Cable modem access to picture archiving and communication system images using a web browser over the Internet

This presentation describes our experiences using a web-based viewing software and a browser to view our picture archiving and communication system (PACS) images at a remote site with cable modem-internet communications. Our testing shows that using a cable modem to access our radiology webserver produces acceptable transmission speeds to remote sites. The average time-to-display (TTD) for 16 computed tomography (CT) images on the web-based intranet system in our hospital was 7 to 8 seconds. Using a cable modem and comparable equipment at a remote site, the average TTD is 16 seconds over the internet. The TTD does not significantly change during various hours of the day. Security for our hospital-based PACS is provided by a firewall. Access through the firewall is accomplished using virtual private network (VPN) software, a secure ID, and encryption. We have found that this is a viable method for after-hours subspecialty radiology consultation.