Orthanc and Echo machines

[shufflet...@gmail.com]

Good afternoon. I am attempting to install Orthanc into a cardiologists office. Currently all the data they gather now is burned to CD/DVD and then has to be swapped around the office to whomever needs them.

I have setup the Orthanc server and it seems to working OK when connecting into the web interface from test workstations. I have not actually installed it at the office yet however. The only machine that will be hooking up to it is a Siemens Acuson Sequoia Echocardio machine. I will have it send all its files to the server and the techs and doctors are going to access the data from their workstations. A total of 5 people, although more than likely 1 or 2 concurrently. As part of my pre-testing of the server I took some old client CD's/DVD's to manually import the files into the server to test. I want to make sure it is working before I have to take down there machine to interface it with the new server.

Here is the problem I am having. When import the images folder I can't seem to open any of the from the web interface. It just says unsupported. And when I import the video clips from the clips folder it takes each one like it is a series of pictures, and not a video loop. I am not sure if the format they are burned to the disc is throwing Orthanc off, or if it wuold be different if the machine had sent to DICOM data directly to the Orthanc server.

To give an example the CD/DVD I have burned from the Echo machine put a program on there call Show_Studies from showcase software. You click on it and it pulls up both pictures and video loops. It only allows to display the information on the CD/DVD you loaded it from, however it plays the videos and allows you to clearly view all the images. I guess what I am trying to come up with is a similar solution for Orthanc where they can pull up the images and videos from their own workstations and do away with this CD/DVD burning.

I apologize in advance, I am fairly new to the DICOM arena, although I am very strong in IT infrastructure. I am been doing a bunch of research and learning as much as I can about DICOM, what it is and how it works, however I am not really coming up with solutions. It seems to me that most free DICOM servers lean more towards radiology and image viewing, and there is not much in the way of Cardio discussions unless you are looking at expensive software suites which would be hugely overkill for the size and scope of this project.

So once again I am looking to have the Acuson send images and videos from the Echo procedure to Orthanc, and I need the Doctors/Techs to be able to view both images and video from some Windows/PC based solution across the network from the Orthanc server. Is this even possible? If so what direction should I go next? Or if Orthanc wont do this, is there any other solutions that will work from your experience? I really like Orthanc so far so I am hoping to stay the course unless I am just spinning my wheels. Thanks for the help!

Bryan

[Alain Mazy]

Hi Bryan,

From my experience, US don't show well in the Orthanc 'Preview' but they usually show up with the webviewer plugin (http://www.orthanc-server.com/static.php?page=web-viewer).

Might be the same with the so called 'video' if they happen to be multi-frame DICOM instances.

Alain.

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Alain Mazy / CTO 
a...@osimis.io / +32 494 31 67 27

	OSIMIS S.A.  Rue bois Saint-Jean 15/1BE-4102 Seraing  www.osimis.io

[Sébastien Jodogne]

Hello Bryan,

Thanks for your interest in Orthanc!

Technically, it is important to understand that Orthanc is actually a Vendor Neutral Archive (VNA), i.e. a PACS without built-in viewer or RIS. The viewer and the RIS part must be provided separately, either as separate software or plugins.

Regarding your question about US (ultrasound) images, Orthanc can store/transmit any US image/video encoded according the DICOM standard. But its built-in viewer is not necessarily able to render it (hence the "unsupported" image). US images are often encoded using LUTs (lookup-table images), which is not currently supported by the core of Orthanc (there is a recorded pending task [1]).

In the meantime, as Alain said, you can use the official Web viewer plugin that adds support for such images encoded using LUTs [2].

If the official Web viewer plugin for Orthanc is still insufficient for your usage, you can connect query/retrieve Orthanc from most DICOM viewers [3,4].

HTH,

Sébastien-

[1] https://trello.com/c/cgM2ydue

[2] http://www.orthanc-server.com/static.php?page=web-viewer

[3] https://orthanc.chu.ulg.ac.be/book/faq/query-retrieve.html

[4] https://groups.google.com/d/msg/orthanc-users/TpmqzBarzkI/vmIrmsWtAwAJ

[shufflet...@gmail.com]

Thanks for the information. It really has helped a ton. After using your advice I can now see that Orthanc itself is working fine. The viewer is what my issue was really. I did not realize that I could use other viewers than the few you had listed (web viewer, ginkgo CADx, etc). None of those would do what I needed them to do, which was not a fault of the server. After trying about a half dozen viewers I found that RadiAnt viewer really nails it for US modalities. Very quick and full support of looping movies. I will be moving forward with office tests this week but all tests seem to point to two thumbs up for the combo. Once again, thanks for the information.

[Onn Akbar Ali]

Greetins,

I am a practising cardiologist . Having tested great many miniPacs system and various Dicom viewer, i would say Orthanc and Radiant Viewer combination is the best for viewing echo and angio data. You are absolutely in the right path here.

Onn

[Ashish Patel]

Hi Onn Akbar,

I am trying to set up echocardiogram DICOM images viewer and report system using Orthanc. Could you please help me or show me step by step instrucntions so I can set it up for my office.

echocardiogram DICOM images will be tranferred from echo machine to NAS drive for storage and from the NAS drive, I will pull on my computer to view it and create report.

Do you thing Orthanc can do that.

Thank you very much.

Ashish Patel

ashis...@gmail.com

[Ashish Patel]

Hi Bryan,

I am trying to set up echocardiogram DICOM images viewer and report system using Orthanc. Could you please help me or show me step by step instrucntions so I can set it up for my office.

echocardiogram DICOM images will be tranferred from echo machine to NAS drive for storage and from the NAS drive, I will pull on my computer to view it and create report.

Do you thing Orthanc can do that.

Thank you very much.

Ashish Patel

ashis...@gmail.com

[Ashish Patel]

Hi Onn Alain,

I am trying to set up echocardiogram DICOM images viewer and report system using Orthanc. Could you please help me or show me step by step instrucntions so I can set it up for my office.

echocardiogram DICOM images will be tranferred from echo machine to NAS drive for storage and from the NAS drive, I will pull on my computer to view it and create report.

Do you thing Orthanc can do that.

Thank you very much.

Ashish Patel

ashis...@gmail.com

[Ashish Patel]

Hi Sebastien,

I am trying to set up echocardiogram DICOM images viewer and report system using Orthanc. Could you please help me or show me step by step instrucntions so I can set it up for my office.

echocardiogram DICOM images will be tranferred from echo machine to NAS drive for storage and from the NAS drive, I will pull on my computer to view it and create report.

Do you thing Orthanc can do that.

Thank you very much.

Ashish Patel

ashis...@gmail.com

[Alain Mazy]

Hi Ashish,

Do you know that when you send a mail to the whole list, everyone receives it so you don't have to repeat your message to 4 individual persons ?

This kind of behaviour on this user group is considered very rude.

Note that you should also start a new thread with your question instead of replying to a 3 year old question.

Best regards,

Alain.

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Alain Mazy / Software Developer

a...@osimis.io / +32 494 31 67 27

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[Alain Mazy]

To close this old discussion, I've just added a section in the orthanc-book with a step-by-step tutorial to connect a modality to Orthanc-server:  https://book.orthanc-server.com/integrations/modality.html#configure-modality