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MEDXVIEWER: PROVIDING A WEB-ENABLED WORKSTATION ENVIRONMENT FOR COLLABORATIVE AND REMOTE MEDICAL IMAGING VIEWING,
P T Looney1, K C Young2, M D Halling-Brown3
1NCCPM, Royal Surrey County Hospital, Egerton Road, Guildford, Surrey GU2 7XX, UK padraig.looney@nhs.net.
Radiation Protection Dosimetry
|December 3, 2015
Summary
MedXViewer offers workstation-independent, PACS-less medical image viewing and interaction. This flexible software supports digital mammography and tomosynthesis, with extensibility for other modalities, enabling advanced research studies.
Area of Science:
- Medical Imaging
- Software Development
- Radiology Research
Background:
- Traditional medical image viewing often requires specialized workstations and Picture Archiving and Communication Systems (PACS).
- There is a need for flexible, accessible tools for analyzing anonymized medical images, particularly for research purposes.
- Existing solutions may lack workstation independence or PACS-less capabilities, limiting accessibility.
Purpose of the Study:
- To describe the design and features of MedXViewer, a novel medical image viewing software.
- To introduce new functionalities in MedXViewer version 1.2.
- To highlight the software's utility for research, including ROC and FROC studies.
Main Methods:
- Development of MedXViewer with a focus on workstation independence and PACS-less operation.
- Implementation of features for region of interest annotation, user-configurable question structures for research studies (ROC/FROC), and customizable hanging protocols.
- Support for digital mammography and tomosynthesis, with inherent flexibility for extension to other imaging modalities.
Main Results:
- MedXViewer provides essential viewing functionalities like panning, windowing, zooming, and slice navigation.
- The software supports advanced research features, including complex, tree-like question structures for user interaction.
- Integration with the OPTIMAM Medical Image Database is possible, alongside standalone, encrypted local storage options.
Conclusions:
- MedXViewer offers a versatile, PACS-less solution for viewing and interacting with anonymized medical images.
- Its flexible design and research-oriented features facilitate various study types, including remote, paper-less observer studies.
- The software is extensible to new modalities and supports collaborative viewing and training, enhancing medical image research capabilities.

