Development of a high-performance image server using ATM technology

The ability to display digital radiographs to a radiologist in a reasonable time has long been the goal of many PACS. Intelligent routing, or pre-fetching images, has become a solution whereby a system uses a set of rules to route the images to a pre-determined destination. Images would then be stored locally on a workstation for faster display times. Some PACS use a large, centralized storage approach and workstations retrieve images over high bandwidth connections. Another approach to image management is to provide a high performance, clustered storage system. This has the advantage of eliminating the complexity of pre-fetching and allows for rapid image display from anywhere within the hospital. We discuss the development of such a storage device, which provides extremely fast access to images across a local area network. Among the requirements for development of the image server were high performance, DICOM 3.0 compliance, and the use of industry standard components. The completed image server provides performance more than sufficient for use in clinical practice. Setting up modalities to send images to the image server is simple due to the adherence to the DICOM 3.0 specification. Using only off-the-shelf components allows us to keep the cost of the server relatively inexpensive and allows for easy upgrades as technology becomes more advanced. These factors make the image server ideal for use as a clustered storage system in a radiology department.

Duke Scholars

Author Carl Eric Ravin Radiology, Cardiothoracic Imaging