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Radiology IT: Applications Integration vs. Consolidation.

The question of whether Radiology IT systems should be composed of multiple applications integrated using standard data exchange protocols, such as DICOM and HL7, or implemented using consolidation of applications and systems has been debated for the past 30 years. The adequacy of the former approac...

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Published in:Journal of Digital Imaging Vol. 24; no. 5; pp. 814 - 823
Main Author: Kijewski, Peter
Format: tables/charts Journal Article
Published: Springer Nature Oct2011
Online Access:View this record in EBSCOhost
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      dt: Oct2011
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        atl: Radiology IT: Applications Integration vs. Consolidation.
      aug:
        au: Kijewski, Peter
        affil: Department of Medical Physics and Department of Radiology, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue New York 10065 USA
      sug:
        subj:
          Radiology Information Systems
          Picture Archiving and Communication Systems
          Systems Integration
          DICOM
          Report Writing
          Organizational Efficiency
          Health Level 7
          Radiology Information Systems Equipment and Supplies
          Picture Archiving and Communication Systems Equipment and Supplies
          Medical Transcription Equipment and Supplies
          Nuclear Medicine Equipment and Supplies
          Mammography Equipment and Supplies
          Systems Design
      ab: The question of whether Radiology IT systems should be composed of multiple applications integrated using standard data exchange protocols, such as DICOM and HL7, or implemented using consolidation of applications and systems has been debated for the past 30 years. The adequacy of the former approach has become a burning issue because the demands on Radiology IT systems have increased greatly. We report here on the experience of the Radiology Information Technology (IT) implementation at the Memorial Sloan-Kettering Cancer Center (MSKCC) over the past 11 years; during this time, the weekly image accumulation rate increased from 100,000 to 2,000,000 images. During the implementation period, major difficulties were encountered, largely as a result of the inadequacies of the Radiology IT architecture widely used in the healthcare industry. The approach we chose to correct some of these difficulties has been consolidation of some of the multiple systems and applications. Three examples of systems consolidation are discussed: (1) converting a dual-tier image storage system to a single tier, (2) consolidation of Mammography reading into PACS, and (3) enabling 3D visualization and analysis on the PACS workstation. Nevertheless, substantial research and development are needed in order to proceed with more extensive systems consolidation and, thus, a more manageable IT installation.
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    language: English
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