PACS Workflow Overview

The Picture Archiving and Communication System (PACS) workflow encompasses the complete lifecycle of medical imaging from study acquisition to report generation and image management. This guide provides a detailed overview of the workflow components and integration points.

Workflow Integration

CrelioHealth PACS workflow integrates seamlessly with the Radiology devices

1. Patient Registration: Bill registration at CrelioHealth and worklist to device
2. Study Acquisition: Imaging modalities capture and transmit studies
3. Study Annotation: Annotating observations on the study scans
4. Report Generation: Clinicians create reports with integrated annotations
5. Storage and Retrieval: Images and reports are archived for future access

System Setup Types

PACS systems can be configured in different architectural setups depending on the healthcare facility's requirements and network infrastructure.

Bi-Directional Setup

In a bi-directional setup, the PACS system maintains continuous two-way communication between the imaging modalities and the central server. This allows for:

• Real-time image synchronization
• Immediate work list availability
• Automatic backup and redundancy
• Seamless integration with multiple imaging devices

Uni-Directional Setup

A uni-directional setup provides a simpler, one-way communication flow from imaging modalities to the central server. This configuration is suitable for:

• Smaller healthcare facilities
• Standalone imaging centers
• Devices without bi-directional support
• Cost-effective implementations

Image Annotation and Documentation

Annotation Tools

The PACS system provides comprehensive annotation tools for medical professionals to mark and document findings directly on medical images:

Attaching Screenshots to Reports

The workflow for attaching annotated images to clinical reports involves several steps:

1. Select Annotation Tool: Choose the appropriate annotation tool for the specific finding
2. Mark the Image: Apply annotations, measurements, or highlights to the medical image
3. Capture Screenshot: Save the annotated image as a screenshot

Final Report Integration

Once annotations are attached, they can be attached to the report.

1. Attach to Report: Link the annotated image to the corresponding clinical report

Report Access and Visualization

Accessing Annotated Images

Clinical reports with attached screenshots provide detailed documentation for medical reviews:

1. These can be accessed from Operation -> Waiting list module

Detailed Large View

These screenshots can be zoomed in for more clarity and viewing annotated areas for detailed examination:

• Click on the screenshot image to zoom in

Image Viewer Options

The PACS system offers multiple viewing options to accommodate different clinical needs:

Viewer Features

• Multi-Format Support: View DICOM, JPEG, PNG, and other medical image formats
• Windowing Controls: Adjust brightness, contrast, and window levels
• Measurement Tools: Take precise measurements on images
• Series Navigation: Browse through image series efficiently
• Annotation History: Track changes and annotations over time

This comprehensive workflow ensures efficient medical imaging management while maintaining high standards of clinical documentation and patient care.