title: First experiences with the modelling and simulation package MIRACLES applied to a picture archiving and communication system (PACS) in a clinical environment.
abstract: Since the construction of picture archiving and communication systems (PACS) appears to be extremely difficult, computer modelling and simulation are used as decision support tools. The package MIRACLES (Medical Image Representation, Archiving and Communication Learned from Extensive Simulation) has been developed at BAZIS in order to support the construction of simulation models of image information systems. This article discusses the application of MIRACLES to a prototypical PACS as being installed in a clinical environment. Attention is focussed to the required system analysis and difficulties which arose during the construction of the simulation model. The emphasis is on the presentation of the results of the simulation study, which show that simulation can be fruitfully used to predict, to analyse and to assist in solving performance problems. The simulation study confirmed assumptions and suppositions concerning both the system performance itself and strategies to improve the performance. The study also resulted in a number of concrete recommendations which might be useful for the set-up of the prototypical PACS.
authors.affiliation: BAZIS, Central Development and Support Group Hospital Information System, Leiden University Hospital, The Netherlands.
authors.forename: W J
authors.initials: WJ
authors.lastname: Stut
authors.forename: J P
authors.initials: JP
authors.lastname: de Valk
authors.forename: H W
authors.initials: HW
authors.lastname: Didden
authors.forename: A R
authors.initials: AR
authors.lastname: Bakker
authors.forename: B M
authors.initials: BM
authors.lastname: ter Haar Romeny
mesh_terms: D003198:Computer Simulation; D003661:Decision Support Techniques; D004867:Equipment Design; D006751:Hospital Information Systems / Q000295:instrumentation; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods*; D011873:Radiology Information Systems / Q000295:instrumentation