experience of estonian pacs andrus aavik 18-20.04.2007 riga
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experience of Estonian PACS
Andrus Aavik
18-20.04.2007 Riga
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Overview of Radiology in Estonia
Radiology CentersNorth-Estonian Regional HospitalTartu University HospitalEast-Tallinn Central HospitalPärnu HospitalWest-Tallinn Central Hospital
Allover Estonia - ~63000 digital studies in month
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Overview of Radiology in Estonia
Equipment CT
1 – 2 slice scanners -- 5 4 – 8 slice scanners -- 2 16 – 64 slice scanners -- 11
XA -- 6 CR systems -- 52 MRI -- 5 Endoscopic systems -- 20
…
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Groups of interest
Radiologists Clinicians Private Clinics General Practitioners / Family doctors
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Development of PACS in Estonia
1999 – BitNet project 2001 – mini-PACS in Tartu University Hospital
2CT’s, 1MR, 1CR and All-in-One PACS server
2002 – Cooperation with other Estonian hospitals Main idea: All studies available from one central archive
2006 – User interface for GP’s 2006 – New strategy for long-term archiving
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Estonian PACS Today
Estonian PACS is managed by
Foundation of Estonian PACS founded by two biggest hospitals:
Tartu University Hospital North-Estonian Regional Hospital
Nation-wide PACS – result of successful co-operation of competent Health Care stakeholders
82% of all images (in Estonia) are stored in nation-wide PACS
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Estonian PACS Today
DICOM Archive Server
Long-Term Archive
DICOM workstationsWeb distribution
WEB users
Imaging modalities
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Redundancy
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Cooperation in Estonia 2007
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Development never stops...
Continuous need for investment Cooperation is not allways easy New equipment needs different archiving
strategies More users we have –> more studies we
will have –> more load for the system -> more critical services (24x7)
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Development topics 2007
Migration of archive to new software Estabilishing common PACS VPN-network for Estonian
hospitals Improvement of solution for GP’s Changing information between Hospital Information Systems
Reports are moving with images (study=images+reports) Availability to chose where the images will be reported
Merging different information from PACS, RIS, LIS and HIS