DicomBridge — DICOM Proxy: PACS Backup, Archive & Forwarding

DicomBridge is a professional deployment service that installs a production-grade, on-premise DICOM proxy gateway on any macOS workstation — giving healthcare facilities automated PACS backup, legacy modality integration, and cloud forwarding through a single self-installing application.

PROBLEMS IT SOLVES:

PACS Backup & Disaster Recovery — Automatically duplicate all incoming DICOM studies to a secondary PACS, cloud archive, or offsite storage in real time. Eliminates single points of failure in clinical imaging workflows with zero manual intervention.

Legacy Modality Integration — Connect older imaging equipment (CT, MRI, X-ray, Ultrasound, Mammography, Fluoroscopy) that cannot natively communicate with modern cloud PACS or AI platforms. DicomBridge acts as a universal DICOM adapter using fully standard protocols.

Multi-Destination Routing — Route studies simultaneously to multiple endpoints including local PACS, AWS HealthImaging, Google Cloud Healthcare API, Azure Health Data Services, teleradiology services, and AI diagnostic platforms.

Cloud Migration — Incrementally migrate on-premise imaging archives to cloud platforms without disrupting active clinical workflows.

Bandwidth-Aware Forwarding — Studies queue locally and forward when connectivity allows, with automatic retry on failure. Ideal for clinics with unreliable internet connections.

HOW THE SERVICE WORKS:

1. We deliver a custom-configured .dmg installer for your environment
2. Clinical staff enter destination PACS URL and credentials, then click Install
3. Docker, Orthanc, and all dependencies are configured automatically
4. Imaging modalities send DICOM to AET: DICOMBRIDGE on port 4242
5. Studies are received, forwarded, archived, and managed continuously

TECHNICAL SPECIFICATIONS:

• DICOM AET: DICOMBRIDGE (customizable per site)
• DICOM port: 4242 | HTTP REST API: port 8042
• Forwarding protocol: DICOMweb STOW-RS
• Engine: Orthanc open-source DICOM server
• Runtime: Docker container — persistent, auto-restarts on reboot
• Compatible modalities: CT, MRI, X-Ray, Ultrasound, Mammography, Nuclear Medicine
• Platforms: macOS Intel (x86_64) and Apple Silicon (M1/M2/M3)

This product relates to AWS HealthImaging and can forward DICOM studies directly to AWS HealthImaging data stores using the DICOMweb STOW-RS standard.