A PACS Admin’s Life

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

TCP Window Refresh Causing Slowdown

At one of our sites, the Conquest PACS system has days where it will just slow to a crawl. Specifically, any images from the various ultrasound modalities will suddenly trickle to the server. Pulling images from PACS is fine, it is just that the images are not there to pull ...

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: 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 ...

Domain Names Need Renewing…

One of the most important ways a company communicates with their customers is via the web and email. Yet, such an critical function is entirely dependent on keeping the domain name registered, and all too often, companies let it expire and are confronted with headaches and upset customers and partners. As ...

Oh The Details…

Think you have all your ducks in a row in regards to your disaster recovery plans? You might want to check those ducky’s again! Claus Mikkelsen talks about a bank that thought all was well during a power outage. Trouble is, they had diesel generators on the roof, supplied by diesel fuel ...

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February 9th 2010
Tags: intelerad, pacs, thoughts One Comment

Mammo viewer… progress is good

Intelerad really won us over years ago with their responsive communication. In sharp contrast to the other vendor under heavy consideration at the time (Agfa), we saw our questions answers and our concerns addressed in a reasonable timeframe time and again. I imagine a significant number of other customers would ...
January 31st 2010
Tags: thoughts No Comments

Disaster Planning… how much is enough? Part 4

One of our initiatives right now is to build a Disaster Recovery site. Unfortunately, those cost money. So the people signing the checks want to know what the project is going to provide before approving funds. This is where things get tricky. It is a DR site, it is going ...
January 29th 2010
Tags: ris, thoughts No Comments

Disaster Planning… how much is enough? Part 3

We are fortunate (or unfortunate, depending on the day!) to have a RIS developed in house. This affords us some great flexibility, but it can also cause much stress. Without a vendor to fall back on, the buck stops with us when something goes south. Happily, that doesn’t happen often ...
January 28th 2010
Tags: thoughts No Comments

Disaster Planning… how much is enough? Part 2

Previously, I discussed an issue we had with a PACS server losing a hard drive and also having its RAID configuration fail. This time the topic will be an issue we had with PACS data. To make a long story short, some data was deleted off our servers due to an ...
January 28th 2010
Tags: servicedeskplus, tutorials No Comments

Servicedesk Plus SSO Configuration

We use Zoho's Servicedesk Plus, and in a recent upgrade, ran into an issue with getting single sign on (SSO) working. Perhaps someone else can benefit from our experience. We were not using AD integration or SSO prior to moving to 7602 (from 7.5.x). Initially, in the Domain Scan and Active Directory ...

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