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
Authors' objectives:

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.
Authors' recommendations: 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.
Authors' methods: Evaluation study
Project Status: Completed
URL for project:
Year Published: 1997
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: France
MeSH Terms
  • Radiology Information Systems
  • Radiology
Organisation Name: L'Agence Nationale d'Accreditation d'Evaluation en Santé
Contact Address: 2 avenue du Stade de France, 93218 Saint-Denis La Plaine Cedex, France. Tel: +33 01 55 93 71 88; Fax: +33 01 55 93 74 35;
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Copyright: Agence Nationale d'Accreditation et d'Evaluation en Sante, 1997
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.