(PACS) A system used to communicate and archive medical imaging data, mostly images and associated textural data generated in a radiology department, and disseminated throughout the hospital. A PACS is usually based on the DICOM (Digital Imaging and Communications in Medicine) standard.

The main components in the PACS are: acquisition devices where the images are acquired;
Acquisition devices, which acquire their data in direct digital format, like a MRI system, are most easily integrated into a PACS.
Short term archives need to have rapid access, such as provided by a RAID (redundant array of independent disks), whereas long term archives need not have such rapid access and can be consigned, e.g. to optical disks or a magnetic.
High speed networks are necessary for rapid transmission of imaging data from the short term archive to the diagnostic workstations. Optical fibre, ATM (asynchronous transfer mode), fast or switched Ethernet, are examples of high speed transmission networks, whereas demographic textural data may be transmitted along conventional Ethernet.
Sophisticated software is a major element in any hospital-wide PACS. The software concepts include: preloading or prefetching of historical images pertinent to current examinations, worklists and folders to subdivide the vast mass of data acquired in a PACS in a form, which is easy and practical to access, default display protocols whereby images are automatically displayed on workstation monitors in a prearranged clinically logical order and format, and protocols radiologists can rapidly report worklists of undictated examinations, using a minimum of computer manipulation.

(DICOM) DICOM is the industry standard for transferral of radiologic images and other medical information between computers. Patterned after the Open System Interconnection of the International Standards Organization, DICOM enables digital communication between diagnostic and therapeutic equipment and systems from various manufacturers.
The DICOM 3.0 standard evolved from versions 1.0 (1985) and 2.0 (1988) of a standard developed by the American College of Radiology (ACR) and National Electrical Manufacturers Association (NEMA). To support the implementation and demonstration of DICOM 3.0, the RSNA Electronic Communications Committee began to work with the ACR-NEMA MedPacs ad hoc section in 1992.
Also Picture Archiving and Communication Systems (PACS), which are connected with the Radiology Information System (RIS), use commonly the DICOM standard for the transfer and storage of medical images.

See also Digitization.

The definition of imaging is the visual representation of an object. Medical imaging is a broad term that encompasses various imaging modalities and techniques used in the field of medicine to visualize and study the body's anatomy and physiology. It includes both diagnostic and non-diagnostic imaging procedures, where diagnostic imaging specifically refers to the subset of medical imaging techniques that are primarily focused on diagnosing diseases or conditions. Medical imaging techniques are employed to obtain images or visual representations of the internal organs, tissues, and structures, aiding in the diagnosis, treatment, and monitoring of medical conditions.
The field of medical imaging has significantly evolved since the discovery of X-rays by Konrad Roentgen in 1896. Initially, radiological imaging involved focusing X-rays on the body and capturing the images on a single piece of film within a specialized cassette. Subsequent advancements introduced the use of fluorescent screens and special glasses for real-time visualization of X-ray images.
A significant breakthrough came with the application of contrast agents, enhancing image contrast and improving organ visualization. In the 1950s, nuclear medicine studies utilizing gamma cameras demonstrated the uptake of low-level radioactive chemicals in organs, enabling the observation of biological processes in vivo. Currently, positron emission tomography (PET) and single photon emission computed tomography (SPECT) technologies play pivotal roles in clinical research and the diagnosis of biochemical and physiological processes. Additionally, the advent of the x-ray image intensifier in 1955 facilitated the capture and display of x-ray movies.
In the 1960s, diagnostic imaging incorporated the principles of sonar, using ultrasonic waves generated by a quartz crystal. These waves, reflecting at the interfaces between different tissues, were received by ultrasound machines and translated into images through computer algorithms and reconstruction software. Ultrasound (ultrasonography) has become an indispensable diagnostic tool across various medical specialties, with immense potential for further advancements such as targeted contrast imaging, real-time 3D or 4D ultrasound, and molecular imaging. The first use of ultrasound contrast agents (USCA) dates back to 1968.
Digital imaging techniques were introduced in the 1970s, revolutionizing conventional fluoroscopic image intensifiers. Godfrey Hounsfield's pioneering work led to the development of the first computed tomography (CT) scanner. Digital images are now electronic snapshots represented as grids of dots or pixels. X-ray CT brought about a breakthrough in medical imaging by providing cross-sectional images of the human body with high contrast between different types of soft tissue. These advancements were made possible by analog-to-digital converters and computers. The introduction of multislice spiral CT technology dramatically expanded the clinical applications of CT scans.
The first magnetic resonance imaging (MRI) devices were tested on clinical patients in 1980. With technological improvements, such as higher field strength, more open MRI magnets, faster gradient systems, and novel data-acquisition techniques, MRI has emerged as a real-time interactive imaging modality capable of providing detailed structural and functional information of the body.
Today, imaging in medicine offers a wide range of modalities, including:

These imaging modalities have become integral components of modern healthcare. With the rapid advancement of digital imaging, efficient management has become important, leading to the expansion of radiology information systems (RIS) and the adoption of Picture Archiving and Communication Systems (PACS) for digital image archiving. In telemedicine, real-time transmission of all medical image modalities from MRI to X-ray, CT and ultrasound has become the standard. The field of medical imaging continues to evolve, promising further innovations and advancements in the future, ultimately contributing to improved patient care and diagnostics.

See also History of Ultrasound Contrast Agents, and History of Ultrasound.

(RIS) Radiology information system means a computer system that stores and processes the information for a radiology department and can be linked to the hospital information system.
The principal purpose of a RIS consists of taking over the general functions of the administration inclusive planning, monitoring and communication of all data regarding patients and its investigations in the radiology. The correct images should reach, at the correct time, the correct users. For this reason the RIS must contain a workflow management in order to simplify and steer the data flow at the individual view stations or devices (laser cameras etc.). The Radiology Information System is optimally complemented with a Picture Archiving and Communication System (PACS).

RIS Tasks:

The ultrasound equipment includes the ultrasound machine, the coaxial cable, the transducer assembly, different modalities to print out and store the ultrasound pictures, ultrasound gel, and a couch for the patients.
Often, the ultrasound system is connected with the internal radiology information system which allows the takeover of patient data, and a picture archiving and communication system to store images.

See also Ultrasound System Performance.