Aim: Planning a PACS (Picture Archiving and Communication System) with the
aim of a filmless hospital. The service for the referring physicians should
be optimised. Methods: Statistical analysis of data from the RIS (Radiolog
ical Information System), customer survey, workflow analysis and cost effec
tiveness analysis was the basis for planning the PACS. Results: The calcula
ted data quantity of the institute is 6.2 gigabyte per day or 1.7 terabyte
per year. The referring physicians wanted to have the examination in 93 % o
f the cases on the same day. For 53 % of the cases remote studies were nece
ssary for reading. Only 2.3 % of these pictures were older than two years.
The organisation of the department makes it necessary to have access to the
examination of all modalities from each diagnosis workstation. Conclusions
: Due to specific attributes of the institute, a fast nearline archive, a c
lustering of the diagnosis workstations and a DICOM based picture distribut
ion were planned.