HTML 5
ZERO-FOOTPRINT
DICOM VIEWER

The MedDream DICOM Viewer ensures a prompt and reliable way to search, view, analyze and diagnose medical images, signals and video files from anywhere and on any device. Web-based DICOM Viewer is developed using responsive design, that enables medical images to be accessed not only on computers, but also on tablets, smart phones or other devices with mobile view functionality.

MedDream is FDA cleared for diagnostic use including mammographic images and is CE Class IIb certified as a medical device that can be used for review purposes or even primary diagnosis. Read more about MedDream certifications.

As a diagnostic image viewer, MedDream consists of a Viewer component, which runs in a browser and does not require any installation on the client device, and a MedDream application server, which handles communication with the hospital systems (HIS/RIS/PACS/VNA and any other EMR) and prepares images for streaming to the MedDream DICOM Viewer.

MedDream uses a flexible and open integration interface for connecting to HIS and/or EMR systems primarily based on URL calls, thus allowing it to be integrated into any medical application.

HIS/RIS/EMR INTEGRATION. HOSPITAL/PRIVATE CLINIC

Integration of the web DICOM Viewer:

• Integration into HIS. Flexible and open integration interface (MedDream can be integrated into any medical application);
• Multi-language support.

URL link examples for DICOM Viewer integration into Information System:

• study search: search window;
• by study UID: 1.2.840.113619.2.55.3.4271045733.996.1449464144.595;
• by patient UID: 00;
• by accession number: 0000000004;
• upload Study to DICOMLibrary.

Read more about MedDream DICOM Viewer integration into web applications in Integration Guide.

The MedDream DICOM Viewer supports the following DICOM files and formats: Implicit Little Endian, Explicit Little Endian, JPEG, JPEG-LS, JPEG 2000, RLE, MPEG-2 and MPEG-4 Transfer Syntaxes.

• DICOM ECG file support;
• DICOM MPEG-2 and MPEG-4 video playback support;
• DICOM study forwarding to pre-defined DICOM partners;
• Saving studies locally in DICOM, JPEG, TIFF and videos in MP4;
• Exporting studies to DICOM portable format.

The html5 zero-footprint DICOM Viewer, MedDream, can be integrated into any PACS system/VNA including: MedDream PACS, PacsOne PACS Server, Orthanc PACS, open-source: dcm4chee PACS, Conquest DICOM Software, ClearCanvas, etc. MedDream also can be integrated into cloud DICOM services: Google Cloud Healthcare, Azure Health Data Services, Amazon AWS S3 storage, etc.

Available versions of the DICOM Viewer for PACS servers:

• MedDream DICOM Viewer for MedDream PACS;
• MedDream DICOM Viewer for PacsOne PACS server;
• MedDream DICOM Viewer for dcm4chee PACS;
• MedDream DICOM Viewer for Orthanc PACS. Read more about MedDream integration into Orthanc PACS;
• MedDream DICOM Viewer for Conquest DICOM software;
• MedDream DICOM Viewer for ClearCanvas;
• MedDream DICOM Viewer for Google Cloud Healthcare. Read more about MedDream integration into Google Cloud Healthcare;
• MedDream DICOM Viewer for Azure Health Data Services. Read more about MedDream integration into Azure DICOM service;
• MedDream DICOM Viewer for Amazon AWS S3 storage;
• MedDream DICOM Viewer for PACS supporting WADO;
• MedDream DICOM Viewer also can be adapted for any PACS server/VNA or other DICOM system.

The MedDream DICOM Viewer also supports MultiPACS by PACS plugins: dcm4chee v2, dcm4chee v5, Orthanc, PacsOne, DICOM QueryRetrieve, FileSystem.

The MedDream application server connectivity to the PACS can be achieved using:

• WADO RESTful services (QIDO-RS, WADO-RS, WADO-URI);
• DICOM Q/R on Study Level (C-FIND, C-MOVE, C-STORE);
• Direct access to the file system and database;
• Gateway PACS plugins.

MedDream supports Cross-enterprise Document Sharing for Imaging (XDS-I.b) profile as DOCUMENT CONSUMER (ITI-18, ITI-43, RAD-16, RAD-55, RAD-69 transactions). Read more about MedDream DICOM Viewer integration with IHE XDS profiles.

Depending on each specific installation, the preliminary hardware sizing information may vary slightly based on the modalities used in the institution. The minimum hardware requirements for the MedDream Application Server are described in Minimal server side requirements page.

The DICOM Viewer has also: split-view mode, related studies, multiple studies and multi-monitor support functions. To find more information, please read the product Specification file.

MedDream provides the possibility to select and apply VOI LUT: non-linear transformation created by medical modality.

The DICOM Viewer’s MPR (multi-planar reconstruction) features are:

• Orthogonal MPR. 2D multi-planar reconstruction with Axial, Coronal, Sagittal projections;
• Axial MPR. Axial multi-planar reconstruction;
• Coronal MPR. Coronal multi-planar reconstruction;
• Sagittal MPR. Sagittal multi – planar reconstruction;
• Features of 2D. Window leveling, pan, zoom, measurements, scroll, crosshair, etc. (except image flip/rotate);
• Cine. Users can cine through a batch of MIP/MPR images for quick review of anatomy within a user-defined range.

MIST MIP features:

• MIST Axial MIP. Axial multi-planar reconstruction with MIP feature;
• MIST Coronal MIP. Coronal multi-planar reconstruction with MIP feature;
• MIST Sagittal MIP. Sagittal multi-planar reconstruction with MIP feature.

All features of the DICOM Viewer and other specifications are described in the product Specification file. For more information, download the MedDream DICOM Viewer brochure.

The MedDream DICOM Viewer’s MPR/MIP/3D functionality simplifies reconstruction technique for three-dimensional visual representations of two-dimensional image slices. The technology offers many different alternate views of the original data using various 3D reconstruction techniques such as MPR and MIP.

MPR Oblique MIST feature with MPR/MIP/3D rendering has the standard tools and advanced MPR/MIP/3D features. 

MPR Oblique MIST (client-side rendering) features:

• Oblique MIST. Multiplanar reconstruction (MPR) view in oblique planes;
• MIP. Maximum Intensity Projection mode for rendering the images;
• MinIP. Minimum Intensity Projection mode for rendering the images;
• AVG. Average mode for rendering the images;
• Slab Thickness: The slice thickness can be changed: by selecting a value from 8 options in a drop-down list including switching to Default or moving the cursor in the scroll bar;
• Regular features. Window leveling, Pan, Zoom, Rotate and Flip; Scroll, Crosshair;
• Measurements. Line, Angle, Ellipse, Flexpoly, Pencil;
• Viewport features: Copy to clipboard, Secondary capture, Selectable layouts, Hide/Show the Axis, Move the axis to the center, Reset;
• 3D rendering. Rendering of 3D volume with Rotation, Pan, Zoom, and Window leveling functions and applying the transfer function presets;
• Curved MPR. Curved Planar Reconstruction (CPR) feature;
• MPR/MIP/3D comparison. Several MPR/MIP/3D views can be compared at the same time.

MedDream can be used to measure the volume of a 2D image by using Simpson’s approximation rule; the 2D area spun around a selected axis to form a 3D shape and the volume is measured. This technique allows volume measurements of a heart in a 2D computed radiography image.

MedDream supports measurement of the Velocity Time Integral (VTI) on ultrasound (US) studies that can quantify the trace of the Doppler flow profile.

The MedDream DICOM Viewer proposes the possibility to view ophthalmic images from ophthalmology diagnostic and surgical devices such as retinal/fundus cameras, etc. allowing the use of ophthalmology PACS server as a retinal imaging archive. The DICOM Viewer for retinal imaging includes a wide range of features, standard tools, measurements, and specific tools for ophthalmology: Color channels, Reference lines.

Color channels tool to digitally apply monochromatic filters for the primary colors as well as for the secondary colors to enhance the visual contrast of anatomical details. This tool aims at highlighting a color component (red, green or blue) or a combination of them (red & green, red & blue, green & blue) by showing selected color in white shades and other colors in black.

Also DICOM Viewer supports most common modalities for ophthalmology:

For more information about MedDream DICOM Viewer for retinal imaging download the Ophthalmology DICOM Viewer brochure.

 

The DICOM Viewer has wide range of specific measurements for measuring the distance, angle, Cobb angle, markers for spine labeling, which are important for orthopedic imaging. The specific orthopedic measurements are:

• Line;
• Angle;
• Cobb angle;
• Height Difference;
• Flatfoot;
• Goniometry;
• TT-TG distance;
• Spine labeling;
• Vertebra Angle and others.

The DICOM Viewer supports the most common modalities for orthopedy: CT, CR, DX, MR, US, and other modalities and formats:

MedDream proposes the possibility to search, review and analyze medical videos from ophthalmology devices, microscopes, endoscopes, surgical video cameras, arthroscopes, echoscopes and other medical video sources. The Video module is integrated into the MedDream DICOM Viewer, allowing the use of PACS/VNA as a medical video archive.