Blog | Charles IT

Best IT Practices for Managing Radiology PACS and Imaging Systems

Written by Charles IT | Jun 25, 2025 3:11:21 PM

Radiology and imaging centers are at the forefront of diagnostic medicine, relying on Picture Archiving and Communication Systems (PACS) and imaging software to store, share, and interpret critical patient data. While these systems improve workflow and accessibility, they also introduce a complex array of IT challenges, from data storage and uptime demands to cybersecurity and compliance risks.

For decision-makers such as executives, operations managers, and compliance officers, keeping PACS and imaging systems secure, compliant, and operational isn’t just an IT concern. It’s essential for delivering timely, accurate care. That’s where the right technology strategy, supported by a managed service provider (MSP), can make all the difference.

Let’s explore the key IT challenges in managing PACS and imaging systems and how MSPs help imaging centers navigate them.

The IT Challenges of Modern Radiology

Radiology practices face unique pressures when it comes to IT. These challenges are often magnified by the high-volume, high-speed nature of imaging workflows and the critical importance of uptime and security.

1. Data Storage and Accessibility
Imaging files, particularly those from modalities like CT, MRI, and PET, are massive and must be stored long-term due to clinical, legal, and regulatory requirements. Storage solutions must balance performance, scalability, and redundancy, while ensuring that files remain quickly accessible for providers.

2. System Downtime and Performance
When PACS or imaging software slows down or fails, patient care is delayed. Every minute of downtime costs time, money, and possibly even clinical outcomes. Ensuring high availability, real-time monitoring, and proactive support is crucial.

3. Cybersecurity and HIPAA Compliance
Radiology systems are prime targets for cyberattacks due to the sensitive nature of the data they handle. HIPAA compliance requires encrypted data transfer, access controls, audit logging, and breach prevention strategies, all of which must be integrated into your IT infrastructure.

How an MSP Supports Radiology Practices

A trusted MSP provides specialized knowledge and support to help radiology groups maintain secure, efficient, and compliant IT systems without the burden of managing it all in-house.

1. Optimized Storage and Backup Solutions
MSPs help imaging centers design and maintain cost-effective storage strategies that scale with growing file volumes. This may include:

  • Tiered storage for immediate access to current studies and long-term archiving of older files

  • Automated, HIPAA-compliant cloud backups to prevent data loss

  • Rapid data recovery protocols to minimize downtime in the event of hardware failure or cyberattack

2. System Monitoring and Proactive Maintenance
Managed service providers monitor PACS and imaging systems around the clock, identifying and addressing issues before they impact operations. Benefits include:

  • 24/7 performance monitoring

  • Patch management and software updates

  • Proactive troubleshooting to prevent outages

  • Scheduled maintenance that minimizes disruption

This approach keeps your systems running smoothly so radiologists and staff can focus on patient care.

3. Security-First IT Infrastructure
With cyber threats on the rise, a layered security strategy is non-negotiable. An MSP can implement and manage:

  • Role-based access controls and multifactor authentication

  • Encrypted communications between imaging modalities and PACS

  • Firewalls, intrusion detection systems, and endpoint protection

  • Regular security audits and HIPAA risk assessments

These measures protect patient data while supporting HIPAA compliance and minimizing the risk of breaches.

Supporting Compliance and Operational Efficiency

Compliance isn’t just about checking boxes. It’s about establishing trust and ensuring patient safety. An MSP familiar with healthcare regulations helps radiology practices:

  • Maintain proper audit trails

  • Enforce strong access and user management policies

  • Document procedures for technical safeguards

  • Align systems with HIPAA, HITECH, and applicable state regulations

At the same time, MSPs bring operational efficiency by streamlining vendor management, consolidating IT workflows, and standardizing best practices across the organization.

Ready to Strengthen Your Radiology IT Strategy?

Managing PACS and imaging systems doesn’t need to be a pain point. With a trusted MSP like Charles IT, your radiology center can reduce system downtime, enhance security, ensure compliance, and deliver a better experience to both patients and providers.

Want to learn more about how Charles IT can support your imaging operations? Speak to a team member today and explore custom IT solutions built for healthcare.