INTRODUCTION Nowadays, the digital imaging and communications in medicine (DICOM) protocol of the National Electrical Manufacturers Association (NEMA) and the American College of Radiology (ACR) has been established as the leading standard for image data management in medical applications. Keywords: DICOM, EDCS, ecrf, Data Capture, Integration, Interfaces, Display 1. Covering most use cases, an EDCS and PACS interconnection with Weasis is suggested. Concerning workflow optimization in multi-centered clinical trials, we suggest the open source viewer Weasis. Focusing on open source solutions, the viewers ImageJ and MicroView are superior for 3D visualization, whereas GingkoCADx is advantageous for hospital integration. Optimal viewers are suggested for applications in clinical trials for 3D imaging, hospital communication, and workflow. Concerning general, integration, and viewing requirements the survey involves the criteria (i) license, (ii) support, (iii) platform, (iv) interfaces, (v) twodimensional (2D) and (vi) three-dimensional (3D) image viewing functionality.
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Hence, in this paper, a comprehensive evaluation of 27 DICOM viewer software projects is performed, investigating viewing functionality as well as interfaces for integration.
Four increasing levels for integration of DICOM components into EDCS are conceivable, raising functionality but also demands on interfaces with each level.
Due to missing integration, even just the visualization of patient s image data in electronic case report forms (ecrfs) is impossible. However, different from patient s care in hospital, DICOM has not yet arrived in electronic data capture systems (EDCS) for clinical trials. A broad range of commercial, free, and open source software tools supporting a variety of DICOM functionality exists. Deserno Department of Medical Informatics, Uniklinik RWTH Aachen, Aachen, Germany ABSTRACT The digital imaging and communications in medicine (DICOM) protocol is nowadays the leading standard for capture, exchange and storage of image data in medical applications.
1 Evaluation of DICOM Viewer Software for Workflow Integration in Clinical Trials Daniel Haak 1 *, Charles-E.