title: Cable modem access to picture archiving and communication system images using a web browser over the Internet.
abstract: This presentation describes our experiences using a web-based viewing software and a browser to view our picture archiving and communication system (PACS) images at a remote site with cable modem-internet communications. Our testing shows that using a cable modem to access our radiology webserver produces acceptable transmission speeds to remote sites. The average time-to-display (TTD) for 16 computed tomography (CT) images on the web-based intranet system in our hospital was 7 to 8 seconds. Using a cable modem and comparable equipment at a remote site, the average TTD is 16 seconds over the internet. The TTD does not significantly change during various hours of the day. Security for our hospital-based PACS is provided by a firewall. Access through the firewall is accomplished using virtual private network (VPN) software, a secure ID, and encryption. We have found that this is a viable method for after-hours subspecialty radiology consultation.
authors.affiliation: The Ohio State University Medical Center, Columbus, USA. bennett-1@medctr.ohio-state.edu
authors.forename: W F
authors.initials: WF
authors.lastname: Bennett
authors.forename: D G
authors.initials: DG
authors.lastname: Spigos
authors.forename: K V
authors.initials: KV
authors.lastname: Vaswani
authors.forename: J E
authors.initials: JE
authors.lastname: Terrell
mesh_terms: D000046:Academic Medical Centers; D016494:Computer Security; D003199:Computer Systems; D006751:Hospital Information Systems; D006801:Humans; D020407:Internet / Q000295:instrumentation*; D003629:Modems; D009820:Ohio; D011873:Radiology Information Systems / Q000295:instrumentation*; D012985:Software Design; D019112:Teleradiology / Q000295:instrumentation; D014057:Tomography, X-Ray Computed / Q000295:instrumentation*