The term picture archiving and communications system (PACS) was initiated during the first International conference and workshop on the topic sponsored by The International Society for Optical Engineering (SPIE) in Newport Beach, California in 1982. The research and development (R&D) progress for PACS has been slow until 1988. The earlier PACS modules were mostly off the shelf components connected together to solve a very specific clinical problem. The three major players in PACS R&D are the European countries, United States of America, and Japan. For various reasons, the European coun tries concentrated in modeling and simulation, U.S.A. pre ferred in-house development or purchased PACS modules from a manufacturer, whereas Japan organized the PACS as a national project. Between 1989 and 1990 PACS R&D took a dramatic positive turn. Large scale P ACS projects were planned and some are of implementation, especially in newly con at various stages structed hospitals. Examples are the Hokkaido University, Japan; Hammersmith Hospital, United Kingdom; Social and Medical Center East (SMZO), Vienna, Austria; the U.S. Armed Force Medical Diagnostic Imaging Support (MDIS) project; and the UCLA Medical Plaza ambulatory care center. Another phenomenon is the organization of the EC-countries which provides a tremendous impetus for the European PACS R&D efforts. This book "Hospital Integrated Picture Archiving and Communication Systems: edited by Professor M. Osteaux and others is a direct product from these efforts."

This work contains the state-of-the-art in Virtual Reality as applied to Medicine. Interactive technology, used in many research and development programs, can be applied to health care by involving: robotics, computer vision, simulation, artificial intelligence, image manipulation and storage, data gloves, man-machine interfaces, etc. The Health Telematics Application Program, for example, is advancing virtual reality and enabling technologies (simulation, visualization and robotics) in health care services for patients, the elderly and persons with disabilities. This book addresses the following items from the end-user's perspective: technology transfer, telerobotics, telemedicine, education and training, and virtual reality. 'the book would (...) be useful for those researching interactive technologies in health care, especially virtual reality (...). It would be also of interest to people who want to keep abreast of the latest developments in techno-medical research.' - Rod Elford, Telemedicine Centre, Memorial University St John's, Newfoundland, Canada Journal of Telemedicine and Telecare, volume 2, no. 3, 1996, p. 178 Covered by Current Contents, Life Sciences (ISI), volume 38, no. 34, August 1995, p. 11-13