We build DICOM integration infrastructure that connects PACS systems to EHRs, AI platforms, and provincial imaging networks — using DIMSE and DICOMweb protocols implemented to each system's Conformance Statement.
Talk to our imaging team about your PACS environment. We reply within 24 hours.
PACS stores and serves the images. VNA preserves and shares them across facilities. DICOMweb makes both accessible to modern applications. Understanding which system you are integrating with shapes every technical decision that follows.
The system of record for imaging in a radiology department. Stores DICOM files, manages the radiologist worklist, and serves images to reading workstations. Communicates via DIMSE for high-speed in-network transfer and increasingly via DICOMweb for modern integrations.
Vendor-neutral archive designed for cross-facility image sharing and long-term preservation. Health systems use VNAs to consolidate archives from multiple PACS vendors and give every facility in the network access to a patient's full imaging history.
RESTful web services (WADO-RS, STOW-RS, QIDO-RS) that make DICOM data accessible over standard HTTP. Essential for cloud-hosted AI platforms, web-based viewers, and any application that needs imaging data without a persistent DIMSE TCP connection.
Medical imaging integration is more than connecting to a PACS. It spans order workflow, image retrieval, AI pipelines, report delivery, and cross-facility sharing — each with its own DICOM service classes, conformance requirements, and clinical workflow implications.
We build PACS integration infrastructure for health systems, imaging AI companies, teleradiology platforms, and digital health teams serving Canadian provincial networks. Hover a card to see how we work with each.
Five steps from architecture assessment to clinical validation. Most image display failures trace to decisions made or skipped in the first three. Hover or tap a step to see what it involves.
Map the imaging environment: PACS vendor, VNA presence, modalities, and clinical viewers. Review DICOM Conformance Statements to confirm supported service classes and transfer syntaxes before writing any integration code.
Register the application's AE title with the PACS and configure network parameters. Register the PACS in the application so queries route to the correct endpoint. Mutual registration is required before any DICOM communication can occur.
Agree on transfer syntaxes — the compression and encoding formats for pixel data — between sender and receiver. Mismatches are the most common cause of image display failures and must be resolved during testing, not after deployment.
Configure routing rules that filter studies by modality, body part, or facility before they reach the application. AI tools processing specific study types need precise routing to avoid being overwhelmed by irrelevant data.
Test with real studies across all modalities and study sizes expected in production. Validate query response times, transfer rates, and AI latency. For diagnostic AI, confirm results surface in the radiologist's workflow at the right point before go-live.
Every protocol is implemented directly — DIMSE service classes, DICOMweb REST services, HL7 report delivery, and FHIR imaging resources — so the integration works with the PACS and clinical systems already in place.
Traditional DICOM communication over persistent TCP connections — the protocol family deployed in virtually every hospital PACS environment.
RESTful imaging services over standard HTTP — enabling DICOM access from cloud platforms, web viewers, and AI applications.
DICOM result formats for returning AI analysis findings into the radiologist's workflow.
Protocols for delivering finalized radiology reports from the reporting system to the ordering provider and EHR.
Major PACS platforms deployed across U.S. and Canadian hospital environments.
Provincial imaging infrastructure enabling province-wide image access from a single integration.
DIMSE or DICOMweb, hospital PACS or provincial network, diagnostic AI or teleradiology — we build the DICOM integration layer that gets medical images to the right systems at the right time. Book a consultation and we will tell you what a production-ready PACS integration looks like for your environment.
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A PACS handles day-to-day radiology workflow — image display, worklist, and reporting. A VNA is a long-term archive optimized for storage and cross-facility sharing. Many health systems run both. Both communicate over DICOM, but VNAs have broader interoperability and accept connections from outside the originating health system.
Technically: a DICOM interface for C-STORE or DICOMweb, an AE title registered with the PACS, and the ability to return results as Structured Reports, Secondary Capture, or Presentation States. Administratively: a BAA, security policy compliance, and sign-off from radiology and clinical informatics. FDA-cleared algorithms typically require clearance documentation as part of the health system's internal approval.
DIMSE uses persistent TCP connections and binary messaging — suited for high-volume, high-speed transfers within a hospital network. DICOMweb (WADO-RS, STOW-RS, QIDO-RS) exposes DICOM over standard HTTP, making imaging data accessible from cloud platforms, web viewers, and AI applications. Most modern PACS systems support both.
In provinces with centralized PACS infrastructure — BC, Ontario, Alberta — a single provincial connection reaches all participating facilities, eliminating per-hospital negotiations. The tradeoff: provincial access requires formal data access agreements with the health authority, and governance takes longer than a single-institution connection. Teams that plan for this timeline from the start avoid deployment delays.
