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Free DICOM-Viewers for Veterinary Medicine

Survey and Comparison of Functionality and User-Friendliness of Medical Imaging PACS-DICOM-Viewer Freeware for Specific Use in Veterinary Medicine Practices
  • Andreas BrühschweinEmail author
  • Julius Klever
  • Anne-Sophie Hoffmann
  • Denise Huber
  • Elisabeth Kaufmann
  • Sven Reese
  • Andrea Meyer-Lindenberg
Article

Abstract

There is increasing prevalence of digital diagnostic imaging in veterinary medicine with a progressive need to use medical imaging software. As Digital Imaging and Communications in Medicine (DICOM)-viewers for veterinary use do not require medical device approval in many countries, freeware viewers might be a practical alternative. The aim of this study was to identify and evaluate free DICOM-viewer software for veterinary purposes. The functionality and user-friendliness of various DICOM-viewers from the internet were analyzed and compared. Inclusion criteria for the evaluation were free availability, PACS (picture archiving and communication system)-connectivity, and stand-alone and client-based software. Based on this, eight viewers were found: Ginkgo CADx, Horos, K-PACS, MAYAM, MITO, OsiriX Lite, RadiAnt, Synedra personal. In these DICOM-viewers, 14 core tools were tested and rated on a score from 1 to 10 by multiple observers with different levels of training, using studies of four imaging modalities. Criteria were functionality and user-friendliness. For each viewer, the total number of a predefined set of 47 important tools was counted. The ranking based on functionality and user-friendliness of 14 core tools (mean score in brackets) was as follows: 1. Horos/OsiriX Lite (8.96), 2. RadiAnt (8.90), 3. K-PACS (8.02), 4. Synedra (7.43), 5. MAYAM (6.05), 6. Ginkgo CADx (5.53), 7. MITO (3.74). The DICOM-viewers offered between 20 and 44 tools of the predefined important tool set and are sufficient for most veterinary purposes. An increasing number of tools did not necessarily impair user-friendliness, if the user interface is well designed. Based on the results of this study, veterinarians will find suitable free DICOM-viewers for their individual needs. In combination with PACS-freeware, this allows veterinary practices to run a low-budget digital imaging environment.

Keywords

Digital Imaging and Communications in Medicine (DICOM) Imaging software Diagnostic radiology Diagnostic imaging Digital radiography (DX) Computed tomography (CT) Magnetic resonance imaging (MRI) Diagnostic ultrasound (US) 

Notes

Acknowledgements

The authors greatly acknowledge Dr. Julia Neugebauer for reviewing this article.

References

  1. 1.
    Hosch RE, Rivard AL: Evaluation of self-contained PACS viewers on CD-ROM. J Digit Imaging 27(4):470–473, 2014CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Wright MA, Ballance D, Robertson ID, Poteet B: Introduction to DICOM for the practicing veterinarian. Vet Radiol Ultrasound 49(s1):S14–SS8, 2008CrossRefPubMedGoogle Scholar
  3. 3.
    Widmer WR: Acquisition hardware for digital imaging. Vet Radiol Ultrasound 49(s1):S2–S8, 2008CrossRefPubMedGoogle Scholar
  4. 4.
    Wallack S: Digital image storage. Vet Radiol Ultrasound 49(s1):S37–S41, 2008CrossRefPubMedGoogle Scholar
  5. 5.
    Committee DS. Veterinary Identification Tags (PS 3.3, 3.5, 3.6, 3.16 2006): DICOM Corretion item (CP-643). USA: DICOM Standards Committee, 2006Google Scholar
  6. 6.
    Committee DS. NEMA PS3 / ISO 12052, Digital Imaging and Communications in Medicine (DICOM) standard, National Electrical Manufacturers Association, Rosslyn, VA, USA. Rosslyn, VA, USA DICOM Standards CommitteeGoogle Scholar
  7. 7.
    Bidgood, Jr WD, Horii SC, Prior FW, Van Syckle DE: Understanding and using DICOM, the data interchange standard for biomedical imaging. J Am Med Inform Assoc 4(3):199–212, 1997CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Bidgood, Jr WD, Horii SC: Introduction to the ACR-NEMA DICOM standard. Radiographics 12(2):345–355, 1992CrossRefPubMedGoogle Scholar
  9. 9.
    Valeri G, Mazza FA, Maggi S, Aramini D, La Riccia L, Mazzoni G et al.: Open source software in a practical approach for post processing of radiologic images. Radiol Med 120(3):309–323, 2015CrossRefPubMedGoogle Scholar
  10. 10.
    Solomon RW: Free and open source software for the manipulation of digital images. AJR Am J Roentgenol 192(6):W330–W334, 2009CrossRefPubMedGoogle Scholar
  11. 11.
    Scarsbrook AF: Open-source software for radiologists: a primer. Clin Radiol 62(2):120–130, 2007CrossRefPubMedGoogle Scholar
  12. 12.
    Puech PA, Boussel L, Belfkih S, Lemaitre L, Douek P, Beuscart R: DicomWorks: Software for reviewing DICOM studies and promoting low-cost teleradiology. J Digit Imaging 20(2):122–130, 2007CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Haak D, Page C-E, Deserno TM: A survey of DICOM viewer software to integrate clinical research and medical imaging. J Digit Imaging 29(2):206–215, 2016CrossRefPubMedGoogle Scholar
  14. 14.
    Escott EJ, Rubinstein D: Informatics in radiology (infoRAD): free DICOM image viewing and processing software for the Macintosh computer: what’s available and what it can do for you. Radiographics 24(6):1763–1777, 2004CrossRefPubMedGoogle Scholar
  15. 15.
    Escott EJ, Rubinstein D: Free DICOM image viewing and processing software for your desktop computer: what’s available and what it can do for you. Radiographics 23(5):1341–1357, 2003CrossRefPubMedGoogle Scholar
  16. 16.
    Ariani A, Carotti M, Gutierrez M, Bichisecchi E, Grassi W, Giuseppetti GM, Salaffi F: Utility of an open-source DICOM viewer software (OsiriX) to assess pulmonary fibrosis in systemic sclerosis: preliminary results. Rheumatol Int 34(4):511–516, 2014CrossRefPubMedGoogle Scholar
  17. 17.
    Presti GL, Carbone M, Ciriaci D, Aramini D, Ferrari M, Ferrari V: Assessment of DICOM viewers capable of loading patient-specific 3D models obtained by different segmentation platforms in the operating room. J Digit Imaging 28(5):518–527, 2015CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    Lee JT, Munch KR, Carlis JV, Pardo JV: Internet image viewer (iiV). BMC Med Imaging 8:10, 2008CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    FDA - Food and Drug Administration. Available from: FDA http://www.fda.gov. Accessed 30 Nov 2017
  20. 20.
    U.S. Code of Federal Regulations 2016. Available from: http://www.ecfr.gov. Accessed 30 Nov 2017
  21. 21.
    Revisions of Medical Device Directives of the European Commission 2016. Available from: http://ec.europa.eu/growth/sectors/medical-devices/regulatory-framework/revision_en. Accessed 30 Nov 2017
  22. 22.
    Medical Device Directory (Council Directive 93/42/EEC of 14 June 1993 concerning medical devices OJ L 169 of 12 July 1993, European Commission) 2016. Available from: https://ec.europa.eu/growth/single-market/european-standards/harmonised-standards/medical-devices_en. Accessed 30 Nov 2017
  23. 23.
    Iotti B, Valazza A: A reliable, low-cost picture archiving and communications system for small and medium veterinary practices built using open-source technology. J Digit Imaging 27(5):563–570, 2014CrossRefPubMedPubMedCentralGoogle Scholar
  24. 24.
    Ginkgo CADx DICOM-Viewer Spain 2016. Available from: http://ginkgo-cadx.com. Accessed 30 Nov 2017
  25. 25.
    Horos DICOM-Viewer 2016. Available from: https://www.horosproject.org. Accessed 30 Nov 2017
  26. 26.
    K-PACS DICOM-Viewer Germany 2016. Available from: http://www.image-systems.biz/download-center. Accessed 30 Nov 2017
  27. 27.
    Mayam DICOM-Viewer India 2016. Available from: http://oviyam.raster.in/mayam2.html. Accessed 30 Nov 2017
  28. 28.
    MITO - Medical Imaging Toolkit DICOM-Viewer Italy 2016. Available from: http://ihealthlab.icar.cnr.it/index.php/projects/9-mito.html. Accessed 30 Nov 2017
  29. 29.
    OsiriX Lite DICOM-Viewer Switzerland 2016. Available from: http://www.osirix-viewer.com. Accessed 30 Nov 2017
  30. 30.
    RadiAnt DICOM-Viewer Poland2016. Available from: http://www.radiantviewer.com. Accessed 30 Nov 2017
  31. 31.
    Synedra Personal View DICOM-Viewer Austria 2016. Available from: http://www.synedra.com. Accessed 30 Nov 2017
  32. 32.
    VetHP (Veterinary Hanging Protocols) and OriOn (Orientation Only) Lucent Media 2016. Available from: http://www.lucent-media.com. Accessed 30 Nov 2017
  33. 33.
    VetTools-Plugin K&M Germany2016. Available from: http://vetmed.eu. Accessed 30 Nov 2017
  34. 34.
    Poteet BA: Veterinary teleradiology. Vet Radiol Ultrasound 49(s1):S33–SS6, 2008CrossRefPubMedGoogle Scholar
  35. 35.
    Puchalski SM: Image display. Vet Radiol Ultrasound 49:S9–S13, 2008CrossRefPubMedGoogle Scholar
  36. 36.
    Robertson ID, Saveraid T: Hospital, radiology, and picture archiving and communication systems. Vet Radiol Ultrasound 49(s1):S19–S28, 2008CrossRefPubMedGoogle Scholar
  37. 37.
    Honea R, McCluggage CW, Parker B, O’Neall D, Shook KA: Evaluation of commercial PC-based DICOM image viewer. J Digit Imaging 11(3 Suppl 1):151–155, 1998CrossRefPubMedPubMedCentralGoogle Scholar
  38. 38.
    Langer S, Wang J: An evaluation of ten digital image review workstations. J Digit Imaging 10(2):65–78, 1997CrossRefPubMedPubMedCentralGoogle Scholar
  39. 39.
    Varma D: Free DICOM browsers. Indian J Radiol Imaging 18(1):12–16, 2008CrossRefPubMedCentralGoogle Scholar
  40. 40.
    Armbrust LJ: PACS and image storage. Vet Clin North Am Small Anim Pract 39(4):711–718, 2009CrossRefPubMedGoogle Scholar
  41. 41.
    Robertson I: Image dissemination and archiving. Clin Tech Small Anim Pract 22(3):138–144, 2007CrossRefPubMedGoogle Scholar
  42. 42.
    Varma DR: Managing DICOM images: tips and tricks for the radiologist. Indian J Radiol Imaging 22(1):4–13, 2012CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Society for Imaging Informatics in Medicine 2019

Authors and Affiliations

  1. 1.Clinic of Small Animal Surgery and Reproduction, Centre for Clinical Veterinary MedicineVeterinary Faculty, LMU MunichMunichGermany
  2. 2.Institute of Anatomy, Histology and Embryology, Department of Veterinary SciencesVeterinary Faculty, LMU MunichMunichGermany

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