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Proceedings Paper

Multitier image streaming teleradiology system
Author(s): Vivek Swarnakar; Adi Eldar; Shahrzad Pourfathi; Laurence Keselbrener; Harry K. Genant
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Paper Abstract

With the advent of real-time image streaming, a new paradigm for development of image display and viewing systems that communicate with Picture Archiving and Communication (PACS) systems can be proposed. In this paradigm, the high bandwidth requirements of current systems can be significantly relaxed and security features can be seamlessly adopted and enforced. Based upon this paradigm RealTimeImage and OARG have developed a multi-tiered web-based image display and analysis system for teleradiology. The system architecture consisted of a backend module to communicate with the PACS system via direct file system access or standard DICOM protocols, an Image Server to stream image data to its clients using RealTimeImage Pixel-On-DemandTM streaming technology and a web-based client to provide image display and analysis functionality. The system was used in a clinical research study that required analysis of several hundred images and included participants located at various remote geographical locations. Performance and maintainability of the system were objectively quantified. Usability issues were subjectively identified by the various users of the system. It was observed that the performance of such a system is comparable to that of today's systems over fast LAN, even if the user is connected via standard, dial-up connections. This level of performance was achieved without compromising the usability of the system required for the research study.

Paper Details

Date Published: 7 August 2001
PDF: 9 pages
Proc. SPIE 4323, Medical Imaging 2001: PACS and Integrated Medical Information Systems: Design and Evaluation, (7 August 2001); doi: 10.1117/12.435473
Show Author Affiliations
Vivek Swarnakar, Univ. of California/San Francisco (United States)
Adi Eldar, RealTimeImage Ltd. (Israel)
Shahrzad Pourfathi, Univ. of California/San Francisco (United States)
Laurence Keselbrener, RealTimeImage Ltd. (Israel)
Harry K. Genant, Univ. of California/San Francisco (United States)


Published in SPIE Proceedings Vol. 4323:
Medical Imaging 2001: PACS and Integrated Medical Information Systems: Design and Evaluation
Eliot L. Siegel; H. K. Huang, Editor(s)

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