Skip to main content
Journal of Digital Imaging logoLink to Journal of Digital Imaging
. 1997 May;10(2):51–56. doi: 10.1007/BF03168556

The impact of a picture archiving and communication system on nuclear medicine examination interpretation

Scott C Williams 1,2, Maricela Contreras 1,2, Mike McBiles 1,2, Michael A Cawthon 1,2, Rashmikant B Shah 1,2
PMCID: PMC3452998  PMID: 9165419

Abstract

Radiographic correlation is essential for many of the examinations performed in nuclear medicine. The purpose of this study was to evaluate the impact of a picture archiving and communications system (PACS) on the function and efficiency of a nuclear medicine department at a tertiary care institution. We evaluated 250 consecutive noncardiac nuclear medicine imaging examinations and asked the interpreting physician the following questions: (1) Was PACS used in the interpretation of the study? (2) Did the use of PACS expedite examination completion or aid in study interpretation? And (3) Did the use of PACS permit a definitive diagnosis to be made? PACS was accessed for correlative radiographic images in 155 of the 250 (62%) nuclear medicine examinations. Images available on PACS for review aided in study interpretation in 74% (115 of 155) of cases The use of PACS was thought to expedite examination completion in 55% (86 of 155) of cases. The system was accessed but not operational in only 1% of cases (2 of 155). PACS provides reliable, rapid access to multimodality correlative radiographic images that aid in the interpretation of nuclear medicine examinations. Such systems also increase the efficiency of a nuclear medicine service by allowing timely and conclusive interpretations to be made.

Key words: picture archive and communication systems, computers, nuclear medicine

Full Text

The Full Text of this article is available as a PDF (1.6 MB).

Footnotes

The opinions or assertions contained herein are the private views of the authors and are not to be construed as reflecting the views of the Department of the Army or the Department of Defense.

References

  • 1.Kangarloo H. PACS-clinical experience at UCLA. Comput Med Imaging Graph. 1991;15:201–203. doi: 10.1016/0895-6111(91)90011-J. [DOI] [PubMed] [Google Scholar]
  • 2.Horii HC, Mun SK, Levine B, et al. PACS clinical experience at Georgetown university. Comput Med Imaging Graph. 1991;15:183–190. doi: 10.1016/0895-6111(91)90008-J. [DOI] [PubMed] [Google Scholar]
  • 3.Datz FL, Baune DA, Christian PE. Redirection of client/server relationship of X window system as a simple low cost, departmental picture archiving and communication system solution for nuclear medicine. J Digit Imaging. 1994;7:107–112. doi: 10.1007/BF03168503. [DOI] [PubMed] [Google Scholar]
  • 4.Straub WH, Gur D. The hidden costs of delayed acess to diagnostic imaging information: Impact on PACS implementation. AJR. 1990;155:613–616. doi: 10.2214/ajr.155.3.2117364. [DOI] [PubMed] [Google Scholar]
  • 5.Gur D, Straub WH, Lieberman RH, et al. Clinicians' access to diagnostic imaging information at an academic center: Perceived impact on patient management. AJR. 1992;158:893–896. doi: 10.2214/ajr.158.4.1546613. [DOI] [PubMed] [Google Scholar]
  • 6.Kundel HL, Seshadri SB, Arenson RL. Clinical experience with PACS at the university of Pennsylvania. Comput Med Imaging Graph. 1991;15:197–200. doi: 10.1016/0895-6111(91)90010-S. [DOI] [PubMed] [Google Scholar]
  • 7.Huang HK, Kangarloo H, Cho PS, et al. Planning a totally digital radiology department. AJR. 1990;154:635–639. doi: 10.2214/ajr.154.3.2106235. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Digital Imaging are provided here courtesy of Springer

RESOURCES