Walchand College Of Engineering, Sangli.

(An Autonomous Institute)

Department
Of
Computer Science and Engineering

A Project Report
On

Picture Archiving and Communication System

Submitted by

Rina Nimbokar (2017BTECS00217)

Under the Guidance

Dr. B. F. Momin Dr. Prashant Lahane

June 2020
Picture Archiving and Communication System

Walchand College of Engineering, Sangli

Department
Of
Computer Science and Engineering

CERTIFICATE

This is to certify that the Project Report entitled, ”Design and Development of Au-

tomated Test Execution Framework for Eaton Web User Interface for Motor Control

Products” submitted by Ms.Rina Ravindra Nimbokar to Walchand College of Engineering, Sangli,

India, is a record of bonafide Project work of course 3CS492 PROJECT-II carried out by him/her

under my/our supervision and guidance and is worthy of consideration for the award of the degree

of Bachelor of Technology in Computer Science & Engineering of the Institute.

Dr. B. F. Momin Dr. Prashant Lahane Dr.B.F.Momin

Guide,H.O.D Co-Guide Head Of Department

Computer Sci. & Engg. Dept, Medsynaptic Pvt. Ltd., Computer Sci. & Engg.Dept,

WCE, Sangli. Pune[for SEM 2] . WCE, Sangli.

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Picture Archiving and Communication System

Acknowledgement

We are rather infused by the kind guidance of Dr. Prashant Lahane and Dr. B. F.Momin

who put in the cradle of our Engineering studies and evaluated us to this end and mean of our

project. We could not have been able to complete the project without the valuable guidance of the

Respected Panel. Without the guidance of all these respected members, we are sure that this project

will help a lot in the mmedical field for effectively evaluating the patients. In the end, we would

like to express a sincere thanks to all the people who helped us in the project completion directly

or indirectly and feel lucky to have got their help.

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Picture Archiving and Communication System

Declaration

I hereby declare that work presented in this project report titled ”Picture Archiv-

ing and Communication System” submitted by me in the partial fulfillment of the requirement

of the award of the degree of Bachelor of Technology (B.Tech) Submitted in the Department

of Computer Science & Engineering, Walchand College of Engineering, Sangli, is an

authentic record of my project work carried out under the guidance of Dr. B. F. Momin, H.O.D,

Computer Science and Engineering, Walchand College of Engineering, Sangli.

Date : (Signature)

Place : Sangli
Rina Ravindra Nimbokar

2017BTECS00217

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Picture Archiving and Communication System

Abstract
PACS stands for Picture Archiving and Communication System and is the system that has replaced

x-ray film with digital images. PACS also links the reports for imaging studies with the imaging

study making it easy to view both the images and the associated report at the same time. The

name of our PACS is Synapse and there is a Synapse icon on the desktop of all hospital computers.

PACS resolves many of the problems that were associated with film. Film could only be available

in one place at a time and would frequently result in delayed patient care if it was not immediately

available to the referring physician.With PACS, patient studies can be viewed from any computer

at any of our facilities or from a referring physician’s office. PACS also allows the radiologists to

read studies performed at any of our facilities, from any of our facilities, making them much more

efficient and greatly reducing the turn around time for report dictation.

Any hospital employee who has a legitimate need to view patient images to provide

patient care will be given access to PACS.

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Picture Archiving and Communication System

Table Of Contents
1 Introduction 7

1.1 Overview and Problem Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

1.2 Motivation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

1.3 Contributions of this work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

2 Background and Related Work 9

3 Proposed Method/Algorithm 10

3.1 Problem Definition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

3.2 Proposed Idea/System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

3.3 System Architecture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

3.4 System Analysis and Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

3.4.1 Design and Test Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

4 Performance Study 15

4.1 Implementation/Simulation Environment . . . . . . . . . . . . . . . . . . . . . . . . 15

4.2 Results and Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

4.3 Summary of performance study . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

5 Conclusions and Future Work 21

6 References 22

List Of Figures

• figure 1 example

• figure 1 example

Acronyms

• QA Quality Analyst

• AN1 Another name

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Picture Archiving and Communication System

1 Introduction

Medical informatics has changed the face and fate of the healthcare industry. Innovative

inventions cutting edge technology have given rise to flawless evalutions, faster diagnosis speedy

recoveries. With an endeavor to empower the health care industry with effective user-friendly image

transmission system, we have developed MEDSYNAPTIC PACS. It is an indigenously developed

system, which allows distribution of images within and outside the Hospital using state of the art

technology. It does not reqire installation of any software and can be operated directly from the

browser providing unsurpassed ease of use from anywhere.

This has significantly reduced the Image Processing and Transmission times and helped

in instant acquisition of data and analytical clinical findings. The system is web based, instant

and immensely user friendly. Be it any kind of imaging modality, connect MEDSYNAPSE PACS

to your network and it will make the images instantly accessible. And the major advantages is, you

can avail reports directly at your place anywhere in the world. So what else we are you looking

for ? Just introduce MEDSYNAPSE PACS your system and get images and reports transferred at

your convenience. With MEDSYNAPSE PACS speedy diagnosis and faster recoveries are now just

a click away.

1.1 Overview and Problem Statement

To develop the Picture Archiving and Communication System for the medical field. This

full fledged system will help patients, hospital staff to efficiently and effectively evaluate the pa-

tients.It is an indigenously developed system, which allows distribution of images within and outside

the Hospital using state of the art technology. It does not reqire installation of any software and

can be operated directly from the browser providing unsurpassed ease of use from anywhere.

1.2 Motivation

The Medsynaptic has now become the best PACS creator. The motivation behind it

was Picture Archiving and Communication System (PACS) improves image routing, retrieval, and

display capabilities among a healthcare facility, specifically the radiology department.This study has

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Picture Archiving and Communication System

shown a positive impact of PACS on the users from their perspective within the radiology department

that resulted in its efficient work flow.

1.3 Contributions of this work

Picture Archiving and Communication System (PACS), a necessary asset in modern hos-

pitals, has proven its crucial status in the radiology department for archiving and fetching medical

images followed by their integration with the radiology information system (RIS). Although PACS

has proven its worth technically, this study assesses its impact on its end users. The purpose of this

study is to measure the level of PACS’s impact on its users in a hospital facility in Saudi Arabia.

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Picture Archiving and Communication System

2 Background and Related Work

Nowadays, hospitals have become more digitalized and are aiming for a paperless envi-

ronment to ease their process and workflow [1]. The hospital information system (HIS), radiology

information system (RIS), picture archiving communication system (PACS), clinical information

system (CIS), cardiovascular information systems (CVIS), and electronic health record (EHR) are

the integral components of a hospital. These systems are supposedly integrated with one another

within the hospital to ensure that the patient’s health records are complete, correct, and up-to-date.

However, the imaging processes in the radiology department are in need of a whole systematic en-

tity as the medical images cannot be processed here alike other hospital data. In addition, medical

images require routing, storing, and retrieving for which the invention of a specialized system such

as a picture archiving and communication system (PACS) is required to fetch, archive, and process

images from one or many sources. The main purpose of the system is to improve image routing,

retrieval, and display capabilities among a healthcare facility, specifically the radiology department.

PACS is integrated with more than one imaging modalities such as X-Ray, magnetic resonance imag-

ing (MRI), computed tomography (CT), ultrasound and nuclear medicine (NM), and other similar

technologies.

The cross-sectional quantitative study is designed using the survey approach as a method

of data collection. All PACS active users at the radiology department are considered as the target

population. Out of the 160 distributed questionnaires, 100were returned with complete answers,

having a response rate of 62.5

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Picture Archiving and Communication System

3 Proposed Method/Algorithm

The cross-sectional quantitative study is designed using the survey approach as a method

of data collection. All PACS active users at the radiology department are considered as the target

population. Out of the 160 distributed questionnaires, 100were returned with complete answers,

having a response rate of 62.5

3.1 Problem Definition

The Picture Archiving and Communication System will help users to show a positive insight

towards the PACS for its impacts on their daily work. The findings of this study can greatly

contribute to assist the radiology department and help them understand the user’s perception on

PACS. Nevertheless, the study will also show a positive impact, i.e., an indication of the status and

insight of PACS users having a high perception rate towards PACS, which promises more future

advancement in its usage.

3.2 Proposed Idea/System

PACS-related studies focus on the technical aspect rather than the psychosocial aspect.

Thus, this project aims to explore the level of impact of PACS in the real world. In addition, this

study seeks to find the correlation between the user’s characteristics and behavior towards the PACS.

Proposed system will have following objectives: 1. To determine the impact of PACS on

its intended users and their performance.

2. To assess the unique aspects of PACS that influences the users in radiology department.

3. To identify the user’s characteristics associated with their interaction with the PACS.

4. To measure the level of acceptance of PACS and its impacts on users.

5. To measure the amount of user experience towards PACS in the study area.

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Picture Archiving and Communication System

3.3 System Architecture

Figure 1: System Architecture

Figure 1: System Architecture

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Picture Archiving and Communication System

3.4 System Analysis and Design

PACS system analysis will include:

Architecture :It is logical and functional description of the hardware configuration of the sys-

tem.While planning PACS architecture both current and foreseeable issues must be taken into con-

sideration.This is difficult because both organization and the technology are never in static state.

Elements of architecture 1. Operational fit 2.Versatility 3. Scalability 4.Robustness/Fault Tolerance

Comparison of PACS Architecture PACS Architecture Distributed Model Centralized Model

Historic Distributed Model,Approach, Network speed, Storage,Slower ,Expensive. Solution: Tran-

sient Storage at workstation.

Current Centralized Model :Two Layers 1.Core. 2.Workstation. Thin Client Leveraging

standards. Operating system and Web Browser Technologies. Network speed and Bandwidth.

Integration into other hospital applications. Auto-routing and pre-fetching of images not required.

Scalability. Transitional Technology Incorporate both the models Pre-fetching, routing and fast

retrieval of images. Multiple versions of workstation. Complex Architecture. SAN (storage area

network). NAS (network attached storage). CAS (Content addressable storage). Removable

Media.

3.4.1 Design and Test Steps

The Design and Test Steps followed the following strategy:

A project stage is a subset of activities producing a specific set of deliverables. • Successful conclu-

sion of one stage usually is a pre-requisite for the start of the next stage. • The project Steering

Committee only authorizes the PM to proceed with one stage at a time. • At the end of each stage

the project Steering Committee reviews the whole project status. • Approves the next stage plan

only if it is satisfied that the business case still stands and the project will deliver what is required.

The following stages are often used: • Initiation Stage • Preparation Stage • Deployment Stage •

Verification Stage (Go-Live) • Closure Stage

1. Initiation Stage:Identify stakeholders and define their roles and responsibilities. • Conduct pre-

kick off meetings with different parties to prepare the project plan. • Conduct ‘official’ kick

off meeting with all stakeholders. • Finalize the project plan (scope, timing, responsibilities,

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Picture Archiving and Communication System

etc. . . . ) acceptance documentation. Develop and approve the project plan by institution

and vendor.

2. Preparation Stage: Procure goods and pre-stage equipment (vendor factory location). • Ship

goods to the destination country and, after import, to the final site. • Analysis of data to

be migrated and confirmation of the method to be used (if any). • Analysis of 3rd party

integrations and agreement on the functional and technical integration specification – mention

actual HIS/RIS vendor/product.

3. Deployment: • Deliver goods in one or more deliveries as set out in the project plan. • The

Hospital PM or other authorized representative shall sign-off for “undamaged and complete”

reception. . . .. key project milestone! • Physical installation of the core components in the

server room or agreed designated area. • Integrate the core system with the existing network.

• Plan the Go-Live date.

4. Verification Stage: Use solution in production. • Resolve remaining issues (if any). • Evaluate

system service performance. • Authorize project closure.

5. Closure Stage: Final update of system documentation. • Final transfer of the system mainte-

nance to service. • Release the project team from its duties. • Close the project file.

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Picture Archiving and Communication System

Figure 2: PACS System

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Picture Archiving and Communication System

4 Performance Study

4.1 Implementation/Simulation Environment

The following simulation environment was used while developing this system.

1. Medical Imaging

2. Java - JDK 8 or above.

3. ASP for server side.

4. Javascript.

5. SQL Server

4.2 Results and Analysis

Current Implementation will result in good test coverage at final phase of project and allow

us to build a rigid system for future product.

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Picture Archiving and Communication System

pacs_1.jpg

Figure 1: Patients’ List

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Picture Archiving and Communication System

p5.jpg

Figure 1: Menu

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Picture Archiving and Communication System

p6.jpg

Figure 1: Taking image to study

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Picture Archiving and Communication System

p7.jpg

Figure 1: Login Page

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Picture Archiving and Communication System

4.3 Summary of performance study

The study results showed that PACS has a positive impact on its users. In addition, it

showed a significant relationship between the number of user characteristics and five inter-related

variables, i.e., external communication, service outcomes, personal intentions, personal hassles, and

increased blame.

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Picture Archiving and Communication System

5 Conclusions and Future Work

Users have shown a positive insight towards the PACS for its impacts on their daily work.

The findings of this study can greatly contribute to assist the radiology department and help them

understand the user’s perception on PACS. Nevertheless, the study showed a positive impact, i.e., an

indication of the status and insight of PACS users having a high perception rate towards PACS, which

promises more future advancement in its usage. Users have shown a positive insight towards the

PACS for its impacts on their daily work. The findings of this study can greatly contribute to assist

the radiology department and help them understand the user’s perception on PACS. Nevertheless,

the study showed a positive impact, i.e., an indication of the status and insight of PACS users having

a high perception rate towards PACS, which promises more future advancement in its usage.

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Picture Archiving and Communication System

6 References

References

[1] An assessment of pharmacists’ readiness for paperless labeling: a national survey J Am Med Inf

Assoc, 21 (1) (2014), pp. 43-48.

The LATEX Companion. Addison-Wesley, Reading, Massachusetts, 1993.

[2] R. van de Wetering, R. Batenburg, M. Oudkerk, P. van Ooijen, S. Brinkkemper, W. Scheper A

situational alignment framework for PACS

[3] Cooke Jr RE, Gaeta MG, Kaufman DM, Henrici JG. Picture archiving and communication

system. U.S. Patent No. 6,574,629. Washington, DC: U.S. Patent and Trademark Office; 2003.

[4] K. Fridell, L. Edgren, L. Lindsköld, P. Aspelin, N. Lundberg The impact of PACS on radiologists’

work practice J Digit Imaging, 20 (2007), pp. 411-421

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