A narrative review of the benefits of RIS/PACS and its integration into the radiology departments of low and middle-income countries.

OBJECTIVES

Radiology has been transformed by technological advancements, such as Radiology Information Systems (RIS) and Picture Archiving and Communication Systems (PACS). These systems have been shown to improve radiographer workflow efficiency and patient care. However, implementing RIS/PACS in low and middle-income countries (LMICs) presents unique challenges due to financial, infrastructural, and resource limitations, leading to disparities in health outcomes compared to high-income countries (HICs). This review focuses on the benefits of RIS/PACS and its impact on radiographer workflow efficiency; exploring the challenges of RIS/PACS implementation and identifying cost-effective alternatives integrated in LMIC radiology departments.

KEY FINDINGS: Integration of RIS/PACS has demonstrated significant workflow benefits, including reduced examination steps, decreased errors, and improved productivity. However, barriers such as inadequate infrastructure, unreliable power supply, limited information technology (IT) expertise, and financial constraints hinder the successful implementation in LMICs. Potential cost-effective alternatives, such as open-source PACS solutions were successfully adopted in some LMICs.

CONCLUSION

There are clear benefits for RIS/PACS integration, including optimising workflow and increased efficiency alongside financial benefits. However, implementation within LMIC requires overcoming substantial local challenges.

IMPLICATIONS FOR PRACTICE: Future research should focus on context-specific strategies to facilitate RIS/PACS adoption and explore alternative solutions tailored to the needs of LMICs, where radiology services remain underdeveloped.