Procedure of IMAC/PACS is ; survey of present situation, system analysis, optimized system design, installation, operation, and technology assessment.System design is discussed implying technology assessment. The author wants to emphasize that medical technology assessment begins with system design.Concrete method and procedure of technology assessment in IMAC/PACS are stated citing literature in this field.Especially the author proposes to establish standard for quantitative expression of efficacy, effectiveness, cost benefit and etc. in technology assessment, which must be applied both before and after IMAC/PACS operation. 154 0-8186-2195-8/91 $1.00 Q 1991 IEEE surveyed present situation of the University Hos,pital.