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Journal of Digital Imaging logoLink to Journal of Digital Imaging
. 2000 May;13(Suppl 1):83–87. doi: 10.1007/BF03167632

Challenges associated with interfacing computed tomography to a picture archiving and communication system at the Baltimore Veterans Affairs Medical Center—A historical perspective

Peter M Kuzmak 1,2,3,4,, Bruce I Reiner 1,2,3,4, Eliot L Siegel 1,2,3,4, Stephen M Severance 1,2,3,4, Ruth E Dayhoff 1,2,3,4,
PMCID: PMC3453294  PMID: 10847370

Abstract

The interfacing of digital image acquisition modalities to the picture archiving and communication system (PACS) plays a major part in the conversion from a traditional film-based radiology practice to one that relies almost entirely on soft-copy reading. The Baltimore Veterans Affairs Medical Center (VAMC) is one of the first filmless hospitals in the world. Since 1993, it has used computed tomography (CT) scanners connected to a commercial PACS to provide digitized patient images for filmless reading. Over the years, the evolution of Digital Imaging and Communications in Medicine (DICOM) standards, advances in networking technologies, and enhancements in PACS and hospital information system (HIS) software have greatly improved this system’s robustness and patient/study identification accuracy. The result has been a major increase in productivity.

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Footnotes

Supported by the US Department of Veterans Affairs

This is a US government work. There are no restrictions on its use.

References

  • 1.Digital Imaging Communication in Medicine (DICOM), NEMA Standards Publication PS 3 (1998). Washington, DC, National Electrical Manufactures Association.
  • 2.Dayhoff RE. VA’s integrated imaging system: A multispeciality, hospital-wide image storage, retrieval and communication system. In: Siegel EL, Kolodner RM, editors. Filmless Radiology. New York, NY: Springer; 1999. [Google Scholar]
  • 3.Kuzmak PM, Dayhoff RE. The Department of Veterans Affairs integration of imaging into the healthcare enterprise using the VistA hospital information system and Digital Imaging and Communications in Medicine. J Digit Imaging. 1998;11:53–64. doi: 10.1007/BF03168727. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 4.Kuzmak PM, Dayhoff RE. Enabling technology: DICOM in the VA’s hospital information system. In: Siegel EL, Kolodner RM, editors. Filmless Radiology. New York, NY: Springer; 1999. pp. 322–352. [Google Scholar]
  • 5.Kuzmak PM, Dayhoff RE: Success of HIS DICOM interfaces in the integration of the healthcare enterprise at the Department of Veterans Affiars, in Medical Imaging 1999: PACS Design and Evaluation. Proceedings SPIE, vol 3662, The International Society for Optical Engineering, Bellingham, WA, 1999
  • 6.Oosterwijk H, Csipo D, Kuzmak PM, et al: Modality Interface DICOM Conformance Requirements, Version 1.2.http://www.va.gov/oa&mm/busopp/formats.htm, Sept 7, 1999
  • 7.HIMSS & RSNA. Integrating the Healthcare Enterprise, IHE Technical Framework, Revision 3.0.http://www.RSNA.org/IHE, April 26, 1999
  • 8.Reiner BI, Siegel EL, Hooper FJ, et al. A comparison of film based to filmless operation on CT technologists’ productivity. Radiology. 1998;207:481–485. doi: 10.1148/radiology.207.2.9577498. [DOI] [PubMed] [Google Scholar]
  • 9.Reiner B, Siegel E, Kuzmak P, et al. Transmission failure rate for computed tomography examinations in a filmless imaging department. J Digit Imaging. 2000;13(suppl 1):79–82. doi: 10.1007/BF03167631. [DOI] [PMC free article] [PubMed] [Google Scholar]

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