Financial assessment of a picture archiving and communication system implemented all at once.


:The objective of this study was to determine the differential cost between film-based radiology and a hospital-wide picture archiving and communication system (PACS) implemented all at once. The cash flow and running costs of PACS and film-based operation were measured over an 8-year time horizon. When the hospital-wide PACS was implemented over a short period, there was instant conversion into digital film and archives. The net present value (NPV) for PACS operation is US $1,598,698, whereas the NPV for film-based operation is US $2,083,856, indicating a net saving of US $485,157. The payback period is 4 years. The costs of computed radiography and image plates account for 40% of the initial capital expenditure in PACS implementation, followed by computer hardware (30%) and software (9%) costs. Our experience shows that implementation of hospital-wide PACS all at once can produce cost savings. For hospitals intending to go filmless, this study offers a model for financial evaluation of PACS to help in decision making.


J Digit Imaging


Fang YC,Yang MC,Hsueh YS




Has Abstract


2006-01-01 00:00:00








19 Suppl 1


  • Development of a research dedicated archival system (TARAS) in a university hospital.

    abstract::Recent healthcare policies have influenced the manner in which patient data is handled in research projects, and the regulations concerning protected health information have become significantly tighter. Thus, new procedures are needed to facilitate research while protecting the confidentiality of patient data and ens...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Rajala T,Savio S,Penttinen J,Dastidar P,Kähönen M,Eskola H,Miettunen R,Turjanmaa V,Järvenpää R

    更新日期:2011-10-01 00:00:00

  • Integrated voice recognition and picture archiving and communication system: development and early experience.

    abstract::Voice recognition (VR) and picture archiving and communication system (PACS) both have advantages and disadvantages in radiologic practice. We describe a fully integrated VR/PACS system running on a single platform. Integration optimizes the positive features of both systems and creates a synergy that is not otherwise...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Weiss DL,Hoffman J,Kustas G

    更新日期:2001-06-01 00:00:00

  • Efficacy of a checklist-style structured radiology reporting template in reducing resident misses on cervical spine computed tomography examinations.

    abstract::The increasing use of medical checklists to promote patient safety raises the question of their utility in diagnostic radiology. This study evaluates the efficacy of a checklist-style reporting template in reducing resident misses on cervical spine CT examinations. A checklist-style reporting template for cervical spi...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Lin E,Powell DK,Kagetsu NJ

    更新日期:2014-10-01 00:00:00

  • Effect of viewing angle on luminance and contrast for a five-million-pixel monochrome display and a nine-million-pixel color liquid crystal display.

    abstract::Digital imaging systems used in radiology rely on electronic display devices to present images to human observers. Active-matrix liquid crystal displays (AMLCDs) continue to improve and are beginning to be considered for diagnostic image display. In spite of recent progress, AMLCDs are characterized by a change in lum...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Fifadara DH,Averbukh A,Channin DS,Badano A

    更新日期:2004-12-01 00:00:00

  • User questionnaire to evaluate the radiological workspace.

    abstract::Over the past few years, an increase in digitalization of radiology departments can be seen, which has a large impact on the work of the radiologists. This impact is not only demonstrated by the increased use of digital images but also by changing demands on the whole reading environment. In this study, we evaluated t...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: van Ooijen PM,Koesoema AP,Oudkerk M

    更新日期:2006-01-01 00:00:00

  • Picture archiving and communication systems and related developments in Sweden.

    abstract::Large PACS (Picture Archiving and Communication Systems) installations do not yet exist in Sweden, but some hospitals have had experience with limited PACS activities. At present there are four mini PACS installations in radiology departments and about 12 teleradiology systems in use in Sweden. A couple of small Swedi...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Olsson S

    更新日期:1991-08-01 00:00:00

  • Integration of computer-assembled digital images and text data as evidence for the oncological record.

    abstract::Digitally created visual images of pertinent patient data have been integrated with text information to formulate a visual evaluation and summary sheet (VESS) using computer processing. The VESS incorporates images of a patient's physical appearance, radiological images, pharmacokinetic graphs, and text information in...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Liu JM,Wu HW,Chen WS,Lin WC,Chao Y,Lui WY,Whang-Peng J

    更新日期:2000-05-01 00:00:00

  • Assessing the accuracy factors in the determination of postoperative acetabular cup orientation using hybrid 2D-3D registration.

    abstract::Single standard anteroposterior radiograph-based methods for measuring cup orientation following total hip arthroplasty (THA) are subject to substantial errors if the individual pelvic orientation with respect to X-ray plate is not taken into consideration. Previously, we proposed to use a hybrid 2D-3D registration sc...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Zheng G

    更新日期:2010-12-01 00:00:00

  • Clinical impact of picture archiving and communication systems: evaluation of a prototype system.

    abstract::Opinion surveys were gathered before and 6 months after installation of a prototype picture archiving and communication system (PACS) (PACS/1, Siemens Medical Systems, Iselin, NJ). Median turnaround times and the percent of delayed or missing reports were calculated for 1,026 baseline and 8,438 follow-up studies at 6 ...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Worrell JA,Federspiel CF,Creasy JL,Pickens DR 3rd,Higginbotham K,Patton JA,Partain CL

    更新日期:1992-05-01 00:00:00

  • Medical applications of digital image morphing.

    abstract::The authors present a unique medical technical application for illustrating the success and/or failure of the physiological healing process as a dynamically morphed video. Two examples used in this report include the healing of a severely fractured humerus from an explosion in Iraq and the other of dramatic tissue des...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Penska K,Folio L,Bunger R

    更新日期:2007-09-01 00:00:00

  • A new family of distance functions for perceptual similarity retrieval of medical images.

    abstract::A long-standing challenge of content-based image retrieval (CBIR) systems is the definition of a suitable distance function to measure the similarity between images in an application context which complies with the human perception of similarity. In this paper, we present a new family of distance functions, called att...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章,评审


    authors: Felipe JC,Traina C Jr,Traina AJ

    更新日期:2009-04-01 00:00:00

  • Demonstration of digital radiographs by means of ink jet-printed paper copies: pilot study.

    abstract::Different digital medical images have been printed on paper with a continuous ink jet printer, and the quality has been evaluated. The emphasis has been on digital chest radiographs from a computed radiography system. The ink jet printing technique is described as well as the handling of the image data from image sour...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Kirkhorn T,Kehler M,Nilsson J,Lyttkens K,Andersson B,Holmer NG

    更新日期:1992-11-01 00:00:00

  • Toward Data-Driven Radiology Education-Early Experience Building Multi-Institutional Academic Trainee Interpretation Log Database (MATILDA).

    abstract::The residency review committee of the Accreditation Council of Graduate Medical Education (ACGME) collects data on resident exam volume and sets minimum requirements. However, this data is not made readily available, and the ACGME does not share their tools or methodology. It is therefore difficult to assess the integ...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章,多中心研究


    authors: Chen PH,Loehfelm TW,Kamer AP,Lemmon AB,Cook TS,Kohli MD

    更新日期:2016-12-01 00:00:00

  • Computed radiography: user-programmable features and capabilities.

    abstract::Digital or computed radiography (CR) using photostimulable storage phosphor plate technology is becoming increasingly popular in certain clinical applications, such as bedside radiography, where it possesses clear advantages over conventional screen-film imaging. The majority of CR systems in clinical use have been ma...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Gingold EL,Tucker DM,Barnes GT

    更新日期:1994-08-01 00:00:00

  • An ROC study of chest radiographs: 2K Versus 4K high-resolution soft-copy images.

    abstract::Computed radiography of chest with a 4K image array was recently introduced. We performed a multiobserver study to compare the diagnostic accuracy of 2K (standard) and 4K (high quality) chest radiographs displayed on a 5-mega-pixel monitor (2K monitor). One hundred cases of posteroanterior chest radiographs (a total o...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Kim SY,Hwang YJ,Han YH,Seo JW,Lee JY,Kim YH,Cha SJ,Hur G,Lee SS

    更新日期:2007-12-01 00:00:00

  • Novel computer-aided diagnosis algorithms on ultrasound image: effects on solid breast masses discrimination.

    abstract::The objective of this study is to retrospectively investigate whether using the newly developed algorithms would improve radiologists' accuracy for discriminating malignant masses from benign ones on ultrasonographic (US) images. Five radiologists blinded to the histological results and clinical history independently ...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Wang Y,Wang H,Guo Y,Ning C,Liu B,Cheng HD,Tian J

    更新日期:2010-10-01 00:00:00

  • Towards Portable Large-Scale Image Processing with High-Performance Computing.

    abstract::High-throughput, large-scale medical image computing demands tight integration of high-performance computing (HPC) infrastructure for data storage, job distribution, and image processing. The Vanderbilt University Institute for Imaging Science (VUIIS) Center for Computational Imaging (CCI) has constructed a large-scal...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章,评审


    authors: Huo Y,Blaber J,Damon SM,Boyd BD,Bao S,Parvathaneni P,Noguera CB,Chaganti S,Nath V,Greer JM,Lyu I,French WR,Newton AT,Rogers BP,Landman BA

    更新日期:2018-06-01 00:00:00

  • Integrating an Ontology of Radiology Differential Diagnosis with ICD-10-CM, RadLex, and SNOMED CT.

    abstract::An ontology offers a human-readable and machine-computable representation of the concepts in a domain and the relationships among them. Mappings between ontologies enable the reuse and interoperability of biomedical knowledge. We sought to map concepts of the Radiology Gamuts Ontology (RGO), an ontology that links dis...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Filice RW,Kahn CE Jr

    更新日期:2019-04-01 00:00:00

  • Comparison of algorithms to enhance spicules of spiculated masses on mammography.

    abstract::We have developed an algorithm for enhancement of spicules of spiculated masses, which uses the discrete radon transform. Previously, we employed a commonly used method to compute the discrete radon transform, which we refer to as the DRT. Recently, a new, more exact method to compute the discrete radon transform was ...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Sampat MP,Whitman GJ,Bovik AC,Markey MK

    更新日期:2008-03-01 00:00:00

  • An interactive RADIANCE toolkit for customizable CT dose monitoring and reporting.

    abstract::The need for tools to monitor imaging-related radiation has grown dramatically in recent years. RADIANCE, a freely available open-source dose-monitoring tool, was developed in response to the need for an informatics solution in this realm. A number of open-source as well as commercial solutions have since been develop...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Cook TS,Sundaram A,Boonn WW,Kim W

    更新日期:2013-08-01 00:00:00

  • Toward Automatic Detection of Radiation-Induced Cerebral Microbleeds Using a 3D Deep Residual Network.

    abstract::Cerebral microbleeds, which are small focal hemorrhages in the brain that are prevalent in many diseases, are gaining increasing attention due to their potential as surrogate markers of disease burden, clinical outcomes, and delayed effects of therapy. Manual detection is laborious and automatic detection and labeling...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Chen Y,Villanueva-Meyer JE,Morrison MA,Lupo JM

    更新日期:2019-10-01 00:00:00

  • Detection of breast cancer with a computer-aided detection applied to full-field digital mammography.

    abstract::A study was conducted to evaluate the sensitivity of computer-aided detection (CAD) with full-field digital mammography in detection of breast cancer, based on mammographic appearance and histopathology. Retrospectively, CAD sensitivity was assessed in total group of 152 cases for subgroups based on breast density, ma...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Murakami R,Kumita S,Tani H,Yoshida T,Sugizaki K,Kuwako T,Kiriyama T,Hakozaki K,Okazaki E,Yanagihara K,Iida S,Haga S,Tsuchiya S

    更新日期:2013-08-01 00:00:00

  • Elastic registration of x-ray mammograms and three-dimensional magnetic resonance imaging data.

    abstract::Major problems in treating breast cancer are the early detection of tumors and accurate biopsy of small volumes of breast (mamma) tissue. This report presents an elastic registration algorithm of two x-ray mammograms and a corresponding magnetic resonance imaging (MRI) volume. To cope with the soft tissue deformation ...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Ruiter NV,Müller TO,Stotzka R,Kaiser WA

    更新日期:2001-06-01 00:00:00

  • 10 Steps to Strategically Build and Implement your Enterprise Imaging System: HIMSS-SIIM Collaborative White Paper.

    abstract::An enterprise imaging (EI) strategy is an organized plan to optimize the electronic health record (EHR) so that healthcare providers have intuitive and immediate access to all patient clinical images and their associated documentation, regardless of source. We describe ten steps recommended to achieve the goal of impl...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章,评审


    authors: Primo H,Bishop M,Lannum L,Cram D,Nader A,Boodoo R

    更新日期:2019-08-01 00:00:00

  • Volumetric Assessment of Pediatric Vascular Malformations Using a Rapid, Hand-Held Three-Dimensional Imaging System.

    abstract::The effect of percutaneous, surgical, and medical therapies for vascular malformations (VMs) is often difficult to quantify volumetrically using cross-sectional imaging. Volumetric measurement is often estimated with serial, expensive MRI examinations which may require sedation or anesthesia. We aim to explore whether...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Speir EJ,Matthew Hawkins C,Weiler MJ,Briones M,Swerdlin R,Park S,Brandon Dixon J

    更新日期:2019-04-01 00:00:00

  • Digital processing of radiographic images from PACS to publishing.

    abstract::Several studies have addressed the implications of filmless radiologic imaging on telemedicine, diagnostic ability, and electronic teaching files. However, many publishers still require authors to submit hard-copy images for publication of articles and textbooks. This study compares the quality digital images directly...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Christian ME,Davidson HC,Wiggins RH 3rd,Berges G,Cannon G,Jackson G,Chapman B,Harnsberger HR

    更新日期:2001-03-01 00:00:00

  • Hybrid Airway Segmentation Using Multi-Scale Tubular Structure Filters and Texture Analysis on 3D Chest CT Scans.

    abstract::Airway diseases are frequently related to morphological changes that may influence lung physiology. Accurate airway region segmentation may be useful for quantitative evaluation of disease prognosis and therapy efficacy. The information can also be applied to understand the fundamental mechanisms of various lung disea...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Lee M,Lee JG,Kim N,Seo JB,Lee SM

    更新日期:2019-10-01 00:00:00

  • A mobile tele-radiology imaging system with JPEG2000 for an emergency care.

    abstract::The aim of this study was to design a tele-radiology imaging system for rapid emergency care via mobile networks and to assess the diagnostic feasibility of the Joint Photographic Experts Group 2000 (JPEG2000) radiological imaging using portable devices. Rapid patient information and image exchange is helpful to make ...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Kim DK,Kim EY,Yang KH,Lee CK,Yoo SK

    更新日期:2011-08-01 00:00:00

  • Touch Surgery: a Twenty-First Century Platform for Surgical Training.

    abstract::This manuscript reviews Touch Surgery, a novel online platform geared towards innovating professional training for surgical procedures. In other industries, such as aviation, simulation has already been shown to reduce costs and improve outcomes in crisis (JETS 3(4):348-352, 2010). Studies involving simulation-based l...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章,评审


    authors: Mandler AG

    更新日期:2018-10-01 00:00:00

  • Use of a thin-section archive and enterprise 3D software for long-term storage of thin-slice CT data sets.

    abstract::Rapid advances are changing the technology and applications of multidetector computed tomography (CT) scanners. The major increase in data associated with this new technology, however, breaks most commercial picture archiving and communication system (PACS) architectures by preventing them from delivering data in real...

    journal_title:Journal of digital imaging

    pub_type: 杂志文章


    authors: Meenan C,Daly B,Toland C,Nagy P

    更新日期:2006-01-01 00:00:00