A complete technical engineering guide for connecting distributed SaMD applications to hospital PACS archives using modern RESTful DICOMweb protocols.
Traditional Picture Archiving and Communication Systems (PACS) communicated over binary TCP protocols (C-FIND, C-MOVE, C-STORE). Modern web and cloud applications utilize DICOMweb: RESTful HTTP interfaces including WADO-RS (Web Access to DICOM Objects), QIDO-RS (Query based on ID for DICOM Objects), and STOW-RS (Store Over the Web).
Techniques for streaming massive multi-slice CT studies: chunked HTTP transfer encoding, progressive resolution rendering, and client-side WebAssembly decompression of lossless JPEG 2000 and High-Throughput JPEG XS formats.
Configuring reverse proxy security layers between hospital PACS and external AI servers: enforcing mutual TLS certificates and automatically stripping protected health information (PHI) tags from DICOM headers.