Digital image communication.

Networks for digital image communication are an essential prerequisite for picture archiving and communication systems (PACS). The scenario of a 'filmless' radiology is based on the assumption that complete sets of medical images can be transferred throughout the hospital without a noticeable delay even though digital images represent data volumes of a thousand-fold greater size than, for example, office documents. This paper deals with an in-depth analysis of the anticipated image communication requirements in a future PACS environment. It gives a survey of technologies for data communication with emphasis on the basic concepts of established local area networks (LAN) and their limiting factors with respect to the specific PACS demands. Likewise, a description of a network particularly developed to satisfy the users-to-be of PACS systems is included. Furthermore, this paper treats the connection of image data with patients' data, i.e. the interlinking of PACS and RIS/HIS structures. Another topic of interest is the extension of the PACS structure beyond the limits of the individual hospital (extramural PACS operation). Moreover, current standardization attempts are discussed here.