DICOM Router - Main

DICOM Proxy/Router/PACS - Advanced Healthcare Imaging Solution

Overview

The DICOM Proxy/Router/PACS is a powerful, enterprise-grade healthcare imaging solution built on .NET 9.0 that provides comprehensive DICOM networking capabilities combined with modern web APIs. It functions as a bridge between traditional DICOM systems and modern web-based applications, enabling seamless integration in complex healthcare environments.

Key Features

🏥 DICOM Network Services

  • Full DICOM 3.0 compliance
  • C-STORE SCP/SCU (Store operations)
  • C-FIND SCP/SCU (Query operations)
  • C-GET SCP/SCU (Retrieve operations)
  • C-MOVE SCU (Move operations)
  • C-ECHO SCP/SCU (Connectivity verification)

🌐 DICOMweb REST APIs

  • QIDO-RS (Query based on ID for DICOM Objects)
  • WADO-RS (Web Access to DICOM Objects)
  • STOW-RS (Store Over the Web)

🔄 Proxy & Routing

  • Multi-PACS routing and load balancing
  • Connection pooling and management
  • Intelligent request forwarding
  • Real-time connection monitoring

💾 Storage Management

  • File-based DICOM storage with hierarchy
  • SQLite metadata indexing
  • Configurable storage quotas
  • Automatic cleanup policies

🔒 Security & Enterprise Features

  • TLS/SSL support for secure communications
  • AE Title authentication
  • License management system
  • Comprehensive audit logging

Architecture Overview

┌─────────────────┐    ┌─────────────────┐    ┌─────────────────┐
│   DICOM Client  │    │   Web Client    │    │   PACS Server   │
│                 │    │                 │    │                 │
└─────────┬───────┘    └─────────┬───────┘    └─────────┬───────┘
          │                      │                      │
          │ DICOM Protocol       │ HTTP/REST            │ DICOM Protocol
          │                      │                      │
          ▼                      ▼                      ▲
┌─────────────────────────────────────────────────────────────────────┐
│                    DICOM Proxy/Router/PACS                         │
├─────────────────────────────────────────────────────────────────────┤
│  ┌─────────────────┐  ┌─────────────────┐  ┌─────────────────┐     │
│  │  DICOM SCP/SCU  │  │   HTTP API      │  │  Storage Mgmt   │     │
│  │                 │  │                 │  │                 │     │
│  │ • C-STORE       │  │ • QIDO-RS       │  │ • File System   │     │
│  │ • C-FIND        │  │ • WADO-RS       │  │ • SQLite Index  │     │
│  │ • C-GET         │  │ • STOW-RS       │  │ • Metadata      │     │
│  │ • C-MOVE        │  │ • Proxy APIs    │  │ • Cleanup       │     │
│  │ • C-ECHO        │  │                 │  │                 │     │
│  └─────────────────┘  └─────────────────┘  └─────────────────┘     │
│                                                                     │
│  ┌─────────────────┐  ┌─────────────────┐  ┌─────────────────┐     │
│  │ Connection Mgmt │  │ Config & Licensing│ │   Logging &     │     │
│  │                 │  │                 │  │   Monitoring    │     │
│  │ • Pool Management│  │ • JSON Config   │  │ • NLog          │     │
│  │ • Load Balancing│  │ • AE Titles     │  │ • Health Checks │     │
│  │ • Failover      │  │ • License Mgmt  │  │ • Performance   │     │
│  └─────────────────┘  └─────────────────┘  └─────────────────┘     │
└─────────────────────────────────────────────────────────────────────┘

Documentation Structure

This manual is organized into the following sections:

  1. Installation Guide - Setup and deployment instructions
  2. Configuration Reference - Complete configuration options
  3. API Reference - REST API endpoints and usage
  4. DICOM Services Guide - DICOM network operations
  5. SDK Documentation - Developer SDK and integration
  6. Examples & Tutorials - Practical implementation examples
  7. Troubleshooting Guide - Common issues and solutions
  8. Security Guide - Security configuration and best practices

Quick Start

  1. Download and Install

    # Extract the application to desired directory
# Ensure .NET 9.0 Runtime is installed

  2. Basic Configuration

    {
  "DicomPort": 11112,
  "HttpPort": 8080,
  "HttpsPort": 8443,
  "StoragePath": "C:\\DicomStorage",
  "ThisModality": {
    "AE_Title": "DICOMPROXY",
    "Port": 11112,
    "IPAddress": "0.0.0.0"
  }
}

  3. Run the Service

    # Windows Service
sc create DicomProxy binPath="DicomProxyRTWindows.exe"
sc start DicomProxy

# Or run directly
DicomProxyRTWindows.exe

  4. Verify Installation

    # Test DICOM echo
echoscu localhost 11112 -aet TESTCLIENT -aec DICOMPROXY

# Test HTTP API
curl http://localhost:8080/api/studies

System Requirements

Minimum Requirements

  • OS: Windows 10/11, Windows Server 2019/2022
  • Runtime: .NET 9.0 Runtime
  • RAM: 4 GB minimum, 8 GB recommended
  • Disk: 100 MB application + storage space for DICOM files
  • Network: TCP ports for DICOM (default 11112) and HTTP/HTTPS (default 8080/8443)

Recommended Requirements

  • OS: Windows Server 2022
  • Runtime: .NET 9.0 Runtime with latest updates
  • RAM: 16 GB or higher for high-throughput environments
  • Disk: SSD storage with RAID configuration
  • Network: Dedicated network interface for DICOM traffic

Support and Documentation

  • API Documentation: Available at http://localhost:8080/openapi.json when running
  • Source Code: Advanced .NET 9.0 codebase with extensive inline documentation
  • Logging: Comprehensive NLog-based logging for troubleshooting
  • Configuration: JSON-based configuration with extensive customization options

License

This software requires a valid license for production use. Demo mode is available for evaluation purposes.

For detailed information on each component, please refer to the specific documentation sections linked above.