European Radiology

, Volume 9, Issue 6, pp 1152–1160 | Cite as

PACS: the silent revolution

  • U. Bick
  • H. Lenzen
Computer applications, Review article


More than 15 years ago the idea of a Picture Archiving and Communication System (PACS) and a filmless hospital was created. In a PACS environment images are acquired, read, communicated and stored digitally. After many years of unsuccessful attempts and prototype installations, the necessary hardware components for a successful PACS installation are now readily available. However, software development is still lagging behind. Only very recently, software developers have realized that it is not sufficient for PACS software to store, communicate and display images, but that PACS software should effectively support the radiologist in the task of interpreting and communicating imaging findings through context-dependent default display arrangements, work-flow management, radiological and hospital information systems integration, and computer-assisted diagnosis. This review examines hard- and software requirements for efficient PACS operation, analyses costs and benefits, and discusses future developments.

Key words: PACS RIS Digital radiography Image storage Network communication 


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Copyright information

© Springer-Verlag Berlin Heidelberg 1999

Authors and Affiliations

  • U. Bick
    • 1
  • H. Lenzen
    • 2
  1. 1.Department of Diagnostic Radiology, University Clinics Charité, Schumannstrasse 20/21, D-10117 Berlin, GermanyDE
  2. 2.Department of Clinical Radiology, University of Muenster, Muenster, GermanyDE

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