En af de frste PACS systemer i USA var RIS PACS p Ohio State University Medical Center radiologi Department tilbage i 1991. Inden for et rti, havde brugen af PACS arbejdsstationer elimineret behovet for brug af dyre film og giftige udvikler kemikalier i besvrlige labs. Af 2001, var OSU Medical Center at indse omkostningsbesparelser p over en million dollars om ret gennem ansttelse af sin RIS PACS..
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