| Server-Side Data Access |
Secure Data Access |
Maintains data server-side behind a firewall. Server-side rendering ensures patient data is never copied or moved to end devices. |
| Authentication & Integrations |
Secure Data Access |
Supports OAuth2/OpenID, Epic Smart on FHIR, and SAML integrations (e.g., OKTA, Google). |
| Tiered Archive Searching |
Data Retrieval |
Prioritizes DICOM repositories into tiers; targeted searches query sequentially and stop once found, increasing speed. |
| Real-time Multi-party Collaboration |
Collaboration |
Interactive sessions for 1-to-1 or large groups (clinical rounds/case reviews) with real-time text chat functionality. |
| Configurable Search Parameters |
Search & Discovery |
Narrow searches by patient/study demographics, modalities, and date ranges. |
| EHR / EMR Integration |
Workflow Integration |
Direct dynamic URL launch with study context in Epic, Cerner, Allscripts, and other EHR/EMR systems. |
| Federated Archive Query |
Search & Discovery |
Connects to existing PACS and VNA repositories; single query returns a federated list of results across all connected archives. |
| Study vs. Patient Search Centricity |
Configuration |
Administrator-configurable search workflow mode (Study-Centric or Patient-Centric). |
| Search Result Sorting |
Data Navigation |
Sort results by Patient Name, Patient ID, Study Date, and Modality. |
| Related Studies / History Search |
Data Retrieval |
Automatically displays full patient history to avoid multiple manual searches. |
| User Viewing History |
Navigation |
Quickly reload any of the last 10 previously viewed studies. |
| Role-Based Feature Visibility |
Access Control |
Centralized access control framework enabling admins to enforce feature-level visibility per custom user role. |
| Study Sharing & Download |
Data Sharing |
Share studies via templated patient-context URLs to 3rd-party vendors/reporting systems, or download selected DICOM studies locally. |
| Multi-Monitor Support |
Workspace / Display |
Synchronizes worklists and images across multiple displays to maximize viewing area. |
| Significant Finding Navigation |
Navigation |
Direct navigation to GSPS, CSPS, KO, or KIN objects within a study series. |
| Patient Banner |
Safety / Info |
Displays vital patient demographics across top of viewer to ensure safety and quick reference. |
| Interactive Timeline View |
Navigation |
Chronological sequence of patient medical studies; supports double-click launch or drag-and-drop into viewports. |
| Series Pre-loading |
Performance |
Automatically queues remaining series in background after initial viewport display to reduce wait times. |
| Intelligent Layouts |
Display |
Automatically determines optimal grid layouts based on modality, device screen size, and series count. |
| Window/Level & Color Map Presets |
Image Adjustments |
Quick presets for window width/level and color maps tailored to specific modalities. |
| Pan, Zoom, Window/Level, Reset |
Basic Tools |
Touch-tuned image controls (e.g., pinch-to-zoom on mobile) with quick reset to default state. |
| Invert Window/Level |
Image Adjustments |
Inverts grayscale intensities for contrast variation. |
| Quick Series Navigation |
Navigation |
Fast next/previous navigation through DICOM and non-DICOM series. |
| Quick Access for 1x1 Display |
Display |
Double-click series to toggle 1x1 monitor full-screen viewing mode. |
| Metadata Display/Hide |
Display |
Toggle image metadata view between full display, reduced display, or off. |
| Orientation Labels |
Safety / Context |
Visual labels on image edges indicating patient orientation. |
| Measurement Calipers & Annotations |
Measurement/Markups |
Calipers for pathology sizing; text annotations for highlighting areas of interest. |
| Keyboard Shortcuts |
Usability |
Accelerates tool switching and data interaction. |
| Interoperability Standards |
Protocols |
Full viewer support for DICOM Q/R, DICOM Web, non-DICOM formats, and FHIR. |
| Custom Folders |
Organization |
Create personal or public folders for teaching files, interesting cases, or future reference. |
| Secondary Capture (SC) |
PACS Workflow |
Save and send DICOM Secondary Captures with measurements/annotations back to PACS. |
| Real-time Content Updates |
Live Imaging |
Dynamically updates imaging studies while acquisition is still actively taking place. |
| Reports Display |
Reporting |
Supports Basic/Custom/Enhanced Structured Reports, encapsulated PDF, native PDF, and FHIR reports. |
| Image / Report Printing |
Output |
Direct printing of reports and images (with or without patient identifying info). |
| Role-based Session Timeouts |
Security |
Extended session timeouts configurable per role to keep images displayed longer when needed. |
| Image Scrolling & Linked Scrolling |
2D Visualization |
Responsive scrolling through stacks; link series by anatomy or slice location to scroll simultaneously across series. |
| Grid Layouts |
2D Visualization |
Predefined multi-monitor grid layouts for side-by-side exam comparison. |
| Reference Lines (Scout Lines) |
2D Visualization |
Visual scout/reference lines across orthogonal planes/MRIs for slice location correlation. |
| Cine Playback |
2D Visualization |
Animated playback for high frame-rate exams (e.g., cardiology heart motion/blood flow). |
| Cine Sync for Cardiac Echo |
2D Visualization |
Automatically synchronizes cine playback and scrolling for cardiac ultrasound series (e.g., rest vs. stress tests). |
| Flip / Rotate / Magnification |
2D Visualization |
Horizontal/vertical flip, 90° rotation, pixel-precise loupe tool (for mobile finger placement), and draggable magnification lens. |
| ECG Measurements |
2D Visualization |
Dedicated tools for measuring Heart Rate (HR), QT Interval, and Amplitude (mV). |
| Key Image & Presentation States |
2D Visualization |
Native display of Key Image Objects (KIO) and Grayscale/Color Softcopy Presentation States (GSPS/CSPS). |
| All Images Display |
2D Visualization |
Stacks all study images in a single viewport for streamlined multi-series viewing. |
| Oblique / Double-Oblique Reformat |
MIP / MPR |
Reconstructs non-acquisition/non-orthogonal planes for vascular and structural review. |
| Thick-slab MPR |
MIP / MPR |
User-defined slab thickness rendered in real time (rendering modes: MIP, Average, mIP). |
| Triangulate |
MIP / MPR |
Aligns cross-hairs across 3 orthogonal MPR views to lock onto an exact 3D location. |
| Curved MPR |
MIP / MPR |
Creates curved reformats along non-linear anatomical structures (e.g., blood vessels). |
| Multi-slice Measurements |
MIP / MPR |
Allows true-size measurement across multiple reconstructed slices. |
| Rotate 3D Volume |
3D Visualization |
Real-time volume rendering with free rotation for arbitrary 3D perspectives. |
| Clipping Planes & Scalpel Tool |
3D Visualization |
Cuts away outer volume/tissue to isolate internal areas of interest. |
| 3D Lens Tool |
3D Visualization |
Draggable magnification tool that can "penetrate" bone to reveal underlying soft tissue/pathology (e.g., cranial CTs). |
| Orientation Widgets & Hotkeys |
3D Visualization |
Interactive rotation widget and quick preset hotkeys to snap volume to standard anatomical positions. |
| Linear Measurement & Opacity Panel |
3D Visualization |
Direct 3D linear distance measuring and preset panels for adjusting volume opacity, color, and lighting. |
| Mobile Hardware (Apple iOS) |
Compatibility |
iPhone & iPad devices supporting the latest iOS/iPadOS releases (OS versions 26 & 18 noted). |
| Mobile Hardware (Android) |
Compatibility |
Samsung Galaxy S-series, Samsung Galaxy Tab S-series, Google Pixel devices supporting latest Android releases. Foldable devices are excluded. |
| Desktop Web Browsers |
Compatibility |
Windows: Google Chrome (min. v35), Mozilla Firefox (min. v35), Microsoft Edge. macOS: Google Chrome (min. v42), Mozilla Firefox (min. v35), Apple Safari (min. v6). |
| Mobile Web Browsers |
Compatibility |
Mobile Safari (min. v11), Mobile Google Chrome (min. v59). |
| Regulatory Clearances |
Accreditations |
USA: FDA (Class II), Canada: Health Canada, Europe: MDR CE (Class IIa), UK: MHRA, Australia: TGA, Brazil: ANVISA, Costa Rica: MOH, Singapore: HSA, Taiwan: FDA, India: CDSCO, Saudi Arabia: FDA. |
| Supported Modalities |
Formats & Standards |
CT, MR, CR, DX, ES, KO, NM, OP, OT, PT, SC, US, XA, IO, XC, RF, SR, RTIMAGE, OPT, ECG, MG (including Breast Tomography). |
| Non-DICOM Formats |
Formats & Standards |
JPEG, BMP, PNG, TIFF, PDF, TXT, HTML, Plain Text, MPEG-4 / MP4, H.264 / AVC, AVI, MOV, MPEG-2. |
| Supported Languages |
Localization |
English, Brazilian Portuguese, Traditional Chinese, Simplified Chinese, Dutch, French, German, Italian, Japanese, Portuguese, Spanish, Swedish, Turkish, Vietnamese (User Guides only). |