IMAGING CONNECTORS
Modalities & Devices
3 of 8Connect imaging modalities and devices to Mediloop using standard DICOM services, worklists, acquisition status, routing and secure device connectivity.
DICOMModality WorklistC-STOREMPPSDevice ManagementWorkstation AgentVendor Agnostic
Architecture Overview
1
RIS / HIS
Order, appointment, patient & exam data
2
Modality Worklist
DICOM MWL C-FIND retrieves scheduled work
3
Modality / Device
Performs acquisition and creates images
4
Image Transfer
DICOM C-STORE to PACS / VNA
5
PACS / VNA
Stores images & metadata
6
Mediloop Connector
Metadata sync, viewer, reports & AI
7
Clinician / Patient
Access images in Mediloop
Supported Modalities
| Modality | Examples |
|---|---|
| CT | Computed Tomography |
| MR | Magnetic Resonance |
| CR / DR / DX | Radiography |
| US | Ultrasound |
| MG | Mammography |
| NM / PET / SPECT | Nuclear medicine |
| RF / FL / XA | Fluoroscopy / angiography |
| Endoscopy | Endoscopic imaging |
| Other DICOM devices | Ophthalmology, dental, pathology and specialty systems |
DICOM Services
| Service | Purpose |
|---|---|
| C-ECHO | Verify connectivity |
| C-FIND | Query worklist / patients / studies |
| C-MOVE | Retrieve images server-to-server |
| C-GET | Retrieve images to requester |
| C-STORE | Send images to PACS / VNA |
| Modality Worklist | Scheduled procedure setup |
| MPPS | Modality Performed Procedure Step |
| Storage Commitment | Confirm reliable image storage |
| QIDO-RS / WADO-RS / STOW-RS | DICOMweb query, retrieve and store |
Registration & Setup
Configure AE Title / Calling & Called AE Titles
Set hostname or IP address and port
Configure DICOM port and TLS/mTLS options
Set character set and time zone
Record device description, manufacturer and model
Declare supported capabilities and conformance statement
Run C-ECHO and functional validation
Set lifecycle status active / inactive
Connectivity Options
Direct DICOM connection
Standard hospital network connectivity
Static IP or DNS
Open approved DICOM ports
Firewall rules and TLS where available
Via Workstation Agent / gateway
Useful for isolated or local networks
Secure outbound Mediloop connection
Store-and-forward with local buffering
Automatic reconnect and reliability controls
Acquisition & Status
Real-time acquisition status
MPPS events — STARTED / ENDED / CANCELED
Image count and transfer progress
Error / warning notifications
Rejection handling and retry logic
Exposure / dose metadata where available
Contrast / protocol details
Device messages and logs
Routing & Destinations
Route to primary PACS
Route to secondary PACS / VNA
Route to local archive
Route to Mediloop connector / Orthanc
Multi-destination storage
Routing rules by modality / AE Title / site
Failover and automatic retry
Bandwidth- or time-based routing
Network & Security
DICOM TLS / mTLS
Encrypt imaging traffic and authenticate endpoints
Network controls
IP allowlists, firewall rules and segmentation
Device identity
Associate trusted device identity and ownership
Auditability
Audit every connection, transfer and relevant status event
Vendor Considerations
Review vendor DICOM conformance statement
Validate behavior with real devices before go-live
Confirm firmware / software compatibility
Map vendor-specific attributes only when required
Document storage commitment and MPPS support
Leverage vendor SDKs only where standards do not cover the required capability
Best Practices
Register modalities with clear AE Titles and ownership
Validate connectivity using C-ECHO before enabling workflows
Use Modality Worklist to reduce patient/exam mismatches
Monitor MPPS and acquisition status
Implement retry, queue and failback mechanisms
Keep device clocks synchronized
Test failover and maintenance procedures
What’s Next
Connect RIS / worklist workflows
Configure PACS/VNA destinations
Enable image routing and storage commitment
Validate metadata synchronization
Test viewer retrieval and report linkage
Move to staging and production onboarding