A Cloud-ready Architecture for Shared Medical Imaging Repository

Abstract

Background and Objective: Nowadays usage paradigms of medical imaging resources are requesting vendor-neutral archives, accessible through standard interfaces, with multi-repository support. Regional repositories shared by distinct institutions, teleradiology as a service at Cloud, teaching and research archives, are illustrative examples of this new reality. However, traditional production environments have a server archive instance per functional domain where every registered client application has access to all studies. This paper proposes an innovator ownership concept and access control mechanisms that provide a multi-repository environment and integrates well with standard protocols.Methods: A secure accounting mechanism for medical imaging repositories were designed and instantiated as an extension of a well-known open-source archive. A new Web services layer was implemented to provide a vendor-neutral solution complaint with modern DICOM-Web protocols for storage, search and retrieve of medical imaging data.Results: The concept validation was done through the integration of proposed architecture in an open-source solution. A quantitative assessment was performed for evaluating the impact of the mechanism in the usual DICOM Web operations.Conclusions: This article proposes a secure accounting architecture able to easily convert a standard medical imaging archive server in a multi-repository solution. The proposal validation was done through a set of tests that demonstrated its robustness and usage feasibility in a production environment. The proposed system offers new services, fundamental in a new era of Cloud-based operations, with acceptable temporal costs.

Evaluating Erasure Codes in Dicoogle PACS

“…First, the hardware configuration for the tests performed is described. Second, the software configuration of the native storage plugin implemented in Dicoogle PACS [60] is described.…”

“…In [60], the secure registry mechanism for medical image repositories was designed and instantiated as an extension of a well-known open-source archive. A new web services layer was implemented to provide a solution for DICOM Web protocols for storing, searching and retrieving medical image data.…”