(PACS) A system used to communicate and archive
medical imaging data, mostly
images and associated textural data generated in a radiology department, and disseminated throughout the hospital. A PACS is usually based on the DICOM (
Digital Imaging and Communications in Medicine) standard.
The main components in the PACS are:
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acquisition devices where the images are acquired,
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short and longer term archives for storage of digital and textural data,
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a database and database management,
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diagnostic and review workstations,
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software to run the system,
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a communication network linking the system components,
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interfaces with other networks (hospital and radiological information systems).
Acquisition devices, which acquire their data in direct digital format, like a
MRI system, are most easily integrated into a PACS.
Short term archives need to have rapid access, such as provided by a RAID (redundant array of independent disks), whereas long term archives need not have such rapid access and can be consigned, e.g. to optical disks or a magnetic.
High speed networks are necessary for rapid transmission of imaging data from the short term archive to the diagnostic workstations. Optical fiber, ATM (asynchronous transfer mode), fast or switched Ethernet, are examples of high speed transmission networks, whereas demographic textural data may be transmitted along conventional Ethernet.
Sophisticated software is a major
element in any hospital-wide PACS. The software concepts include: preloading or prefetching of historical
images pertinent to current examinations, worklists and folders to subdivide the vast
mass of data acquired in a PACS in a form, which is easy and practical to access, default display protocols whereby
images are automatically displayed on workstation monitors in a prearranged clinically logical order and format, and protocols radiologists can rapidly report worklists of undictated examinations, using a minimum of
computer manipulation.