Beyond PACS: getting images to referring physicians.

The digital imaging hospital has the potential advantage that imaging studies are available anytime, and anywhere they are needed, with negligible loss. Fulfilling this promise in reality, however, presents challenges as described in this paper. No single best formula for successful deployment exists, since each institution is unique, and its medical staff may have varying preferences. This requires a collaborative team approach to design a solution acceptable to all parties, inside and outside of radiology. We have attempted to identify the significant issues. In addition, hardware and software technology continuously evolve and improve. What is clear is that all institutions will adopt this technology for the reasons described. The successful implementations will be those that are collaboratively and thoughtfully designed. User training of all members of the healthcare team involved with image study access is essential.