Orthanc for online consuktations kind of remote cancer board

Dera orthanc users
I’m using orthanc as my dicom storage and viewer for 2 years. I am an orthopaedic surgeon getting a lot of patien dicom files to look through. I also would like to use Orthanc as a kind of remote tool for colleagues to discuss special or rare cases online, maybe like a remote cancer board. Perhaps I used the wrong searchterms looking through the documentation but i didn find a solution. Has anyone set up a configuration for this purpous. At the moment I am thinking of using my storage on a virtual machine while others connect via Teams or similar. Alternatively setting up a virtual machine on a cloud server and connect remotely. The goal should be a “safe place” which could be reset after each use for data safety.
Has anyone setup a rolemodel for this kind of use for a practitioner without big resources from Hospital IT or could anyone point me to a group or discussion ?
Looking forward for your replies
Greetings Stefan

I am a Veterinarian, and I set up an orthanc instance facing outward to experiment… but was not sure I wanted to keep it up full time dt security.

Used port forwarding… obscure random port facing out. Password and user name unique in the json for each authorized user.

I wanted to "toughen it " by using fail 2 ban on the password setup… not sure why that behavior isn’t just a “built in feature” 3 strikes and lock out for an hour. Alain??

Could probably use a vpn on the router, and give the users credentials for that… might be the easiest extra security, but takes more training for the user.

Anyway in the experiments, it worked across the web just about as well as on my internal network.


I would advise to simply run Orthanc on a virtual machine (possibly in the cloud), enable HTTP basic authentication, and put HTTPS encryption in place, using Apache/nginx, as explained in the Orthanc Book:

If you activate the Stone Web viewer plugin, you’ll have a full teleradiology solution to discuss special or rare cases online:

If you run Orthanc from a Docker container, you can very easily wipe out the content of the database, simply by restarting the container:

Another cleaner possibility to wipe out the database would be to write a script that deletes all the studies using the REST API of Orthanc:

If you don’t have the technical knowledge to deploy such a setup, feel free to get in touch with one of our professional partners: