This is the report of a worldwide survey of 82 institutions done to id
entify large scale picture archiving and communication systems (PACS)
in clinical operation in 1995. This survey found a continuing strong t
rend toward the creation and operation of large PACS. In the 15 months
since the first such survey, the number of clinical large PACS went f
rom 13 to 23, almost a doubling in that short interval. New systems we
re added in Asia, Europe, and North America. A strong move to primary
interpretation from soft copy was identified. and filmless radiology h
as become a reality. Copyright (C) 1996 by W.B. Saunders Company