A cost-analysis of computed radiography and picture archiving and communication systems in portable radiography.

A total of 40,000 portable examinations are performed each year at Shands Hospital (Gainesville, FL), a 570-bed teaching hospital. Radiographs are obtained using a screen-film combination with the films digitized for transmission to displays in four intensive care units. A cost-analysis of replacing screen-film with computed radiography (CR) integrated into a filmless picture archiving and communication system (PACS) network was performed. Equipment requirements included two CR units, three high-resolution dual monitor displays, and an archive to store 3 months of image data. The capital costs were amortized over a 5-year period. Capital and operating costs of the proposed expansion to the existing PACS network, together with anticipated cost savings, were determined. The maximum data transfer rate for portable examinations was 150 MByte per hour and approximately 400 GByte of image data are generated each year. These figures were used to determine the hardware requirements for handling the acquisition, transfer, and display of the images. Annual costs of the proposed expansion were about $220,000. Cost savings were achieved by elimination of film, including its handling by technologists/library clerks, and amounted to about $200,000 per year.