Tucker D M, Barnes G T, Koehler R E
Department of Radiology, University of Alabama Hospitals and Clinics, University of Alabama at Birmingham 35233, USA.
Radiology. 1995 Aug;196(2):297-304. doi: 10.1148/radiology.196.2.7617836.
The authors review the potential of picture archiving and communication systems (PACS) in the critical care environment. Presented and analyzed is a university hospital intensive care unit (ICU) PACS project. The objective of the project is to provide reliable, timely viewing of bedside radiographs in selected ICUs within the hospital. Key features include redundancy of critical hardware components and viewing stations that are simple to operate. The system was implemented in phases with incremental evaluation of performance and goals. PACS subsystems are discussed. On the basis of this experience, ICU PACS specifications and general considerations are presented. Also presented is a comparison of 10-year cost projections for conventional screen-film radiography and an ICU PACS that incorporates computed radiography. The costs of the two alternatives are comparable. PACS is a viable alternative to conventional screen-film imaging in the ICU setting and offers improved and more efficient patient care.
作者们回顾了图像存档与通信系统（PACS）在重症监护环境中的潜力。文中展示并分析了一个大学医院重症监护病房（ICU）的PACS项目。该项目的目标是在医院内选定的ICU中提供可靠、及时的床边X光片查看功能。关键特性包括关键硬件组件的冗余以及易于操作的查看工作站。该系统分阶段实施，并对性能和目标进行了逐步评估。文中讨论了PACS子系统。基于这一经验，给出了ICU PACS的规范和一般注意事项。还给出了传统屏-片摄影与包含计算机X线摄影的ICU PACS的10年成本预测对比。两种方案的成本相当。在ICU环境中，PACS是传统屏-片成像的可行替代方案，能提供更好、更高效的患者护理。
