STREAMING OF MEDICAL IMAGES USING JPEG 2000 INTERACTIVE PROTOCOL

Abstract — Access to all relevant information at the diagnostic decision moment improves the quality of care. With the deployment of the Electronic Health Record (EHR), information resides in different distributed systems. When conducting a diagnosis based on medical images for example, the physician needs to compare old images with current ones, while old images may reside in a different system: they need to import images for visualization which leads to a problem related to persistency management and information consistency. Since image streaming promises a solution for avoiding image import, we describe here how JPEG 2000 Interactive Protocol (JPIP) can be used to enable streaming of medical images directly from EHR connected image archives to visualization workstations. Moreover, we describe JPIP implementations in order to visualize a large image and present measurements of bandwidth efficiency improvements