Table Of ContentPractical Imaging Informatics
Practical Imaging
Informatics
Foundations and Applications for PACS
Professionals
1 3
Editor
BartonF.BranstetterIV
Soc.ForImagingInformatics
inMedicine
19440GolfVistaPlaza,Suite330
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[email protected]
www.siimweb.org
ISBN978-1-4419-0483-6 e-ISBN978-1-4419-0485-0
DOI10.1007/978-1-4419-0485-0
SpringerNewYorkDordrechtHeidelbergLondon
LibraryofCongressControlNumber:2009928499
#SocietyforImagingInformaticsinMedicine2009
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For the four who laid the flagstones
And the three who walk behind,
Eyes wide with wonder
And for Cara
Always for Cara
BFB
To my wife Terry, a font of affection and
inspiration.
DLR
This book is dedicated to my family, your
love and support strengthens me.
Philippians 4:13.
DSG
To my wife Janet, for her transcendent love,
encouragement, and support.
DLW
The Editors are indebted to Ms. Caroline
Wilson;withouthertirelessefforts,thisbook
never would have come to fruition.
Contents
Introduction
BartonF.BranstetterIV ........................................xv
PartI Technology:GettingStarted
AssociateEditor:DanielL.Rubin
1 MedicalImagingModalitiesandDigitalImages ................ 3
KatherineP.Andriole
2 ComputersandNetworking ................................ 15
AdamFlanders
3 IntroductiontoPACS .................................... 33
MatthewD.RalstonandRobertM.Coleman
4 ModalitiesandDataAcquisition ............................ 49
J.AnthonySeibert
PartII Technology:ThePACSImagingChain
AssociateEditor:DanielL.Rubin
5 WorkflowStepsinRadiology............................... 69
R.L.‘‘Skip’’Kennedy
6 StandardsandInteroperability.............................. 81
DavidS.Channin
7 ViewingImages ......................................... 99
ElizabethA.Krupinski
8 ImagePostprocessingandVolumeRendering .................. 111
DanielBlezek,XiaojiangYang,andBradleyJ.Erickson
vii
viii Contents
9 ImageDistribution....................................... 131
PaulJ.Chang
10 ReportingandDictation................................... 147
DavidL.WeissandPeterR.Bolos
PartIII Operations:EverydayPACS
AssociateEditor: ScottGriffin
11 CustomerRelations ...................................... 165
JaniceHoneyman-Buck
12 UserTraining........................................... 179
AnnL.Scherzinger
13 QualityAssuranceforMedicalImaging....................... 197
CharlesE.Willis
14 DataStorageandDisasterRecovery ......................... 213
EdwardM.Smith
15 DowntimeProceduresandDepartmentalPolicies ............... 247
ClaudineMartin
PartIV Operations:InfrastructureandEnvironment
AssociateEditor: ScottGriffin
16 ReadingRoomDesign .................................... 259
BillRostenberg
17 WorkflowTestingandWorkflowEngineering.................. 271
BartonF.BranstetterIVandMatthewB.Morgan
18 PolicyManagementandRegulatoryCompliance................ 283
DavidE.Brown
19 BillingandCoding ....................................... 303
ScottGriffin
PartV StrategyandVision:PreparingforPACS
AssociateEditor:DavidL.Weiss
20 EconomicsofPACSandRelatedSystems..................... 313
GeorgeH.Bowers
Contents ix
21 PACSReadiness ........................................ 331
StevenC.Horii
22 ChoosingaVendor....................................... 349
PragyaA.Dang,MannudeepK.Kalra,AlanL.Schweitzer,
andKeithJ.Dreyer
23 AcceptanceTesting....................................... 365
GaryS.Norton
PartVI StrategyandVision:PACSAdministration
AssociateEditor:DavidL.Weiss
24 WorkingwithVendors.................................... 385
DavidE.Wild
25 TeamBuildingandProjectManagement...................... 397
KevinW.McEnery
26 Long-RangePlanning..................................... 413
BradleyJ.Erickson
AnswerKey ................................................ 421
Glossary................................................... 429
Index..................................................... 443
Contributors
KatherineP.Andriole,PhD,FSIIM, AssociateProfessorofRadiology,
Harvard Medical School; Assistant Medical Director of Medical Imaging
Information Technologies, Brigham and Women’s Hospital; Director of
ImagingInformatics,CenterforEvidence-BasedImaging,Boston,MA,USA
DanielBlezek,PhD, AssistantProfessor,DepartmentofBiomedical
Engineering,MayoClinic,Rochester,MN,USA
PeterR.Bolos,MD,MPH, RadiologyResident,GeisingerMedicalCenter,
Danville,PA,USA
GeorgeH.Bowers,MBA,FHIMSS, Principal,HealthcareInformation
Consultants,LLC,Baltimore,MD,USA
BartonF.BranstetterIV,MD, AssociateProfessorofRadiology,
Otolaryngology and Biomedical Informatics, University of Pittsburgh,
Pittsburgh,PA,USA
DavidE.Brown,BSCS,CNMT,CIIP, Manager,ImagingInformatics,
Cedars-SinaiMedicalCenter,LosAngeles,CA,USA
PaulJ.Chang,MD,FSIIM, ProfessorandVice-Chair,Radiology
Informatics,UniversityofChicagoSchoolofMedicine,Chicago,IL,USA
DavidS.Channin,MD,CPHIMS,CRA,CIIP, AssociateProfessorof
Radiology and Chief, Imaging Informatics, Feinberg School of Medicine,
NorthwesternUniversity,Chicago,IL,USA
RobertM.Coleman,BS, DirectorofRadiologyInformatics,MaineMedical
Center,Portland,ME,USA
PragyaA.Dang,MD,MBBS, ResearchFellow,DepartmentofRadiology,
MassachusettsGeneralHospital,Boston,MA,USA
KeithJ.Dreyer,DO,PhD, AssistantProfessorofRadiology,Harvard
MedicalSchool;AssociateChair,Radiology,MassachusettsGeneralHospital,
Boston,MA,USA
xi
xii Contributors
BradleyJ.Erickson,MD,PhD,FSIIM, ProfessorofRadiology;Chair,Division
ofRadiologyInformatics,MayoClinic,Rochester,MN,USA
AdamFlanders,MD, ProfessorofRadiologyandRehabilitation,Thomas
JeffersonUniversity,Philadelphia,PA,USA
ScottGriffin,BSRT(R),CIIP, ImagingInformatics,SoutheastAlabama
MedicalCenter,Dothan,AL,USA
JaniceHoneyman-Buck,PhD,FSIIM, CourtesyFaculty,University
of Florida, Gainesville, FL; Editor-in-Chief, Journal of Digital Imaging,
Leesburg,VA,USA
StevenC.Horii,MD,FACR,FSIIM, ProfessorofRadiology,University
ofPennsylvania,Philadelphia,PA,USA
MannudeepK.Kalra,MD,DNB, AssistantRadiologist,Divisionsof
Cardiology and Thoracic Imaging, Massachusetts General Hospital, Boston,
MA,USA
R.L.‘‘Skip’’Kennedy,MSc,CIIP, TechnicalDirector,ImagingInformatics,
ThePermanenteMedicalGroup,KaiserPermanente,Sacramento,CA,USA
ElizabethA.Krupinski,PhD,FSIIM, Professor,DepartmentofRadiology,
UniversityofArizona,Tucson,AZ,USA
ClaudineMartin,BS, President,PoiesisInformatics,Pittsburgh,PA,USA
KevinW.McEnery,MD, AssociateDivisionHeadforInformatics,Divisionof
DiagnosticImaging,TheUniversityofTexasM.D.AndersonCancerCenter,
Houston,TX,USA
MatthewB.Morgan,MD,MS, DepartmentofRadiology,Universityof
PittsburghMedicalCenter,Pittsburgh,PA,USA
GaryS.Norton,BS,RT(R), SeniorClinicalProjectsManager,Abrio
HealthcareSolutions,Inc.,Thurmont,MD,USA
MatthewD.Ralston,MD, ClinicalDirectorofRadiologyInformatics,Maine
MedicalCenter,Portland,ME,USA
BillRostenberg,FAIA,FACHA,ACHE, PrincipalandDirectorofResearch,
Anshen&AllenArchitects,SanFrancisco,CA,USA
DanielL.Rubin,MD,MS, AssistantProfessorofRadiology,Stanford
University,Stanford,CA,USA
J.AnthonySeibert,PhD,FSIIM, ProfessorofRadiology,Universityof
CaliforniaDavis,Sacramento,CA,USA
AnnL.Scherzinger,PhD,CIIP, AssociateProfessor,UniversityofColorado
Denver; Department of Radiology, Anschutz Medical Campus, Aurora,
CO,USA
Contributors xiii
AlanL.Schweitzer,BS,MEE, ChiefTechnologyOfficer,RCGHealthCare
Consulting,Boston,MA,USA
EdwardM.Smith,ScD,DABSNM,FACNP, ProfessorofImagingSciences,
UniversityofRochesterMedicalCenter,Rochester,NY,USA
DavidL.Weiss,MD, DepartmentofRadiology,CarilionClinic,Roanoke,
VA,USA
DavidE.Wild,BA, ProductManager,NetworkSystems,FujifilmMedical
Systems,Stamford,CT,USA
CharlesE.Willis,PhD,DABR, AssociateProfessor,DepartmentofImaging
Physics,TheUniversityofTexasM.D.AndersonCancerCenter,Houston,TX,
USA
XiaojiangYang,PhD, SeniorComputerScientist,MedicalImaging
InformaticsInnovationCenter,MayoClinic,Rochester,MN,USA
