1. experience of Estonian PACS Andrus Aavik 18-20.04.2007 Riga

2. Overview of Radiology in Estonia Radiology Centers  North-Estonian Regional Hospital  Tartu University Hospital  East-Tallinn Central Hospital  Pärnu Hospital  West-Tallinn Central Hospital Allover Estonia - ~63000 digital studies in month

3. 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 …

4. Groups of interest Radiologists Clinicians Private Clinics General Practitioners / Family doctors

5. 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

6. 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

7. Estonian PACS Today DICOM Archive Server Long-Term Archive DICOM workstationsWeb distribution WEB users Imaging modalities

8. Redundancy

9. Cooperation in Estonia 2007

10. 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)

11. 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

12. Thank You for Your Attention! www.kliinikum.ee/pacs andrus.aavik@pacs.ee