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Experience implementing a DICOM 3.0 multivendor teleradiology network

B A Levine1, K R Cleary, G S Norton

  • 1Georgetown University Medical Center, Washington, DC, USA.

Telemedicine Journal : the Official Journal of the American Telemedicine Association
|August 26, 1998
PubMed
Summary
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Implementing the Digital Imaging Communications in Medicine (DICOM) 3.0 standard for teleradiology systems requires significant configuration and vendor support. While DICOM provides a foundation, achieving seamless multivendor connectivity demands careful integration and problem-solving for clinical success.

Area of Science:

  • Medical Imaging
  • Health Informatics
  • Network Engineering

Background:

  • A U.S. Army-funded project aimed to deploy a teleradiology system for troops in Bosnia-Herzegovina.
  • The goal was to minimize troop movement and provide primary diagnosis using commercial off-the-shelf (COTS) technology.

Purpose of the Study:

  • To examine Digital Imaging Communications in Medicine (DICOM) 3.0 integration challenges in a real-world teleradiology deployment.
  • To demonstrate that DICOM 3.0 is a viable, though not plug-and-play, solution for systems integration.

Main Methods:

  • Integrated COTS systems based on the DICOM 3.0 standard, including computed radiography (CR), computed tomography (CT), film digitization (FD), and ultrasonography (US).
  • Utilized dry laser printing and multi-display workstations, connecting modalities and output devices via DICOM 3.0.

Related Experiment Videos

  • Tested all systems, including local and wide area networking, before deployment.

    • Main Results:

    • Successful communication was achieved between multiple vendors' systems after software configuration and operational adjustments.
    • Vendors provided software fixes or patches to enhance DICOM 3.0 implementation compatibility.
    • All modifications were incorporated into the vendors' commercially available packages.

    Conclusions:

    • Seven DICOM interfaces required modifications, including configuration file changes, software patches, and operational adjustments.
    • Challenges included data element issues, padding, unique study identifiers (UIDs), and application entity titles.
    • Despite difficulties, the project proved that multivendor DICOM 3.0 networks can be successfully implemented for clinical use.