Journal of Digital Imaging

, Volume 27, Issue 4, pp 486–495 | Cite as

PACS Administrators’ and Radiologists’ Perspective on the Importance of Features for PACS Selection

  • Vivek Joshi
  • Vamsi R. Narra
  • Kailash Joshi
  • Kyootai Lee
  • David Melson


Picture archiving and communication systems (PACS) play a critical role in radiology. This paper presents the criteria important to PACS administrators for selecting a PACS. A set of criteria are identified and organized into an integrative hierarchical framework. Survey responses from 48 administrators are used to identify the relative weights of these criteria through an analytical hierarchy process. The five main dimensions for PACS selection in order of importance are system continuity and functionality, system performance and architecture, user interface for workflow management, user interface for image manipulation, and display quality. Among the subdimensions, the highest weights were assessed for security, backup, and continuity; tools for continuous performance monitoring; support for multispecialty images; and voice recognition/transcription. PACS administrators’ preferences were generally in line with that of previously reported results for radiologists. Both groups assigned the highest priority to ensuring business continuity and preventing loss of data through features such as security, backup, downtime prevention, and tools for continuous PACS performance monitoring. PACS administrators’ next high priorities were support for multispecialty images, image retrieval speeds from short-term and long-term storage, real-time monitoring, and architectural issues of compatibility and integration with other products. Thus, next to ensuring business continuity, administrators’ focus was on issues that impact their ability to deliver services and support. On the other hand, radiologists gave high priorities to voice recognition, transcription, and reporting; structured reporting; and convenience and responsiveness in manipulation of images. Thus, radiologists’ focus appears to be on issues that may impact their productivity, effort, and accuracy.


Picture archiving and communication system PACS Analytical hierarchy process AHP RIS Structured reporting Voice recognition Transcription Open systems Proprietary systems Display quality System continuity Security Backup Recovery Downtime prevention PACS performance monitoring Configuration Upgrade Cardiology images Pathology images System architecture and performance User interface for image manipulation User interface workflow management Worklist management 


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Copyright information

© Society for Imaging Informatics in Medicine 2014

Authors and Affiliations

  • Vivek Joshi
    • 1
  • Vamsi R. Narra
    • 2
  • Kailash Joshi
    • 3
  • Kyootai Lee
    • 4
  • David Melson
    • 5
  1. 1.Department of RadiologyIcahn School of Medicine at Mt. SinaiNew YorkUSA
  2. 2.Mallinckrodt Institute of Radiology, School of MedicineWashington UniversitySt LouisUSA
  3. 3.University of MissouriSt LouisUSA
  4. 4.Graduate School of Technology ManagementSogang UniversitySeoulSouth Korea
  5. 5.Mallinckrodt Institute of Radiology, School of MedicineWashington UniversitySt LouisUSA

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