Introduction

When considering a transition to digital imaging, there are a number of issues that must be investigated before implementation. Time spent planning is a worthwhile investment and will alleviate additional cost, frustration, and time spent in the future. This chapter will give some background of the necessary components for image storage and retrieval within the picture archiving and communication system (PACS), and how these components affect the availability of the images. It is highly recommended to have an information technology (IT) specialist or consultant involved in planning the system right from the outset. See Table 5.1 for acronyms and abbreviations used in this chapter.

If you will be initiating a digital workflow for the first time, everything must be considered, including the hardware and software that will work best for your facility’s volume and workflow. If you will be adding to an environment that is already established, compatibility must be examined. Cost is always a consideration that cannot be ignored. Most importantly, planning for the size and volume of your images into the future is key. Large image files such as those obtained with fullfield digital mammography (FFDM) require enhanced hardware solutions to maintain a smooth workflow.