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35 Cards in this Set

  • Front
  • Back

PACS stands for

picture archiving and communication systems

PACS is a computer based system for image...

storage


retrieval


viewing


what kind of images are stored in PACS

digital AND analog (analog has to be digitized first

types of image display monitors

LCD - liquid crystal display


CRT - cathode ray tube

what does a PACS software do?

provides tools which allow images to be manipulated including magnification/minification, brightness and contrast, and symbols arrows etc

what does PACS do?

allows multiple users to access multiple images in muliple places

if the PACS is web based...

it can be accessed from any computer connected to the web

DICOM stand for


and what it does

digital imaging and communications in medicine


it allows info to be created and transmitted between equipment from different manufacturers

images and equipment must be ______________________ compatible

DICOM

DICOM query/retrieve

initiates a search for a specific image of a unique patient

DICOM get worklist

imports patient info from the system

DICOM send

conveys image data to the network from a compliant system

DICOM print

sends info to another DICOM compliant device which can print a hardcopynfori

DICOM header includes

patient info, date, time


study info (type of exam)


size of file, type of equipment

types of PACS devices

SCU


SCP


SCU/SCP

SCU

service class user


acts like workstation

SCP

service class provider


acts as a server to provide service to the client, work station or user

clinical workstation

monitors have resolution of less than 2048 x 2560


privilege level is limited to level of therapists

diagnostic work station

monitors resolution is higher than 2048x2560 pixels


used for radiologists interpreting images

types of pAC workstations

clinical


diagnostic work stations

an xray image can be up to what size

5MB

size of CT exams

15-25 MB

size of MRI exams images

10-15 MB

redundant distant storage


Redundant define

storing data in multiple locations

redundant distant storage


distant -define

storing data at sites other than where its originated from

importance of redundancy

useful for regaining images after equipment failures or natural disasters

type of PACS storage devices

image acquisition modality workstation


clinical workstation


diagnostic workstation


RAID


Jukebox

Image acquisition modality workstation

it is the equipment that acquires the patient exam


ex: CT, MR, flat panel detector


size of hard drive is limited so images must be deleted to make room for new images


can store images for 4 days

clinical workstation

can be the same unit as an image acquisition workstation or can be separate unit which supports multiple image acquisition workstations



area where technologists prepare and manipulate images before they are sent to the radiologist


have larger storage capacity than image acquisition work station


can store images for 5 days

Diagnostic workstation

larger capacity than image acquisition and clinical workstations


stores up to one weeks worth of patient image

RAID

redundant array of inexpensive/independent disks


used for "near term" storage. images which will be needed in the near future



series of connected hard drives that store images. Images are stored on multiple drives and serve as backup



stores info for up to 6 months

Jukebox

largest storage device


can take 2-5 min to access an image


ind. media devices rest in slots like records/ cd's in a jukebox


when image is needed, a arm grabs the correct data device and places it on a drive

PACS network


-three types of interactions

workstations - installed throughout medical center, which people with PACS privilege can access. fairly detailed knowledge of PACS software and operating system is necessary



PACS viewing system - computers wiht PACS viewing software are scattered throughout a facility. Data manipulation is limited, but viewing opportunities are increased. Less PACS knowledge required



Integrated PACS with the EMR - images become part of the chart and are opening with a click of the mouse. no PACS training necessary

Two types of PAC networks

LAN - local area network


limited to area less than 0.5 miles


share one server



WAN - wide area network


covers large area more than 0.5 miles


uses telophones or cable company to transmit data


slower data transfer rates

wireless PACS

wireless routers or bluetooth technology provide access to PACS images