DICOM Assist
Enterprise imaging routing and integration platform
DICOM Assist receives medical images from modalities or PACS, applies customer-defined routing and workflow rules, and delivers them to local PACS, cloud storage, AI pipelines, teleradiology groups, and remote sites from one web-managed platform.
What it is
DICOM Assist is not a PACS and it is not a diagnostic viewer. It is the integration layer that keeps imaging data moving - routing, workflow, and delivery across a mixed healthcare environment.
How it fits
One platform between your imaging sources and every destination
Modalities and PACS
DICOM Assist
Destinations
Capabilities
A full routing and integration platform
Rule-based routing engine
Route studies by modality, source AE title, source IP/CIDR, DICOM tag values, SOP class, or any combination, evaluated in priority order.
Multi-protocol destinations
Send to DICOM PACS/VNAs (C-STORE), Amazon S3, Azure Blob, Google Cloud Storage, DICOMweb (STOW-RS), HL7 v2 (MLLP), and FHIR (REST) - all from one platform.
Remote Gateway
A lightweight site-local component receives DICOM locally and relays outbound-only over mTLS, so central IT never needs inbound firewall access, VPN ingress, or line-of-sight into the remote site.
Guided Orchestration
A workflow wizard (trigger, actions, review) for routing, Query/Retrieve, HL7 actions, and webhooks - no developer-owned scripts required.
Query/Retrieve
C-FIND/C-MOVE against remote PACS and scheduled prefetch, so studies can be pulled on demand instead of waiting for a push.
Load balancing and failover
Group destinations for round-robin, weighted, or least-connections distribution, with automatic failover when a target goes offline.
Enterprise security
DICOM TLS/mTLS, RBAC, MFA, SSO (Azure AD / LDAP), scoped API keys, IP whitelisting, and a full audit log.
Real-time dashboard and destination health
Live throughput metrics, C-ECHO destination health checks, queue visibility, and configurable alerts.
Webhook and email notifications
HMAC-signed webhooks for study/routing events (no PHI in payloads) plus scheduled email summaries.
HL7 / FHIR bridge
HL7 v2 MLLP with ADT parsing, FHIR REST ingress/egress, and an HL7-to-FHIR translation layer.
DICOM Assist fits between free but complex open-source tooling and high-cost enterprise integration engines. It is designed for teams that need practical DICOM routing, modern protocol support, remote site connectivity, security controls, and a web-managed operational experience without turning every workflow into a custom software project.
Who it's for
Built for the teams that keep imaging moving
Hospital IT and PACS teams
Consolidate ad hoc routing scripts and per-vendor exports into one rule-based, web-managed platform.
Imaging centers
Connect multiple modalities and referring groups to the right destinations without a custom integration project for each one.
Health systems and IDNs
Standardize DICOM routing and workflow across every facility from a single platform.
Teleradiology groups
Route studies to multiple reading groups and destinations with load balancing and failover built in.
Cloud and AI teams
Deliver studies to cloud storage and AI pipelines alongside existing PACS destinations, without disrupting clinical routing.
Use cases
Where DICOM Assist gets deployed
Enterprise DICOM routing consolidation
Replace multiple point-to-point interfaces with one rule-based routing engine.
Cloud archive and AI enablement
Deliver studies to S3, Azure Blob, GCS, or an AI pipeline alongside existing PACS destinations.
Remote site connectivity (no inbound firewall exposure)
Connect satellite and remote sites through the Remote Gateway's outbound-only mTLS relay.
Teleradiology and multi-destination routing
Distribute studies to multiple reading groups with load balancing and automatic failover.
Query/pull workflows
Pull studies on demand with C-FIND/C-MOVE and scheduled prefetch instead of waiting on a push.
PACS-admin workflow automation
Build routing, HL7, and webhook workflows in a guided wizard instead of custom scripts.
Status
Production-grade, self-hosted, ready to demo
Ready to simplify your DICOM infrastructure?
See how DICOM Assist connects your imaging systems without inbound firewall changes and without vendor lock-in.
Request a demo