Yes, Nuance PowerShare is gaining popularity. Unless it has changed recently, the downside is that you can only send/receive with other PowerShare users.
We use VPN connections between the regional facilities which allow for a PACS to PACS transfer. This is very inexpensive to set up and maintain. Since most of your prior request are regional, this will usually cover at least 95% of your requests in and out.
Here are some others you can check out.
These services require the user on the other end to install software to download, and we had problems finding facilities that would allow it.
Citrix has a system for Medical Image sharing that will allow you to send and receive from anyone. You can even use it to send images to the patient, via a secure link. They will sign a B.A.A. with an enterprise account. The service is called Citrix ShareFile.
MatrixRay from Nautilus is very affordable ($1 per study uploaded), but requires the other end to install software.
I am on a PACS forum, and a lot of the users really like AMBRA, but state it is very costly. Ambrahealth.com
Thanks,
Brian Williams
Co-Administrator
Operations
Diagnostic Imaging Associates, Inc.
698 12th St SE
Suite 145
Salem, OR 97301