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+ 
PACS 3.0 
Thiago Julio, MD
+ 
Não há conflito de interesse nessa apresentação.
+ 
RSNA 2012 
Honorary Lecture 
Meaningful IT Innovation to Support the 
Radiology Value Proposition 
Paul J. Chang, MD
+ 
PACS 1.0 
deal with images 
“get digital images from one place to another”
+ 
PACS 2.0 
digital image management 
cloud 
ologies
+ 
PACS 3.0 
workflow management 
enterprise image sharing 
patient-centric data sharing 
non-radiology image datasets
+ 
radiologist 
what is our role?
PACS 3.0 
CPOE 
Critical 
results 
Lesion 
measurement 
Radiation 
exposure 
monitoring 
Cloud 
computing 
Image 
Sharing / 
Exchange 
Mobile 
RIS 
Search 
NLP 
BI and 
analytics 
Lexicons 
Quantitative 
Imaging 
PACS 
Reports 
Productivity 
Workflow 
management 
Structured 
report 
Viewers 
BYOD 
Teaching 
Files 
CAD 
Dashboards
+ decision support systems 
provide evidence-based educational material to a user to improve clinical decision making 
demonstrates how doctors provide value as a specialty and are not just a diagnostic tool
+ 
any tool that allows to add 
value and context to 
interpretation 
the easier to locate and integrate into reporting, 
the more it will be used
+ 
“double-edged sword” 
technological advancements in medical imaging in the form of PACS and 
RIS are commodities within radiology 
these advances help radiologists in their work but could also make their 
services seem obsolete 
solution >> add VALUE for docs and patients
+ 
business intelligence 
{analytics}
dashboards
+  departments need to define goals and 
form a vision as they create a business 
model for dashboards and scorecards 
 Dashboards: 
 tactical 
 performance monitoring tools 
 Scorecards: 
 strategic 
 focus on performance management 
 utilize metrics, such as key 
performance indicators (KPI), related 
to goals.
workflow
+ 
the global worklist 
 accessibility 
 flexibility 
 performance 
 cost effective 
 convenience 
 quality care
+ 
VNA or not VNA? 
{is that the question?}
+ 
why aren’t we using it? 
{or are we??} 
mobile
+ 
the key to oncology’s and 
researcher’s heart 
lesion 
measurement
+ 
annotation image markup 
{AIM – daniel rubin - stanford}
speech recognition systems
+ 
ologies... 
{we are not alone}
+ 
integration 
{we gotta do it!}
+ 
critical results reporting
+ 
image sharing 
{our little instagram}
2014 
2016 
Ontologies and lexicons 
2017 
Multi-facility workflow tools 
2018 
EMR adoption 
Enterprise Order Management 
Enterprise Viewers - Clinical images 
Web apps 
PACS >> EV(clinical staff) 
Radiology RIS >> EMR RIS 
New app ecosystem 
Structured Reporting 
Voice Recognition 
Radiology PACS >> EV 
Legacy data 
Cloud VNA 
Domain >> Platform 
Modalities >> VNA 
Pathology 
2015 
RIS / PACS 
mobile 
analytics 
VNA 
Multi-system image information 
Enterprise image management 
Cross enterprise sharing 
EV 
EMR Modules 
Web information systems
+ 
message in a bottle 
{radiologists 3.0}

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Pacs 3.0

  • 1. + PACS 3.0 Thiago Julio, MD
  • 2. + Não há conflito de interesse nessa apresentação.
  • 3. + RSNA 2012 Honorary Lecture Meaningful IT Innovation to Support the Radiology Value Proposition Paul J. Chang, MD
  • 4.
  • 5. + PACS 1.0 deal with images “get digital images from one place to another”
  • 6. + PACS 2.0 digital image management cloud ologies
  • 7. + PACS 3.0 workflow management enterprise image sharing patient-centric data sharing non-radiology image datasets
  • 8. + radiologist what is our role?
  • 9.
  • 10. PACS 3.0 CPOE Critical results Lesion measurement Radiation exposure monitoring Cloud computing Image Sharing / Exchange Mobile RIS Search NLP BI and analytics Lexicons Quantitative Imaging PACS Reports Productivity Workflow management Structured report Viewers BYOD Teaching Files CAD Dashboards
  • 11. + decision support systems provide evidence-based educational material to a user to improve clinical decision making demonstrates how doctors provide value as a specialty and are not just a diagnostic tool
  • 12. + any tool that allows to add value and context to interpretation the easier to locate and integrate into reporting, the more it will be used
  • 13. + “double-edged sword” technological advancements in medical imaging in the form of PACS and RIS are commodities within radiology these advances help radiologists in their work but could also make their services seem obsolete solution >> add VALUE for docs and patients
  • 14. + business intelligence {analytics}
  • 16. +  departments need to define goals and form a vision as they create a business model for dashboards and scorecards  Dashboards:  tactical  performance monitoring tools  Scorecards:  strategic  focus on performance management  utilize metrics, such as key performance indicators (KPI), related to goals.
  • 18.
  • 19. + the global worklist  accessibility  flexibility  performance  cost effective  convenience  quality care
  • 20.
  • 21. + VNA or not VNA? {is that the question?}
  • 22. + why aren’t we using it? {or are we??} mobile
  • 23.
  • 24.
  • 25. + the key to oncology’s and researcher’s heart lesion measurement
  • 26. + annotation image markup {AIM – daniel rubin - stanford}
  • 27.
  • 28.
  • 30. + ologies... {we are not alone}
  • 31.
  • 32.
  • 33. + integration {we gotta do it!}
  • 34. + critical results reporting
  • 35.
  • 36. + image sharing {our little instagram}
  • 37.
  • 38. 2014 2016 Ontologies and lexicons 2017 Multi-facility workflow tools 2018 EMR adoption Enterprise Order Management Enterprise Viewers - Clinical images Web apps PACS >> EV(clinical staff) Radiology RIS >> EMR RIS New app ecosystem Structured Reporting Voice Recognition Radiology PACS >> EV Legacy data Cloud VNA Domain >> Platform Modalities >> VNA Pathology 2015 RIS / PACS mobile analytics VNA Multi-system image information Enterprise image management Cross enterprise sharing EV EMR Modules Web information systems
  • 39. + message in a bottle {radiologists 3.0}

Editor's Notes

  1. Radiology is witnessing the maturation of digital image management technologies and has entered a new phase “meaningful innovation for meaningful use.” the emphasis is no longer on images. Radiology needs to deliver a value proposition
  2. Departments need to define goals and form a vision as they create a business model for dashboards and scorecards.
  3. workflow via PACS or RIS and shows tactical data such as studies waiting to be read or reports requiring correction. a scorecard typically displays information such as modality utilization, physician referral patterns or turnaround time DASHBOARD = REAL TIME SCORECARD = LONGITUDINAL
  4. Right exam, at the right time