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Web-Based DICOM Viewers: A Survey and a Performance Classification.

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Title: Web-Based DICOM Viewers: A Survey and a Performance Classification.
Authors: Pereira, Hugo1 hup@ipvc.pt, Romero, Luis1 romero@estg.ipvc.pt, Miguel Faria, Pedro1 pfaria@estg.ipvc.pt
Source: Journal of Imaging Informatics in Medicine. Jun2025, Vol. 38 Issue 3, p1304-1322. 19p.
Subjects: Database management standards, Databases, Diagnostic imaging, Computer software, Three-dimensional imaging, Web browsers, Digital diagnostic imaging, Programming languages, Dicom (Computer network protocol), Computer-aided diagnosis, Comparative studies, Remote access networks, User interfaces
Abstract: The standard for managing image data in healthcare is the DICOM (Digital Imaging and Communications in Medicine) protocol. DICOM web-viewers provide flexible and accessible platforms for their users to view and analyze DICOM images remotely. This article presents a comprehensive evaluation of various web-based DICOM viewers, emphasizing their performance in different rendering scenarios, browsers, and operating systems. The study includes a total of 16 web-based viewers, of which 12 were surveyed, and 7 were compared performance-wise based on the availability of an online demo. The criteria for examination include accessibility features, such as available information or requirements for usage, interface features, such as loading capabilities or cloud storage, two-dimensional (2D) viewing features, such as the ability to perform measurements or alter the viewing window, and three-dimensional (3D) viewing features, such as volume rendering or secondary reconstruction. Only 4 of the viewers allow for the viewing of local DICOM files in 3D (other than MPR(Multiplanar reconstruction)). Premium software offers a large amount of features with overall good performance. One of the free alternatives demonstrated the best efficiency in both 2D and 3D rendering but faces challenges with missing 3D rendering features in its interface, which is still in development. Other free options exhibited slower performance, especially in 2D rendering but have more ready-to-use features on their web app. The evaluation also underscores the importance of browser choice, with some browsers performing much better than the competition, and highlights the significance of hardware when dealing with rendering tasks. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Imaging Informatics in Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Web-Based DICOM Viewers: A Survey and a Performance Classification.
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  Data: <searchLink fieldCode="AR" term="%22Pereira%2C+Hugo%22">Pereira, Hugo</searchLink><relatesTo>1</relatesTo><i> hup@ipvc.pt</i><br /><searchLink fieldCode="AR" term="%22Romero%2C+Luis%22">Romero, Luis</searchLink><relatesTo>1</relatesTo><i> romero@estg.ipvc.pt</i><br /><searchLink fieldCode="AR" term="%22Miguel+Faria%2C+Pedro%22">Miguel Faria, Pedro</searchLink><relatesTo>1</relatesTo><i> pfaria@estg.ipvc.pt</i>
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  Data: The standard for managing image data in healthcare is the DICOM (Digital Imaging and Communications in Medicine) protocol. DICOM web-viewers provide flexible and accessible platforms for their users to view and analyze DICOM images remotely. This article presents a comprehensive evaluation of various web-based DICOM viewers, emphasizing their performance in different rendering scenarios, browsers, and operating systems. The study includes a total of 16 web-based viewers, of which 12 were surveyed, and 7 were compared performance-wise based on the availability of an online demo. The criteria for examination include accessibility features, such as available information or requirements for usage, interface features, such as loading capabilities or cloud storage, two-dimensional (2D) viewing features, such as the ability to perform measurements or alter the viewing window, and three-dimensional (3D) viewing features, such as volume rendering or secondary reconstruction. Only 4 of the viewers allow for the viewing of local DICOM files in 3D (other than MPR(Multiplanar reconstruction)). Premium software offers a large amount of features with overall good performance. One of the free alternatives demonstrated the best efficiency in both 2D and 3D rendering but faces challenges with missing 3D rendering features in its interface, which is still in development. Other free options exhibited slower performance, especially in 2D rendering but have more ready-to-use features on their web app. The evaluation also underscores the importance of browser choice, with some browsers performing much better than the competition, and highlights the significance of hardware when dealing with rendering tasks. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Group: Ab
  Data: <i>Copyright of Journal of Imaging Informatics in Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10278-024-01216-5
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      – SubjectFull: Database management standards
        Type: general
      – SubjectFull: Databases
        Type: general
      – SubjectFull: Diagnostic imaging
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      – SubjectFull: Computer software
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      – SubjectFull: Three-dimensional imaging
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      – SubjectFull: Web browsers
        Type: general
      – SubjectFull: Digital diagnostic imaging
        Type: general
      – SubjectFull: Programming languages
        Type: general
      – SubjectFull: Dicom (Computer network protocol)
        Type: general
      – SubjectFull: Computer-aided diagnosis
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      – SubjectFull: Comparative studies
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      – SubjectFull: Remote access networks
        Type: general
      – SubjectFull: User interfaces
        Type: general
    Titles:
      – TitleFull: Web-Based DICOM Viewers: A Survey and a Performance Classification.
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            NameFull: Pereira, Hugo
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              M: 06
              Text: Jun2025
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              Y: 2025
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