The PACS Nano is a path breaking design which exploits cloud computing and the availability off-the-shelf computer hardware to build an affordable, easy-to-use PACS that delivers robust performance with comprehensive functionality. A solutions specifically designed for smaller hospitals and diagnostic centres targeting up to 10,000 patient exams per year is adequate for most radiology departments. The simplicity of design also minimizes the cost and efforts for IT Administration, training and support, as even complex workflows involving multiple sites and teleradiology can be easily managed using Freedom Cloud sync. The software allows users to access both images & reports from any computer in the facility. The Innowave Freedom Nano supports audit trails image tracking for easy system management and ability to monitor and control the movement of patient studies All usage statistics and key dashboards are available to display key operation deliverable like turnaround time etc. The DICOM Image Viewer support basic DICOM print and archiving in CD, DVD media. Innowave Healthcare has created enhanced reporting workflow solution provided for the Radiologist and Typist by seamlessly integrating “Microsoft word” with Freedom PACS.

1. Presentation
to
Department of Health
Philippines
Sunday, March 30, 2014

2. Innowave - Overview
Innowave Healthcare is a developer of high performance
imaging systems, could centric healthcare information
technology solutions and operation support services.
Our focus is on helping healthcare providers
improve productivity and deliver high-quality, seamless
patient care across multiple sites and reach the remote
rural areas, including those parts of the world plagued
by poor infrastructure and resource scarcity.
We are constantly applying innovations, simplification and
technologies developed across different domains of
human activity.
Innowave healthcare has the unique capabilities
including advances embedded electronics electro-
mechanics and Information technology to deliver
complete diagnostic imaging systems.

3. Freedom NANO is a secure, high
redundancy mini-PACS solution with
compact 2 terabyte storage that is
seamlessly integrated with the Freedom
Radiology workflow platform.
For the first time, enjoy the benefits of a
Picture Archiving and Communications
System and instantly grow your business
without the need for any capital
expenditure.
FREEDOM NANO PACS -
Overview

4. • Freedom Workflow (Hosted on the Cloud)
• Innowave NANO PACS solution integrates with FREEDOM Cloud based
workflow engine to provide seamless radiology Imaging workflow between
the Radiographer, Radiologist and Transcriptionist stations.
• The solution host data locally and workflow from the cloud, the combination
make this solution unique and light to operate using minimal hardware and
software infrastructure.
• DICOM Server & NAS Storage (Hosted on the Host PC and NAS Box)
• Designed to work as a robust DICOM Server to receive, store and send
images across the Diagnostic center and to Remote radiologist for
reporting.
• Receives Images from CR, CT, MR, US & NM modalities.
• Any DICOM workstation can retrieve images from this DICOM Server.
• Option to download images from Remote location using compression and
encryption.
• Workstation (Hosted on the Host PC)
• State of the art 2D workstation (with MPR) embedded into PACS Nano
• Structured Reporting with Predefined Templates.
• CD Writing and DICOM Printing solutions.
Paces Nano Components

5. NANO Product Diagram

6. PACS Workstation Mac PC with
Dell Monitor
Mac Mini – CPU
2.5GHz dual-core Intel Core i5 (Turbo Boost
up to 3.1GHz) with 3MB L3 cache
DELL LED 24” Mac
compatiable HDMI
Display
DELL Keyboard & Mouse
Osirix 64bit Edition.
DICOM and Networking

7. Freedom NANO Server for
TeleRad.
Radiologist Worklist
Radiographer Worklist
DICOM Worksation that
supports CT, MR and PET
without fusion.
Reporting Module.
Tech Manpower and Cloud
Maintenance.
Unlimited Access to
Teleradiology Studies

8. Freedom Web & DICOM Workstation.
Dell Vostro – CPU
2.5GHz dual-core Intel Core i3 (Turbo Boost
up to 3.1GHz) with 3MB L3 cache
500 GB Storage to Store
DICOM Images
DELL Keyboard & Mouse
Innowave – DICOM &
TeleRad Server
DICOM and Networking

10. Radiologist Dashboard

11. Radiologist Work-list

12. Radiologist Database Search Work-list

13. Clinical History

14. Image visualization at Freedom
Workstation

15. Image visualization at Freedom
Workstation (MPR Feature)

16. Word Report

17. Specifications – Freedom
Workflow
FEATURES SECTION FEATURES
Usability
-Browser based access
-Works on Internet explorer, Firefox, Chrome
-Role based access to radiologist, radiographer, referring physicians
Dashboards
Realtime Business intelligence dashboards for
-Study status
-Turnaround time
-Priority status – Emergency and normal studies
-Studies performed by radiologists
-No. Of studies per center
-Studies categorized into modalities
Collaboration
-Active collaboration between radiologist, radiographer and Transcriptionist.
-Commenting on individual patient studies
-Chat feature
Worklist
-Graphical study status indication
-Full DICOM study information availability
-Sort studies by patient name, DOB, Accession No. , Study date, study description, imaging centre
name, Modality, uploaded date
-Search studies by by patient name, DOB, Accession No. , Study date, study description, imaging
centre name, Modality, uploaded date
-Download individual series in a study
Compression
-Jpeg/JPEG 2000 compression
-User defined compression stages : Lossless, Lossy Excellent, Lossy very Good, Lossy good,
Lossy Medium, Lossy Fair.
Radiology Reports
-Integrated reporting engine with DICOM workstation
-Upload reports from Word processing packages directly on to the web work list
-Download reports in word or PDF formats

18. Specifications –Dicom Server &
NAS Box
FEATURES
SECTION
FEATURES
DICOM`
• DICOM C-STORE (SCP/SCU) for most currently approved DICOM SOP Classes.
• DICOM C-FIND and C-MOVE (SCP) for Patient Root and Study Root query models.
• DICOM multi-byte and extended character set support.
• DICOM device management for limiting features remote DICOM devices can access.
• DICOM WADO with DICOM mime type support
File
Systems
• Support for single filesystems for online storage on a NAS devices.
• Supported RAID Type : Synology Hybrid RAID or RAID 1 with HDD Hibernation.
• File System FAT | NTFS.
• Network Protocol iSCSI.
Rules
Engine
• Watermark based disk management. Minimum retention times for studies are set through the rules engine
Archiving
• Archival support to iSCSI based interfaces
Usability
• Alerts mechanism to notify administrators when system related errors occur.
• Application log viewer
• Import folder. DICOM files can be copied into a folder on a file system and the files are automatically imported
into the Image Server.
• Study Level Manipulation – Studies can be moved and deleted.

19. Specifications – Workstation
FEATURES
SECTION
FEATURES
Modalities
Supported
CR, DX, CT, MR, US, Nuclear Medicine
Usability
Very easy to use, intuitive interface
Integration with Tele-radiology System
Image streaming within LAN to alleviate network congestion
inter operatable with any DICOM 3.0 compliant DICOM Archive
Multi-monitor awareness
Undo/redo
Scroll bar for stacking images
Imaging
Tools
Multiplanar Reconstruction (MPR)
Stacking
Window/Level
VOI LUT support
Zoom/Pan
Magnifying glass
Rotate/Flip
Cine
Invert
Match field of view
Image layout
Thumbnails
Reference lines
Synchronized stacking
Spatial locator

20. Specifications –
Workstation …cont
FEATURES
SECTION
FEATURES
Other
- 32Bit / 64-bit support (Separate Installer for each version)
DICOM
Query, import, send and receive DICOM images
Multi-frame image support
DICOM key image support
DICOM PRINT
- Can print to any DICOM film Printer
- Film Composer with true print preview
- Print on any film size in Landscape or Portrait
- Processing features like Zoom, Window Width/Level, Pan are available on Print
Composer
- Configure multiple DICOM printers
- Insert complete series or all images to the print layout
CD/DVD Writing
CD / DVD WRITING
- Direct CD / DVD Writing facility
- Auto run CD will display full screen on any resolution when inserted, works if the
OS supports
- Single Patient or Multiple Patients can be written on a CD/DVD.
- Free / any open source CD Viewer can run on any computer with 2D processing
REPORTING
User-defined customizable report templates.
- Multiple report templates for each study.
- Insert important reference images in text layout.
- Customizable predefined centre and patient details as report header

21. Specifications – Workstation …con
FEATURES
SECTION
FEATURES
Measurements/
Annotations
Linear
ROIs: ellipse, rectangle, irregular polygon
Mean and standard deviation reporting on ROIs
Measurement calibration
Protractor
Arrow
Text user annotations
Overlays
Study/image information
DICOM overlays
Image scale
Shutters
Individual toggles for all overlays
Utilities
Clipboard
Export to BMP, GIF, JPG, PNG, TIF, AVI
DICOM header viewer
Study anonymization
Ability to open files from Windows Explorer
Load images with external Applications
Show image properties
List and filter studies based on DICOM and file attributes

22. NANO Storage Spec(NAS Box)
Hardware
• CPU Frequency : 1.2GHz
• Memory : DDR2 256MB
• Internal HDD/SSD : 3.5" or 2.5" SATA(II) X 2
• Max Internal Capacity : max of 3TB in RAID 1 (2X 6TB HDD)
LAN Support
• 10/100/1000 Mbits/sec LAN connecting to a host PC over cross
cable.
Storage
• Online free disk space Typically a NAS Box - Size based on the
Storage Calculator
• Hybrid RAID (SHR) is an optimized volume type. No need to
study the difference between RAID types and requirements, SHR
helps you keep everything simple and instant.
Disk Station Manager as operating system.
Recommended Hardware
and Software
DICOM Connectivity
• Our solution works only using the DICOM connectivity.
• LAN connectivity between the Modality and Computer is mandatory.
• Modality should be configured to send images to a DICOM node using STORE SCU.
• Modalities IP Address, AE Title and Port No are essential.
• Innowave default AE Title is “STORESCP” and Port No is 1007. IP address is from the host PC.
NANO Host PC Specification
Hardware
• Dual Core CPU 2GHz (x86 or x64) | Recommended i3 3nd
generation
• Minimum: 4 GB RAM Recommended: 8 GB RAM or greater
LAN Support
• Dual 10/100/1000 Mbits/sec LAN
1. DICOM LAN - Connect (PLC) device connecting the
Radiology Network
2. NAS iSCSI connection.
Software
• Microsoft Windows 7 64 bit
• Professional Version of Windows Operating System
• Microsoft .Net Framework 3.0
• Anti – Virus like K7
Storage
• 150 MB of Free HDD space for the Workstation.
Monitor
• Screen Size Ultrasharp 21” inch wide | Resolution 1600 x
1200 | Contrast Ratio > 800:1 | Brightness > 300 cd/m| Max
Viewing Angle 178° / 178° |Adjustability Height, tilt, swivel, pivot
| Connectivity DVI-D & VGA

23. Storage Requirement Analysis
Modality
No of
Patients
/ Month
No of
Images
/Study
No of
Images /
Month
Comments of
Images
Image
Matrix
X
Image
Matrix
Y
Bytes
/Pixel
Size of
Image
Total Size
/ Study
(MB)
Total Size /
Month
(MB)
1 X-Ray 600 1 600
50% Chest & 50 %
Extremeties 3072 3072 2 18874368 18.0 10,800
2 Ultrasound 600 20 12000 800 600 3 1440000 27.5 16,479
3 CT 150 300 45000 512 512 2 524288 150.0 22,500
4 MRI 150 250 37500 Brain & Chest 512 512 2 524288 125.0 18,750
67 GB
201 GB
Total 1500 95100 402 GB
0.9 TB
2.3 TB
4.1 TB
Projected 20%
Growth on the
Storage Size. Predicted Storage for 36 Months
Predicted Storage for 1 Months
Predicted Storage for 3 Months
Predicted Storage for 6 Months
Predicted Storage for 12 Months
Predicted Storage for 24 Months

24. Freedom Clearing House
“Freedom Clearing House” teleradiology commend
centre as 100% cloud enabled solution that minimizes
your investment with uncompromised performance.
The Clearing House tele-radiology command centre” can be
connected to multiple institutions across different
geographies with a central hub for reporting as well as
ability to reassignment of cases to specialist radiologist
located outside your hub location.
Freedom Clearing House is fully saleable from a single user
to large countrywide deployments.
Innowave also provide operations support including
technical and imaging workflow coordination to insure
optimal use of the system.

25. Information Flow
25

26. Freedom
(PACS & Clearing House)
Technologist’s View
Cloud based PACS & Clearing House
Solution from Innowave.

27. Technologist Login

28. Technologist Dashboard

29. Technologist Work-list

30. Study Upload using (Gateway Lite.)

31. Study & Report Notification
(SMS & e-mail Integration)

32. Reporting – File Upload

33. Simply the word’s
most affordable PACS
and radiology workflow
solution

34. Innowave Freedom I-DART
Freedom I-DART converts x-ray/Laser films to diagnostic
quality DICOM images, creating new capabilities of Tele
radiology, workstation based reporting, CD archiving,
DICOM printing and Film Duplication.
Freedom I-DART enables your Radiologists to report images
remotely. Connect to Freedom Clearing House Cloud
Teleradiology solution directly. I-DART Includes an
integrated multi-modality DICOM viewer and full PACS
integration capabilities.
Features:
• View Box
• X-Ray , Laser Film Digitizer
• PACS Integration
• Flexible reporting
• Tele- Radiology

35. Thank you.
For more information please connect
Vivek@innowave.in