Grid-based PACS can provide an advanced medical information services such as remote image file transfer, collaboration, remote diagnosis, and virtual hospital. In this paper, we have implemented Grid-PACS which guarantees both storage safety and extendability for virtual large scale storage system. The experimental results showed that the virtual storage system provided more efficient and faster data transfer than the conventional PACS. The proposed Grid data management system can be utilized to improve the effectiveness of the PACS data management and transmission between medical institutions.