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  • Merge PACS

    Posted by Unknown Member on September 12, 2020 at 4:43 am

    Do you like it? Is it better than Fuji Synapse?
    We are looking at both.

    ruszja replied 3 years, 9 months ago 17 Members · 31 Replies
  • 31 Replies
  • paul.stanley_364

    Member
    September 12, 2020 at 5:53 am

    My group uses Merge PACS at our largest health system. Its a fine PACS. I’ve never used the Fuji product. Of the five PACS I’ve used extensively, I rank them Inteleviewer, McKesson, Merge, Intellispace (Phillips product lots of VAs use), and last GE Centricity. 
     
    Merge’s user interface is pretty good. You effectively can only have one comparison study open at once which I find annoying. Also seems to be buggy with random crashes, etc. though that could be site specific. Inteleviewer is the best PACS I’ve ever used, but may be pricey.

    • benoit.elens

      Member
      September 14, 2020 at 12:08 pm

      Merge over Fuji but haven’t seen the latest from Fuji.

    • xavierpanchana_510

      Member
      September 15, 2020 at 3:00 pm

      Quote from mathisfan17

      Merge’s user interface is pretty good. You effectively can only have one comparison study open at once which I find annoying. 

       
      What do you mean by this? I use Merge and routinely have primary + 3 comps open on 1 30″ monitor.
       
      Of Pacs I’ve used I would rank Merge>McKesson>Isite

      • jonhanse_770

        Member
        September 16, 2020 at 3:56 am

        You can interview 12 rads and get 14 different opinions because 2 are schitzophrenic.
         
        Look at the user interface, talk to others who have used the system about their expoereinces wirth system performance and service then make a decision. Don’t make it more complicated than it needs to be by using 85 page RFP’s that tell you nothing in the end except that you have spent a lot of time, effort, and money for nothing,. 
         
        PACSMan

        • edsonandrade

          Member
          September 16, 2020 at 5:15 am

          I’d suggest looking past the radiologist-facing functions and features of a PACS and onto the organization and how they iterate the product, how they support their customer base, and how their culture doing those things is going to affect your organization. It’s also important to know who you are. Are you a small rad group, a big rad group, a small hospital, a large hospital system? Does it need to be very efficient over lightweight network connections? Are you wanting to live on the cutting edge with lots of AI capability/integrations at your fingertips? Do you value predictability over rapid introduction of new features into the products? Do you care if a VNA is embedded in the product as the archive or are you archiving separately?  
          Merge is basically lipstick on a pig, in my opinion. I hear much more negative than positive once a customer is implemented and turned over to support. Fuji has been more of a partner. Intelerad (Inteleviewer/IntelePACS) is heads and shoulders above both of those in how they actually partner with the organization, but they’re more of an up and comer in the  large hospital market. Sectra usually gets good marks, but they’re also just starting to grow in the large hospital market. 

          • sanad50_506

            Member
            September 16, 2020 at 9:06 am

            I have used Fuji for some time and I have found it inefficient. So many clicks here and there. I never used merge so I cant compare. I am not a fan of GE but I take it over Fuji without hesitation.

            • Unknown Member

              Deleted User
              September 17, 2020 at 4:15 pm

              I use Merge daily,   chose it over Fuji ages ago.   When we bought the pacs, it was Amicas, later bought by Merge.   It is fairly flexible and allowed us to define our workflow, pre Powerscribe, when we were adding prelims.   I also use McKesson commonly,  it is great, but I like the Merge interface better, but that may be because I helped define the way Merge works, and have used it for 15 years.

          • ruszja

            Member
            September 20, 2020 at 6:29 pm

            Quote from CapitanObvio

            I’d suggest looking past the radiologist-facing functions and features of a PACS and onto the organization and how they iterate the product, how they support their customer base, and how their culture doing those things is going to affect your organization.

             
            No I wouldn’t. If the radiologist facing functions are garbage, there is nothing else to evaluate. PACS exists to get studies interpreted in the most efficient manner, if it doesn’t do that, there is nothing else worth looking at. We are dealing with one of those abominations of a PACS/RIS integration that was created to make life easy for the IT support staff. I am sure it does that, but it makes the system unusable, its just garbage wrapped into a shit-sandwich.

            • julie.young_645

              Member
              September 20, 2020 at 7:01 pm

              ^^^^What fw said. I’ve blogged about this for 15 years. AMICAS/Merge/IBM is still one of my favorites as far as interface goes. 

              • Unknown Member

                Deleted User
                September 21, 2020 at 3:32 pm

                Dalai, your blog re PACS and  Amicas was a  big reason our hospital(s) chose that PACS.  I’ve been very happy with it for 15 years.

                • julie.young_645

                  Member
                  September 21, 2020 at 4:40 pm

                  Thanks, kcrad! Hey, IBM…do I get a referral fee? Just kidding. It’s all been a labor of love. Once in a great while, you find a product you can believe in. 

                  • ghuang920

                    Member
                    September 22, 2020 at 8:06 am

                    Ive enjoyed your blog and gotten a lot out of it, too. 

                    • julie.young_645

                      Member
                      September 22, 2020 at 9:10 am

                      Thanks!  I need to revive it!

                    • kaldridgewv2211

                      Member
                      September 22, 2020 at 9:14 am

                      Skip both and get yourself Sectra.

                    • julie.young_645

                      Member
                      September 22, 2020 at 12:15 pm

                      I haven’t touched their products in a long time…how does their interface compare? I always thought Philips was quite short-sighted to dump them years ago.

                    • ruszja

                      Member
                      September 22, 2020 at 1:29 pm

                      Quote from DoctorDalai

                      I haven’t touched their products in a long time…how does their interface compare? I always thought Philips was quite short-sighted to dump them years ago.

                       
                      Sectra still exists and the few US customers they had left on the platform moved to get their support directly from the company rather than from Phillips. As I said: Phillips is where PACS go to die.

                    • ravinder11sharma11_791

                      Member
                      September 22, 2020 at 10:14 pm

                      Best pacs is Visage, followed by Intelerad.

                    • susquam

                      Member
                      September 23, 2020 at 7:58 am

                      Intellirad is the best I have used. Fuji the worst.

                    • pranav.devata

                      Member
                      September 29, 2020 at 11:36 am

                      So crazy. I have used maybe 7 or 8 PACS systems and Merge is by FAR the most miserable. I think it has something to do with our RIS and the bean counters who always opt for some “other” component that surprise surprise doesn’t communicate well with Merge. We had LITERALLY over two YEARS of complaints and issues. We all figured out our own workarounds for most of them because tech support was worthless.  Merge would blame Powerscribe, Powerscribe would blame Merge. And nothing got fixed. It has been 4 years and I still have hanging protocols that do not consistently work. Also, I agree wholeheartedly with the initial comment about open exams. One thing that was fantastic about Centricity was you could have up to 25 exams open at the same time in a queue. Merge allows ONE. Anything else is opened in a limited secondary panel, which is very buggy.

                    • pranav.devata

                      Member
                      September 29, 2020 at 11:42 am

                      Speaking of hanging protocols, they always had trouble understanding that each CT and MRI vendor has a different name for their protocols, series, etc, so you can’t just have one very specific name for a hanging protocol to use. (ie, “AX T1, Axial T1, Ax T1, Ax t1, AXIAL T1, Axial T-1, … “). For whatever reason they couldn’t get that into their heads.
                       

                    • pranav.devata

                      Member
                      September 29, 2020 at 12:11 pm

                      And perhaps one of the most frustrating problems: if I click on an exam and someone else just seconds before me opened it, it locks me out of the dictation and shows a warning, but IT STILL OPENS the exam! There is no option to NOT open the exam when it shows the warning. You have to click continue because it is the only option. Asinine.

                    • ruszja

                      Member
                      September 29, 2020 at 1:10 pm

                      Quote from dysdiadochokinesia

                       Also, I agree wholeheartedly with the initial comment about open exams. One thing that was fantastic about Centricity was you could have up to 25 exams open at the same time in a queue. Merge allows ONE. Anything else is opened in a limited secondary panel, which is very buggy.

                       
                      That must be a setting issue in your install. My mammo hanging protocol opens 3 priors and if I select the drop-down next to the ‘priors’ button in the top task-bar, I can select 1,2 or 3 priors and different layout options for how to arrange them. I dont have to use the secondary viewer to achieve that.

                    • pranav.devata

                      Member
                      October 2, 2020 at 8:05 pm

                      Not priors. I’m talking about opening an exam on a different pt while in the middle of another. Like when someone comes in an wants to go over a case and you’re in the middle of a PET follow up.

                    • ruszja

                      Member
                      October 2, 2020 at 8:12 pm

                      Quote from dysdiadochokinesia

                      Not priors. I’m talking about opening an exam on a different pt while in the middle of another. Like when someone comes in an wants to go over a case and you’re in the middle of a PET follow up.

                       
                      Ok. Again, this must be a settings issue. At times I have 3-4 patients open in secondary viewers. The secondary viewer is the same as the primary, except that it doesn’t launch the RIS/dictation integration.

                    • medorim_233

                      Member
                      September 29, 2020 at 12:36 pm

                      Does this mean Carestream will die as well?
                       
                       
                       
                       

            • edsonandrade

              Member
              September 21, 2020 at 7:54 am

              Quote from fw

              Quote from CapitanObvio

              I’d suggest looking past the radiologist-facing functions and features of a PACS and onto the organization and how they iterate the product, how they support their customer base, and how their culture doing those things is going to affect your organization.

              No I wouldn’t. If the radiologist facing functions are garbage, there is nothing else to evaluate. PACS exists to get studies interpreted in the most efficient manner, if it doesn’t do that, there is nothing else worth looking at. We are dealing with one of those abominations of a PACS/RIS integration that was created to make life easy for the IT support staff. I am sure it does that, but it makes the system unusable, its just garbage wrapped into a ****-sandwich.

              Meh, you can find plenty of rads who love almost every front end PACS. Because, you know, people are different.

  • ruszja

    Member
    September 14, 2020 at 12:38 pm

    Quote from vonbraun

    Do you like it? Is it better than Fuji Synapse?
    We are looking at both.

     
    Currently using both.
     
    Merge.
    Like
    – the user interface and ability to customize things.
    Hate
    – the lack of stability, the buggy ‘upgrades’, the crooked way the company squeezes their customers for more and more $$.
     
    Fuji
    Like
    – the ability to run it on a ****ty internet connection
    – not much else
    Hate
    – pretty much all of it, but that may just be how it is hitched to a third rate RIS and a poorly implemented remote deployment
     
    Always liked McKesson.

    • ruszja

      Member
      September 14, 2020 at 12:40 pm

      And I still hold a grudge on what they did with EFilm 😉
       
      (this dates me)

      • susquam

        Member
        September 15, 2020 at 10:07 am

        I have used 6 or 7 pacs through my career. By far fuji is my least favorite. I haven’t used merge.
         

        • satyanar

          Member
          September 15, 2020 at 10:52 am

          One should be aware if you are looking at Merge PACS or Merge Unity RIS/PACS. My understanding is Unity is what used to be DR Systems. 

  • lddodson2

    Member
    September 21, 2020 at 10:35 am

    worked on Merge for many years. Easy to navigate. Good instant message system with colleagues. Only downside was the more facilities we acquired, the longer and more frequent were the downtimes, sometimes for hours. periodic upgrades also made things worse.