospital
 
THOA 2.ppt Human Organ Transplantation Act
THOA 2.ppt Human Organ Transplantation ActTHOA 2.ppt Human Organ Transplantation Act
THOA 2.ppt Human Organ Transplantation Act
DrSathishMS1
 
POST OPERATIVE OLIGURIA and its management
POST OPERATIVE OLIGURIA and its managementPOST OPERATIVE OLIGURIA and its management
POST OPERATIVE OLIGURIA and its management
touseefaziz1
 
Antiulcer drugs Advance Pharmacology .pptx
Antiulcer drugs Advance Pharmacology .pptxAntiulcer drugs Advance Pharmacology .pptx
Antiulcer drugs Advance Pharmacology .pptx
Rohit chaurpagar
 

Recently uploaded (20)

24 Upakrama.pptx class ppt useful in all
24 Upakrama.pptx class ppt useful in all24 Upakrama.pptx class ppt useful in all
24 Upakrama.pptx class ppt useful in all
 
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdfAlcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
 
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptxTriangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
 
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
 
Charaka Samhita Sutra Sthana 9 Chapter khuddakachatuspadadhyaya
Charaka Samhita Sutra Sthana 9 Chapter khuddakachatuspadadhyayaCharaka Samhita Sutra Sthana 9 Chapter khuddakachatuspadadhyaya
Charaka Samhita Sutra Sthana 9 Chapter khuddakachatuspadadhyaya
 
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
 
Evaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animalsEvaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animals
 
Prix Galien International 2024 Forum Program
Prix Galien International 2024 Forum ProgramPrix Galien International 2024 Forum Program
Prix Galien International 2024 Forum Program
 
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
 
How to Give Better Lectures: Some Tips for Doctors
How to Give Better Lectures: Some Tips for DoctorsHow to Give Better Lectures: Some Tips for Doctors
How to Give Better Lectures: Some Tips for Doctors
 
KDIGO 2024 guidelines for diabetologists
KDIGO 2024 guidelines for diabetologistsKDIGO 2024 guidelines for diabetologists
KDIGO 2024 guidelines for diabetologists
 
heat stroke and heat exhaustion in children
heat stroke and heat exhaustion in childrenheat stroke and heat exhaustion in children
heat stroke and heat exhaustion in children
 
Ophthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE examOphthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE exam
 
Ocular injury ppt Upendra pal optometrist upums saifai etawah
Ocular injury  ppt  Upendra pal  optometrist upums saifai etawahOcular injury  ppt  Upendra pal  optometrist upums saifai etawah
Ocular injury ppt Upendra pal optometrist upums saifai etawah
 
The Normal Electrocardiogram - Part I of II
The Normal Electrocardiogram - Part I of IIThe Normal Electrocardiogram - Part I of II
The Normal Electrocardiogram - Part I of II
 
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...
 
basicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdfbasicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdf
 
THOA 2.ppt Human Organ Transplantation Act
THOA 2.ppt Human Organ Transplantation ActTHOA 2.ppt Human Organ Transplantation Act
THOA 2.ppt Human Organ Transplantation Act
 
POST OPERATIVE OLIGURIA and its management
POST OPERATIVE OLIGURIA and its managementPOST OPERATIVE OLIGURIA and its management
POST OPERATIVE OLIGURIA and its management
 
Antiulcer drugs Advance Pharmacology .pptx
Antiulcer drugs Advance Pharmacology .pptxAntiulcer drugs Advance Pharmacology .pptx
Antiulcer drugs Advance Pharmacology .pptx
 

Why PACS is Modern Medicine?

  • 1. Why PACS in Modern Medicine? 2 nd European Tutorial of Radiology LVIV/Ukraina January 2011 Frans Dhaenens MD
  • 2.
  • 3. AGFA PACS/RIS . МРТ КТ УЗ Ангио Яд.мед. Рентген Дигитайзер Сервер управления потоками Сервер Базы Данных PACS Архив 1 год Архивный сервер Архив на 10 лет Диагностические станции Web c ервер Рабочие станции клиницистов Web Сервер коммуникации Сервер RIS C танции RIS PACS RIS C танции RIS
  • 4.
  • 5.
  • 6. Historical roots of PACS: The appearance of DIGITAL Modalities CT, MRI, US in 70ties, 80ties Digital Modalities
  • 7.
  • 8. PACS connects CT, MRI, US, DR,.. PACS In the Radiology Department Radiologist Specialist Hospital
  • 9. PACS = flexibility & creativity
  • 10. A short history of PACS: standards & control CONTROL PACS 1982 PACS 2012 Standards & Security Modality->Departmental->Hospital->Multi-site->GRID-PACS NEMA/DICOM cardio, dental, RT, visual-light HL7 + IHE MPI + XDS RIS = Radiological Information System HIS = Hospital I.S. EPR = Electr. Pat. Rec. “ CODE” Virtuality
  • 11. Technical evolution of all PACS functions 1980 2012 P ICTURES A rchiving C ommunication S ystems 2D tapes ATM, video Hardware + show an image Represent 5D datasets Internet archives Internet/web/ Wifi Functionality+ knowledge
  • 12.
  • 13.
  • 14.  
  • 15. … Triggered a Variety of Visualization Applications… Now you have all the images... So what?
  • 16. Role of Diagnostic Imaging in Future Healthcare Patient-Disease “ Personalized Medicine”
  • 17. Radiology: the Analog Workflow Experience Specialties Knowledge Patient Process Turnaround Time IMAGES Information Report DATA Modality IMAGES DATA Information Hospital/ World
  • 18. Radiology: the Digital Workflow Experience Specialties Knowledge Patient Process Turnaround Time IMAGES Information Report DATA Modality IMAGES DATA Information Hospital/ World PACS RIS HIS EPR -50% Databases + WEB
  • 19.
  • 20. From Modalities to Multi-Site PACS Business Intelligence Server Kit PACS Departmental “ enterprise” Radiologist Specialist Clinical Workstation EPR HIS/RIS Hospital 1 Hospital 2 Hospital 3 Multi-site PACS Teleradiology $$
  • 21.
  • 22. Step 1 = Radiology RIS +PACS
  • 23. Step 2 = Clinical PACS + WS
  • 25. Step 3 = Enterprise-PACS filmless and paperless part of EPR
  • 26. HÔPITAL EUROPÉEN GEORGES POMPIDOU - PARIS R E S E A U I M A G E 10/100 Mbits ATM 1 0 / 1 0 0 M b i t s INTERPRETATION DIAGNOSTIC 4X VIDEO Bloc Opératoire  see more  do more  URGENCES 1er ETAGE 2ème ETAGE Médecine Nucléaire 3ème ETAGE PTI - PTNI 6ème - 7ème ETAGE ACQUISITION - TRAITEMENT ACQUISITION - TRAITEMENT REPROGRAPHIE VISUALISATION SALLES CONFERENCE VISUALISATION 10X PC DICOM IMPAX CS500 100 à 300 clients WEB 25 IMPAX DS 3000 LUMYSIS 75 TS 5 ADC ID VIPS VIPS ADC VIPS VIPS ADC ID TS 5 LUMYSIS ADW LUMYSIS TS 5 NM NM NM NM NM NM GESTION et COMMUNICATION A 5200 E 4500 SERVEUR DATA BASE DLT 9710 ARCHIVE SERVEUR 1 + WORFLOW MANAGER 1 E 450 ARCHIVE SERVEUR 2 + WORFLOW MANAGER 2 E 450 E 250 E 250 E 250 HP LH4 WEB 1000 SERVER WORKFLOW MANAGER 3 WORKFLOW MANAGER 4 WORKFLOW MANAGER 5 PACS BROKER HP LH4 INTEGRATION DRYSTAR 3000 DRYSTAR 2000 R I S R A D O S
  • 27. Hardware can be fairly complex
  • 28.
  • 29.
  • 30. Leuven University Hospitals ± 500.000 exams a year + 250.000 reports a year are dictated or typed directly into the computer by the radiologists !
  • 31. PACS rollout - month 10 Q4 2001 Radiology Department essentially filmless Q1 2001 First workstations in Radiology Department 2001 2002 2003 January 2001 Preparation of PACS project
  • 32. month 26 Q4 2001 Radiology Department essentially filmless Q1 2001 First workstations in Radiology Department January 2002 Pediatrics & ICU filmless July 2002 No CR film printing October 2002 No MR/CT film printing March 2003 Orthopedics filmless 2001 2002 2003 January 2001 Preparation of PACS project
  • 33. Benefit of PACS: faster diagnosis
  • 34. Benefit of PACS: faster diagnosis
  • 35.
  • 36. PACS Toys for real doctors?
  • 37. PACS dangers: chaos in the archives
  • 38. PACS dangers: OVERLOAD system too small
  • 39. From Modalities to Multi-PACS Business Intelligence Server Kit PACS Departmental “ enterprise” Radiologist Specialist Clinical Workstation EPR HIS/RIS Hospital 1 Hospital 2 Hospital 3 Multi-site PACS Teleradiology $$
  • 40.
  • 41.
  • 42. How Master Patient Index (MPI) is working Querable DICOM patient ID NON-Querable DICOM patient ID Global Patient Information MPI Initiate HIS Patient information RIS Multi-site MPI=Master Patient Index Patient Information Domain LOCAL LOCAL DICOM Header
  • 43. PACS MPI Integration Example GPI = G15975 Kate Lamb PID = C678 Mrs. K. Jones PID = D753 GPI = G15975 Catherine Lamb PID = A123 Katharine Jones PID = B455 GPI = G15975 GPI = G15975 Katherine L. Jones MPI# G15975
  • 44. Levels of Maturity of Multi-Site PACS Level 1 Share Resources Level 2 Share Data Level 3 Share Workflow Patient Identity Management Consent Management Increase in Maturity Security Management
  • 45. Deployment Models – Centralized vs. Hub & Spoke
  • 46.
  • 47.
  • 48.  
  • 49.
  • 50.  
  • 51.
  • 52.
  • 53.
  • 55. 64 % -> 18 % NEWS: AGFA rewarded HIS for 100 million Euro
  • 56. Overview of a large Tele-radiology site in Germany
  • 57. Workflow Kliniken Villingen-Schwenningen: satellite asks help DICOM Pseudonymisation Firewall +VPN DICOM C-STORE DICOM C-STORE Automatic pseudonymisation Workstation Modality HTTP e-mail notification DICOM C-STORE Internet AGFA Teleradiology client AGFA SA Workstation DICOM C-FIND/MOVE AGFA WEB1000 server HTTP Remote opinion Satellite Site Central Site IPSec SAT-ID + SAT-PID SAT-ID + SAT-ACC# Anonymous patient Firewall +VPN SAT-PID SAT-ACC# SAT-Patient name SAT-Patient address SMTP URL access Central repository of pseudonymised studies @
  • 58. Reports & Communication = e-mail satellite  central
  • 60. Workflow Kliniken Villingen-Schwenningen: central radiology answers Firewall +VPN Workstation HTTP Internet AGFA Teleradiology client AGFA teleradiology server HTTP Satellite Site Central Site IPSec Firewall +VPN SMTP Mail server SMTP Report Report Template Images HTTP Report Report storage on filesystem Report @
  • 61.
  • 62.
  • 63.
  • 64. Virtual GRID-PACS: Purposes = CAD & second-opinion & knowledge for lung-nodules
  • 65. Virtual GRID-PACS: how it looks You sit here Cancer database Cancer database
  • 67. No Blind Communication Patient is here
  • 68. Secure transmission of massive datasets: MDCT, cardio, angio Cine Images Transmission of Encrypted Cine Images
  • 69. Grid–PACS= retrieval time in seconds: 4 Gb in 300 secs
  • 70.

Editor's Notes

  1. Update diagram - high-level overview
  2. Update diagram - high-level overview
  3. Update diagram - high-level overview