What is DICOM Image Format & Why is It Important in Radiology?

February 23, 2023

DICOM (Digital Imaging and Communications in Medicine) is the international standard for storing, transmitting, and viewing medical imaging files. It is essential in radiology because it enables interoperability across imaging devices, PACS systems, and viewing software, improving workflow efficiency, and patient care.

What is the DICOM image format?

DICOM is the global standard for transmitting, storing, retrieving, and displaying medical imaging information. Files use the “.dcm” extension and include both image data and a header with patient demographics and study parameters. DICOM supports multiple modalities, including X-ray, CT, MRI, ultrasound, and PET scans.

Why is DICOM important in radiology workflows?

Before DICOM, radiologists relied on physical film scans stored in jackets. DICOM revolutionized imaging by enabling digital storage and transmission, reducing costs, improving accessibility, and supporting advanced diagnostic tools. Today, nearly all medical imaging systems depend on DICOM for interoperability.

How do you access DICOM files?

  • Patients: Typically receive scans on CDs/DVDs with a built-in viewer or a link to download viewing software.
  • Radiology Students: Access anonymized DICOM files from institutions or online resources.
  • Radiologists: Retrieve DICOM files directly from PACS servers for interpretation and diagnosis.

What advanced functionality does modern DICOM software offer?

Modern viewers like InteleViewer or Enterprise Viewer provide:

  • Image enhancement (brightness, contrast adjustments)
  • Multiplanar Reconstruction (MPR) for 3D visualization
  • 3D measurements of anatomical structures
  • Comparison of images from multiple modalities
  • Secure export and sharing options for clinical workflows

How are DICOM files exported and shared?

DICOM files are large—CT scans can exceed 30 MB—so compression is often used:

  • Lossless compression: TIFF, PNG (preserves image quality)
  • Lossy compression: JPEG, GIF (reduces size by removing some data) Modern viewers allow easy conversion of DICOM to JPEG for sharing while maintaining diagnostic integrity.

Why is a modern PACS system critical for DICOM workflows?

Cloud-based PACS solutions improve security, scalability, and accessibility while reducing reliance on proprietary hardware. They enable faster turnaround times, better collaboration, and higher ROI for healthcare organizations.

Where can you learn more or request a demo?

If you want to incorporate advanced DICOM viewers or PACS into your practice, contact us for a demo today. Our experts will help you maximize efficiency and patient care with cutting-edge imaging solutions.