Conventional radiology in digital form and the development of Picture Archiving and Communication Systems (PACS)
Agence Nationale d'Accreditation et d'Evaluation en Sante
Record ID 31998008425
This report evaluates the diagnostic performances of conventional radiology in digital form and PACS systems. It also deals with the economics and general organisational consequences of PACS systems. This evaluation is supplemented by a comparative analysis of equipment and operating costs.
Authors' results and conclusions:
Over the last twenty years, new imaging modalities such as the echodoppler, the scanner and MRI have begun to make their appearance in the medical world. Conventional radiology, however, remains dominant.
Digital systems make it considerably easier for the radiologist to read films, but a comparative analysis of the cost of digital and classical modalities in conventional radiology shows that the digital system involves a significant extra cost.
A number of potential organisational benefits have been claimed for PACS systems. However, the methodological limits of the papers dealing with these organisational aspects underline the need for new evaluation tools in this area.
The issue is no longer one of validating the innovation represented by the production of digital images in conventional radiography. Instead, what is required is to develop a rationale from current data that will ensure that these techniques are developed and used in an appropriate manner.
The recommendations derived from the rationale developed in this paper differ depending on the health provider. Recommendations for private radiological practices are not the same as those for hospitals.
English language abstract:
An English language summary is available
- Radiology Information Systems
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Agence Nationale d'Accreditation et d'Evaluation en Sante, 1997