{"id":1297,"date":"2015-07-10T15:03:17","date_gmt":"2015-07-10T15:03:17","guid":{"rendered":"https:\/\/probo2020.bssdev.com\/?p=1297"},"modified":"2021-11-01T02:19:21","modified_gmt":"2021-11-01T02:19:21","slug":"how-to-connect-an-ultrasound-to-dicom-or-pacs","status":"publish","type":"post","link":"https:\/\/stage.probomedical.com\/ca\/learn\/blog\/how-to-connect-an-ultrasound-to-dicom-or-pacs\/","title":{"rendered":"How to Connect an Ultrasound to DICOM or PACS"},"content":{"rendered":"<div id=\"pl-1297\"  class=\"panel-layout\" ><div id=\"pg-1297-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-1297-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-1297-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2>Understanding one of the most confusing parts of ultrasound setup<\/h2>\n<div id=\"attachment_17668\" class=\"wp-caption alignright\">\n<p id=\"caption-attachment-17668\" class=\"wp-caption-text\">\n<\/div>\n<p>DICOM and PACS. These are the dreaded words I hear when a customer calls for technical support. It\u2019s rarely an easy conversation, and more often a very frustrating one for the ultrasound user. The reason?\u00a0Sonographers and physicians are not IT professionals. And to connect to DICOM or PACS, you need to have some background in understanding your router and basic networking.<\/p>\n<p>From \u201cwhat is an IP address\u201d to failed image transfer, this can be a complicated issue, particularly for those without an existing IT department.<\/p>\n<p>The problem, though, is that I can\u2019t fix many of the problems\u00a0over the phone. Someone typically needs to be on-site to check the routers and trace the problem. At the bottom of this post, I\u2019ve outlined the most common problems experienced when setup is done properly. That list solves 95% of problems. The rest of this post gives an overview of what\u2019s needed to get set up.<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-1297-0-0-1\" class=\"so-panel widget widget_sow-image\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-c67d20f9f743-1297\"\n\t\t\t\n\t\t>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/DICOM-300x263.jpg\" width=\"300\" height=\"263\" srcset=\"https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/DICOM-300x263.jpg 300w, https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/DICOM-600x525.jpg 600w, https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/DICOM.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" title=\"DICOM setup\" alt=\"DICOM\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><div id=\"panel-1297-0-0-2\" class=\"so-panel widget widget_sow-editor\" data-index=\"2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p style=\"text-align: center;\">A DICOM software option makes image transfer easy, but it can be difficult to set up.<\/p>\n<p>DICOM is one of the most misunderstood and confusing things for experienced and inexperienced users. Unfortunately, there\u2019s nothing out there that explains it well. There\u2019s a reason for that\u2026 the reason is that it\u2019s different for every machine, every network, and every radiologist. All three components are given unique, specific information that can only be provided by parties directly involved with the network. If you need to know more about DICOM and PACS, you\u2019ll see some definitions at the end of this post.<\/p>\n<p>Let\u2019s look at this as though you\u2019re having FedEx pick up images and deliver them to your radiologist. In order to do so, you must have a FedEx account, an address from which FedEx can pick up your images, and a delivery address. When these addresses are confirmed, you can schedule FedEx to pick up and deliver your images whenever you so desire.<\/p>\n<p>In the DICOM Networking world, this is very similar. You need three\u00a0things: 1) a network connected to the Internet, 2) your own network address that will let your machine connect to the Internet, and 3) a network address to deliver the images. These addresses are called IP Addresses, and they\u2019re unique to your machine and theirs. In place of your name, they have something called an AE Title, which uniquely identifies you as the sender. Finally, there\u2019s a port number, which is similar to saying the images will only be accepted via FedEx (not UPS, USPS, or other carrier).<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-1297-0-0-3\" class=\"so-panel widget widget_sow-image\" data-index=\"3\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-c67d20f9f743-1297\"\n\t\t\t\n\t\t>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/Dicom-setup-screen-300x225.png\" width=\"300\" height=\"225\" srcset=\"https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/Dicom-setup-screen-300x225.png 300w, https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/Dicom-setup-screen-600x450.png 600w, https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/Dicom-setup-screen.png 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" title=\"PACS setup\" alt=\"PACS\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><div id=\"panel-1297-0-0-4\" class=\"so-panel widget widget_sow-editor\" data-index=\"4\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>So, in order to get connected, you need to connect to the network,\u00a0and provide your ultrasound with the\u00a0proper addresses and information for delivery.<\/p>\n<p>So, unless you run your own network and plan to read your own studies, you can\u2019t do this on your own.\u00a0Setting up DICOM requires the help of at least one IT professional\u2026 one on the receiving (server) side, and probably one for your own network.<\/p>\n<p>If you have an IT person, it is best to try and let them take over.<\/p>\n<p>Following the steps below,\u00a0you\u2019ll be armed with the proper information and steps to get your DICOM images sent properly to the radiologist.<\/p>\n<p>STEP 1: Call the person, department or company who will be receiving and reading\u00a0your studies. Tell them you need the\u00a0DICOM information to enter into your\u00a0ultrasound machine. That person is going to give you a list that has a bunch of numbers and names. This list will include, but is not limited to:<\/p>\n<ul>\n<li>AE TITLE<\/li>\n<li>IP ADDRESS<\/li>\n<li>Device Name\/Computer Name<\/li>\n<li>PORT<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><div id=\"panel-1297-0-0-5\" class=\"so-panel widget widget_sow-image\" data-index=\"5\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-c67d20f9f743-1297\"\n\t\t\t\n\t\t>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/Ultrasound-DICOM-and-Network-Settings-300x211.png\" width=\"300\" height=\"211\" srcset=\"https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/Ultrasound-DICOM-and-Network-Settings-300x211.png 300w, https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/Ultrasound-DICOM-and-Network-Settings-600x422.png 600w, https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/Ultrasound-DICOM-and-Network-Settings.png 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" title=\"ultrasound training\" alt=\"ultrasound guide\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><div id=\"panel-1297-0-0-6\" class=\"so-panel widget widget_sow-editor\" data-index=\"6\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>There are\u00a0often a lot of other parameters that you\u2019ll find on a DICOM setup page. You likely won\u2019t need a lot of this information, so don\u2019t worry if it\u2019s not provided. The items you really need are the AE Title, IP Address, and Port number. For other DICOM services (worklist, print, etc), you will be given other information to input on the corresponding services screen. Don\u2019t change the other stuff unless it\u2019s specifically requested.<\/p>\n<p>Once you receive the information, set it aside\u00a0where you can refer to it later. If you were unable to obtain this information, stop here and come back once you have it.<\/p>\n<p>STEP 2: Connect to your own network. This can be tricky. If you have an IT person, I highly recommend you ask this person to get your machine connected to the network. It\u2019s worth the money to get it done correctly.<\/p>\n<p>You\u2019ll want to take the IT person\u00a0to your network setup on the ultrasound machine. Check your user manual for its location, or see if we have a video on reaching your network setup screen in\u00a0our library of free\u00a0Ultrasound Training Videos. In our training library, we have DICOM setup videos for a large number of ultrasound machines, one of which may be yours!<\/p>\n<p>They\u00a0will also need access to your network router or company server to ensure the machine is set up properly and a firewall is not blocking network traffic from the machine.<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-1297-0-0-7\" class=\"so-panel widget widget_sow-image\" data-index=\"7\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-c67d20f9f743-1297\"\n\t\t\t\n\t\t>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/GE-Setup-Ultrasound-300x252.png\" width=\"300\" height=\"252\" srcset=\"https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/GE-Setup-Ultrasound-300x252.png 300w, https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/GE-Setup-Ultrasound-475x400.png 475w, https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/GE-Setup-Ultrasound-600x504.png 600w, https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/GE-Setup-Ultrasound.png 714w\" sizes=\"(max-width: 300px) 100vw, 300px\" title=\"refurbished ultrasound\" alt=\"ultrasound for sale\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><div id=\"panel-1297-0-0-8\" class=\"so-panel widget widget_sow-editor\" data-index=\"8\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>Now that you\u2019re connected, it\u2019s time to enter your DICOM information and test the connection.<\/p>\n<p>STEP 3: Find the DICOM setup screen on your ultrasound machine. Most often, this is found in the same general area as your Network configuration screen. If you can\u2019t find it, refer to your user manual or see if we have a video on reaching your setup screen in our library of free Ultrasound Training Videos.<\/p>\n<p>Note: You may see a lot of available\u00a0DICOM \u201cservices\u201d: Store, Print, Commit, Worklist, and others. The setup is much the same for each of these services. Typically, you\u2019ll start with DICOM Store. And once you set up the initial DICOM Store service, the others are relatively straightforward.<\/p>\n<p>Here, you may be asked to enter a Computer Name. If you were not given one to enter, then you can put in your own information without fear of a connection problem.<\/p>\n<p>Next, you\u2019ll need to enter the AE Title, IP Address, and Port number. They may also give you a subnet or other information. Enter whatever they\u2019ve given you if there is a spot on the machine to enter it (sometimes they\u2019ll give you more information than you need).<\/p>\n<p>When entering the information, you must type it EXACTLY as it\u2019s provided. An incorrectly typed AE Title or IP address will result in a failure when sending images.<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-1297-0-0-9\" class=\"so-panel widget widget_sow-image\" data-index=\"9\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-c67d20f9f743-1297\"\n\t\t\t\n\t\t>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/dicom-ultrasound-300x179.jpg\" width=\"300\" height=\"179\" srcset=\"https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/dicom-ultrasound-300x179.jpg 300w, https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/dicom-ultrasound-600x358.jpg 600w, https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/dicom-ultrasound.jpg 861w\" sizes=\"(max-width: 300px) 100vw, 300px\" title=\"DICOM setup\" alt=\"DICOM use\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><div id=\"panel-1297-0-0-10\" class=\"so-panel widget widget_sow-editor\" data-index=\"10\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>When this is entered, many machines have a \u201cVerify\u201d button, that will send information to the server and wait to get an \u201cOK\u201d response. Press Verify.<\/p>\n<p>Whether you have a Verify option or not, you should send some test images to the radiologist and make sure they receive everything properly.<\/p>\n<p>If you have errors, check your network connection and make sure you\u2019ve entered all the information exactly as it was provided. If that doesn\u2019t help, take a look at the troubleshooting I have at the end of this post.<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-1297-0-0-11\" class=\"so-panel widget widget_sow-image\" data-index=\"11\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-c67d20f9f743-1297\"\n\t\t\t\n\t\t>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/DICOM-VERIFY-300x103.png\" width=\"300\" height=\"103\" srcset=\"https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/DICOM-VERIFY-300x103.png 300w, https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/DICOM-VERIFY-600x205.png 600w, https:\/\/stage.probomedical.com\/ca\/wp-content\/uploads\/sites\/10\/2021\/09\/DICOM-VERIFY.png 713w\" sizes=\"(max-width: 300px) 100vw, 300px\" title=\"DICOM and WIFI\" alt=\"DICOM\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><div id=\"panel-1297-0-0-12\" class=\"so-panel widget widget_sow-editor\" data-index=\"12\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h3>Can I use WiFi?<\/h3>\n<p>At this time, few ultrasounds support WiFi. Despite some claims, it\u2019s rare that you can go purchase a WiFi card and plug it into the USB port. HIPAA is the most-cited reason why it\u2019s not enabled, although some machines are WiFi enabled.<\/p>\n<p>If you do have WiFi, however, this process does not change. You still need to follow the steps in order to send and receive studies.<\/p>\n<h3>Problems?\u00a0Troubleshooting your DICOM Connection<\/h3>\n<p>Images not transferring or are you getting a failed message? At least 9 out of 10 calls I get are resolved by correcting one or all\u00a0of the following problems:<\/p>\n<p>1. Check your AE TITLE. It must be the EXACT same on the ultrasound as it is on the DICOM server. If one letter, space, or anything is off, the server will reject your images without telling you why.<\/p>\n<p>2. Is there a firewall? This is extremely common and can be on your network or theirs. First, check with the IT person handling your network. Next, check with the IT person on the receiving end.<\/p>\n<p>3. Check your network connection. A loose connection to the wall or incorrect or illegal IP Address is more common than you would think.<\/p>\n<h3>What are DICOM and PACS?<\/h3>\n<p>DICOM is an industry standard that is designed\u00a0to allow easy communication across\u00a0multiple modalities among multiple manufacturers. What does that mean? Basically it means that all medical machines that are DICOM compliant must speak the same language when they send information across the network. This allows\u00a0the person reading the studies to have\u00a0one piece of software (a DICOM reader) to read the studies. Before DICOM, manufacturers each had their own language and it required multiple software programs in order to read the studies.<\/p>\n<p>PACS is a complete image archival and storage system and is what receives and archives images transferred via DICOM. Essentially, it describes the computer servers that receive the patient data and images. PACS can be a server\u00a0in your\u00a0office, a cloud, or hospital IT department. You do not need PACS to read DICOM. PACS is just a term to describe a\u00a0system that may include a DICOM server that receives the images you send in the DICOM format. .<\/p>\n<h3>Good Luck!<\/h3>\n<p>Manufacturers often make this more difficult than it should be. GE, for example, has a complex setup for services, devices, buttons, and network settings. It\u2019s not often explained well nor straightforward. When it works, however, their setup can be extremely powerful and versatile. For most, though, it\u2019s WAY more than you need. The manual usually isn\u2019t that helpful, so you\u2019ll need to read it through a few times to understand the complete process.<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-1297-0-0-13\" class=\"so-panel widget widget_sow-editor panel-last-child\" data-index=\"13\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h4>About the Author<\/h4>\n<p><b data-stringify-type=\"bold\"><i data-stringify-type=\"italic\"><a class=\"c-link\" href=\"https:\/\/www.linkedin.com\/in\/brian-gill-ab31bab\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-sk=\"tooltip_parent\">Brian Gill<\/a><\/i><\/b><i data-stringify-type=\"italic\">\u00a0is Probo Medical\u2019s Vice President of Marketing. He has more than 20 years of experience in the ultrasound industry. From sales to service to customer support, he has done everything from circuit board repair and on-site service to networking and PACS, to training clinicians on ultrasound equipment. Through the years, Brian has trained more than 500 clinicians on over 100 different ultrasound machines.\u00a0Currently, Brian is known as the industry expert in evaluating ultrasounds and training users on all makes and models of ultrasound equipment, this includes consulting with manufacturers with equipment evaluations during all stages of product development.<\/i><\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Understanding one of the most confusing parts of ultrasound setup DICOM and PACS. These are the dreaded words I hear&#8230;<\/p>\n","protected":false},"author":53,"featured_media":1298,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[16,20],"tags":[],"article-type":[],"class_list":["post-1297","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-ultrasound-training"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>How to Connect an Ultrasound to DICOM or PACS - Probo Medical CA<\/title>\n<meta name=\"description\" content=\"If you need to know more about DICOM and PACS, you\u2019ll see some definitions at the end of this post.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How to Connect an Ultrasound to DICOM or PACS - 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