"PACS: A Guide to the Digital Revolution, Second Edition," is a textbook of modern information sciences that fills an incredible need in the blossoming field of radiology. The emphasis is on a review of technological developments associated with the transition of radiology departments to filmless environments. As leaders in the field of computerized medical imaging, the editors and contributors provide insight into emerging technologies for physicians, administrators, and other interested groups. Each chapter addresses key topics in current literature with regard to the generation, transfer, interpretation, and distribution of images to the medical enterprise.
This new edition has been updated to present recent developments in PACS, including: 1. An overview of the latest medical imaging standards; 2. A discussion of security issues as they relate to PACS, especially regarding HIPAA; 3. An introduction to current information on PACS workstations, including the impact of new software and hardware on radiologists; 4. An updated explanation of data storage and compression that highlights how advancements are applied; 5. A section on how PACS influences research and education, emphasizing how both educators and trainees are affected.
Since health care organizations throughout the world are generating filmless implementation strategies, this exhaustive review is valued as a vital aid to leaders in the development of health care.
Reviewer:Ann Scherzinger, PhD(University of Colorado School of Medicine)
Description:This book, an overview of PACS implementation and usage concepts, is organized to address administrative, technical, and clinical issues related to the implementation of PACS in a radiology department. This is an update of the 2001 edition.
Purpose:It is intended to aid in the understanding of the role, value, and impact of PACS in a radiology department. PACS is a new experience for many in radiology and is spreading rapidly to other areas of medicine. It is also rapidly changing as the technology that supports it changes. Therefore there is a large audience with a need for this information. The authors do a good job of presenting the basics of many aspects of this field.
Audience:The book is primarily written for radiology staff, including administrators, radiologists, and technologists. It is also intended for others in the medical field, particularly those with an interest in IT management. This is a fair statement of the focus of most of the presentation. The authors are all well known contributors in this field.
Features:The book covers administrative matters such as the purchase of a PACS system, legal issues, and PACS incorporation into the department workflow. It covers technical matters such as some basic discussions of digital imaging, computer standards, and architecture and image acquisition and image display hardware. Finally, it describes the clinical issues related to the order, display, and reporting software used in a PACS system. The most detailed chapters are those describing the RFP process for choosing a system, the evaluation of workflow changes experienced by current users of the system, and the technical descriptions of current architecture and archiving configurations employed in PACS. Other topics are covered more generally with fewer specific details. Omitted is a discussion of the pitfalls and current problems that hamper efficient use of PACS for some applications, as well as any real discussion of the value and future developments needed from HL7, DICOM and IHE standards.
Assessment:This would be very informative for persons already in a medical imaging field and who want a greater understanding of many of the aspects of PACS implementation and use. It is not a technical presentation for those interested in details regarding digital imaging and integration of medical information systems. It is a significant improvement in organization and content over the previous edition.