Abstract
A survey is presented of recent changes in digital image acquisition for diagnostic radiology. New digital image archiving, communication and management strategies are proposed and discussed. A possible scenario for the development of digital Picture Archiving and Communication Systems ("digital PACS") in diagnostic radiology is presented, starting with a research/teaching environment and ending with a large scale clinical environment. This scenario is presented as a sequence of five strategies with increasing levels of digital archiving and communication and requires five key concepts. We briefly discuss each key concept and present possible implementations, given today's technology. A preliminary evaluation of proposed image archiving strategies is made. The paper concludes that the development of a PACS that provides partial on-line digital storage is feasible today.
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