This paper describes a methodology of PACS technology assessment and g
ives examples of the results of measurement of 24 items of PACS-relate
d situations of image diagnosis systems in Osaka University Hospital b
efore a PACS is installed. These data are to be compared with the data
which will be measured after PACS is installed in the new Osaka Unive
rsity Hospital, in order to complete our technology assessment. We pro
pose common variables, units, and conditions of measurement, in order
to establish a standard method of data comparison between before and a
fter PACS installation in hospitals at large. We designed our PACS tak
ing technology assessment into account. We do not stop the technology
assessment at the efficacy evaluation, because PACS must be more than
a tool for radiological practice. We extend the technology assessment
into the effectiveness evaluation, so that PACS is apart of radiologic
al practice itself, and diagnostic accuracy, economy and efficiency ar
e the results of PACS operation.