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Technology Requirements for Image Management and Communication (imac) System in Medicine

On a given day, the Department of Radiology of Georgetown University Hospital with 500 beds, handles 300-400 patient visits (in-patients and out patients), and generates approximately 1000 sheet of new film images. Images of previous studies, which are usually kept at several film libraries, are retrieved for physicians for comparison. Hundreds of film jackets containing thousands of sheet of films are manually handled daily. Sometimes the films cannot be located because they are checked checked out by others, misplaced, misfiled or stolen. Difficulties in the management of radiology films throughout a hospital are a constant source of frustration. Delays in getting images and associated diagnostic reports to the appropriate health care providers degrade the quality of radiology service. A number of problems exist in the operations of radiology service because the image media is film. The conventional approach of adding more people, space, and money to solve these problems has not produced satisfactory results. It is doubtful that the average radiology department can afford to continue to function in a predominantly manual mode for many more years.