HTML5 DICOM VIEWER 8.6.

0
PRODUCT SPECIFICATION

Enterprise
Premium
Function Description

Lite
Regular features

Window Width/Level Image window level manipulation using the mouse.

+ + +
W/L Presets Possibility to select from a list of available Window Width/Level presets.
+ + +
Pan Moving the image allows you to position images within the viewport.
+ + +
Zoom Increase/decrease the image. Zoom to the selected area option.
+ + +
Scroll through the images of the series by using the mouse wheel,
Scroll
dragging vertically, or with keyboard hotkeys. + + +
Rotate the image right/left and flip it horizontally/vertically with the
Rotate/Flip
possibility to revert the image to its original orientation. + + +
Magnifier Magnify (enlarge) a certain area of the image.
+ + +
Measurements

Line Distance between two points.

+ + +
Angle Creating and measuring the angles between three points.
+ + +
Cobb angle Angle measurement between two lines.
+ + -
Polyline Distance from a set number of points.
+ + -
Area measurement from a set number of points. Measure its area, min,
Area
max, mean, and standard deviation values. + + +
Measure an ellipse area, min, max, mean, and standard deviation
Ellipse
values. + + +
Measure a rectangle area, min, max, mean, and standard deviation
Rectangle
values. + + -
Volume Volume measurement using circles created from a set number of points.
+ + -
Measure the vertical distance and angle between the horizontal line and
Height Difference
the line connecting the points. + + -
CTR Measure the cardiothoracic ratio (CTR) to estimate the heart size.
+ + -
Measure the longitudinal arch of the foot to detect the longitudinal
Flatfoot
flatfoot. + + -
Measure the lengths of the femur, tibia, and femoral-tibial angular
Goniometry
deformities. + + -
Measure the tibial tuberosity to trochlear groove distance for quantifying
TT-TG distance
the knee patellar instability. + + -
HTO angles Measure High Tibial Osteotomy angles for osteotomy surgery.
+ + -
Tool to mark the vertebrae of the spine. Possibility to exclude labels,
Spine labeling and mark pathological vertebrae: T13 and/or L6. Measure Spinal + + -
balance.
Measure an angle between the user-drawn vertebra axis and the
Vertebra Angle
horizontal axis of the image. + + -
 Measurement which allows for visualization of the lesions' behavior by
Time-intensity curve plotting the ROI intensity values over time after the administration of + - -
contrast material.

ROI Measurement of images of the size and shape of a particular object.

+ + -
Indicate the region of interest with Repulsor tool, possibility to edit
Myocardium ROI contour and use a Brush tool to mark the desired areas between the + - -
contours.

Closed Polygon The ROI with curved lines.

+ + -
Mark the flexible region of the image for which the area is calculated.
Flexpoly
Measure its area, min, max, mean, and standard deviation values. + + -
Pencil Mark the area of the image with a free drawing.
+ + -
Arrow Mark the area of interest on image, video, or multi-frame.
+ + -
Text Text fields are placed on the image for writing text notes.
+ + -
Continuous
measurement
Possibility to activate the tool to repeat measurements several times.
+ + -
Repulsor The tool to adjust Closed Polygon.
+ + -
Intensity Image intensity in Hounsfield units (HU).
+ + +
Show Angles Show all angles between intersecting lines.
+ + -
Horizontal line Horizontal tool for NM modality studies.
+ - -
Ruler Show the rulers at the bottom and on the left side of the viewport.
+ + -
Calibration line Change the scale of measurement.
+ + -
The average value and standard deviation of pixels in a square area of
STD
10 by 10 mm. + + -
Delete Remove selected or all measurements of an active image. + + +
Save Annotation Saving the measurements. Please contact us directly to check if your
PACS can support the saving annotation function. + - -
Segmentation tools

Segmentation Tools for marking the regions of interest in medical images, saving them
as RTSTRUCT. + - -
Bounding Box
The tool allows marking the region of interest by drawing the bounding
rectangular around it. It is possible to mark 2D or 3D bounding box + - -
segments.

Smart Paint
Marking the region of interest by drawing the contour on the image with
free drawing tools. Filling the region of interest by using smart paint + - -
tools with adjustable: radius and sensitivity. Possibility to use the tools
in both 2D and 3D modes.
Viewport features

Scroll activator Possibility to activate/deactivate the simultaneous scrolling feature for

the active viewports. + + +
Ellipse ROI
propagation
Possibility to propagate the measurement (Ellipse) ROI to other open
viewports. + + -
Copy measurement
values
Possibility to copy measurements values to the clipboard. + + -
Viewport to clipboard Possibility to copy viewport content to the clipboard using PNG
compression format from the viewport. + + +
 Image to clipboard Possibility to copy original resolution image to the clipboard (no
annotations and manipulations). + + +
Save the viewport as
a Secondary Capture
Possibility to save viewport content as DICOM secondary capture in
new series. + - -
Quick access Possibility to use controls for quickly accessing images with additional
controls data. Quick access controls Scrollbar, Chevron buttons, Key objects, + + +
Annotations.
Quick save KO and
PR
Fast saving the measurements and Key Objects. Please contact us
directly to check if your PACS can support the saving annotation + - -
function.
Layout features

Select from different types of layouts to view up to 16 DICOM instances

Layout
at the same time. + + +
Thumbnail position Change the position of thumbnails on the screen.
+ + +
Full Screen The possibility to switch to a full-screen view.
+ + +
Multi-image/series Select how many images/series can be loaded in the active viewport.
+ + +
Multiple studies
support
The ability to open multiple studies and compare images of the same
patient, or different patients. + + +
Split-view mode View images from multiple studies and compare them side-by-side.
+ + +
Possibility to split viewports into panels. Up to 6 panels at the same
Panels
time. + + +
Provides quick access to: Hanging Protocols list, Next/Previous
Panel Toolbar
Comparison study; Layout; Overview Layout; Next/Previous page. + + +
Easy access to the entire Patient History. Possibility to filter the studies
Patient History by ID, Name, Modality, Description, etc. Unique Year filter to filter the + + +
studies by the year.
Multi-monitor
support
MedDream Chrome extension is used for automated adjusting.
+ + +
Hanging Protocols Configurations for arranging and displaying medical images in layout. + + +
Manipulation features

Overlaying reference lines allow for indicating the location of an image

Reference lines
slice on another image of an intersecting plane. + + +
Crosshair Represents the intersecting planes of the selected point in the study.
+ + -
The left or right image alignment and locking function while applying
Align & Lock zoom or pan actions. Possibility to move labels and buttons to the
opposite side.
+ + +
The modes of linking the series: Disabled, Manual, Automatic and
Link scrolled series Distance mode. The possibility to enable/disable simultaneous scrolling + + -
for each viewport.

Sync Windowing Optional same-series windowing synchronization.

+ - -
Sync Windowing, Color Palette, Pan, and Zoom actions for the same
Sync actions
series or for all viewports. + - -
Color palette Possibility to apply color palette for monochrome DICOM images.
+ - -
Showing how the data is distributed across different values for visual
Histogram
Windowing (W/L) changes. Y-axis zooming. + - -
Cine Mode/Multi- Puts all series of images into one movie and enables scrolling through
frame creation images quickly. + + +
Possibility to select and apply VOI LUT: non-linear transformation stored
VOI LUT
by medical modality. + + +
 Reset Resetting the image’s view to the original state.
+ + +
Supporting functions

Search engine Search, filter studies, and open them for viewing.
+ + +
The keyboard shortcuts allow the users to quickly change tools and
Keyboard shortcuts interact with the data. Possibility to customize default shortcuts, and + + +*
shortcuts per user. *No possibility to edit in Lite option.
Labels on the edges of the images clearly indicate how the patient is
Orientation labels
oriented. + + +
Info Labels Possibility to show/hide Info Labels in viewports.
+ + -
Comparison Study The comparison study’s DATE is highlighted.
+ + +
Displaying the compression type and ratio for lossy compression
Lossy compression
images in viewports. + + +
Context menu which appears with a right-click mouse click on the
Quick Menu
opened image and offers a limited set of choices included via Settings. + + +
The series button opens the list of study’s series with study information
Series
like description, modality and number of images in series, etc. + + +
Preloads the series images, so the scrolling of the images with mouse
Preload Series/Study
wheel would work much faster. + + +
Plugins Plugins hold links to external systems and services, needs to be
configured by system administrator. + + +
Quick image opening
(Right-click)
Click the right mouse button on the image thumbnail to open the image
in an empty or new viewport. + + +
Report View and write a report for a study.
+ - -
Image print Print the image from a Viewer.
+ + +
With integrated printing component for MedDream PACS, PacsOne,
DICOM print
Orthanc, dcm4chee v2, and dcm4chee v5 PACS. + - -
Study forward Forward studies to the other DICOM devices.
+ + +
Export multiple studies and save them in different formats: DICOM,
Export jpg/mp4, tiff/mp4, png/mp4, and BMP/mp4. Including Web Content + + +
(JPG) option with DICOM data (configurable).

Burn Export the study to burn it to CD/DVD/Dual-Layer DVD/Custom Size.

+ + +
Anonymize and
share
Possibility to anonymize and share studies (via DICOM Library).
+ + +
Specific features

Live Share support Diagnostic quality real-time-sharing functionality (conference mode).

+ - -
For marking an area of interest in the viewport during presentation.
Presenter tools Presenter tools: Fading line; Fading arrow; Draw; Clear All; Laser + - -
Pointer and selecting from 5 colors.

Multi-frame support The US and XA multi-frames are shown in Cine mode.

CT/MR/MG/OPT/NM studies multi-frames shown as instance series. + + +
Video support MPEG-2 and MPEG-4 video support.
+ + +
ECG support Electrocardiography study support.
+ + +
DBT support Ability to process and visualize digital breast tomosynthesis (DBT) data.
+ + +
PDF support Support for PDF files.
+ + +
 SR support Support for SR documents.
+ + +
Non-DICOM support BMP, JPG, TIFF, MPEG, PDF, and TXT files support.
+ + +
PR support Support for Presentation State annotations.
+ + +
Available KO instances can be opened for review. The possibility to
Key Objects (KO)
support
mark instances as Key Objects and save them with user information
and description. *No possibility to mark and save in Enterprise, Lite + +* +*
options.
Displaying CAD SR findings (iCAD and R2) on mammography images.
CAD marks
Possibility to show/hide. + - -
DICOM Overlay Showing DICOM Overlay in GUI. Possibility to show/hide.
+ + +
Possibility to create a Montage of different instances and save it as
Montage
secondary capture in a new series. + - -
Fusion can be applied on a series of PET, CT, MR, NM, or other
Fusion
configured modalities. + - -
Possibility to combine the series of PET and CT types, thus linking the
PET-CT Fusion sites of radioactive drug concentrations with the anatomical patient + - -
structure.
Advanced PET
Fusion
Opening multiple PET reconstructions.
+ - -
Rotating the Sagittal or Coronal reconstructions around the X axis.
Spin
Possibility to Auto Spin Forward/Backward. + - -
Construct 4D series 4D Tool to create virtual series from the study series, where the data
are sorted in space and then in time. + - -
Digital Subtraction Apply Digital Subtraction Angiography mask for XA images.
+ + +
Highlight a color component or a combination of them in the image by
Color channels
showing selected colors in white shades and other colors in black. + + +
OCT/OPT Reference Overlaying reference lines allow for indicating the location of an image
lines slice on another image in OCT/OPT modality studies. + + -
ECG features

Area calculation indicating beats per minute, time, and millivolt (mV, s,
Measurement (mV, s)
bpm). + + -
QT points (RR, QT,
QTc)
QT interval - the RR interval is calculated as well as QT and the QTc.
+ + -
Measure heart rate (HR) and compare its interval variance over the
HR
ECG. + + -
QRS axis Measure the QRS electrical heart axis.
+ + -
ECG parameters ECG parameters from DICOM data in Viewport (configurable).
+ + +
ECG comparison Comparison of two or more ECGs.
+ + +
Ultrasound feature

VTI (Velocity Time Used to measure the distance from which the blood was ejected over a
Integral) date interval of time. + - -
MPR features

2D multi-planar reconstruction with Axial, Coronal, and Sagittal

Orthogonal MPR
projections. + - -
Axial MPR Axial multi-planar reconstruction.
+ - -
Coronal MPR Coronal multi-planar reconstruction.
+ - -
 Sagittal MPR Sagittal multi-planar reconstruction.
+ - -
Window leveling, pan, zoom, measurements, scroll, crosshair, etc.
Features of 2D
Except for the image flip/rotate function. + - -
Users can cine through a batch of MIP/MPR images for a quick review
Cine
of anatomy within a user-defined range. + - -
Oblique MIST feature with MPR/MIP/3D rendering

Oblique MIST Multiplanar reconstruction (MPR) view in oblique planes.

+ - -
MIP Maximum Intensity Projection mode for rendering the images.
+ - -
MinIP Minimum Intensity Projection mode for rendering the images.
+ - -
AVG Average mode for rendering the images.
+ - -
Regular features Window leveling, pan, zoom, flip/rotate; scroll, crosshair.
+ - -
Line, Angle, Polyline, Area, Ellipse, Flexpoly, Pencil, Ruler, Show
Measurements
angles. + - -
Copy to clipboard, Secondary capture, selectable layout, hide axis,
Viewport features
recenter, reset. + - -
Rendering 3D volume with rotation, pan, zoom, and window leveling
3D rendering
functions and applying the transfer function presets (configurable list). + - -
Curved MPR Curved Planar Reconstruction (CPR) feature.
+ - -
MPR/MIP/3D
comparison
Several MPR/MIP/3D views can be compared at the same time.
+ - -
MIST MIP features

MIST Axial MIP Axial multi-planar reconstruction with MIP feature.

+ - -
MIST Coronal MIP Coronal multi-planar reconstruction with MIP feature.
+ - -
MIST Sagittal MIP Sagittal multi-planar reconstruction with MIP feature.
+ - -
Customization features

Possibility to change the default color (red) to the blue color that is
Theme
clearly visible on a black and white monitor. + + +
One thumbnail per CT/MR/PET series is shown. If study contains
Thumbnail view annotations additional icons of KO, PR or Segments are shown next to
the instance/series thumbnail. Possibility of configuring all thumbnails
+ + +
for the series to be shown.
Optional CT/MR/PET series instances preloading on dragging
Silent Preload
thumbnail to the viewport. + + +
OEM rebranding allows customizing: the system name, system
Rebranding logotype, company logotype, login logotype, and color theme. For Full
rebranding please contact the sales department.
+ + +
Multi-language Default language: English. Additional: German, French, Italian, Spanish,
support Lithuanian. Possibility to support more languages by request. + + +
Dialog windows Possibility to resize and drag dialog windows.
+ + +
Add-ons: Optional*

Load Balancing Load balancing license option. Optional Optional Optional

Disaster recovery Disaster recovery license. Optional Optional Optional

Priority SLA Nonstandard service level agreement. Optional Optional Optional

 Advanced features (Dental MPR) for dentistry: Generate panoramic
Dental images using the CPR tool. WL, Pan, and Zoom. Tooth image in 3
planes. 3D image.
Optional - -
*Optional Add-ons are not included by default. Please contact our sales to order Add-ons as an additional licensing option.

Supported modalities

CR Computed Radiography modality for diagnostic use.

+ + +
CT Computer Tomography modality for diagnostic use.
+ + +
DX Digital Radiography modality for diagnostic use.
+ + +
ECG Electrocardiography modality for diagnostic use.
+ + +
EPS Cardiac Electrophysiology modality for diagnostic use.
+ + +
ES Endoscopy modality for diagnostic use.
+ + +
IO Intra-Oral Radiography modality for diagnostic use.
+ + +
IVUS Intravascular Ultrasound modality for diagnostic use.
+ + +
MG Mammography modality for diagnostic use.
+ + +
MR Magnetic Resonance modality for diagnostic use
+ + +
NM Nuclear Medicine modality for diagnostic use.
+ + +
Optical Coherence Tomography (non-Ophthalmic) modality for
OCT
diagnostic use. + + +
OPT Ophthalmic Tomography modality for diagnostic use.
+ + +
OP Ophthalmic Photography modality for diagnostic use.
+ + +
OT Other modalities for diagnostic use.
+ + +
PT Positron Emission Tomography (PET) modality for diagnostic use.
+ + +
PX Panoramic X-Ray modality for diagnostic use.
+ + +
RF Radio Fluoroscopy modality for diagnostic use.
+ + +
RG Radiographic imaging modality for diagnostic use.
+ + +
SC Secondary Capture modality for diagnostic use.
+ + +
SR Support for SR documents.
+ + +
US Ultrasound modality for diagnostic use.
+ + +
XA X-Ray Angiography modality for diagnostic use.
+ + +
XC External-camera Photography modality for diagnostic use.
+ + +
Integration into medical information systems

Flexible and open integration interface into Hospital information

HIS
systems. + + +
 Flexible and open integration interface into Radiology information
RIS
systems. + + +
Flexible and open integration interface into Picture archiving and
PACS
communication systems. + + +
VNA Flexible and open integration interface into Vendor Neutral Archives.
+ + +
EHR Flexible and open integration interface into Electronic health records.
+ + +
EMR Flexible and open integration interface into Electronic medical records.
+ + +
PHR Flexible and open integration interface into Personal health records.
+ + +
Patient Portal Flexible and open integration interface into Patient Portals.
+ + +
Flexible and open integration interface into eHealth, national or regional
eHealth
eHealth systems. + + +
Flexible and open integration interface into Teleradiology or
Teleradiology
Telemedicine systems. + + +
Cloud Flexible and open integration interface into Cloud healthcare systems.
+ + +
Any medical Flexible and open integration interface into any other medical
application applications. + + +
Integration types

The viewer can be integrated into any application by using URL links. It
Integration via URL
could be added into iFrame or opened in a new browser tab or window. + + +
The viewer can be integrated into any application by using
Integration via
Communication API
Communication API. This method allows controlling MedDream
functionalities (open study, add study, close study, set layout, open the
+ + +
instance with defined transformations, set callbacks, etc.).
The viewer can be integrated into any application by adding it as a
Integration via Viewport (as web a component in React/Angular application) for image + + +
Viewport API visualization. User interface and user experience can be developed by
the customer.
Integration via URL

Study UID By Study UID: URL?study={studyUID}. Online demo.

+ + +
Patient ID By Patient ID: URL?patient={patientID}. Online demo.
+ + +
Accession Number By Accession Number: URL?acc={AccessionNumber}. Online demo.
+ + +
Patient ID + By Patient ID + Accession Number:
Accession Number URL?patient={PatientID}&acc={AccessionNumber}. Online demo. + + +
File By path to File: URL?file=PATH_TO_YOUR_FILE
+ + +
Token-based Token-based secure integration.
+ + +
Integration with AI/CAD

AI annotations and overlays are stored as GSPS to ensure consistent

GSPS
display without modifying original images. + + +
AI-generated images are saved as SC DICOM for broad viewer
Secondary Capture
compatibility. + + +
AI reports are encapsulated as DICOM PDFs for easy storage and
PDF
retrieval in PACS. + + +
AI findings are structured in DICOM SR for machine-readable data and
SR
automated workflows. + + +
 Enables dynamic, bidirectional AI integration, allowing real-time data
Real Type API exchange between the Viewer and AI, with the doctor being able to + - -
modify results for AI reprocessing.
Displaying CAD SR findings (iCAD and R2) on mammography images.
CAD marks
Possibility to show/hide. + - -
PACS server support

Multi PACS support Supporting Multi PACS by plugins.

+ + +
MedDream PACS Server to store, archive, and manage medical images. Read more.
+ + +
PacsOne PACS
server
Read more.
+ + +
dcm4chee v2 and
dcm4chee v5 PACS
Read more.
+ + +
server
Orthanc PACS Read more.
+ + +
DICOM The service is used to query a DICOM archive about its content, and to
Query/Retrieve eventually retrieve some portions of that content to another DICOM + + +
node.

FileSystem A plugin that uses simple directories instead of a full-fledged PACS.

+ + +
ClearCanvas Read more.
+ + +
Conquest DICOM
software
Read more. + + +
Google Cloud MedDream could be integrated with Cloud Healthcare API into Google
Healthcare Cloud Healthcare. + + +
PACS supporting WEB DICOM (WADO) support: possibility to connect with any PACS
WADO that support WADO integration. + + +
Any PACS or other
DICOM system
The viewer can be integrated into any PACS system by plugins. + + +
Virtualization environments support

VMWare VMWare virtualization. Read more.

+ + +
Docker Docker container. Read more.
+ + +
Kubernetes Kubernetes deployment support. Read more.
+ + +
Hyper-V Hyper-V virtualization. Read more.
+ + +
Cloud deployment support

Amazon AWS Amazon Cloud deployment. Read more about Amazon Web Services.
+ + +
AWS HealthImaging AWS HealthImaging integration. Read more about AWS HealthImaging.
+ + +
Google Google Cloud deployment. Read more about Google Cloud Healthcare.
+ + +
Microsoft Azure Cloud deployment. Read more about Microsoft Azure
Azure
Cloud. + + +
Alibaba Alibaba Cloud deployment. Read more about Alibaba Cloud.
+ + +
 DB Engines support

MySQL MySQL database support. Read more.

+ + +
PostgreSQL PostgreSQL database support. Read more.
+ + +
MSSQL MSSQL database support. Read more about Microsoft SQL Server.
+ + +
MariaDB MariaDB database support. Read more.
+ + +
Other The viewer can be integrated into any DB Engine by request.
+ + +
Operating Systems on server-side support

Windows Server Windows Server 2019, 2022 and newer.

+ + +
Windows Windows 10, Windows 11 (64 bit only) and newer.
+ + +
Linux Debian 12, Ubuntu 22.04 LTS, CentOS 7.9-2009, Fedora 39.
+ + +
Operating Systems on client-side support

Windows Windows 10, Windows 11.

+ + +
iOS 17, iPadOS 17, macOS Sonoma, macOS Ventura, and macOS
Apple macOS X Monterey. + + +
Web browsers support

Microsoft Edge 123 or later.

+ + +
Mozilla Firefox 124 or later.
+ + +
Google Chrome 123 or later.
+ + +
Safari 17 or later.
+ + +
Mobile devices (tablets and smartphones) support

IOS Safari 17 or later, Chrome 123 or later.

+ + +
Android Chrome 123 or later, Firefox 124 or later.
+ + +
Regulatory

U.S. FDA
FDA cleared (510 (k); No. K222320) as a class II medical device
intended for diagnostic use including mammographic images.
+ + +
Europe CE
Certified as a Class IIb device according to MDR (certificate No. HZ
2620158-1).
+ + +
Canada
Registration
Registered as a Class 2 medical device. + + +
United Kingdom
MHRA
Registered as radiology picture archiving and communication system
workstation.
+ + +
Switzerland
Registration
Registered as a IIB class radiology picture archiving and
communication system workstation.
+ + +
France
Registration
Registered as an IIB class medical device in the ANSM database. + + +
Singapore
Registration
Registered as a Class B medical device. + + +
 Malaysia
Registration Registered as an IIB class medical device. + + +
Morocco
Registration
Registered as an IIB class medical device. + + +
Russia
Registration
Registered as a Class 2b medical device. + + +