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DICOM (Digital Imaging and Communications in Medicine) is a standard format that enables medical professionals to view, store, and share medical images irrespective of their geographic location or the devices they use, as long as those devices support the format. DICOM images need to be viewed through specific software called DICOM viewers that can read and display the format. The images, along with the corresponding patient data, are often stored in a large database called the Picture Archiving and Communication System (PACS). The purpose of a DICOM application is to store information in the PACS about the imaging examination, along with patient details, and then when required, to view and interpret (and possibly edit) medical images that are retrieved from the PACS. DICOM images are unique in the fact that they contain patient information in addition to the image data.
For instance, some software are meant only for basic viewing. Therefore, they do not have any additional features such as sharing or storage. Some applications have the ability to export data as JPEG or GIF files, which can be used in teaching and presentations. DICOM software for clinics can store images to a certain extent on mini-PACS servers. Some software also offer advanced features, like anonymization, which is particularly useful when conducting clinical research.
If you are a medical student, you may just be looking for a way to view and study clinical images. A full-fledged radiologist, on the other hand, would need high-speed software with specialized plug-ins and structured reporting. Furthermore, certain applications may be best suited to view images from specific body regions.
Most doctors and students today use not only their desktops, but also laptops, tablets, and smartphones interchangeably. The ideal DICOM application would allow access to the same data from multiple devices with convenience. You want a viewer that you can access from any device, any time.
Most DICOM applications today read common imaging modalities like CT, MRI, and ultrasound images. Features such as multiplanar reconstruction (MPR), particularly 3D reconstruction, are needed for treatment planning. Volume rendering, maximum and minimum intensity projections (MIPs) aid in diagnosis as well as in research. Image fusion, such as PET to CTs or PET to MRIs can also help in diagnosis and reporting.
The DICOM software must integrate with a PACS server that offers enough space to store an adequate volume of images along with patient data. The PACS server might be located in an institution, in which case the application must integrate to it directly, or it can be a cloud-based PACS system, which can be accessed online from anywhere. The latter is especially useful when images need to be stored and analyzed for research purposes.
PostDICOM is one of the best DICOM viewers that offers almost all of the above features. It is compatible with Windows, Mac OS X, and Linux. It can be operated from android devices and iOS-based systems. PostDICOM comes with a cloud-based PACS, which allows you to access data from any device, anywhere, at any time. The viewer allows advanced image manipulation, such as 3D reconstruction, 3D volume rendering and MIP, and image fusion. It also offers an interface for creating reports, sharing files, and immediate uploading of all patient data to the cloud PACS.
The cloud-based PACS is unique to this software and offers several advantages. It allows researchers to upload relevant images on the PACS server for viewing, processing, and analyzing at various stages during the course of their clinical research. This ensures complete data integration and a smooth workflow.
Horos is an open source DICOM viewer for Mac. It is actually the free version of an expensive DICOM viewer called Osirix MD, which is often considered to be the best DICOM viewer for Mac. It only runs on Mac OS, version 10.8 or higher. This software allows for most diagnostic techniques, including multiplanar reconstruction, maximum intensity projections, and volume rendering. It also has tools for manipulating images and making measurements.
One of the unique features of Horos is that it has a plug-in that allows uploading of images to Radiopedia, an online resource with a large number of reference cases and articles. Technical support is available through both phone and email. Horos, however, does not integrate to PACS free of cost. Cloud-based storage is available at an additional cost.
A free version of Osirix MD, called Osirix Lite, is also available to users. However, it does not allowing editing of imaging metadata, and image modifications come with a watermark. While this is good to get a feel for the parent software, it is not intended for regular medical use.
The RadiAnt DICOM image viewer is a simple, fast platform that is compatible with Windows. It offers multiple features, including MPR, MIP, and image fusion. Images can be exported to JPEG, PNG, and other image formats. They can also be copy-pasted directly to presentations and word documents.
The application is just a viewer and does not offer storage space. Their website has a disclaimer explicitly stating that they do not have any certifications, and as such, the product is not intended for diagnostic use. However, it is handy for students and residents for studying medical images and research purposes.
The application allows both viewing and processing of DICOM images. It can generate structured reports, and allows basic measurements, annotations, and zooming in for images. MicroDicom does not offer advanced features such as MPR and volume rendering. It can be downloaded as a potable zip file that does not require installation. This allows it to be used on any device that has a Windows OS.
This is a lightweight application that is great for beginners who are learning to use a DICOM viewer. Its biggest advantage is that it can be run on multiple operating systems. It offers multiplanar views, MIP and volume rendering, but image editing and exporting are not possible.
MANGO is an advanced DICOM application which requires some technical coding before it can be used. It has several advanced features, including conversion, anonymization and editing images. Other versions of Mango (Papaya and iMango) can be accessed from the browser directly or an Apple iPad. The application is under constant development, possible due to grants from the National Institute of Mental Health and the National Institute of Biomedical Imaging and Engineering. Therefore, it keeps improving in its functionality. Advanced options like behavioral analysis, disease analysis, and brain separation modalities make it particularly useful for neuromedicine. It does not offer cloud storage.
This is another lightweight application that is capable of viewing DICOM images. Escape EMV offers anonymizing and exporting features, but does not have many other advanced specs. It is available in multiple languages. Only a trial version is available free of cost, and commercial use of the software requires payment of a license fee.
IrfanView is an extremely simple yet effective image viewer that supports the DICOM format in addition to other image files. It does not boast the features of many of the above applications, but if your purpose is to simply view DICOM images, it is lightweight and easy to use. The software is only free for non-commercial purposes. If you intend to use it for your private practice or in a hospital setting, a license fee is applicable.
It is a robust application that is easy to use too. While it does not offer cloud storage, it can function as a mini-PACS server. It has the capacity to batch-anonymize and batch-convert to image formats. The free version is valid for 45 days only, after which a lifetime license can be purchased at a reasonable cost.
This is the free version of the paid software JiveX Review Client, and is meant to be used in educational and research activities. The viewer supports not only radiology images in the DICOM format, but also other medical data such as ECGs. The freeware does not allow users access to a PACS server or technical support. Although the viewer improves workflow, advanced manipulation of images is not possible with the free version.
It is a cloud-based DICOM viewer, and can be accessed from laptops, desktops, phones and tablets. It is very useful when a team of professionals needs to share DICOM images between them. NextCloud is available as a mobile app, and users can sync images, chat, and share images and notes with the app. However, it does not allow for image modification and analysis.
It is a powerful and fast DICOM viewer that is packed with many features. It enables reconstruction, volume rendering and image manipulation by offering several tools to carry out these functions. One unique spec of this application is its voice recognition technology, which helps users when viewing and retrieving files. Voice recognition also enables easy preparation of reports from the DICOM files. The viewer works better on systems with a touchscreen. The free version is only for a trial and purchase is required to access all features.
Miele LXIV is a free DICOM viewer for Mac operating systems. It has advanced features including MPR, MIP, volume rendering, and image fusion. In addition, it also allows 4D viewing of cardiac CTs. It is PACS-integrated and can send and receive files from a PACS database.
It is a free application that can access and view all DICOM images. The application allows you to sort images according to body parts. Images can be annotated, measured and animated. Advanced features are not available in the free version. The software cannot play videos.
MiViewer from Millensys is a simple DICOM viewer for Windows that does not require any setup. It has both image viewing tools and cine loop tools, and supports all DICOM file types. Unlike its paid version, Vision Tools Multiview, it does not support advanced features or allow PACS integration. 2b1af7f3a8