A view to the past of the future- A decade of digital (r)evolution at the Danube hospital

Clinical experiences in digital radiology including intra- and interhospital communication have been documented in literature since the late eighties. The world’s first strictly-digital radiology system was planed in 1988 and implemented in 1992 in the Danube Hospital at the Socio Medical Care Center East of the city of Vienna (SMZO). The objectives of this project were firstly to overcome inherent problems of film-based systems, e.g. the loss of films, as well as to improve the efficiency and speed of patient data management, image acquisition, image distribution, archiving and reporting. The implementation of an integrated digital radiology system was expected to improve the quality of research and patient care and to support administrative tasks in connection with radiology and hospital information management systems (RIS,HIS), thus improving the efficiency not only of the radiology department but of the whole hospital.

[1]  H. Lenzen,et al.  PACS: the silent revolution , 1999, European Radiology.

[2]  M. Völk,et al.  Clinical application of a flat-panel X-ray detector based on amorphous silicon technology: image quality and potential for radiation dose reduction in skeletal radiography. , 1998, AJR. American journal of roentgenology.

[3]  M. Urban,et al.  Filmless digital radiology--feasibility and 20 month experience in clinical routine. , 1994, Medical informatics = Medecine et informatique.

[4]  W Rüger,et al.  The Vienna SMZO-PACS-project: the totally digital hospital. , 1992, European journal of radiology.

[5]  H. K. Huang Pacs: Picture Archiving and Communication Systems in Biomedical Imaging , 1996 .

[6]  Siegfried Peer,et al.  Erste Erfahrungen mit dem unfallradiologischen PACS-Projekt an der Innsbrucker Universität für Radiodiagnostik , 1998 .

[7]  C Pistitsch,et al.  Functional requirements for a HIS-RIS-PACS-interface design, including integration of "old" modalities. , 1999, Methods of information in medicine.

[8]  W Rüger,et al.  Integration of radiology and hospital information systems (RIS, HIS) with PACS: requirements of the radiologist. , 1992, European journal of radiology.

[9]  N H Strickland Review article: some cost-benefit considerations for PACS: a radiological perspective. , 1996, The British journal of radiology.

[10]  Dev P. Chakraborty,et al.  The digital imaging workstation. , 1990 .

[11]  U Neitzel,et al.  Selenium radiography versus storage phosphor and conventional radiography in the detection of simulated chest lesions. , 1996, Radiology.

[12]  H K Huang Three methods of implementing a picture archiving and communication system. , 1992, Radiographics : a review publication of the Radiological Society of North America, Inc.

[13]  M. Musen,et al.  Handbook of Medical Informatics , 2002 .

[14]  Regina O. Redfern,et al.  Experience with radiology workflow and PACS: effects on technologist and radiologist task times , 1999, Medical Imaging.

[15]  E M van Gennip,et al.  Guidelines for cost-effective implementation of Picture Archiving and Communication Systems. An approach building on practical experiences in three European hospitals. , 1996, International journal of bio-medical computing.

[16]  Norbert Conrads,et al.  Fluoroscopic x-ray imaging with amorphous silicon thin-film arrays , 1994, Medical Imaging.

[17]  Thierry Ducourant,et al.  Amorphous silicon x-ray image sensor , 1996, Medical Imaging.

[18]  W. Davros,et al.  Selenium-based digital radiography versus conventional film-screen radiography of the hands and feet: a subjective comparison. , 1999, AJR. American journal of roentgenology.