To evaluate the relative time required to perform a CT(computed tomography) examination in a filmless versus a film-based system and helical versus nonhelical studies. Time and Motion studies were performed in 175 consecutive CT examinations. Images from 85 examinations were electronically transferred to a PACS, and 90 were printed to film. The time required to obtain and electronically transfer the images or print the images to film and make the current and previous studies available to the radiologists for interpretation was recorded. The time required for a radiological technologist to complete a CT examination was reduced by 43% with the PACS compared with the film-based system and nonhelical was reduced 10-20% with helical studies. This reduction was due to the elimination of a transfer and printing, such as the printing at window or level settings. The use of PACS can result in the elimination of time tasks for the radiological technologist, resulting in marked reduction in examination time. This reduction can result in decreased cost and increased productivity in PACS operation.