The intensive care unit (ICU) is one application where significant ben
efit is expected from the use of digital technology in the acquisition
, management and presentation of images. However, the potential benefi
ts should not be outweighed by disadvantages of current digital techno
logy. One of the bottlenecks is the efficiency of image viewing using
a workstation, especially if this viewing station is implemented using
affordable commonly available hardware. In this paper we describe the
design concepts of a relatively low-cost but efficient viewing statio
n for chest images, and discuss clinical experience with this system a
t an ICU ward. The user interface has been optimized towards the speci
fic patterns of ICU image viewing. By anticipating user requests and p
reparing images during idle times of the computer, the mean image acce
ss time could be reduced by a factor of 4, while most images could be
presented instantaneously. Information from the hospital information s
ystem (HIS) is exploited in the user interface, and a simplified PACS-
HIS coupling has been implemented for the simultaneous presentation of
images and reports.