DICOM Assist
Every study, to every destination, on your terms.
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 is not a diagnostic viewer. It is the routing, workflow, and integration layer that keeps imaging data moving across a mixed healthcare environment.
How it fits
One platform between your imaging sources and every destination
Modalities and PACS
C-STORE, Query/Retrieve, HL7, DICOMweb
DICOM Assist
Rules, transforms, retries, audit
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, series description, or SOP class - alone or in combination, evaluated in priority order within a rule set.
Interfaces, not a single listener
Each inbound DICOM interface has its own bind address, port, AE title, TLS posture, allow-lists, enabled services, and rule set, added and enabled from the console without restarting the service.
Multi-protocol destinations
Send to DICOM PACS and VNAs (C-STORE), Amazon S3, Azure Blob, Google Cloud Storage, DICOMweb (STOW-RS), HL7 v2 over MLLP, FHIR REST, a local or UNC folder, and grayscale DICOM film printers.
Remote Gateway
A site-local component receives DICOM locally, spools it durably, and relays outbound-only over mTLS, so central IT never needs inbound firewall access, VPN ingress, or line of sight into the remote site.
Query/Retrieve and prefetch
C-FIND, C-MOVE and C-GET against remote PACS, plus scheduled prefetch built from pickers rather than cron - and each schedule carries its own time zone, so it holds its local hour across daylight-saving changes.
Load balancing and failover
Group destinations for round-robin, weighted, or least-connections distribution, with automatic failover, retries, and dead-letter handling when a target goes offline.
Built for the security review
Self-hosted, outbound-only, audited
DICOM Assist runs inside your infrastructure. Remote sites connect outbound over mutual TLS with no inbound firewall exception. De-identification fails closed rather than shipping an un-scrubbed study, and pixel data is never modified.
Read the security postureWho 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, with cross-organisation patient identifiers handled explicitly.
Teleradiology groups
Route studies to multiple reading groups and destinations with load balancing and failover built in.
Research and AI teams
Deliver de-identified studies to cloud storage and AI pipelines alongside existing PACS destinations, without disrupting clinical routing.
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.
Evaluating DICOM Assist
Evaluations run on your own infrastructure, against your own modalities and destinations. Tell us what you are trying to connect and we will scope it.
Request a demoAlready a customer
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