Laboratory and imaging

Picture archiving and communication system (PACS)

A picture archiving and communication system (PACS) stores, retrieves and displays medical images such as X ray, CT, MRI and ultrasound in the DICOM standard, and delivers studies and reports to radiologists and clinicians across a hospital or network.

Why it matters

Film is costly, degrades and can be in only one place at a time. A PACS makes images available at the reporting station, on the ward and to a remote radiologist at once. Access to imaging is highly inequitable worldwide, a gap the World Health Assembly addressed in 2025 with resolution WHA78.13 on strengthening medical imaging capacity [1].

Key points

  • Images are stored and exchanged in DICOM, the international standard for medical images and related information [2].
  • A modality worklist sends scheduled studies to the X ray, CT or ultrasound unit, so patient details are not typed again [3].
  • The report, not only the images, must return to the requesting clinician and the patient record.
  • Integration with the EHR and with any existing hospital PACS avoids duplicate archives.

In Moana

MOANA PACS provides DICOM storage, a browser viewer, worklists and reporting, and integrates with an existing hospital PACS.

Sources

  1. Strengthening medical imaging capacity, resolution WHA78.13, World Health Assembly, 2025
  2. About DICOM: overview, DICOM Standards Committee, NEMA, accessed 2026
  3. DICOM PS3.4 Service Class Specifications: Basic Worklist Management Service, NEMA, 2026