Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Sep 18, 2019
Date Accepted: Aug 11, 2020
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Comparison of different technologies for remote viewing of radiological images
ABSTRACT
Background:
Internet technologies can create advanced and rich web-based applications that allow radiologists to access easily to the teleradiology system and remotely view medical images. However, each technology has its own drawbacks. Thus, it is difficult to balance the advantages and disadvantages of these Internet technologies and identify an optimum solution for the development of medical imaging applications.
Objective:
This study aimed to compare different Internet technologies for remote viewings of radiological images and analyze their advantages and disadvantages.
Methods:
Three main Internet technologies, i.e. Oracle Java, Adobe Flash, and HTML5, were used to respectively develop a comprehensive web-based medical imaging application. This application connects to a medical image server and can provides several required functions for radiological interpretation, e.g. navigation, magnification, windowing, and fly-through. Java-, Flash-, and HTML5-based medical imaging applications were tested on different operating systems over a local area network and a wide area network. Three computed tomography colonography datasets and two ordinary laptops were used in the experiment.
Results:
The experimental results demonstrate that Java-, Flash-, and HTML5-based applications have the ability to provide real-time performances for all the provided two-dimensional tools. However, the three-dimensional (3D) performances of the three applications are different. The Java-based application needs the longest time for 3D rendering and the Flash-based application has the lowest frame rate for fly-through. Among these applications, the HTML5-based application is able to provide the fastest 3D rendering and the highest speed for fly-through without platform dependence.
Conclusions:
Although HTML5 can evoke an excellent performance, it currently suffers from the browser support issue that may lead to inconsistent user experiences. In this case, Adobe Flash is good alternative technology. Both Adobe Flash and HTML5 have their individual strengths in the development of remote access medical imaging applications.
Citation
Request queued. Please wait while the file is being generated. It may take some time.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.