Remote consultation and diagnosis in a global PACS environment

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Abstract
A global PACS is a national network which interconnects several PACS networks at medical and hospital complexes using a national backbone network. A global PACS environment enables new and beneficial operations between radiologists and physicians, when they are located in different geographical locations. This paper presents three user scenarios which enable remote consultation and diagnosis between radiologists at a local PACS site and a remote PACS site. One scenario, called remote consultation, allows the radiologist to view the same image folder at both local and remote sites so that a diagnosis can be performed. We present performance date based on tests between these two sites and show the feasibility of the operation in a global PACS environment. Future improvements to the system will include real- time voice and interactive compressed video scenarios. This work is sponsored by the National Science Foundation and Toshiba Medical Systems Division.

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