System Requirements and Operational Considerations
This section outlines important operational, compatibility, workflow, and environmental considerations for safe and effective use of the AdvaView viewer platform.
DICOM SOP Class Compatibility
AdvaView supports viewing and interaction with a defined subset of DICOM SOP Classes commonly used in enterprise imaging workflows.
Support may vary depending on:
- Browser capabilities
- Transfer syntax
- PACS/VNA configuration
- DICOM conformance
- Workstation performance
- Viewer licensing and enabled features
Support within AdvaView refers to viewing and workflow interoperability capabilities only.
AdvaView does not function as the authoritative storage archive or system of record for DICOM objects.
Fully Supported Viewing SOP Classes
The following SOP Classes are supported for standard viewing workflows within AdvaView.
General Imaging
| Modality / Object Type | SOP Class Name | SOP Class UID |
|---|---|---|
| CT | CT Image Storage | 1.2.840.10008.5.1.4.1.1.2 |
| Enhanced CT | Enhanced CT Image Storage | 1.2.840.10008.5.1.4.1.1.2.1 |
| MR | MR Image Storage | 1.2.840.10008.5.1.4.1.1.4 |
| Enhanced MR | Enhanced MR Image Storage | 1.2.840.10008.5.1.4.1.1.4.1 |
| Ultrasound | Ultrasound Image Storage | 1.2.840.10008.5.1.4.1.1.6.1 |
| PET | Positron Emission Tomography Image Storage | 1.2.840.10008.5.1.4.1.1.128 |
| XA | X-Ray Angiographic Image Storage | 1.2.840.10008.5.1.4.1.1.12.1 |
| XRF | X-Ray Radiofluoroscopic Image Storage | 1.2.840.10008.5.1.4.1.1.12.2 |
| CR | Computed Radiography Image Storage | 1.2.840.10008.5.1.4.1.1.1 |
| DX | Digital X-Ray Image Storage — For Presentation | 1.2.840.10008.5.1.4.1.1.1.1 |
Mammography and Breast Imaging
| SOP Class Name | SOP Class UID |
|---|---|
| Digital Mammography X-Ray Image Storage For Presentation | 1.2.840.10008.5.1.4.1.1.1.2 |
| Breast Tomosynthesis Image Storage | 1.2.840.10008.5.1.4.1.1.13.1.3 |
| Breast Projection X-Ray Image Storage — For Presentation | 1.2.840.10008.5.1.4.1.1.13.1.1 |
Diagnostic mammography and tomosynthesis workflows require additional regulatory clearance, workstation validation, monitor calibration, and Hanging Protocol configuration depending on regional regulatory requirements.
At this time Mammography and Breast Tomosynthesis Is for investigational use only AdvaView should not be used for diagnostic interpretation of Mammography or Breast Tomosynthesis
Secondary Capture and Clinical Images
| SOP Class Name | SOP Class UID |
|---|---|
| Secondary Capture Image Storage | 1.2.840.10008.5.1.4.1.1.7 |
| Multiframe Secondary Capture Storage | 1.2.840.10008.5.1.4.1.1.7.1 – .7.4 (Single Bit / Grayscale Byte / Grayscale Word / True Color) |
| VL Photographic Image Storage | 1.2.840.10008.5.1.4.1.1.77.1.4 |
| Endoscopic Image Storage | 1.2.840.10008.5.1.4.1.1.77.1.1 |
| Microscopic Image Storage | 1.2.840.10008.5.1.4.1.1.77.1.2 |
Structured Reports and Documents
| SOP Class Name | SOP Class UID |
|---|---|
| Basic Text SR | 1.2.840.10008.5.1.4.1.1.88.11 |
| Enhanced SR | 1.2.840.10008.5.1.4.1.1.88.22 |
| Comprehensive SR | 1.2.840.10008.5.1.4.1.1.88.33 |
| Encapsulated PDF Storage | 1.2.840.10008.5.1.4.1.1.104.1 |
Conditional or Limited Support
The following object types may have limited support depending on browser compatibility, transfer syntax, workflow configuration, or enabled extensions.
| SOP Class Name | SOP Class UID | Notes |
|---|---|---|
| DICOM Video Objects | 1.2.840.10008.5.1.4.1.1.77.1.1.1 / .77.1.2.1 / .77.1.4.1 (Video Endoscopic / Microscopic / Photographic) | Browser codec support required |
| Encapsulated PDF | 1.2.840.10008.5.1.4.1.1.104.1 | Certain embedded object types may not render |
| Collaboration Sessions | N/A — not a DICOM SOP Class | Network conditions may affect synchronization |
Unsupported SOP Classes
The following SOP Classes are not currently supported for diagnostic viewing workflows within AdvaView.
Examples include:
- ECG Waveforms
- Hemodynamic Waveforms
- Audio Waveforms
- MR Spectroscopy
- RT Dose
- RT Plan
- Whole Slide Microscopy
- Presentation States
- Spatial Registration Objects
- Surface Segmentation Objects
Unsupported SOP classes generally do not appear within study metadata or study structure. However, in some cases, an unsupported SOP class may still appear as a thumbnail.
Ultrasound Limitations
While AdvaView supports the Ultrasound Image Storage and Ultrasound Multi-frame Image Storage SOP classes for standard ultrasound viewing, the following ultrasound-specific capabilities are not currently supported.
Echo-Specific Acquisition Modes
The following echocardiography acquisition modes are not supported for diagnostic viewing:
- M-mode
- Color Doppler
- Pulsed-Wave (PW) Doppler
- Continuous-Wave (CW) Doppler
- Tissue Doppler Imaging (TDI)
DICOM objects produced by these acquisition modes may be stored under the Ultrasound Image Storage or Ultrasound Multi-frame Image Storage SOP classes and may be visible within the viewer, but correct rendering and clinical interpretation of these modality-specific formats is not validated or supported.
Duplex and Triplex Format Playback
Duplex and triplex ultrasound formats — which encode multiple image regions (e.g., B-mode, Color Doppler, and Spectral Doppler) within a single DICOM object using the DICOM Sequence of Ultrasound Regions attribute — are not currently supported.
Specifically, the following are not supported:
- Duplex and triplex study playback and synchronization
- Synchronized display of combined image, Doppler spectra, and measurement grids during cine playback
- Region-aware rendering of multi-region ultrasound objects
Echo-Specific Measurements
The following echocardiography-specific measurement tools are not currently supported:
- Velocity measurements
- Pressure gradient calculations
- Left ventricular (LV) systolic and diastolic function measurements
Standard linear and area measurement tools (Length, Bidirectional, ROI) are available for general use on ultrasound images but are not validated for echo-specific hemodynamic measurements.
Transfer Syntax Considerations
Support for some SOP Classes may depend on the transfer syntax used by the originating modality or PACS.
Examples include:
- MPEG-4 / H.264 video
- JPEG2000
- High-Throughput JPEG2000
- Browser-native codec support
Browser Compatibility
Certain DICOM object types rely on browser-native rendering capabilities and hardware acceleration.
Validated browser configurations should be used in clinical environments.
Storage and Persistence
AdvaView is a stateless zero-footprint viewer and does not function as a long-term archive or PACS.
Storage and persistence responsibilities remain with the connected PACS, VNA, or enterprise imaging platform.
Measurements, Markups, and Annotations
Measurement Accuracy
Measurement accuracy may be affected by multiple clinical and technical factors including:
- Patient positioning
- Patient motion
- Acquisition protocol
- Modality calibration
- Reconstruction distortion
- Spatial resolution
- Contrast resolution
- Display scaling
- Browser zoom settings
Users are responsible for verifying measurement accuracy prior to clinical interpretation.
DICOM Calibration Review
Calibration methods used by imaging modalities should be reviewed and validated prior to clinical use.
This review should also be repeated when:
- New imaging modalities are introduced
- Existing modalities are upgraded
- Modality software changes occur
Incorrect image calibration may result in inaccurate clinical measurements.
Measurement Placement
Users should take care when placing measurement control points.
Measurement precision may be affected by:
- Zoom level
- Display scaling
- Monitor resolution
- Viewport size
- Cursor placement accuracy
The user is responsible for confirming measurement validity.
Viewing Considerations
Hanging Protocols
Hanging Protocols may automatically apply:
- Image rotations
- Layout changes
- Series prioritization
- Multi-monitor placement rules
Users should understand which Hanging Protocol configurations are active within their environment.
Cine Playback
When DICOM Cine Module metadata is present, AdvaView attempts to playback the series using the defined frames-per-second (FPS) value.
If Cine metadata is not present, playback defaults to:
30 FPS
Playback indicators may display:
- Current FPS
- Target FPS
- Dropped frame indicators
If workstation or browser performance limitations prevent the requested playback frame rate, playback performance indicators will reflect the actual displayed FPS.
Third-Party Software Requirements
Antivirus Protection
Client side Endpoint protection or equivalent security controls should be implemented to protect viewer infrastructure from malware and malicious software.
Network Requirements
Network Redundancy
Healthcare organizations are responsible for implementing:
- Network redundancy
- Disaster recovery workflows
- Downtime procedures
- Alternate image review workflows
Regulatory Requirements
United States
Federal law restricts this device to sale by or on the order of a licensed physician or qualified healthcare practitioner.
Organizations outside the United States are responsible for complying with their applicable regional regulations.
Compatibility Requirements
Hardware Requirements
The workstation environment must meet the minimum supported hardware specifications defined for AdvaView deployments.
Environment Requirements
AdvaView must operate within environments meeting supported:
- Hardware specifications
- Browser requirements
- Network performance requirements
- Graphics requirements
Software Updates
Organizations should maintain current supported software versions and security updates fora all Client devices utilizing AdvaView.
Software updates are important for:
- Cybersecurity
- Stability
- Compatibility
- Performance
- Regulatory compliance
Workstation Configuration Requirements
Desktop Resolution
Monitors should operate at their native resolution.
Example:
- A 5MP monitor should operate at full 5MP native resolution.
Display configuration should support clinically appropriate image presentation standards.
Desktop Scaling
Operating system desktop scaling should not be applied on diagnostic imaging displays.
Display scaling may negatively affect image presentation accuracy and measurement precision.
Display Bit Depth
Display bit depth should be configured to:
- Minimum 32-bit color
- Or 8-bit grayscale
Graphics Card Configuration
Browsers should be configured to use the intended high-performance graphics hardware when available.
Browser Zoom
Browser zoom must be set to:
100%
Hardware Acceleration
Browser hardware acceleration should remain enabled for optimal viewer performance.