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In this paper we introduce a model which describes the process of choosing individual metrics which are used to establish if a medical image compression is acceptable for a specific PACS or not. Image compression is an integral part of a PACS. There is no universal way for measuring acceptance of still image compression for a specific PACS. Many individual metrics have been proposed for measuring still image quality. They can be used individually or together. The proposed model should help the process of choosing individual metrics which are adequate for specific PACS. Results of individual metrics should improve the decision making regarding medical image compression during PACS development and implementation.