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PACS Vendors Clamor for More Technologic Advancements

By MedImaging International staff writers
Posted on 29 Mar 2011

Picture archiving and communication system (PACS) vendors are unified on the need for greater advancements in technology: tighter integration with radiology information systems (RIS) and electronic health records (EHRs); enabling access to images in the EHR; vendor-neutral archiving; and web-based access to PACS images, according to a recent market report.

However, at the European Congress of Radiology (ECR) 2011, held in Vienna, Austria (March 3-7, 2011), suppliers seemed centered on capitalizing on available solutions rather than on the innovations of the future. Consequently, the atmosphere was highly competitive, with an increased choice of vendors reacting to the increasing demand for PACS projects, particularly those of an enterprise nature, across Europe, according to InMedica (Wellingborough, UK), an international market research company.

This is not to say that exciting platforms were not presented: Merge (Chicago, IL, USA) showcased iConnect and introduced itself as an enabler of central hospital information-sharing; Agfa Healthcare (Mortsel, Belgium) launched its Integrated Regional Imaging Program for hospital networks; Carestream Health (Rochester, NY, USA) positioned itself as a web-based radiology services provider via eHealth PACS; Sectra (Linköping, Sweden) emphasized that PACS solutions and image distribution should be workflow-oriented; and Philips Healthcare (Best, The Netherland) tried to attract a more cost-conscious audience with its new MDC PACS. These solutions all address important radiology needs. Behind all of this was a sheer drive for new business and regional projects. North American and Asian PACS providers, including Ramsoft (Toronto, Ontario, Canada), Novarad (American Fork, UT, USA), and Infinitt (Seoul, Korea) were also in attendance, exploring advances into the European market.

This points to an important circumstance in the PACS market: tightening competition in mature markets, increased hospital awareness of PACS benefits and suppliers, the willingness of radiologists to try new vendors, and vendors to try new markets. As price sensitivity in healthcare also increases worldwide, the understanding is that it is "crunch time" for suppliers. It is clearly time for vendors to explore new regions or tighten their hold on current projects/markets. A fundamental part of this is will be to achieve a greater determination of changing regional and country-specific trends in the PACS market. No one vendor can sit too comfortably, according to InMedica analysts.

InMedica publishes market research on clinical care devices, consumer medical devices, medical imaging and healthcare information technology (IT) and telehealth. The company offers clients complete coverage of the global market, with reports on high growth regions such as China, Eastern Europe, and the Middle East.

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68 (34.809112548828): SELECT fid FROM jos_deeppockets WHERE id=294734130 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294734130 AND published='1' LIMIT 1

69 (38.862228393555): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=216 ORDER BY `ordering`

70 (365.01884460449): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734130 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (270.84350585938): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734130 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (126.83868408203): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (40.054321289062): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734130 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (29.087066650391): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734130 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (35.04753112793): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734130 AND published='1' LIMIT 1

105 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734130 AND published='1' LIMIT 1

106 (50.067901611328): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294734130 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (46.014785766602): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294734130 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734130 AND published='1' LIMIT 1

109 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734130 AND published='1' LIMIT 1

110 (66.041946411133): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294734130 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (507.83157348633): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294734130 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (626.0871887207): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (422.95455932617): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (175.95291137695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734130 AND published='1' LIMIT 1

115 (96.08268737793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734130 AND published='1' LIMIT 1

116 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734130 AND published='1' LIMIT 1

117 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734130 AND published='1' LIMIT 1

118 (63.180923461914): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734130 AND published='1' LIMIT 1

119 (39.815902709961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734130 AND published='1' LIMIT 1

120 (329.97131347656): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 26144.981384277): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (110.14938354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734130 AND published='1' LIMIT 1

123 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734130 AND published='1' LIMIT 1

124 (445.12748718262): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734130 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734130 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 399909.01947021): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (78.916549682617): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (49.829483032227): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (30.994415283203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (46.968460083008): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (30.040740966797): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (30.040740966797): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (28.848648071289): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (527.85873413086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (407.93418884277): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734130 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (44.822692871094): SELECT name FROM jos_deeppockets WHERE id=216

136 (36.001205444336): SELECT name FROM jos_deeppockets WHERE id=216

137 (468.96934509277): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (399.82795715332): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734130 AND published='1' LIMIT 1

140 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734130 AND published='1' LIMIT 1

141 (!!!!! 9073.01902771): TRUNCATE TABLE jos_trademed_module

142 (90.122222900391): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294734130 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (52.928924560547): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294734130 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (576.97296142578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (65.803527832031): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734130 AND published='1' LIMIT 1

147 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734130 AND published='1' LIMIT 1

148 (!!!!! 1131.0577392578): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (60.796737670898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734130 AND published='1' LIMIT 1

150 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734130 AND published='1' LIMIT 1

151 (49.829483032227): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734130 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734130 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (36.001205444336): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

153 (31.948089599609): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

154 (34.093856811523): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734130 AND published='1' LIMIT 1

156 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734130 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734130 AND published='1' LIMIT 1

157 (51.021575927734): select jos_twitters.link from jos_twitters where cat=10

158 (31.948089599609): select jos_facebook.link from jos_facebook where cat=10

159 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

160 (31.948089599609): select jos_linkedin.link from jos_linkedin where cat=10

161 (272.98927307129): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 2609.0145111084): insert into jos_banners_delta values (14615,'2025-06-19 17:43:38','216.73.216.120','view'),(14202,'2025-06-19 17:43:38','216.73.216.120','view'),(14203,'2025-06-19 17:43:38','216.73.216.120','view')

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