影像保管・通訊系統（PACS） 是由出版商Trimark Publications在2011年09月所出版的。
這份英文市場調查報告書包含298 pages 價格從美金3400起跳。
過去35年間，超音波和核子醫學導入臨床醫學，CT引起診斷技術的革命，MRI的出現使獲得細胞等級的新影像情報。從類比相片至數位，醫療用影像成為電子網路上的"軟性"資料。如此數位影像的保管與顯示系統，稱做影像保管通訊系統（PACS），處理各種影像裝置的影像。在美國，PACS的普及率高，約為90％。
本報告，調查分析美國以及全球主要地區的影像保管・通訊系統（PACS）市場，彙整PACS的概要與產品動向、美國•歐洲•巴西等地區別醫療用IT導入動向、參與企業的檔案資料等，由下列摘要形式闡述。
第1章 概要
第2章 影像保管・通訊系統（PACS）：概要
- PACS的構成要素與架構
- 影像取得元件
- 控制器
- 資料庫伺服器與檔案系統
- 短期資料庫
- 長期資料庫
- 工作站
- 網路
- 通訊協定
- 現在的PACS產品與軟體
- Afga IMPAX 6
- Siemens syngo Suite
- OpenSourcePACS
- 將來的動向與發展
第3章 醫療機關的醫療用影像管理
- PACS與醫療用影像
- 醫院情報系統／放射線系統資料庫
- 資料庫閘道器
- 影像格式
- 取得閘道器
- 控制器：影像資料庫與檔案庫
- 工作站
- 應用伺服器
- HIS/CMS以及電子病患記錄
- 企業層級影像／資料分配
- 企業層級的影像／資料管理商業模式
第4章 醫療用影像處理
- 醫療用影像管理與影像資料探勘
- 生物影像
- 視覺化的虛擬真實
- 神經影像
- 處理大量資料的軟體技術
- 醫療用影像的PACS活用
- PACS系統的必要性
- HER架構的PACS
- PACS的優點
- 病患照護的品質改善
- 效率與有效性改善
- 費用削減・費用避免
- 其他
第5章 醫院的其他IT解決方案：概要
第6章 市場分析
- 全球的醫療用影像機會
- 醫療用影像設備市場
- 物理療法別市佔率
- 美國影像物理療法的使用率增加
- 美國的CT使用率
- 美國的MRI使用率
- 全球的PACS市場
- 市場阻礙
- 近期的PACS動向
- 今後5年間的5個動向
- 採購方的PACS工作站與軟體指南
- 美國的PACS市場
- 加拿大的PACS市場
- 巴西的PACS市場
- 歐洲的PACS市場
- 義大利NHS的PACS
- 發展中國家的PACS
第7章 全球的醫療情報技術（HIT）市場
- HIT的導入
- 基層照護的HIT導入
- 全球的HIT市場
- 美國的HIT業界
- 歐洲醫院的醫療用IT
- 亞洲的醫療用IT導入
第8章 企業檔案資料
附錄
Abstract
Description
During the past 35 years, ultrasound and nuclear medicine were introduced into
clinical medicine, computed tomography (CT) revolutionized diagnostic
procedures and magnetic resonance imaging (MRI) emerged, bringing new
diagnostic information at the cellular level. X-ray morphed from analog films
to digital, and virtually all medical images became "soft" files on the
electronic networks. As imaging departments in healthcare facilities have
migrated from film to digital, the display and storage systems have had to
migrate too. These new digital imaging storage and display systems are called
picture archiving and communication systems (PACS). Most PACS handle images
from various medical imaging instruments, including ultrasound, MRI, positron
emission tomography (PET), CT, endoscopy, mammograms, etc. The focus of this
TriMark Publications report is to analyze and describe the PACS market
segments. PACS market penetration in the U.S. healthcare space has been
significant, at almost 90%. A PACS network typically consists of a central
server that stores a database containing the images connected to one or more
clients via a local area network (LAN) or a wide area network (WAN) that
provides or utilizes the images. More and more PACS utilize Internet-based
technologies as their means of communication. This allows remote viewing and
diagnosis with implications for both civilian and military healthcare
facilities. Since radiology departments dominate the production of images,
interconnections with radiology information systems (RIS) are also looked at
in this study.
Table of Contents
1. Overview
- 1.1 Statement of Report
- 1.2 About This Report
- 1.3 Scope of the Report
- 1.4 Objectives
- 1.5 Methodology
- 1.6 Executive Summary
2. Picture Archiving and Communication Systems (PACS): An Overview
- 2.1 Components and Architecture of PACS
- 2.1.1 Image Acquisition Component
- 2.1.2 PACS Controller
- 2.1.3 Database Server and Archiving System
- 2.1.4 Short-Time Archive
- 2.1.5 Long-Time Archive
- 2.1.6 Workstations
- 2.1.7 Network
- 2.2 Communication Protocols
- 2.2.1 DICOM Standard
- 2.2.2 HL7 Standard
- 2.3 Current PACS Products and Software
- 2.3.1 Agfa IMPAX 6
- 2.3.2 Siemens syngo Suite
- 2.3.3 OpenSourcePACS
- 2.4 Future Trends and Developments in PACS
3. Medical Image Management in Healthcare Enterprise
- 3.1 PACS and Medical Images
- 3.1.1 Hospital Information System/Radiology System Database
- 3.1.2 Database Gateway
- 3.1.3 Imaging Modalities
- 3.1.4 Acquisition Gateway
- 3.1.5 PACS Controller - Image Database and Archive
- 3.1.6 Workstations
- 3.1.7 Application Servers
- 3.2 HIS/CMS and Electronic Patient Record
- 3.2.1 Enterprise Level Image/Data Distribution
- 3.2.2 Business Models for Image/Data Management in the Enterprise Level
4. Processing of Medical Images
- 4.1 Medical Image Management and Image Data Mining
- 4.2 Bioimaging
- 4.3 Virtual Reality in Medical Visualization
- 4.4 Neuroimaging
- 4.5 Software Techniques Coping with Large Data
- 4.6 Utility of PACS in Medical Imaging
- 4.7 Need for a PACS System
- 4.8 Clinical Applications on PACS
- 4.8.1 Advanced Applications
- 4.8.2 Specialized Applications
- 4.8.3 Hospital Scenario Before and After PACS
- 4.9 PACS in HER Architecture
- 4.10 PACS Benefits
- 4.10.1 Improvements to the Quality of Patient Care
- 4.10.2 Improvements in Efficiencies and Effectiveness
- 4.10.3 Cost Savings/ Cost Avoidance
- 4.10.4 Other Important Benefits
5. Other IT Solutions in Hospitals: An Overview
- 5.1 Commonly Used Information Technologies in Clinical Setting
- 5.1.1 Hospital Management System (HMS)
- 5.1.2 Clinical Data Repository (CDR)
- 5.1.3 Clinical Decision Support (CDS)
- 5.1.4 Computerized Physician Order Entry (CPOE)
- 5.1.5 EHR Systems
- 5.1.5.1 Use of Electronic Health Records in U.S. Hospitals
- 5.1.5.2 Adoption of Clinical Functionalities in Electronic Format
- 5.1.5.3 Adoption of Electronic Records in U.S. Hospitals
- 5.1.5.4 Barriers to Electronic Record Adoption
- 5.1.6 Electronic Medical Record (EMR)
- 5.1.7 Electronic Medication Administration Record (eMAR)
6. Market Analysis
- 6.1 Global Opportunities in Medical Imaging
- 6.1.1 Global Market for Medical Imaging Equipment
- 6.1.2 Global Medical Imaging Market Share by Modality
- 6.1.3 Increased Utilization Rate in the U.S. for Medical Imaging
Modalities
- 6.1.4 Utilization Rate in the U.S. for CT
- 6.1.5 Utilization Rate in the U.S. for MRI
- 6.2 Global Market for PACS
- 6.2.1 Market Barrier for PACS
- 6.2.2 PACS in the Immediate Past
- 6.2.2.1 Return on Investments in PACS
- 6.2.2.2 International Scenario of PACS
- 6.2.3 Five PACS Trends for the Next Five Years
- 6.2.3.1 One Workstation and Many Applications
- 6.2.3.2 Efficient, Shared and Multi-Site Workflow
- 6.2.3.3 Movement to Thin or Zero-Client
- 6.2.3.4 The Incompleteness of EMRs without Medical Images
- 6.2.3.5 Paying for PACS on a Usage Basis
- 6.2.3.6 Long-term View
- 6.2.4 A Buyer' s Guide for PACS Workstations and Software
- 6.2.4.1 The PACS Workstation
- 6.2.4.2 PACS Radiology Reporting Workstation
- 6.2.4.3 PACS Mammography Workstation
- 6.2.4.4 PACS Cardiology Workstation
- 6.2.4.5 PACS Review Workstation
- 6.2.4.6 PACS Quality Assurance Workstation
- 6.2.4.7 Technical Considerations
- 6.2.4.8 Workstations and the DICOM Standards
- 6.2.4.9 The Database
- 6.2.4.10 DICOM Conformance
- 6.2.4.11 Network Image Distribution
- 6.2.4.12 Web Browser Technology
- 6.2.4.13 Thin Client Applications
- 6.2.4.14 Display Monitor
- 6.2.4.15 Display Card
- 6.2.4.16 Quality Control
- 6.2.4.17 Display Characteristics that Influence Image Viewing
- 6.2.18 Contrast Ratio
- 6.2.19 Luminance
- 6.2.20 Workstations and RIS
- 6.2.21 Integrating the Healthcare Enterprise (IHE) and Workstations
- 6.2.22 Operational Considerations
- 6.2.24 Reporting Workstation
- 6.2.25 Location and Environment
- 6.2.26 Reporting Workstation Tools
- 6.2.27 Viewing Images
- 6.2.28 Economic Considerations
- 6.2.29 Licensing
- 6.3 U.S. Market for PACS
- 6.3.1 U.S. PACS Replacement Studies
- 6.3.2 Pace of Cardiac PACS and CVIS
- 6.3.3 U.S: The Maturing Cardiac-PACS Adoption
- 6.3.4 Upgrades and Replacements in PACS Market
- 6.3.5 U.S: PACS Adoption
- 6.3.5.1 U.S: PACS Installations
- 6.3.5.2 U.S: PACS Vendor Market Size
- 6.3.5.3 PACS Image Distribution
- 6.3.6 HITECH Act
- 6.3.6.1 Summary of HITECH Act' s Components
- 6.3.6.2 HITECH' s Key Funds Allocation
- 6.3.6.3 Other Components of the HITECH Act
- 6.3.6.4 Health Information Privacy and Accountability Act (HIPAA)
Implications
- 6.3.6.5 Hospital Incentives in HITECH
- 6.3.6.6 Physician Incentives in HITECH
- 6.4 PACS in Canada
- 6.4.1 PACS and Productivity Improvements in Canada
- 6.5 Brazilian PACS Market
- 6.5.1 Brazil' s Healthcare Sector
- 6.6 European Market for PACS
- 6.6.1 Leaders in European PACS Market
- 6.6.2 European RIS/PACS Market
- 6.6.3 European Cardio PACS Market
- 6.6.4 U.K. Survey on PACS
- 6.6.4.1 Sources of Dissatisfaction
- 6.7 PACS in the Italian NHS
- 6.7.1 Integration with Electronic Medical Records
- 6.7.2 PACS Implementations: Recent Trend
- 6.7.3 Future Scenario
- 6.8 PACS in Developing Countries
- 6.8.1 Key Issues for Developing Countries
- 6.8.2 PACS in China
- 6.8.3 PACS in India
7. Global Healthcare Information Technology (HIT) Market
- 7.1 HIT Adoption
- 7.2 Adoption of HIT in Primary Care
- 7.3 Global Market for Health Information Technology (HIT)
- 7.4 U.S. HIT Industry
- 7.4.1 U.S. Hospital Information System (HIS) Market
- 7.4.2 U.S: Meaningful Use of HIT
- 7.4.3 Modest Increase in HIT Adoption
- 7.4.4 The U.S. HIT Scenario
- 7.4.4.1 Drivers of HIT Adoption
- 7.4.4.2 Physician Practice Management Software
- 7.4.4.3 Billing Systems
- 7.4.5 Essentials of the U.S. Hospital IT Market
- 7.4.5.1 Key Vendors in U.S. Hospital IT Market
- 7.4.6 U.S: Healthcare IT Trends
- 7.4.6.1 PACS Utilization in U.S. by Imaging Modality
- 7.4.6.2 CPOE Adoption in U.S. Hospitals
- 7.4.6.3 EMR Adoption in U.S. Hospitals
- 7.4.7 Electronic Health Records in U.S. Hospitals
- 7.4.7.1 Modest Gains in Electronic Health Record Adoption
- 7.4.8 State of HER Adoption
- 7.4.8.1 Factors Driving HER Implementation
- 7.4.8.2 HER Adoption Leaders
- 7.4.9 U.S. Adoption of Clinical IT
- 7.4.9.1 Federal Investment in HIT
- 7.4.9.2 Standardization
- 7.4.9.3 HIT Certification
- 7.4.9.4 National and Regional Networks
- 7.4.9.5 HIT Systems and Their Features
- 7.4.9.6 Difference Between HER and EMR
- 7.4.9.7 EMR System
- 7.4.9.8 Computerized Physician Order Entry (CPOE)
- 7.4.9.9 Picture Archiving and Communication System (PACS)
- 7.4.9.10 Benefits and Adoption Cost of PACS
- 7.4.9.11 Benefits and Adoption Cost of CPOE
- 7.4.9.12 Benefits and Adoption Cost of EMR System
- 7.4.9.13 Pattern of HIT Adoption in For-Profit vs. Non-Profit Hospitals
- 7.4.9.14 HIT Adoption by Hospital Type
- 7.4.9.15 HIT Adoption by Size and Rural Status of the Hospital
- 7.4.9.16 HIT Adoption by Hospitals with Medicare and Medicaid Patients
- 7.4.9.17 HIT Adoption in Contract-Managed Hospitals
- 7.4.9.18 HIT Adoption in Primary Care
- 7.4.9.19 Factors that Influence HIT Adoption in Ambulatory Clinics
- 7.4.10 Road to Meaningful Use of IT in U.S. Hospitals
- 7.4.10.1 Federal Investment in Health IT: the ARRA
- 7.4.10.2 Potential of EHR Systems to Improve Patient Care
- 7.4.10.3 Adoption of HER Systems in U.S. Hospitals
- 7.4.10.4 Planning and Deliberation Needed for Hospital IT Adoption
- 7.4.10.5 Need for Redesigning Care Delivery
- 7.4.10.6 HER Systems and Patient Care
- 7.4.10.7 Need for Adequate Capital
- 7.4.10.8 External Challenges in Adopting HER Systems
- 7.4.11 Essentials of the U.S. Hospital IT Market
- 7.4.11.1 The EMR Adoption Model
- 7.4.11.2 Scoring Format
- 7.4.11.3 EMRAM Comparison, 2008 - 2009
- 7.4.11.4 National Review of EMR Scores
- 7.5 Healthcare IT in European Hospitals
- 7.5.1 Varying IT Budgets in European Countries
- 7.5.1.1 Limited IT Budgets for External IT Purchases in Europe
- 7.5.1.2 Anticipated Increase in IT Budget in Europe
- 7.5.1.3 Information Technology Budget Increase in a Contained Way in
Europe
- 7.5.1.4 Limited Impact of Economic Downturn in Europe
- 7.5.1.5 Main Media for Storing and Archiving Medical Records
- 7.5.1.6 Hospital IT Market by Market Segment in Europe
- 7.5.2 Israel' s Health IT Industry
- 7.5.3 Comparative Health IT
- 7.5.3.1 Denmark
- 7.5.3.2 Sweden
- 7.5.3.3 Netherlands
- 7.5.3.4 U.K.
- 7.5.3.5 Israel
- 7.5.3.6 U.S.
- 7.5.3.7 EMR Adoption and Use in Industrialized Countries
- 7.6 Healthcare IT Adoption in Asia
- 7.6.1 Health IT Market in Asia
- 7.6.2 Phenominal Growth of IT Market in Asia
- 7.6.2.1 Competition Cauldron
- 7.6.3 HIT Adoption in China
- 7.6.3.1 Chinese Government' s Policy
- 7.6.3.2 Primary Drivers of HIT Adoption in China
- 7.6.3.3 Primary Funders of HIT in China
- 7.6.3.4 Future Direction of HIT Adoption in China
- 7.6.4 Current HIT Scenario in China
- 7.6.4.1 Components of Hospital Information System (HIS) in China
- 7.6.4.2 Current Situation in Chinese Hospital Computerization
- 7.6.4.3 Comparison with Computerization of Hospitals with Developed
Countries
- 7.6.4.4 Expanding HIT Market Investment in China
- 7.6.4.5 Investment Structure of Chinese HIT Market
- 7.6.5 Malaysian HIT Background
- 7.6.6 Singapore' s Healthcare IT
- 7.6.7 HIT Market in Australia
- 7.6.8 HIT Market in India
- 7.6.8.1 HIT Adoption in India
- 7.6.8.2 Current Exemplars
8. Selected Company Profiles
- 8.1 Agfa Healthcare
- 8.1.1 Selected Products from Agfa Healthcare
- 8.1.1.1 IMPAX RIS Gateway
- 8.1.1.2 IMPAX 6
- 8.1.1.3 IMPAX EL
- 8.1.1.4 IMPAX ES
- 8.1.1.5 IMPAX Enterprise
- 8.1.1.6 IMPAX Integrated Reporting Solution (RIS/PACS/Speech)
- 8.1.1.7 IMPAX for Breast Imaging
- 8.1.1.8 Elefante.NET
- 8.1.1.9 IMPAX RIS for Hospitals
- 8.1.1.10 MediWeb Ordering
- 8.1.1.11 MediWeb Results
- 8.1.1.12 QDoc RIS
- 8.1.1.13 QPlanner
- 8.1.1.14 QdReport
- 8.1.1.15 RIS Management Reporting
- 8.1.1.16 SpeechMagic
- 8.1.1.17 TalkStation IS
- 8.1.1.18 TalkStation Integrated Solutions
- 8.1.1.19 TalkStation Radiology
- 8.1.1.20 TalkStation TeleDictation
- 8.1.1.21 TalkStation TeleReport
- 8.1.1.22 TalkStation Web Typist
- 8.1.1.23 Cardiovascular Entry Level Solution
- 8.1.1.24 Cardiovascular Multimodality Edition
- 8.1.1.25 Cardiovascular Solution
- 8.1.1.26 IMPAX HeartStation ECG Management System
- 8.1.1.27 Integrated Cardiovascular Solution
- 8.1.1.28 IMPAX Registration and Fusion
- 8.1.1.29 IMPAX Virtual Colonoscopy
- 8.1.1.30 IMPAX X-Ray Angio Analysis
- 8.1.1.31 IMPAX for Radiology
- 8.1.1.32 IMPAX OT3000
- 8.2 Aspyra, Inc.
- 8.2.1 Aspyra' s Laboratory Products
- 8.2.1.1 CyberLab
- 8.2.1.2 CyberLab Enhancements
- 8.2.1.3 CyberMATE
- 8.2.1.4 CyberPATH
- 8.2.1.5 WebGateway
- 8.2.2 Aspyra' s Imaging Products
- 8.2.2.1 CyberRAD
- 8.2.2.2 AccessRAD
- 8.2.2.3 AccessNET
- 8.2.2.4 AccessMED
- 8.3 Avreo, Inc.
- 8.3.1 Selected Products from Avero
- 8.3.1.1 interPRISE
- 8.3.1.2 interWORKS
- 8.3.1.3 interDAYHAWK
- 8.3.1.4 interVIEW
- 8.3.1.5 interORTHO
- 8.4 Carestream
- 8.4.1 Selected Products from Carestream
- 8.4.1.1 DIRECTVIEW Capture Link System
- 8.4.1.2 DIRECTVIEW EVP Plus Software
- 8.4.1.3 DIRECTVIEW General Radiography CR Software
- 8.4.1.4 CARESTREAM Image Suite Software
- 8.4.1.5 DIRECTVIEW CR Long-Length Imaging System
- 8.4.1.6 DIRECTVIEW Remote Patient Data Entry Software
- 8.4.1.7 DIRECTVIEW Total Quality Tool
- 8.4.1.8 Carestream Vue RIS
- 8.4.1.9 Carestream Vue PACS
- 8.4.1.10 Carestream Vue Motion
- 8.4.1.11 Carestream PACS 3D Functionality
- 8.4.1.12 ORTHOVIEW Orthopedic Digital Templating for Carestream PACS
- 8.4.1.13 Virtual Colonoscopy for Carestream PACS
- 8.4.1.14 Image Fusion Suite for Carestream PACS
- 8.4.1.15 Carestream Vue Mammo
- 8.4.1.16 Carestream Vue for Cardiology
- 8.4.1.17 Carestream Vue Connect
- 8.4.1.18 Carestream Vue for Vendor Neutral Archive
- 8.4.1.19 Carestream Vue for Cloud-Based Services
- 8.5 Cerner Corporation
- 8.5.1 Selected Products from Cerner
- 8.5.1.1 Acute Care Electronic Medical Record
- 8.5.1.2 Cardiovascular Solutions
- 8.5.1.3 Cerner Network
- 8.5.1.4 Clinical Imaging
- 8.5.1.5 Solutions for Community Hospitals
- 8.5.1.6 Computerized Provider Order Entry (CPOE)
- 8.5.1.7 Solutions for Critical Access Hospitals
- 8.5.1.8 Solutions for Critical care
- 8.5.1.9 Document Imaging
- 8.5.1.10 Solutions for Emergeny Departments
- 8.5.1.11 Laboratory Information Solutions
- 8.5.1.12 Solutions for Medical Devices
- 8.5.1.13 Oncology Solutions
- 8.5.1.14 Perioperative Solutions
- 8.5.1.15 Solutions for Pharmacies
- 8.5.1.16 Point of Care Solutions
- 8.5.1.17 Radiology Solutions
- 8.6 DR Systems, Inc.
- 8.6.1 Selected Products from DR Systems
- 8.6.1.1 Unity RIS/PACS
- 8.6.1.2 Unity Cardiology CVIS
- 8.6.1.3 Digital Mammography Integrated with PACS
- 8.6.1.4 Unity Pathology
- 8.6.1.5 Integrated RIS
- 8.6.1.6 DR Scheduler
- 8.6.1.7 Management Reports
- 8.6.1.8 Document Scanning
- 8.6.1.9 Patient /Film Tracking
- 8.6.1.20 Advanced Image Processing
- 8.6.1.21 Catapult Technologist QC Workstation
- 8.6.1.22 Dominator Diagnostic Reading Workstation
- 8.6.1.23 Web Dominator
- 8.6.1.24 Digital Mammography
- 8.6.1.25 Diagnostic Reading Advanced Image Processing
- 8.6.1.26 Digital Transcription Workstation
- 8.6.1.27 Web Transcription
- 8.6.1.28 Instant Reporter
- 8.6.1.29 Report Manager
- 8.6.1.30 Output to Billing Systems and Services
- 8.6.1.31 HIS/RIS Interfaces
- 8.6.1.32 Dedicated Test System
- 8.6.1.33 Ambassador Clinical Review
- 8.6.1.34 Media Ambassador
- 8.6.1.35 LAN Ambassador
- 8.6.1.36 Network Media Ambassador
- 8.6.1.37 Web Ambassador
- 8.6.1.38 DR Web Launch
- 8.6.1.39 Orthopedic Tools
- 8.6.1.40 Central Image Server
- 8.6.1.41 Communicator Web Server
- 8.6.1.42 Storage Solutions
- 8.6.1.43 Unity PACS-SC
- 8.7 Fujifilm Corporation
- 8.8 GE Healthcare
- 8.8.1 GE' s Cardiology Imaging Software
- 8.8.1.1 CardIQ Function Xpress
- 8.8.1.2 CardIQ Fusion
- 8.8.1.3 ReportCard 4.0
- 8.8.1.4 CardIQ Physio
- 8.8.1.5 Innova EP Vision
- 8.8.1.6 SmartScore 4.0
- 8.8.1.7 CardIQ Xpress 2.0 Reveal
- 8.8.1.8 Dynamic VUE
- 8.8.1.9 Flow Analysis 4.0
- 8.8.1.10 Left Ventricle Analysis
- 8.8.1.11 StarMap 4.0
- 8.8.1.12 Stenosis Analysis
- 8.8.1.13 CardEP
- 8.8.2 Interventional Imaging Software
- 8.8.2.1 Integrated Registration
- 8.8.2.2 Innova 3D
- 8.8.2.3 Innova Vision
- 8.8.2.4 Innova Track Vision
- 8.8.3 Selected Neurology Imaging Software
- 8.8.3.1 Autobone and VesselIQ Xpress
- 8.8.3.2 Dynamic Shuttle
- 8.8.3.3 CT Perfusion 4D
- 8.8.3.4 Cortex ID
- 8.8.3.5 GSI Viewer
- 8.8.3.6 Integrated Registration
- 8.8.3.7 BrainWave
- 8.8.4 Selected Oncology Imaging Software
- 8.8.4.1 Advantage 4D
- 8.8.4.2 OncoQuant
- 8.8.4.3 PET VCAR
- 8.8.4.4 Motion VUE
- 8.8.4.5 AdvantageSim MD
- 8.8.4.6 GSI Viewer
- 8.8.4.7 CADstream
- 8.8.5 Selected Vascular Imaging Software
- 8.8.5.1 Angio Card 1.0
- 8.8.5.2 Vessel IQ Xpress
- 8.8.6 GE' s Other Imaging Software
- 8.8.7 GE' s Platforms
- 3.9 INFINITT Healthcare, Co, Ltd.
- 8.9.1 Selected Products from INFINITT
- 8.9.1.1 Radiology PACS
- 8.9.1.2 Mammography PACS
- 8.9.1.3 Cardiology PACS
- 8.9.1.4 Dental PACS
- 8.9.1.5 Report Systems
- 8.9.1.6 Imaging EMR
- 8.9.1.7 RIS Solutions
- 8.9.1.8 3D: Colon
- 8.9.1.9 3D: Cardiac
- 8.9.1.10 3D: Lung
- 8.9.1.11 3D: Fusion
- 8.9.1.12 3D: Dental
- 8.10 LUMEDX Corporation
- 8.10.1 Selected Products from LUMEDX
- 8.10.1.1 CardioStar
- 8.10.1.2 Apollo Advance
- 8.10.1.3 CardioPACS 5.0 Enterprise Server
- 8.10.1.4 CardioPACS 5.0 Diagnostic Viewer
- 8.10.1.5 CardioPACS 5.0 Web Server
- 8.10.1.6 CardioPACS 5.0 Web Viewer
- 8.10.1.7 CardioPACS 5.0 LVA Module
- 8.10.1.8 CardioPACS 5.0 QCA Module
- 8.10.1.9 CardioPACS 5.0 CVUS Module
- 8.10.1.10 CardioPACS 5.0 IVUS Module
- 8.10.1.11 CardioPACS 5.0 Measurement Gateway
- 8.10.1.12 CardioPACS 5.0 MWL/MPPS SCP
- 8.10.1.13 CardioDoc Cath Reporting
- 8.10.1.14 CardioDoc Echo
- 8.10.1.15 CardioDoc PVI
- 8.10.1.16 CardioChart
- 8.10.1.17 CardioGate
- 8.10.1.18 CardioInventory
- 8.10.1.19 CardioCharge
- 8.10.1.20 Vascular Interventional Radiology Module
- 8.11 McKesson Corporation
- 8.11.1 McKesson' s Technology Solutions
- 8.11.2 Key solution areas
- 8.11.2.1 Clinical Management
- 8.11.2.2 Enterprise Imaging
- 8.11.2.3 Variable Thickness Regional Intensity Protocol (VTRIP)
- 8.11.2.4 Critical Results Reporting
- 8.11.2.5 Horizon Medical Imaging Enhanced Workflow Tools - Peer Review
- 8.11.2.6 Horizon Medical Imaging Mammography Plus
- 8.11.2.7 Horizon Rad Station - Advanced
- 8.11.2.8 Horizon Rad Station - Distributed
- 8.11.2.9 Horizon Rad Station - eJacket
- 8.11.2.10 Financial Management
- 8.11.2.11 Resource Management
- 8.11.2.12 Automation
- 8.11.2.13 Physician Practice Solutions
- 8.11.2.14 Horizon Ambulatory Care
- 8.11.2.15 Practice Partner
- 8.11.2.16 Connectivity
- 8.11.2.17 Pharmacy Management Software and Services
- 8.12 Meditech
- 8.12.1 Selected Products from Meditech
- 8.12.1.1 Emergency Department Management Solution
- 8.12.1.2 Enterprise Medical Record
- 8.12.1.3 Operating Room Management Solution
- 8.12.1.4 Bedside Verification Solution
- 8.12.1.5 Physician Care Manager
- 8.12.1.6 Anatomical Pathology Solution
- 8.12.1.7 Imaging and Therapeutic Service Solution
- 8.12.1.8 Laboratory and Microbiology Solution
- 8.12.1.9 Oncology Management Solution
- 8.12.1.10 Pharmacy Solution
- 8.12.1.11 Enterprise Patient Index and Medical Records
- 8.13 Merge Healthcare, Inc.
- 8.13.1 Selected Products from Merge Healthcare
- 8.13.1.1 Merge iConnect Access
- 8.13.1.2 Merge iConnect Share
- 8.13.1.3 Merge iConnect VNA
- 8.13.1.4 Merge iConnect Kiosk
- 8.13.1.5 Merge RIS
- 8.13.1.6 Merge PACS
- 8.13.1.7 Merge Financials
- 8.13.1.8 Merge Documents
- 8.13.1.9 Merge CADstream
- 8.13.1.10 Merge Mammo
- 8.13.1.11 Merge OrthoEMR
- 8.13.1.12 Merge OrthoCase
- 8.13.1.13 Merge Cardio
- 8.13.1.14 Merge Hemo
- 8.13.1.15 Merge AIMS
- 8.13.1.16 Merge Presurgical
- 8.13.1.17 Merge LIS
- 8.13.1.18 Merge LabAccess
- 8.14 NovaRad Corporation
- 8.14.1 Selected Products from NovaRad
- 8.14.1.1 NovaPACS
- 8.14.1.2 NovaRIS
- 8.14.1.3 NovaPro
- 8.14.1.4 NovaMG
- 8.14.1.5 NovaDash
- 8.14.1.6 NovaCardio
- 8.14.1.7 Nova Ortho
- 8.14.1.8 Nova View
- 8.14.1.9 Nova Vault
- 8.14.1.10 NovaRIS Billing
- 8.15 Philips Healthcare
- 8.15.1 Selected Products from Philips
- 8.15.1.1 Brilliance Everywhere
- 8.15.1.2 Brilliance Workspace
- 8.15.1.3 CT Visualization Software
- 8.15.2 Selected Philips' Clinical Informatics
- 8.15.2.1 HeartStart Telemedicine System
- 8.15.2.2 Event Review Pro - EMS
- 8.15.2.3 Event Review Pro - Hospital
- 8.15.2.4 HeartStart Data Manager
- 8.15.2.5 HeartStart Data SDK
- 8.15.3 Selected Workflow Solutions in Nuclear Medicine
- 8.15.3.1 Extended Brilliance Workspace
- 8.15.3.2 NM Application Suite
- 8.15.3.3 PET Applications
- 8.15.3.4 CT Applications
- 8.16 Sectra Medical Systems S.L
- 8.16.1 Selected Products from Spectra
- 8.16.1.1 Sectra RIS/PACS
- 8.16.1.2 Sectra Breast RIS/PACS
- 8.16.1.3 Cross-Enterprise Sharing
- 8.16.1.4 Cross-Enterprise Archiving
- 8.15.1.5 Sectra PACS Components
- 8.16.1.6 Spectra Orthopedic PACS Solution
- 8.17 Siemens Healthcare
- 8.17.1 Selected Products from Siemens
- 8.17.1.1 The syngo.plaza
- 8.17.1.2 The syngo Imaging
- 8.17.1.3 The syngo Dynamics
- 8.17.1.4 The syngo Workflow
- 8.17.1.5 The syngo Portal Radiologist
- 8.17.1.6 The syngo Portal Executive
- 8.17.1.7 PACS Disaster Recovery
- 8.17.1.8 Med Administration Check
- 8.17.1.9 Medical Device Connectivity
- 8.17.1.10 Practice Management System
- 8.17.1.11 PDA Clinical Assistant
- 8.17.1.12 Computerized Physician Order Entry (CPOE)
APPENDIX
- Appendix 1: Picture Archiving and Communication Systems (PACS): Myths and
Facts
- Appendix 1.1: Myth: PACS are Complicated and Expensive
- Appendix 1.2: Myth: PACS Require Workstations
- Appendix 1.3: Myth: Client License Required
- Appendix 1.4: Fact: Planned Obsolescence
- Appendix 1.5: Fact: DICOM and World Wide Web
- Appendix 1.6: Facts: PACS Increases Referral Volume
- Appendix 1.7: Fact: Arrival of Electronic Medical Records
- Appendix 2: Cloud Infrastructure in Vendor Neutral Archive Configurations
- Appendix 2.1: The concept of Vendor or PACS Neutral Archive
- Appendix 2.2: Early VNA Configurations
- Appendix 2.3: Market Description
- Appendix 2.4: Leading Edge Innovations in Storage Solutions
- Appendix 2.5: HTTP Access Methodology
- Appendix 2.6: Metadata
- Appendix 2.7: Introduction of MINT
- Appendix 2.8: Market Adoption
- Appendix 2.9: General Description of EMC
- Appendix 3: Self-Funding Transition Plan to Electronic Health Records
- Appendix 3.1: The High Cost of Record Keeping
- Appendix 3.2: The Enormous Challenge to Maintain Hospital Records
- Appendix 3.3: The Plan Needed to Meet the Challenges
- Appendix 3.4: Three Phases of Transition
- Appendix 3.5: Developing a Self-Funding Transition Plan
- Appendix 3.6: Designing the Pathway
- Appendix 3.7: Measuring the Results
- Appendix 4: The Health IT Workforce
- Appendix 4.1: Quantities and Staffing Ratios
- Appendix 4.2: Workforce Roles
- Appendix 4.3: Growth and Gaps
- Appendix 4.4: Leadership Qualifications
- Appendix 4.5: Education and Competencies
- Appendix 5: Glossary of Terms: PACS
INDEX OF FIGURES
- Figure 3.1: Patient Work List and Image Display
- Figure 3.2: Enterprise Level Web-based Image/Data EPR Server with Archive
- Figure 4.1: Content-Based Medical Image Retrieval Using the IRMA Framework
- Figure 4.2: Visualization of MRI (blue) and PET (ocher) Data Sets with Two
Different 1D Transfer Functions
- Figure 4.3: Components of a Picture Archive and Communications System
- Figure 4.4: Schematic of "Before PACS" Processes
- Figure 4.5: Schematic of "After PACS" Processes
- Figure 4.6: PACS as part of the Electronic Health Record Architecture
- Figure 5.1: Major Perceived Barriers to Adoption of Electronic Health
Records (EHRs)
- Figure 5.2: Perceived Facilitators of Adoption of Electronic-Records
Systems
- Figure 6.1: Global Market for Medical Imaging Equipment by Geography, 2010
- Figure 6.2: Global Medical Imaging Market Share by Modality, 2010
- Figure 6.3: Utilization Rates for X-Ray, CT and Ultrasound in the U.S.
- Figure 6.4: Utilization Rate for CT in the U.S.
- Figure 6.5: Utilization of MRI in the U.S., 2007-2010
- Figure 6.6: Global PACS Market, 2010-2017
- Figure 6.7: PACS Web Server Concept
- Figure 6.8: U.S. Market for PACS, 2010-2017
- Figure 6.9: U.S. Hospitals with PACS Installed
- Figure 6.10: Total Number of Hospitals vs. Hospitals with PACS Installed
- Figure 6.11: Replacement and New PACS Purchases in the U.S. Hospitals
- Figure 6.12: PACS Installations by Bed-size in the U.S. Hospitals
- Figure 6.13: PACS Modalities Installations in the U.S. Hospitals
- Figure 6.14: PACS Company Market Share in the U.S.
- Figure 6.15: PACS Image Distribution in Hospital Departments in the U.S.
- Figure 6.16: PACS Image Accessibility by Physician in the U.S.
- Figure 6.17: RIS and PACS Interface in the U.S.
- Figure 6.18: PACS Market: Revenue Forecasts (Brazil), 2010-2015
- Figure 6.19: PACS Market: Company Market Share by Revenues (Brazil), 2008
- Figure 6.20: European PACS Market, 2010-2017
- Figure 6.21: Major PACS in U.K.
- Figure 6.22: European Radiology PACS Market, 2010-2017
- Figure 6.23: European Cardio PACS Market, 2010-2017
- Figure 6.24: RIS/PACS Market in India
- Figure 6.25: Total PACS Market in India
- Figure 7.1: Percent Revenue Spent on IT by Different Industries
- Figure 7.2: HIT Adoption Rate
- Figure 7.3: Primary Care Physicians Using Electronic Health Records (HER)
- Figure 7.4: Global Market for HIT, 2010-2017
- Figure 7.5: North American HIT Market ($2.7 Billion), 2010
- Figure 7.6: U.S. Market for HIS, 2009-2016 104
- Figure 7.7: Percentage of U.S. Physicians Using EMRs/EHRs, 2001 - 2009
- Figure 7.8: U.S: Changes in EHR Adoption Rate, 2008-2009
- Figure 7.9: Increased IT Budgets in the U.S. Hospitals
- Figure 7.10: PACS Utilization by Imaging Modality
- Figure 7.11: CPOE Adoption in U.S. Hospitals
- Figure 7.12: CPOE Adoption in Academic and Non-Academic U.S. Hospitals
- Figure 7.13: EMR Adoption in U.S. Hospitals
- Figure 7.14: Changes in Electronic Health Record (EHR) Adoption Rate from
2008 To 2009
- Figure 7.16: Primary Driver for HER Implementation
- Figure 7.17: HER Adoption Leaders
- Figure 7.18: Distribution of Non-Profit and For-Profit Hospitals on
Clinical HIT Sophistication Scale
- Figure 7.19: HIT Adoption by AHA Hospital Bed Size Category
- Figure 7.20: Clinical HIT Adoption in Hospitals of Medicare and Medicaid
Discharges
- Figure 7.21: HIT Adoption by the Size of Hospital' s System and in
Stand-Alone Hospitals
- Figure 7.22: HIT Adoption in Contract-Managed Hospitals
- Figure 7.23: Adoption in Systems and Hospitals with a Primary Care
Department
- Figure 7.24: Adoption of EMR in Ambulatory Practices by Size
- Figure 7.25: HER Functions and Communication Capabilities
- Figure 7.26: Sample Connection Points between EHR and Other Systems within
the Hospital
- Figure 7.27: Percentage of Hospitals that Have Implemented Select
Electronic Capabilities, 2009
- Figure 7.28: Percentage of U.S. Hospitals that Have Implemented Medication
Safety Alerts, 2009
- Figure 7.29: Percentage of U.S. Hospitals that Use Bar Codes to Identify
Patients and Medications, 2009
- Figure 7.30: Percentage of Hospitals that Expect to Incur a Financial
Penalty for Failing to Demonstrate Meaningful Use by 2015
- Figure 7.31: Sample EHR Implementation Process
- Figure 7.32: Sample Workflow Process for Medication Order before Redesign
- Figure 7.33: Sample Workflow Process for Medication Order after Redesign
- Figure 7.34: Percentage of Hospitals Reporting Change in Access to
Tax-exempt Bonds, January 2009
- Figure 7.35: Percentage of Hospitals Reporting Change in Ability to Access
Capital Since December 2008
- Figure 7.36: IT Budget as % of Total Hospital Budget per Country in Europe
- Figure 7.37: External IT Budget as % of Total Hospital IT Budget per
Country in Europe
- Figure 7.38: Expected Evolution of Hospitals' IT Budget, 2008-2012
- Figure 7.39: Anticipated Growth of Hospital IT Budget, 2008-2012
- Figure 7.40: Perceived Impact of Economic Downturn in Europe
- Figure 7.41: Hospital IT Market by Market Segment in Europe, 2008
- Figure 7.42: Use of EHR Systems by Primary-care Physicians, 2009
- Figure 7.43: EMR Adoption and Use in Industrialized Countries
- Figure 7.44: Growth Rate of Chinese HIT Market Investment
- Figure 7.45: Investment Structure of Chinese HIT Market
- Figure 7.46: Singapore' s HIS Market
- Figure 7.47: Australia' s Health IT Market
- Figure 7.19: Key Australian Health IT Players
- Figure 7.48: Implication on India HIT market by U.S. Service Providing
Penetration
- Figure 7.49: Indian IT Market in Healthcare Sector, 2010-2017
- Figure App. 2.1: Atmos High-Level Service Oriented Architecture
- Figure App. 3.1: The Three Phases of Transition
INDEX OF TABLES
- Table 4.1: Examples of Large Medical Image Data
- Table 5.1: Examples of Health Information Technology for Hospitals and
Physicians
- Table 5.2: HIMSS Definitions of Health Information Technology Applications
- Table 5.3: Selected Electronic Functionalities and Their Level of
Implementation in U.S. Hospitals
- Table 5.4: Electronic Requirements for Classification of Hospitals as
Having a Comprehensive or Basic Electronic-Records System
- Table 5.5: Adoption of Comprehensive and Basic Electronic-Records Systems
According to Hospital Characteristics
- Table 5.6: The Difference between EMR and HER
- Table 5.7: Top Ten eMAR Installed and Contracted Systems, 2009
- Table 6.1: Display Resolution Comparison in PACS Image Viewing
- Table 6.2: PACS Radiology Workstation Tools for Image Manipulation
- Table 6.3: PACS Radiology Workstation Tools for Image Measurement
- Table 6.4: PACS Radiology Workstation Tools for Advanced Visualization
- Table 6.5: Hospital Adoption Timing/Incentive Payout
- Table 6.6: Medicare Incentives for Physicians
- Table 6.7: Impact of Top Four Industry Challenges (Brazil), 2010-2015
- Table 6.8: Market Drivers Ranked in Order of Impact (Brazil), 2010-2015
- Table 6.9: Market Restraints Ranked in Order of Impact (Brazil), 2010-2015
- Table 6.10: PACS Ownership in the National Health Service
- Table 6.11: PACS Installation by Geographical Area
- Table 6.12: Level of PACS Integration
- Table 6.13: Strategies for the Future
- Table 7.1: U.S. HIT Market Size, 2009
- Table 7.2: Selected EHR Functions and Implementation in U.S. Hospitals In
2009
- Table 7.15: Hospitals That Adopted 1 - 9 "Core" Meaningful-Use Objectives,
2009
- Table 7.3: Potential Savings from Clinical HIT Applications in Major Cost
Categories
- Table 7.4: Adoption of HIT Applications and Systems in For-Profit and
Non-Profit Hospitals
- Table 7.5: Clinical HIT Adoption in Acute Care Hospitals of Various Types
- Table 7.6: HIT Adoption by Location
- Table 7.7: EMR Adoption Model Trends, 2008-2009
- Table 7.8: EMR/SEHR Adoption Model Scores, 2009
- Table 7.9: Hospital IT Market Size in Europe
- Table 7.10: Main Media for Storing and Archiving Medical Records in Europe
- Table 7.11: Areas Where Hospital IT Systems are in Place in Europe
- Table 7.12: Challenges for HIT Adoption in China
- Table 7.13: Computerization of Chinese Medical Institutions
- Table 7.14: Current Hospital MIS Situation Statistics in China
- Table 7.15: Hospital MIS Implementation Situation Statistics in China
- Table 7.16: Annual Average Investment in Computerization of Chinese
Hospitals as a % of Revenue
- Table 7.17: Key E-Health Players in Malaysia
- Table 7.18: Key E-Health Players in Malaysia
- Table 7.20: Key Contributors of Telemedicine in India
- Table App. 3.1: Operational Costs Reduced Through Transition Planning
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