Yesterday I had the pleasure(?) of an in-service on, VistARad, the new 
digital imaging program rolled out here at the Albany VA. It's a 
completely stand alone application, although it uses what looks like the 
CPRS login screen. There are a whole bunch of high resolution monitors 
set up in workstations of two or three. God knows what they cost! The 
ICU, Surgery Clinic, OR, and Radiology got the new workstations. We in 
ENT didn't rate.

The application seems to have been designed by committee, but one which 
didn't include the users of the program. For example, despite the 
multiple monitor setup, even the Radiologist who demonstrated it didn't 
think it was capable of putting today's x-ray, CT or MRI on one monitor 
and last month's on the next monitor, for side-by-side comparisons. By 
default, it tiles the images vertically on a single monitor, which, in 
order to preserve proportions, results in the image being 1/4 size. 
However, since our clinic didn't get a workstation, I probably won't use 
the system anyway.

On a related topic, most of the radiology groups in town are going 
"filmless", so patients are coming into my office with CD's instead of 
hard copies of CT scans. Aside from the fact that some of the embedded 
proprietary viewers don't work at all, even under Windows, none work 
under Linux. Most of the CDs seem to have DICOM images, though. Does 
anyone have any experience with any of the DICOM viewers under Linux, or 
interfacing them with VistA or CPRS?

Mike Schrom


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