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Web-Based DICOM Viewers: A Survey and a Performance Classification.

Hugo Pereira1, Luis Romero1, Pedro Miguel Faria2

  • 1Instituto Politécnico de Viana do Castelo, Viana do Castelo, Portugal.

Journal of Imaging Informatics in Medicine
|September 30, 2024
PubMed
Summary
This summary is machine-generated.

This study evaluates DICOM web-viewers for remote medical image analysis. While premium options offer extensive features, a free viewer excels in 2D/3D rendering, despite ongoing development.

Keywords:
2D3DDICOMMEDDreamMed3WEbOHIFPostDICOMWeb-viewer

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Area of Science:

  • Medical Imaging
  • Health Informatics
  • Software Engineering

Background:

  • Digital Imaging and Communications in Medicine (DICOM) is the standard for healthcare image data.
  • DICOM web-viewers offer accessible remote viewing and analysis of medical images.
  • Evaluating DICOM web-viewers is crucial for optimizing remote medical image workflows.

Purpose of the Study:

  • To comprehensively evaluate the performance of various web-based DICOM viewers.
  • To compare viewers based on rendering capabilities, accessibility, and features across different platforms.
  • To identify optimal DICOM web-viewers for remote medical image analysis.

Main Methods:

  • Surveyed 12 and performance-compared 7 web-based DICOM viewers with online demos.
  • Evaluated viewers on accessibility, interface, 2D viewing (measurements, windowing), and 3D viewing (volume rendering, reconstruction).
  • Assessed performance across different browsers, operating systems, and hardware configurations.

Main Results:

  • Only 4 viewers supported 3D viewing of local DICOM files (excluding Multiplanar Reconstruction).
  • Premium viewers generally offered extensive features and good performance.
  • A free viewer showed superior 2D/3D rendering efficiency but lacked some advanced 3D features.
  • Other free viewers had slower performance but more ready-to-use features.
  • Browser choice and hardware significantly impacted rendering performance.

Conclusions:

  • Web-based DICOM viewers vary significantly in features and performance.
  • Browser and hardware selection are critical for optimal DICOM web-viewer performance.
  • Free DICOM web-viewers show promise, with ongoing development addressing feature gaps.