Bampo A, Duati M, Coran F, Balestreri L, Attanasio M A, Morassut S
Servizio di Radiologia, IRCCS Centro di Riferimento Oncologico di Aviano, PN.
Radiol Med. 1997 Oct;94(4):355-61.
The use of computers has yielded new diagnostic techniques (US, CT, MRI and computed radiography) that can successfully replace conventional film in data acquisition, image display and image interpretation. Thanks to the Picture Archiving and Communication System (PACS), we can now manage the whole of diagnostic data because the images are acquired, coupled to the patient data stored in the Radiology Information System (RIS), sent to display workstations and finally sent to the archives.
To present the configuration and functions of a new PACS used in radiology and nuclear medicine departments and to evaluate its efficacy one year after implementation. Particular attention is paid to the objective difficulties radiologists found in approaching the system.
Secretarial work reduction and a more rational archiving organization are two of the advantages of automation. PACS permits rapid image display, retrieval nd archiving for both scientific and statistical purposes; however, its correct use is hindered by a series of problems, namely: a) reluctance to use PACS by many members of the medical staff, due to the complexity of its procedures; b) lack of panoramicity on the display monitor in multi-image examinations and c) underuse of viewing workstations in several wards of our institution due to lack of know-how.
Although the use of PACS has improved the workload management in our departments, the system still needs to be customized to the radiologist to optimize its use. Workstations must be user-friendly, with simultaneous display of more images. On the other hand, radiologists need to expand their knowledge of new techniques, thus modifying obsolete working procedures.
计算机的使用产生了新的诊断技术（超声、CT、MRI和计算机X线摄影），这些技术在数据采集、图像显示和图像解释方面能够成功取代传统胶片。得益于图像存档与通信系统（PACS），我们现在能够管理全部诊断数据，因为图像被采集后，与存储在放射信息系统（RIS）中的患者数据相结合，发送到显示工作站，最后存入档案库。
介绍放射科和核医学科所使用的一种新型PACS的配置和功能，并在其实施一年后评估其效果。特别关注放射科医生在使用该系统时遇到的客观困难。
减少秘书工作以及更合理的存档组织是自动化的两个优点。PACS允许为科研和统计目的快速显示、检索和存档图像；然而，其正确使用受到一系列问题的阻碍，即：a）由于程序复杂，许多医务人员不愿使用PACS；b）在多图像检查中，显示监视器缺乏全景显示；c）由于缺乏专业知识，我院几个病房的阅片工作站使用不足。
尽管PACS的使用改善了我们科室的工作量管理，但该系统仍需针对放射科医生进行定制，以优化其使用。工作站必须方便用户使用，能够同时显示更多图像。另一方面，放射科医生需要扩展他们对新技术的了解，从而改变过时的工作程序。
