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The purpose of this research was to record the differences in picture archiving and communication system (PACS) settings in hospitals. A questionnaire survey was conducted among 261 hospitals that used the PACS system in Japan. As a result, the image deletion method in the PACS server, and other rules were different among hospitals. Furthermore, these variations were dependent on settings of each medical institution. It seemed necessary to define standardized rules for safe image management.
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