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WHILE creating their new web application, RadiologyServicesOnline.com, Cad/Cam Services was faced with the problem of displaying very large, diagnostic quality DICOM images over the web. Self described as a full-featured teleradiology/PACS solutions provider with a web-based approach, it was crucial for Cad/Cam to add the DICOM image functionality to their application.

Atalasoft’s .NET imaging toolkit, DotImage, has a Zero-Footprint image viewer and Tile-On-Demand technology allowing quick and easy image viewing and editing using any major browser, without having to download any plugins. These valuable imaging features are essential for Cad/Cam’s solution to support the large number of X-rays to be viewed every day by the end users. These medical images have to be viewed and annotated quickly, clearly, and from a variety of distributed locations.

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“Using Strong Windows Authentication, mobile X-ray firms can load X-ray images while driving down the road, and within minutes, a radiologist is notified of a new read request. The read is done, and a legal report is generated and electronically signed. The radiologist can read an image anywhere they have web access – including a hospital PACS system, a clinic, at home, and even via PDA. There is nothing the doctor needs to load… We can produce diagnostic quality reads over the web and eliminate most companies’ dictation fees,” said Scott Shuppert, President of Cad/Cam Services, Inc.

Dotimage, ADC, and APE for Medical Imaging

CAD/CAM fully leveraged Atalasoft’s DotImage toolkit, including its Advanced Photo Effects capabilities, and added the Advanced Document Cleanup (ADC) add-on module. With these tools, Cad/Cam was able to quickly implement X-Ray image clean-up and annotations to the RadiologyServicesOnline.com platform. A requirement for Cad/Cam’s solution was the ability to enhance the image while preserving the, metadata that came with the original X-ray.

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“Radiologists are very, very concerned about image quality – to the point of being able to generate true diagnostic-quality, first generation reads under any condition. Therefore any type of lossy file formats were not going to work. In addition, the features in DotImage’s advanced photo effects enabled us to create web image sliders to control items like brightness, contrast and gamma,” said Scott Schuppert. “Image control and image manipulation
is everything for our business.”