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A Picture Archiving and Communications System (PACS) must be able to support the image rate of the medical treatment facility. In addition the PACS must have adequate working storage and archive storage capacity required. The calculation of the number of images per minute and the capacity of working storage and of archiving storage is discussed. The calculation takes into account the distribution of images over the different size of radiological images, the distribution between inpatient and outpatient, and the distribution over plain film CR images and other modality images. The support of the indirect clinical image load is difficult to estimate and is considered in some detail. The result of the exercise for a particular hospital is an estimate of the average size of the images and exams on the system, of the number of gigabytes of working storage, of the number of images moved per minute, of the size of the archive in gigabytes, and of the number of images that are to be moved by the archive per minute. The types of storage required to support the image rates and the capacity required are discussed.
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Dennis L. Wilson, Robert A. Glicksman, "Sizing a PACS," Proc. SPIE 2165, Medical Imaging 1994: PACS: Design and Evaluation, (15 May 1994); https://doi.org/10.1117/12.174358