I am an Obstetrician and Gynecologist in Private Practice, in Windhoek, doing my own Ultrasounds. The first email I can find in my records referring to OsiriX dates from 2008, but I recall having started to use it at least the year before. At that stage I was using a GE Logiq 100 Pro storing images on hardcopy only without option to connect to a PACS. However the local Radiology practice had an MRI which could store images on DVD and I came across OsiriX via Google Search. That worked so well that when I had to replace my Ultrasound in 2011 I acquired a GE Logiq C5 Premium with DICOM Option connected via ethernet to my Mac.
Every Ultrasound I do is archived on the Mac and though retention of hardcopies is required by the insurance companies I do not recall ever reviewing them in clinical practice any longer. Since the Radiology practice has digitalized I receive their images (mainly Mammograms) on DVD which I then import into OsiriX. However, they are experimenting with electronic delivery and since they may open a branch in my building I might even be able to get all the images online. Being able to compare previous images on screen makes a big difference especially with regards to demonstrating to the patient. But also in cases of referrals or presentations being able to (re)generate images is very convenient. I also use OsiriX HD on the iPad mini and regularly load images via WiFi for demonstration purposes.