PACS & preoperative templating

Date: Sat, 8 Nov 2003 12:11:08 -0600

Subject: PACS & preoperative templating

From: Zeev Glozman


How many of you have had expirence with the PACS and/or preoperativeplanning ? templating?


Date: Sun, 9 Nov 2003 18:38:24 EST


a bit,  my hospital uses pacs,,,so that what i have to use.........douglas

Date: Mon, 10 Nov 2003 09:00:55 -0600

From: Steven Rabin

We have it. It works great for measuring angles preop. For measuringdisplacement, it works great IF the image is corrected for magnification. This is something that the radiologist or technician has to do manuallyas a separate step.  Because it requires extra effort, it is oftennot done unless you specifically request it.  There is a built-in ruler which works great IF the image has been corrected.  It givesa number that is meaningless if the image has not been corrected. For templatingstems, the hardware is currently inadequate.  We print out x-raysand template from the printout.  The PACS engineers are working onimproving their software and promise that reliable templating will be available"soon," but we are not holding our breath! PACS is wonderful forcommunication since it can be accessed all over the hospital and outsidethe hospital as well, and the files are easy to download and send via emailor use in presentations.  However it does have its problems with templatingsince it is designed for radiologists who don't really care about templating.

Good luck.

steve rabin

Date: Mon, 10 Nov 2003 11:33:46 -0600

From: Frederic B. Wilson, M.D.


We've been through this a number of times. The most reliable seems tobe making measurements with the tools provided with your PACS system. Forhip arthroplasty, as an example, we usually take actual measurements ofoffset and neck length and cup diameter. There are reported to be varioustemplating software out there. I haven't ever seen them work effectively.

I have often wondered why this could not be made an initiative of theAAOS to meet with the ASTM and establish industry wide standards in conjunctionwith the Radiographic Companies. It would seem that the big obstacle wouldbe the "proprietary" software that each of the manufacturersemploys for their systems.  


Frederic B. Wilson, M.D.
Trauma & Adult Reconstruction
ETMC First Physicians - Orthopaedic Clinic
Tyler, TX

Date: Mon, 10 Nov 2003 12:30:30 -0600

From: Zeev Glozman


Well, we developed a software like this, for trauma as well as hip andknee. There are many exercises that can done with it, I would ask you totake a look at the demo page of our product, and then if you continue tobe interested I would be happy to give you and evaluation copy.

Take a look