TL;DR: A new architecture that can be integrated with a common PACS archive for providing ownership concept and authorisation control over medical imaging resources is proposed and allows permission managing in the DICOMWeb extensions, protecting the services made available through HTTP.
Abstract: Nowadays, Digital Imaging and Communications in Medicine (DICOM) is universally accepted as the standard that defines the formats and transmission processes in the medical imaging field. It is widely used in the production environment and allowed the development of interoperable Picture Archiving and Communication System (PACS). However, current open-source PACS do not provide accounting mechanisms to deal with permission granting while accessing to archived imaging objects. This article proposes a new architecture that can be integrated with a common PACS archive for providing ownership concept and authorisation control over medical imaging resources. Moreover, the system provides means for the centralisation of different instances of repositories. Finally, the proposed solution allows permission managing in the DICOMWeb extensions, protecting the services made available through HTTP.
TL;DR: This paper has developed a simple proof-of-concept peer-to-peer DICOM file-sharing web application based on a set of WebRTC protocols which showed thatWebRTC has its place in the DICom file- sharing domain.
Abstract: This paper explores the potential use of WebRTC set of protocols for DICOM file exchange. We have developed a simple proof-of-concept peer-to-peer DICOM file-sharing web application based on a set of WebRTC protocols. Application performance is compared with contemporary DICOM applications and transfer protocols which showed that WebRTC has its place in the DICOM file-sharing domain.
TL;DR: The results state that legacy DICOM communication’s efficiency is much worse than the transfer provided by novel technologies, especially DIComweb.
Abstract: The paper summarizes testing the performance of transferring DICOM medical images. Experimental setup consists of several different workstations connected in gigabit network. The results state that legacy DICOM communication’s efficiency is much worse than the transfer provided by novel technologies, especially DICOMweb. Hardware-related circumstances have also been discussed.
TL;DR: In this article, the authors explore HL7, DICOM, and IHE, and why they are used in the context of clinical and business workflows, and discuss the benefits of their harmonious integration.
Abstract: Hospitals have many systems that perform clinical and business workflows, and function acceptably on their own for their own stated use cases. However, it is their harmonious integration, working together, that unlocks their true potential. Interoperability can help to lower the cost and barriers to healthcare, by helping to reduce delays and repeat examinations, by enabling collaboration with care teams locally and globally, and by helping to reduce medical errors through making information accessible. Standards help to enable more efficient and more effective diagnostic service delivery. This chapter will delve into HL7, DICOM, and IHE, and why we use them. Even as application development paradigms shift to service-oriented architectures and cloud-based services, the underlying need for interoperability remains ever-present. These versatile, dynamic environments with many systems continue to evolve, but by being able to integrate these tools deeply together, there is a direct impact on human lives. This is the promise of interoperability.
TL;DR: DICOMweb is described, how it extended the DICOM standard, and how it can be applied to problems facing healthcare applications to address workflow and the changing healthcare climate.
Abstract: This paper describes why and how DICOM, the standard that has been the basis for medical imaging interoperability around the world for several decades, has been extended into a full web technology-based standard, DICOMweb. At the turn of the century, healthcare embraced information technology, which created new problems and new opportunities for the medical imaging industry; at the same time, web technologies matured and began serving other domains well. This paper describes DICOMweb, how it extended the DICOM standard, and how DICOMweb can be applied to problems facing healthcare applications to address workflow and the changing healthcare climate.