It is no longer possible to manage a radiology unit economically without a PACS. Such a system is indispensable with regard to organizing effective work processes and ensuring high quality diagnostics in particular - especially when providing services to mammography screening units in parallel. This is exactly the situation at the radiology group practice of Dr. Krüger, Dr. Stöblen, Dr. Baschour, PD Dr. Eising and Ms. Stelkens-Gebhardt. In order to keep costs transparent and budgetable, the radiologists decided that rather than buying a PACS solution, they would task VISUS with operating it for them.