PACS and Digital Medicine: Essential Principles and Modern Practice
Purchasing Options
Features
- Explains how PACS are used in radiology, teleradiology, cardiology, pathology, and radiation oncology
- Covers PACS system components, quality control, IT infrastructures, networks, and data storage technologies
- Describes industry standards, such as DICOM, HL7, and IHE, as well as security, privacy, and safety regulations, including HIPAA
- Discusses the replacement of legacy systems
- Provides case studies of PACS implementation in a clinical healthcare system and an academic institution
Summary
To improve efficiency and reduce administrative costs, healthcare providers, insurance companies, and governments are increasingly using integrated electronic health record (EHR) and picture archiving and communication systems (PACS) to manage patients’ medical information. Reflecting the latest applications of PACS technology, PACS and Digital Medicine: Essential Principles and Modern Practice discusses the essential principles of PACS, EHR, and related technological advancements as well as practical issues concerning the implementation, operation, and maintenance of PACS and EHR systems.
The book focuses on various components of PACS that use state-of-the-art technologies. The authors first present topics to consider prior to implementation, including design principles for PACS components and theory. They also cover post-installation quality control; security and privacy policies; maintenance, including upgrade/integration with other information systems; and governing standards. Each chapter includes an introduction to basic concepts and principles relevant to the topics, before exploring challenges that PACS users may encounter in daily work. Discussions are supplemented with more than 130 illustrations, along with case studies of implementation in two organizations.
A useful guide and broad overview of the field, this book presents key principles and practical steps for PACS and EHR implementations and maintenance. Although the technology and standards of healthcare IT will evolve over time, the theory and practical advice found in this text will remain pertinent in the future.
Table of Contents
Introduction
History of PACS: The Transition to Digital Medicine
Technology Advancements Enabling Today’s PACS
Defining PACS
Current Status
PACS Servers and Workstations
PACS Server
Types of Image Display Workstation in PACS
PACS Workstation Architecture
Environment for PACS Workstations
Radiology Workflow
Speech Recognition for Report Dictation
New Developments
Image Display Devices in PACS
Introduction
Softcopy Image Display System
Overview of Image Display Technologies
Quality Standards for Display Devices
Quality Control and Quality Assurance for Image Display Devices in PACS
Networking Technologies
Ethernet Local Area Network and TCP/IP
Wide Area Network
Network Topology
Network Design Consideration
Optical Fiber Communication
Network Security
Wi-Fi and Wireless Local Area Network
Backup and Alternative Network Using the Internet
Data Storage
Data Storage Media Types
Digital Storage Device Interface
Data Storage Attaching Configurations
Redundant Arrays of Independent Disks
Image Data Compression
Content Addressed Storage
Short-Term and Long-Term Storage for PACS/Electronic Health Record (EHR)
Healthcare Information Integration
Health Level 7 (HL7)
Digital Imaging and Communications in Medicine (DICOM)
Integrating the Healthcare Enterprise (IHE)
IHE Technical Frameworks
Teleradiology
Teleradiology Overview
Technical Considerations for Teleradiology Implementation
Teleradiology Quality Control
Legal and Social Considerations
Challenges and Future Trends in Teleradiology
Practical PACS Implementation
Financial Analysis
Planning and Development
PACS Equipment Selection and Contract Preparation
Implementation
Case Studies
Upgrading and Replacing Legacy PACS
Legacy System and IT Infrastructure Assessment
PACS/Radiology Information System (RIS) Upgrade Considerations
PACS Replacement Planning
Network Infrastructure Upgrade
Legacy PACS Data Migration
Replacement System Go-Live and Training
Future Development
Enterprise PACS
Introduction
Cardiology PACS
Pathology PACS
Radiation Oncology PACS
Endoscopy and Other Visible Light Specialties
Electronic Health Record and Personal Health Record Implementation
Introduction
HL7 EHR Model
HL7 Personal Health Record (PHR) System Model
Standards Used in EHR and PHR
Guide for EHR Implementations
Health Information Exchange at Regional and National Levels
Quality Control, Security, and Downtime Management
PACS Patient File Reconciliation and Quality Control
Downtime Planning
Health Insurance Portability and Accountability Act (HIPAA)
Contingency Plan and Disaster Recovery
Security Management Process
Device and Access Control
DICOM and IHE Security Mechanism
Index
A Bibliography appears at the end of each chapter.
Author Bio(s)
Editorial Reviews
… a thorough and practical reference for radiologists, administrators, engineers, and others who might create, manage, or use such a system. …
—SciTech Book News, February 2011