In PACS, 15 years makes a world of difference

November 1, 2008 Diagnostic Imaging. Vol. 30 No. 11 In PACS, 15 years makes a world of difference Retrospective examines things that have changed—or not—at Baltimore VA BY ELIOT SIEGEL, M.D. Dr. Siegel is chief of radiology and nuclear medicine at the VA Maryland Health Care System with the Baltimore VA Medical Center. Without much fanfare, the Baltimore VA Medical Center passed its 15-year milestone as the first filmless (with the exception of mammography) hospital on June 23, 2008. Instead of marking the occasion with a big celebration, we took this opportunity to reflect on the many things that have changed and, perhaps more interesting, the things that have stayed the same. The most visible change is the radical redesign of our radiology reading room (Figures 1 and 2), an effort based on a topto- bottom assessment of all our room design mistakes from the first 10 years of filmless operation. One immediately successful technology in the new installation has been an effective and relatively inexpensive sound masking system along with accompanying sound-absorbing materials.

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