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Direct PACS-to-Cloud

Overview​

We provide secure VPN or IP allowlist connectivity options that allow healthcare institutions to establish a secure network tunnel between their on-premises PACS system and our cloud services. This integration supports DICOM standard protocols C-STORE and STOW-RS to facilitate reliable image and metadata transmission.

Key Benefits​

  • Enhanced Security: Encrypted communication over a private VPN tunnel.
  • Compliance: Meets HIPAA and industry security requirements.
  • Performance: Low-latency data transfer for real-time workflows.
  • Simplicity: Minimal changes to existing PACS infrastructure.

How It Works​

  1. VPN Tunnel Establishment
    • A site-to-site or client VPN is configured between the hospital network and our cloud environment.
    • IP routing ensures that PACS traffic is directed through the tunnel.
  2. DICOM Protocol Support
    • Simply add Neuropacs to your DICOM destinations and begin processing studies immediately.
    • C-STORE: Traditional DICOM push mechanism for sending studies from PACS to cloud.
    • STOW-RS: RESTful DICOM web service for modern HTTP-based transfers.
  3. Integration Workflow
    • PACS pushes images via C-STORE or STOW-RS through the VPN tunnel.
    • Our cloud services automatically ingest, process, and store the incoming studies.
    • Analysis reports are returned to the PACS system over the same secure channel, using PACS imaging hierarchies to return the report to the relevant location.

Tips​

  • Choose where your reports will be returned in your PACS system, or let our intelligent archiving system to choose for you.
  • Reports can be delivered either as DICOM-encapsulated PDFs or DICOM Structured Reporting (SR) documents.
  • Identical studies with the same StudyInstanceID uploaded within a 5-minute period will be overwritten

Security and Compliance​

  • All VPN connections use industry-standard encryption (e.g., IPsec, TLS).
  • Access controls and network segmentation enforce strict isolation.
  • Audit logs track all DICOM transactions for compliance reporting.

Last updated: February 17, 2026