Orthanc as an out of the box clinical study scans collector and viewer

We are thinking of a workflow where multiple hospitals push scans to a central location. A third party core lab visualizes the scans on a web viewer and marks studies as accepted or rejected.

We deployed on AWS using what is detailed in the project Orhtweb. We are trying to wrap our head around the complexity involved in solving the following issues:

  • We would like to customize where the images are uploaded (i.e. each hospital uploads to its own S3 bucket and each patient’s scans are collected in a single directory associated to the patient)
  • The Stone Web Viewer seems to be incapable of showing three orthogonal planes from a CCTA volumetric image – is there any other cloud viewer that could be plugged in on top of Orthanc
  • What’s the lay of the land in terms of logging in through credentials?

Regarding a viewer, you might want to check out OHIF (available in Orthanc as a Plug-in), and then Volview:

https://orthanc.uclouvain.be/book/plugins/ohif.html?highlight=ohif
https://orthanc.uclouvain.be/book/plugins/volview.html?highlight=volview

There are a variety of commercial products. Meddream is worth mentioning.

Orthanc also has this:

https://orthanc.uclouvain.be/book/plugins/authorization.html?highlight=advanced%20authorization

That requires a bit of setup and configuration. Or, you can design your solution using NGINX/OpenResty, etc.

Hello,

This is currently not possible but I’m planning to work on that in February-March 2025.

This the orthanc-auth-service is worth having a look at.

HTH,

Alain