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'A PACS consists of at least one or multiple imaging modalities (acquisition devices), a communication network, an intermediate and/or post workstation.' (Greinacher 1994) Many, if not most hospitals are evaluating PACS technology. While PACS has its roots in the delivery of imaging services, it is critical that hospital decision-makers understand that PACS is not just a radiology system. PACS is an enterprise-wide information and image management and delivery system. It integrates imaging modalities, interfaces with hospital and departmental information systems, and manages the storage and distribution of images to radiologists, hospital physicians and remote referring physicians, specialists, clinics and imaging centres. In the interests of cost-effectiveness, all imaging modalities should be connected to the PACS. Image management and communication systems (IMACS) will go further than this, incorporating other digital images acquired using techniques such as endoscopy or histopathology. Some modalities will need special consideration prior to incorporation of the PACS, e.g. mammography...

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