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June 2003


Features

Cover Story
One Archive: Creating a Health Care Universe
  by George Wiley
  When St Vincent Health in Indiana went filmless, it opted for the Very Big Bang approach: It built a centralized enterprise archive meant to store images and reports for all 11 hospitals and several health centers in the network.

Securing Data from Disaster
  by Sean D'Arcy, Julie D'Arcy PhD
  A quantitative approach to planning the protection of the digital imaging data investment ensures that reasonable effort is expended to mitigate risk.
Demand Projection
  by Pamela M. Harlem MBA
  The author suggests a practical model for forecasting radiology demand.
The Digital Capture Question
  by J. Anthony Seibert PhD
  Part I: In converting the analog radiology department to an all-digital site, there are many purchase/implementation considerations to be made before determining a final choice for digital radiography devices.
RIS/PACS Considered
  by Jim Maughan, Sherie D. Giles
  While considerable benefits can be realized by implementing an integrated RIS/PACS, they must be weighed against the cost and headache of replacing an existing RIS.
Case Study: Distal Basilar Flow-related Aneurysms
  by Jonathan Hartman MD
  Three-dimensional imaging provides a vastly superior road map for intervention, particularly with regard to vascular imaging.
The Next Digital Frontier
  by David J. Vining MD
  Structured reporting offers radiologists and clinicians the means to mine the latent information contained in radiology reports, but obstacles include resistance from busy radiologists wary of change.
PACS Perfect
  by John Romlein, John C. Weiser PhD
  Part II: PACS maintenance and quality control within the health care enterprise is best accomplished by developing a task allocation chart.


Departments

  Viewpoint
The Tale of the Tortoise
  by Cheryl Proval
  The efforts of the many individuals who brought radiology into the digital age are to be commended, but more work lies ahead.
The Reluctant Integrators
  by Michael J. Gray
  Efforts to promote connectivity among various radiology information subsystems and preserve the integrity of the data may be stymied in part by the vendors survival instincts.
STAT Read
  by Ben Van Houten
BMD Testing: Anybody's Games?
  Imaging Business
Telelegalities
  by Barry B. Cepelewicz MD, JD
  Risk management guidelines in teleradiology have evolved to accommodate new privacy concerns.
  Technology Economics Review
PACS: An Update from the Field
  by Rich Smith
  Advances in viewing, archiving, and networking technologies and applications have brought efficiencies and economies to picture archiving and communications systems.
Technology Review
Special Section

Introduction
  by Milan diPierr0
An Overview of Desktop Integration
  by James Herrewynen
  The effort required to implement a desktop integration of the radiologist workstation is worth the many benefits.
Medical University of South Carolina: From PACS to EMR
  by Rich Smith
  A PACS upgrade enabled the team at MUSC to integrate images into the elcetronic medical record.
Sunnybrook & Women's College: Speech-Recognition Transcription
  by George W. Wiley
  Although training and implementation take patience and time, a Toronto hospitals speech recognition system speeds radiology reports to clinicians in minutes rather than days.
Look before you leap: Goal-directed Front-end Integration
  by David Fore
  While it may be tempting to begin integration by examining the capability of the technology, proceeding from there could be a costly mistake.

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