AccuRad ImageShare Server is an image server for fast, ef­ficient, low cost distribution of medical images in cross-enterprise health information exchange systems.  It utilizes DICOM, WADO, and the web ser­vices advantages of the IHE’s XDS-I.b Profile to achieve interoperability, and leverages the advanced features of JPEG2000 compression and JPIP streaming for high performance. AccuRad ImageShare Server enables reliable interoperability between the image archive, such as a PACS, and the client image viewer for a vendor-neutral system design. 

How AccuRad ImageShare Server Works

Preparation for JPIP Streaming and Registration
of DICOM Images from Image Archive

1. AccuRad ImageShare Server communicates directly with the image archive to receive DICOM images.
2. AccuRad ImageShare Server compresses the images using JPEG2000 for efficient, standards-compliant storage, and prepares the data for streaming to viewers using the DICOM and XDS-I.b approved JPIP protocol.
3. In preparing the data for streaming, AccuRad ImageShare Server builds a study manifest and DICOM header files with JPIP links to the image data.
4. The server registers the manifest to an XDS.b document repository.

Image Data Viewing Support

1. When the viewing client calls for a study, the server sends the manifest and DICOM header files via WADO
   (or alternatively the JPIP-referenced DICOM files via DICOM).
2. A client such as AccuRad ImageShare Workstation requests the pixel data via JPIP.
3. AccuRad ImageShare Server receives the JPIP request, locates the image and/or region of an image, determines if the image or region has already been delivered, and responds accordingly with JPIP image data or notifications.