Many radiology software discussions mix three layers: PACS, RIS, and the reporting editor. PACS owns imaging and the viewer. RIS owns scheduling, status, and operations. The editor turns radiology reasoning into a signed report.
The right question is not whether AI replaces PACS.
In most services, the safer path is to fit after the image. The radiologist keeps the familiar viewer, receives exam context, and produces a structured report that returns to the agreed workflow.
- How does the exam reach the editor?
- Which fields are required for safe context?
- How does the report return: text, PDF, event, API, or operational process?
- What happens when the legacy system fails?
Good integration starts small, but starts with auditability.