Bick U, Lenzen H
Department of Diagnostic Radiology, University Clinics Charité, Schumannstrasse 20/21, D-10117 Berlin, Germany.
Eur Radiol. 1999;9(6):1152-60. doi: 10.1007/s003300050811.
More than 15 years ago the idea of a Picture Archiving and Communication System (PACS) and a filmless hospital was created. In a PACS environment images are acquired, read, communicated and stored digitally. After many years of unsuccessful attempts and prototype installations, the necessary hardware components for a successful PACS installation are now readily available. However, software development is still lagging behind. Only very recently, software developers have realized that it is not sufficient for PACS software to store, communicate and display images, but that PACS software should effectively support the radiologist in the task of interpreting and communicating imaging findings through context-dependent default display arrangements, work-flow management, radiological and hospital information systems integration, and computer-assisted diagnosis. This review examines hard- and software requirements for efficient PACS operation, analyses costs and benefits, and discusses future developments.
15年多前，图片存档与通信系统（PACS）和无胶片医院的概念应运而生。在PACS环境中，图像以数字方式采集、读取、传输和存储。经过多年的失败尝试和原型安装，现在已具备成功安装PACS所需的硬件组件。然而，软件开发仍滞后。直到最近，软件开发人员才意识到，PACS软件仅存储、传输和显示图像是不够的，PACS软件还应通过依赖上下文的默认显示安排、工作流程管理、放射学与医院信息系统集成以及计算机辅助诊断，有效地支持放射科医生解读和传达影像检查结果。本文综述探讨了高效运行PACS所需的硬件和软件要求，分析了成本与效益，并讨论了未来的发展。
