Originally posted by surferboy:
I totally agree, but for the moment, my biggest goal is to be able to view radiographs (xrays) via a teleradiography system. In my experience, most teleradiography systems are based around Windows. Not sure if that is still true?
Depends on how the images are being sent to you.
I'm a radiologist (presently for the University of Michigan, shortly moving to the Christiana Health System in Delaware). Most teleradiology systems are PC-based, particularly if they use a proprietary system. It would help if you knew the vendor(s) you'll be dealing with.
There is a MacOS X-based system called OsiriX. It recently won some awards from the RSNA at the last meeting in Chicago. Its an open-source, free solution, and its quite full-featured. Its still in active development, and does have a few bugs and crashers, but its quite functional depending on what exactly you need.
It has a DICOM retrieve function that I believe will function across different subnets. Not sure about its built-in DICOM server.
If you want a Mac-based solution, another option is to set up an FTP server the Mac, and let the sending party FTP cases to your machine in DICOM format.
I do have one suggestion, however. And this depends on what you'll be viewing via telerad. For CT/MR/US, the Apple 20" and 23" will be fine. If you're going to be reading many plainfilms, particularly standard PA/Lat CXRs, you'll find the widescreen format of the Apple displays a bit on the short side. My advice for these images is a 20" 4:3 format LCD that supports display rotation. I have a "Brand D" 2001FP, and when I need to view an upright exam, I can swivel it into portrait mode and have a 1200x1600 display - almost exactly half the resolution (and same aspect ratio) as a standard 2K PACS monitor. Its a big help.
I do not recommend anything less than 20" LCDs for radiologic images. Trying to work with such images on something like a 1280x1024 pixel display is too confining for anything other than a one-on-one CT/MR/US hanging protocol. Trying to fit a 4-on-1 512x512 matrix CT on a standard 17"/18"/19" LCD could result in each image being
below diagnostic quality (loosing pixels to make four 512x512 images fit on a 1280x1024 display).
I can supply some interesting references if you're interested.
Of course, if your institution has a web-based distribution system (like the Stentor or Siemens web distribution systems), then you should be able to use any platform you wish (PC or Mac), though to be honest I've never tried the Stentor system via Safari or Mozilla/Firefox. Again, it would help if you had more specifics, then I could advise further.
Oh, by the way, the current retail ATI graphics cards for the Mac support display rotation. The OEM ATI/nVidia cards do not.