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Welcome to JS PACS.

Hi-Resolution Monitors: Barco and Image Systems

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It is that time again for Hi-Res Monitor replacement discussions between two highly competitive vendors.  After week long use of each of the monitors and competitive pricing, I am looking to the JS PACS community for other experiences with either of these vendors.  I am hoping to hear the good, bad and ugly of your experiences.

I personally like both monitors and each offers that latest array of fleet management along with remote calibration functionality and reporting tools.

As with anything, it is hard to gauge what a device will actually do until you have stressed the device for over a year or more, so I am hoping to engage all of you in a discussion of your experiences.

If you have used either Image Systems or Barco, please post your thoughts in the appropriate thread here.

As always, thanks for visiting JS PACS and being a part of the community.



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Last Updated on Tuesday, 31 August 2010 11:58
 

The iPad and PACS

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iPads and Imaging, what an exciting platform that will be when it develops.  How many of you out there have your iPad yet?  I have mine and I am eagerly awaiting some quality PACS applications for this new platform.  Osirix has the iPhone app, but as of today, they haven't written it to take advantage of the iPad's great screen and the iPhone app enlarged on the iPad just doesn't cut it.  I haven't tried the Merge application out yet on the iPad.  I do have it on the iPhone and wasn't overly impressed with the proprietary nature of it and wont even consider trying it on the iPad until Merge puts out an iPad specific application.

If you have your PACS viewers available on Citrix you are already a good portion of the way there.  We don't support remote viewing over Citrix so I  can't view images that way, but it is amusing to see windows application running on the iPad through Citrix.  It is also nice to have access to the EMR through the iPad.  We are a MediTech shop and it runs very nicely over the iPad Citrix receiver.

iPad makes VPN configuration a simple processes and I think many organizations can expect to see an increasing number of requests to hook iPads into the system.  We are preparing for it and are even considering offering some limited level of support for the OSX platform now that this new tool has come out.

Another way that I am looking to use the iPad is for dashboards.  How great would it be to walk the halls with all of your imaging systems data right in the palm of your hand.  Many web based dashboard viewers are already primed to be viewed on the iPad but remember that the iPad runs Apple's Safari browser and some systems just don't run right on it (I don't blame that on Safari though).   
There are many numerous ways to use the iPad in healthcare, especially in imaging, jump in the JSPACS forum and let us know how you are, or would use, the iPad for your daily activities.


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Mammography CAD - Standard of Care

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As we progress through our digital mammography implementation, new questions are being raised every day.  We often are provided responses to our questions through the vendor however, I feel as though some vendors are quick to provide answers that steer us in the path of least resistance for them.

 

The specific instance that we are experiencing this time is the question of what to do with Mammography CAD data.  What is the standard of care in the Mammography world regarding the use of CAD in digital mammography?

 

As we begin the implementation of a digital mammography department, we are faced with the decision of how to handle CAD markings on digital images.  We are being told that nobody stores CAD marking because of the liability that if CAD identifies a spot on an image and that spot is not worked up by the radiologist and it proves to be positive, they can be held liable.

 

Now, I am of the school of thought that if you make mention of a spot identified by CAD and the CAD overlay is not stored, we can also be held liable as we cannot reproduce the images that identified an area of interest anyway.

 

We have had this discussion with the risk management group in our organization and it was stated that we have to identify the standard of care through evaluating what others are doing who have been using such CAD systems.

 

So, I am interested in hearing how everybody is handling CAD overlays in their digital mammography environment.

 

Let us know your thoughts by clicking here.


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Last Updated on Friday, 07 August 2009 07:52
 

Happy New Year - Final post for 2009

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What a busy year.  The organization I am currently supporting has undergone some major changes.

 

We had a major upgrade to the MediTech HIS/RIS (Client Server), we’ve implemented digital 

mammography and voice recognition dictation, and just signed the order for our second generation

Cardiology PACS.  Oh yeah, another PACS merger as well.  Because of all the projects, this was 

the first time I’ve missed the SIIM conference but I will be returning next year up in Minneapolis 

and hope to provide live updates like I did from the 2008 conference in Seattle.

 

Because of the high volume of work, I have been lax in spending the needed amount of time 

creating content to stimulate discussion on the JS PACS website.  However, with the New Year 

upon us, I am renewing my commitment to push this page forward and making it useful for the 

community.

 

Our membership has grown from 75 in mid 2009 to 125 registered members today.  With that 

many people, we should have enough people to generate some interesting conversation and I 

offer each of you the opportunity to post in our discussion forum, or share a story that can be 

published on the front page of the web site.

 

Some topics that I plan on writing about in the first few months of 2010 include: 

1. Lessons learned from the Voice Recognition Dictation implementation.

2. Review of the Hologic Mammography project.

3. Updates on the cardiology project that we are about to embark on.

4. Review of what happened to Emageon this past year.

5. Discussion of the new Hi-res color monitors out on the market.

6. Using Macs for PACS

7. Topics based on suggestions or contributions from other members.

 

I hope this last post of 2009 finds your systems running well, you in good health and 

facing good projections for 2010.

 

Happy New Year!!

-John 

 



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Last Updated on Wednesday, 21 April 2010 18:50
 

MedQuist SpeechQ: An implementation begins.

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About to embark on an implementation of the MedQuist SpeechQ Voice Recognition Dictation product and in interesting in hear other views on how users of the same system felt that their implementation went.  Please join the discussion in the JS PACS Forum by clicking here.



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Last Updated on Tuesday, 23 June 2009 11:31
 
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