Skip to main content
Top
Published in: Journal of Digital Imaging 3/2018

Open Access 01-06-2018

The Orthanc Ecosystem for Medical Imaging

Author: Sébastien Jodogne

Published in: Journal of Imaging Informatics in Medicine | Issue 3/2018

Login to get access

Abstract

This paper reviews the components of Orthanc, a free and open-source, highly versatile ecosystem for medical imaging. At the core of the Orthanc ecosystem, the Orthanc server is a lightweight vendor neutral archive that provides PACS managers with a powerful environment to automate and optimize the imaging flows that are very specific to each hospital. The Orthanc server can be extended with plugins that provide solutions for teleradiology, digital pathology, or enterprise-ready databases. It is shown how software developers and research engineers can easily develop external software or Web portals dealing with medical images, with minimal knowledge of the DICOM standard, thanks to the advanced programming interface of the Orthanc server. The paper concludes by introducing the Stone of Orthanc, an innovative toolkit for the cross-platform rendering of medical images.
Footnotes
1
In general, proposing Web interfaces instead of heavyweight client applications is important for hospital setups, as the installation of third-party software is often prevented for security, licensing, and maintenance reasons.
 
2
Note that the Orthanc server implements disk space recycling: The oldest series of images can be automatically deleted when the disk usage becomes higher than a predefined threshold, which is very handy to deploy such transient DICOM buffers.
 
Literature
1.
go back to reference Cherry S: Multimodality in vivo imaging systems: twice the power or double the trouble? Annu Rev Biomed Eng 8:35–62, 2006CrossRef Cherry S: Multimodality in vivo imaging systems: twice the power or double the trouble? Annu Rev Biomed Eng 8:35–62, 2006CrossRef
2.
go back to reference Epstein RM, Street RL: The values and value of patient-centered care. Ann Fam Med 9(2):100–103, 2011CrossRef Epstein RM, Street RL: The values and value of patient-centered care. Ann Fam Med 9(2):100–103, 2011CrossRef
3.
go back to reference Wernick MN, Yang Y, Brankov JG, Yourganov G, Strother SC: Machine learning in medical imaging. IEEE Signal Process Mag 27:25–38, 2010CrossRef Wernick MN, Yang Y, Brankov JG, Yourganov G, Strother SC: Machine learning in medical imaging. IEEE Signal Process Mag 27:25–38, 2010CrossRef
7.
go back to reference Jodogne S, Bernard C, Devillers M, Lenaerts E, Coucke P: Orthanc – Lightweight, RESTful DICOM server for healthcare and medical research. In: IEEE 10th International Symposium on Biomedical Imaging (ISBI), (San Francisco, USA), 2013, pp 190–193. Freely available at: http://www.orthanc-server.com/ Jodogne S, Bernard C, Devillers M, Lenaerts E, Coucke P: Orthanc – Lightweight, RESTful DICOM server for healthcare and medical research. In: IEEE 10th International Symposium on Biomedical Imaging (ISBI), (San Francisco, USA), 2013, pp 190–193. Freely available at: http://​www.​orthanc-server.​com/​
8.
go back to reference Fielding R: Architectural Styles and the Design of Network-based Software Architectures. PhD thesis, University of California, Irvine, 2000 Fielding R: Architectural Styles and the Design of Network-based Software Architectures. PhD thesis, University of California, Irvine, 2000
9.
go back to reference Richardson L, Ruby S: RESTFul Web Services. O’Reilly, 2007 Richardson L, Ruby S: RESTFul Web Services. O’Reilly, 2007
10.
go back to reference Bernard C, Paulus C, Jodogne S, Hustinx R: Automated platform for the quality control of PET-CT scanners following AFCN/FANC recommendations. In: Proceedings of the Belgian Hospital Physicists Association Symposium, 2013 Bernard C, Paulus C, Jodogne S, Hustinx R: Automated platform for the quality control of PET-CT scanners following AFCN/FANC recommendations. In: Proceedings of the Belgian Hospital Physicists Association Symposium, 2013
11.
go back to reference Withofs N, Bernard C, Van Der Rest C, Martinive P, Hatt M, Jodogne S, Visvikis D, Lee JA, Coucke P, Hustinx R: FDG PET/CT For rectal carcinoma radiotherapy treatment planning: Comparison of functional volume delineation algorithms and clinical challenges. J Appl Clin Med Phys 15(5):216–228, 2014CrossRef Withofs N, Bernard C, Van Der Rest C, Martinive P, Hatt M, Jodogne S, Visvikis D, Lee JA, Coucke P, Hustinx R: FDG PET/CT For rectal carcinoma radiotherapy treatment planning: Comparison of functional volume delineation algorithms and clinical challenges. J Appl Clin Med Phys 15(5):216–228, 2014CrossRef
12.
go back to reference Lovinfosse P, Janvary Z, Coucke P, Jodogne S, Bernard C, Hatt M, Visvikis D, Jansen N, Duysinx B, Hustinx R: FDG PET/CT Texture analysis for predicting the outcome of lung cancer treated by stereotactic body radiation therapy. Eur J Nucl Med Mol Imaging 43(8):1453–1460, 2016CrossRef Lovinfosse P, Janvary Z, Coucke P, Jodogne S, Bernard C, Hatt M, Visvikis D, Jansen N, Duysinx B, Hustinx R: FDG PET/CT Texture analysis for predicting the outcome of lung cancer treated by stereotactic body radiation therapy. Eur J Nucl Med Mol Imaging 43(8):1453–1460, 2016CrossRef
14.
go back to reference DICOM Standards Committee, Working Group 26, Pathology supplement 145: Whole slide microscopic image IOD and SOP classes, 2010 DICOM Standards Committee, Working Group 26, Pathology supplement 145: Whole slide microscopic image IOD and SOP classes, 2010
16.
go back to reference Jodogne S, Lenaerts E, Marquet L, Erpicum C, Greimers R, Gillet P, Hustinx R, Delvenne P: Open implementation of DICOM for whole-slide microscopic imaging. In: VISIGRAPP (6: VISAPP), 2017, pp 81–87 Jodogne S, Lenaerts E, Marquet L, Erpicum C, Greimers R, Gillet P, Hustinx R, Delvenne P: Open implementation of DICOM for whole-slide microscopic imaging. In: VISIGRAPP (6: VISAPP), 2017, pp 81–87
17.
go back to reference Ling C, Krishnappa P: Telepathology – an update. Int J Collaborative Res Internal Med Public Health 4(12), 2012 Ling C, Krishnappa P: Telepathology – an update. Int J Collaborative Res Internal Med Public Health 4(12), 2012
18.
go back to reference Ribback S, Flessa S, Gromoll-Bergmann K, Evert M, Dombrowski F: Virtual slide telepathology with scanner systems for intraoperative frozen-section consultation. Pathology - Res Pract 210(6):377–382, 2014CrossRef Ribback S, Flessa S, Gromoll-Bergmann K, Evert M, Dombrowski F: Virtual slide telepathology with scanner systems for intraoperative frozen-section consultation. Pathology - Res Pract 210(6):377–382, 2014CrossRef
19.
go back to reference Farahani N, Pantanowitz L: Overview of tele-pathology. Clin Lab Med 36(1):101–112, 2016CrossRef Farahani N, Pantanowitz L: Overview of tele-pathology. Clin Lab Med 36(1):101–112, 2016CrossRef
20.
go back to reference Marée R, Rollus L, Stévens B, Hoyoux R, Louppe G, Vandaele R, Begon J-M, Kainz P, Geurts P, Wehenkel L: Collaborative analysis of multi-gigapixel imaging data using Cytomine, Bioinformatics, 2016. Freely available at: http://cytomine.be/ Marée R, Rollus L, Stévens B, Hoyoux R, Louppe G, Vandaele R, Begon J-M, Kainz P, Geurts P, Wehenkel L: Collaborative analysis of multi-gigapixel imaging data using Cytomine, Bioinformatics, 2016. Freely available at: http://​cytomine.​be/​
21.
go back to reference Webster JD, Dunstan RW: Whole-slide imaging and automated image analysis: Considerations and opportunities in the practice of pathology. Vet Pathol 51:211–223, 2014CrossRef Webster JD, Dunstan RW: Whole-slide imaging and automated image analysis: Considerations and opportunities in the practice of pathology. Vet Pathol 51:211–223, 2014CrossRef
22.
go back to reference Haas A, Rossberg A, Schuff DL, Titzer BL, Holman M, Gohman D, Wagner L, Zakai A, Bastien JF: Bringing the Web up to speed with web Assembly. In: (Cohen A, Vechev MT, Eds.) Proceedings of the 38th ACM SIGPLAN Conference on Programming Language Design and Implementation, PLDI 2017, Barcelona, Spain, June 18-23, 2017. ACM, 2017, pp 185–200 Haas A, Rossberg A, Schuff DL, Titzer BL, Holman M, Gohman D, Wagner L, Zakai A, Bastien JF: Bringing the Web up to speed with web Assembly. In: (Cohen A, Vechev MT, Eds.) Proceedings of the 38th ACM SIGPLAN Conference on Programming Language Design and Implementation, PLDI 2017, Barcelona, Spain, June 18-23, 2017. ACM, 2017, pp 185–200
23.
go back to reference Warnock MJ, Toland C, Evans D, Wallace B, Nagy P: Benefits of using the DCM4CHE DICOM archive. J Digit Imaging 20(Suppl 1):125–129, 2007CrossRef Warnock MJ, Toland C, Evans D, Wallace B, Nagy P: Benefits of using the DCM4CHE DICOM archive. J Digit Imaging 20(Suppl 1):125–129, 2007CrossRef
24.
go back to reference Schroeder W, Martin K, Lorensen B (2006) The visualization toolkit: an object-oriented approach to 3D graphics, Kitware, Inc. 4 ed. Schroeder W, Martin K, Lorensen B (2006) The visualization toolkit: an object-oriented approach to 3D graphics, Kitware, Inc. 4 ed.
Metadata
Title
The Orthanc Ecosystem for Medical Imaging
Author
Sébastien Jodogne
Publication date
01-06-2018
Publisher
Springer International Publishing
Published in
Journal of Imaging Informatics in Medicine / Issue 3/2018
Print ISSN: 2948-2925
Electronic ISSN: 2948-2933
DOI
https://doi.org/10.1007/s10278-018-0082-y

Other articles of this Issue 3/2018

Journal of Digital Imaging 3/2018 Go to the issue