experience of Estonian PACS

Andrus Aavik

18-20.04.2007 Riga

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

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

…

Groups of interest

Radiologists Clinicians Private Clinics General Practitioners / Family doctors

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

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

Estonian PACS Today

DICOM Archive Server

Long-Term Archive

DICOM workstationsWeb distribution

WEB users

Imaging modalities

Redundancy

Cooperation in Estonia 2007

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)

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

Thank You for Your Attention!

www.kliinikum.ee/pacs

andrus.aavik@pacs.ee