PACS Archive Servers and Workflow
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Questions and Answers

What information is NOT typically included in a requisition generated for a radiology examination?

  • Examination ordered
  • Date of birth
  • Patient's insurance information (correct)
  • Patient’s hospital identification number
  • Which role is primarily responsible for verifying the patient's information and performing the examination?

  • Film room clerk
  • Technologist (correct)
  • Transcriptionist
  • Ordering physician
  • What is the purpose of the multiviewer lightbox in the radiology workflow?

  • To store historical images
  • To enhance image acquisition techniques
  • To read and compare current and historic films by a radiologist (correct)
  • To transcribe the dictated report into the RIS
  • What happens to read films after a radiologist has dictated a report?

    <p>They are placed back into the film jacket for filing</p> Signup and view all the answers

    Which of the following tasks is NOT performed by the technologist during the radiology examination process?

    <p>Transcribing the report</p> Signup and view all the answers

    In a film-based workflow, which factor is usually responsible for delays in accessing patient images?

    <p>Transportation of the film jacket from off-site storage</p> Signup and view all the answers

    Which of the following best describes the role of the transcriptionist in the radiology process?

    <p>Retrieving and transcribing the dictated reports</p> Signup and view all the answers

    In optimizing workflow in radiology, which process can reduce the need for repeating exposures?

    <p>Implementing efficient patient history collection</p> Signup and view all the answers

    What distinguishes digital workflows from film-based workflows in radiology?

    <p>Film-based workflows rely on physical transportation of images</p> Signup and view all the answers

    What information does the technologist NOT confirm after receiving the requisition?

    <p>Patient's insurance status</p> Signup and view all the answers

    Study Notes

    Display Workstations

    • Some displays utilize advanced software for intricate image manipulation techniques.

    Archive Servers

    • Acts as the main file storage for PACS (Picture Archiving and Communication System).
    • Composed of a database server or image manager, short-term and long-term storage, and a workflow manager.

    Workflow in Radiology

    • Defined as the systematic process of completing examinations, from order entry to report generation.
    • Varies across departments due to differing variables and technology.

    Film-Based Workflow

    • Historical design included pass boxes feeding into darkrooms and large reading rooms with multiviewer lightboxes.
    • Film processing times have decreased, enhancing workflow efficiency.
    • Typical radiology workflow includes:
      • Order entry via paper prescription or computer system.
      • Radiologist reviews, corrects, and signs the report.
      • Final report printed and included in patient’s film jacket and sent to the ordering physician.

    Generic PACS Workflow

    • Begins with order retrieval via electronic worklist or paper requisition.
    • The order is confirmed and input into the Radiology Information System (RIS).
    • PACS retrieves historical images and places them in short-term storage.
    • Technologist prepares the examination room, documents patient history, and captures images.
    • Patient images tagged with RIS data ensure historical reports are accessible.
    • Digital storage eliminates the need for physical film jackets, expediting access to medical records.

    Requisition Details

    • Contains important patient information for examination:
      • Patient's name, hospital ID number, date of birth.
      • Ordering physician's name, examination ordered, reason for examination, chief complaint.

    Examination Process

    • Technologist checks patient information, conducts a history intake, and prepares for imaging.
    • Films processed, critiqued, and exposed as needed.
    • Copies made for patients if requested, and images are hung for radiologist review.

    Film Jacket Handling

    • Historical images may be stored off-site, requiring time for retrieval.
    • Films hung on multiviewer lightboxes for radiologist assessment with historical images compared.
    • Radiologist dictates report into a system, later transcribed into RIS by transcriptionist.

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    Fundamentals-of-PACS.pptx

    Description

    Explore the complexities of PACS archive servers and the workflow involved in managing image manipulation and storage. This quiz will cover the roles of database servers, image managers, and the overall workflow manager within PACS. Understand how these components interact to ensure efficient image management.

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