Filmless RadiologyVirtually all radiologists and healthcare administrators believe that every radiology department will be utilizing the cutting edge technology of PACS (Picture Archival and Communications System) in the future. Filmless Radiology is the first clinically oriented book to fully describe PACS and its impact on the cost and quality of patient care. Radiologist, medical physicists, physicians, nurses, and technologists will use it as a valuable source when navigating the transition from conventional to filmless systems. Radiology and hospital administrators will find it an indispensable tool for planning, justifying and purchasing a PACS. Computer system specialists, as well as biomedical engineers, will learn detailed and technical practical information about utilizing a PACS, and the networks and communication protocols required for successful operation. Students of all healthcare professions, engineering, and law will gain a comprehensive overview of the current state of art in medical digital imaging. Filmless Radiology chronicles the clinical and administrative experience acquired over the past several years by early adopters and providers of PAC Systems, and examines the future relationship of radiology to health information systems. |
Contents
Current State of the Art and Future Trends | 3 |
LargeScale PAC Systems | 21 |
Purchasing a PACS An RFP Toolkit | 33 |
The Impact of MedicalLegal Issues in Strategic Planning for PACS and Teleradiology Implementation | 87 |
PACS and Productivity | 103 |
Economic Analysis of Filmless Radiology | 113 |
Computed Radiographic Imaging and Artifacts | 137 |
Digital Radiography | 157 |
Clinical Aspects of Workstation Design and Operation | 254 |
Workstation Functions and System Capabilities | 277 |
Image Compression | 295 |
DICOM Standardization | 311 |
Enabling Technology DICOM in the VAs Hospital Information System | 322 |
PACS and Telemedicine in the VA | 355 |
VAs Integrated Imaging System A Multispecialty HospitalWide Image Storage Retrieval and Communication System | 370 |
HospitalWide PACS The Hammersmith Solution | 387 |
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Common terms and phrases
ACR-NEMA algorithm applications artifacts Baltimore VAMC breast BVAMC chest clinical clinicians commercial PACS components computed radiography conventional cost Dayhoff detection devices DICOM digital image digital mammography digital radiography disk edge enhancement electronic evaluation examinations exams exposure Figure film-based filmless radiology functions healthcare HIS/RIS hospital information system image acquisition image compression image display image management image processing image quality imaging plate Imaging System implementation improved integrated interpretation located lossy Medical Center medical imaging ment microcalcifications modality Modality Worklist monitor operation optical PAC system PACS PACS workstation patient percent performance physicians picture archiving pixel prefetching Proc SPIE productivity protocol radiologists radiology department radiology information system reports requirements resolution result retrieval screen film Section Siegel specific telemedicine teleradiology tion user interface VA's vendor VISTA DICOM VISTA Imaging workstation