A PACS Admin’s Life

One man takes on the world of PACS, RIS, dicom, and all that is digital imaging.

Conquest Dicom Web Viewer

Ok so its been some time since I first posted about the web viewing system that I am making. Since then there where a lot of project under way and it sort of got filled under the pile for a while.I have recently had some time to re-visit the web ...

PACS World: Conquest Server Digging in the Bin

I found an interesting quirk of Conquest Dicom server today while doing some house keeping. I deleted some images in the image directory and decided to re-initialise the database. I suddely noticed that Conquest was shuffeling through the recycle bin and pulling out all the images I had just deleted! ...

Conquest, US, and 00000000 Patient IDs

Boy is this annoying. We have lots of 00000000 (eight) patient IDs in our system. Eight zeros PID is the default Conquest assigns when it receives images with a blank PID field. Many of our GE and Philips ultrasound units do not set the PID field until the tech leaves the ...

Conquest Server Slowdown Part 2

In a previous post, I talked about the Conquest server slowdowns we have been experiencing on an increasing frequency. Previously, I thought these problems might be related to WAN network issues. Last week I made another discovery, this one I suspect being the culprit. Twice last week I was able to ...

Conquest Server Slowdown

Lately we have noticed an increasing number of instances where a clinic’s Conquest server will slow down dramatically. The tech’s on site notice their images not arriving from the modalities in an efficient manner. When we look at it, nothing appears wrong, Conquest is still processing requests, but just slowly. ...

Conquest Server Mirroring / Comparing DICOM Image Counts

Our architecture is such that each clinic runs its own Conquest server. This server is nothing more then a powerful PC with mirrored 500GB drives. It was determined that it would be more cost effective to use inexpensive servers on site with limited storage, and to invest in large storage ...

Steps to take when Conquest logs: Error saving to SQL:

The following is some steps you can take to help troubleshoot issues with Conquest receiving files. These are the steps I have followed to fix specific problems I have encountered. This may fix your problem, this may make your problem worse. Proceed with caution.   Steps to take when Conquest logs:   ***Error saving ...

Conquest: Invaded by…Endians??

One of our clinics just got a 3D probe for a Philips HD11 ultrasound machine. The Philips tech who came to set it up and train was unable to get 3D images sent to our PACS. Upon first glance, I noticed the cases were staying the Philips dicom queue. The ...

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September 24th 2008
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FDA warns Covidien about adulterated imaging agent at Missouri plant

The FDA has sent a warning letter to Covidien’s CEO and President Richard J. Meelia, based on an inspection of its pharmaceutical manufacturing operation Maryland Heights, Mo., that “revealed serious deviations from the good manufacturing practice regulations.”
September 24th 2008
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Hormone therapy before brachytherapy increases mortality in older patients

BOSTON—Men over 70 years of age with early-stage prostate cancer have 20 percent higher mortality if they are treated with hormone therapy before being treated with brachytherapy, compared to men who are treated with brachytherapy alone, according to a large cohort study presented Tuesday at the 50th annual meeting of the American Society for Therapeutic ...
September 24th 2008
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Whole brain radiation therapy can lead to memory, learning problems

BOSTON—Cancer patients with brain metastases who undergo stereotactic radiosurgery and whole brain radiation have more than double the risk of developing learning and memory problems, compared to those who only have stereotactic radiosurgery, according to a randomized study presented Tuesday at the 50th annual meeting of the American Society for Therapeutic Radiology and Oncology (ASTRO).
September 24th 2008
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Shorter PSA doubling time should prompt earlier hormone therapy

BOSTON—Early-stage prostate cancer treated with radiation therapy should begin hormone therapy immediately if their PSA level rises quickly and doubles within six months after treatment; however patients should forego hormones if PSA levels do not rise as quickly, according to research presented Tuesday at the 50th annual meeting of the American Society for Therapeutic Radiology ...
September 24th 2008
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Georgetown researchers suggest CyberKnife is viable for pancreatic cancer

BOSTON—Due to the fact that pancreatic cancer often reoccurs, treatment options are often limited to chemotherapy, but researchers at Georgetown University in Washington, D.C., are utilizing Accuray’s CyberKnife to see if radiosurgery is a viable treatment option in select patients, according to a presentation delivered Sunday at the 50th annual meeting of the American Society ...

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