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Davide Caramella is Associate Professor of Radiology in the Department of Oncology, Transplants and New Technologies in Medicine of the University of Pisa. He is Past President of EuroPACS (http://www.europacs.org), Chairman of the Information Technology Committee of the European Association of Radiology (http://www.ear-online.org), Scientific Director of EURORAD (http://www.eurorad.org) and a Member of the Editorial Scientific Board of European Radiology. Dr Caramella has published over 100 papers and chapters on magnetic resonance imaging, teleradiology and PAC systems. He is the co-editor of four books on computer applications in radiology, advanced image processing and radiological resources on the Internet.
The implications of digital imaging for clinical practice

Davide Caramella
Department of Oncology, Transplants and New Technologies in Medicine, University of Pisa, Italy

Address for correspondence:
Professor Davide Caramella
Associate Professor of Radiology
Department of Oncology, Transplants and New
Technologies in Medicine, University of Pisa
Via Roma, 67, 1-56100 Pisa, Italy
Tel: +39 050 992 509 Fax: +39 050 551 461
Email: caramella@do.med.unipi.it

Introduction
The introduction of digital imaging over 30 years ago has dramatically broadened the clinical applications of radiology. Not only have new radiological modalities emerged, making it possible to study finer anatomical details, elucidating pathology as well as function, but the workflow in radiology departments has also been revolutionized.

The Picture Archiving Communication System (PACS) concept was first proposed in 1982. The expectation was that it would solve most of the problems of conventional radiology by allowing efficient image management and thus achieving organizational and economic advantages, ultimately improving patient care. In reality, things were not so simple, mainly because the technology of the time was too immature
to allow the implementation of filmless operations within hospitals.

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