Transcript PACS in Leicester

What happened
to
Leicester?
Dr. K A Mulcahy
RCR PACS meeting
Nov. 2003
L.G.H. N.H.S. Trust
Department of Radiology

Healthcare
• 3 teaching hospital Trusts
University Hospitals
of Leicester
Imaging
Directorate
• Leicester General Hospital
• Leicester Royal Infimary
• Glenfield General hospital
• Separate networks ( and IT departments)
• Different RIS
• Different PAS
• Multiple smaller hospitals
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Loughborough
Coalville
Hinckley
Melton Mowbray
Market Harborough
Oakham
L.G.H. N.H.S. Trust
Department of Radiology

University Hospitals
of Leicester
Imaging
Directorate
February 1996
– Contract signed with Data General
– Software sub-contracted to Markcare
Medical Systems (then SMI)
U.H.L. N.H.S. Trust
Directorate of Radiology
1996
DataEMC
General
University Hospitals
of Leicester
Imaging
Directorate
Support
DGDG
Healthcare
Medisolutions
Insignia
Markcare
Markcare
1999
DG Servers
2001
2002
2003
U.H.L. N.H.S. Trust
Directorate of Radiology
2000
2001
2002
LGH NHS
UHL NHS
Trust Trust
University Hospitals
of Leicester
Imaging
Directorate
LRI NHS
Trust
IM&T
Directorate
Network upgrade
•Flat switched ethernet
•Gigabit links
•Microwave 54MBit link
•SAN ( Symmetrix)
•PAS merge
Imaging
Directorate
GGH NHS
Trust
RIS upgrade and
merge
U.H.L. N.H.S. Trust
Directorate of Radiology
PAS
RIS
University Hospitals
of Leicester
Imaging
Directorate
LRI
LGH
Insignia
Agfa
GGH
L`Boro
L`Boro
Phillips
Phillips
U.H.L. N.H.S. Trust
Directorate of Radiology

University Hospitals
of Leicester
Imaging
Directorate
Developments
• Content Addressable Storage (CAS)
• Web based image distribution
• CPACS
U.H.L. N.H.S. Trust
Directorate of Radiology

University Hospitals
of Leicester
CAS
• All on line
• Cheaper
• Multiple user
support (++)
Imaging
Directorate
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Direct connection
User “gateway”
64 bit key
XML file BLOB
support
• Inbuilt security

SAN
• Expensive
• All eggs in a very
good box!
• Internal disk
management
• Network drive
• Fast (Fibre
channel SCSI)
U.H.L. N.H.S. Trust
Directorate of Radiology

Web based distribution
• Watch this space!
University Hospitals
of Leicester
Imaging
Directorate

CPACS
• ……………………….