目的 论证利用数字影像与通信标准（Digital Imaging and Communications in Medicine, DICOM）图像浏览软件构建简易医学影像存档与通讯系统（picture archiving and communication systems，PACS），实现医学影像全院性共享及远程会诊的方法及其可行性。方法 利用医院现有的局域网、各个科室现有PC机，采用互联网上免费DICOM图像浏览软件，通过网络及软件设置，将具有DICOM接口并开放的影像设备（如CR、DR、CT、MRI、DSA、数字胃肠及具有网络接口的激光胶片相机等）与PC机连接。结果 具有DICOM图像浏览软件的PC机实现实时传输、调阅影像图像，达到类PACS效果。同时可以利用互联网，实现远程会诊。结论 利用DICOM图像浏览软件构建简易PACS系统方法简单、经济、实用，特别适合在各中小型医院。

Objective To demonstrate the construction of a simple PACS system using DICOM photo browsing software in order to have medical images shared by the whole hospital and achieve tele-consultation. Methods The local networks available in the hospital and PCs in each office were used to connect the open imaging equipment （CR，DR，CT，MRI，DSA，digital gastrointestinal machines and laser film cameras with Internet interface）with DICOM interface through the free DICOM photo browsing software in the Internet. Results PCc with browsing software for DICOM images were capable of real-time transmission and image-reading as PACS does. Conclusions Using DICOM photo browsing software to construct a simple PACS system is easy, economical and practical in most small and medium-sized hospitals to realize remote consultation with imaging equipment under field conditions.