The Picture Archiving and Communication System (PACS) revolutionizes medical image management in cancer care. Its accessibility and cost-effectiveness make it an essential tool in addressing healthcare disparities, particularly in resource-limited settings.


Recognizing the potential of PACS in mitigating cancer care disparities, Binaytara Foundation Cancer Center, serving underserved communities in Nepal and India, embarked on a PACS implementation journey. A dedicated committee was formed to navigate the complex process. The committee’s tasks involved researching the necessary steps for successful software installation, identifying vendors aligned with the non-profit’s mission, and devising a comprehensive implementation plan. One of the primary criteria was the software’s ability to read DICOM images and integrate them seamlessly into the Electronic Medical Record (EMR), thereby enhancing patient care.


The selection process presented numerous challenges, including vendor limitations, the necessity for on-site installations, and software lag. Despite these hurdles, the committee identified an intuitive PACS software that met all the requirements. The software allowed DICOM images to be added directly to a patient’s chart and integrated flawlessly with the EMR, facilitating image reading and improving clinical workflow.


The successful PACS implementation at Binaytara Foundation Cancer Center is a significant stride towards reducing cancer care disparities in Nepal and India. It has transformed the local health infrastructure by providing high-quality, efficient, and cost-effective cancer care. This experience serves as a testament to the power of strategic planning and dedicated teamwork in overcoming barriers to PACS implementation, thereby revolutionizing cancer care in resource-limited settings.