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183

Computer r’

.

.

Radiologic

Paul S. Cho,

Daniel

A picture archiving and communication consists of four components: acquisition

J. Valentino,

system devices,

(PACS) a host

computer, an image archive, and display stations (which include video monitors and printers). These four components are connected by an image communication network. Each component has a computer or a processor that controls the image transfer. The speed of the communication depends on the type of processor used, the physical media containing the processors, and the software or the protocol that controls the communication between the processors. Connecting these components may be the most difficult technical task in a PACS implementation. Although the implementation of the American College of Radiology/National Electrical Manufacturers’ Association (ACR/NEMA) communication standard might

alleviate

some

time before major for their equipment.

methods emerging Broadband

of the

imaging

difficulties,

it will

manufacturers

In this

paper,

we

still

adopt

be a long

this standard

describe

some

used in radiologic image communication network technologies.

current

and other

Video

The simplest

.

Image Communication

S. L. Lou,

H. K. Huang,1

method

Methods

Albert

W. K. Wong,

transmission

is the broad-

band video communication system. A broadband communication system uses a single or double coaxial cable that can be connected anywhere along its length for immediate twoway access to information. The term broadband refers to the fact that information is transmitted over a wide band of radio frequencies. A video image (RS-170 signal) at the transmitting end is encoded and converted to the radio frequency range

communication

and Brent

K. Stewart

to either continue,

system.

The

same

change

sequence,

of such a broadband broadband

system

video also

can be used for monitoring CT and sonographic examinations. For example, we can select channel 2 for MR, channel 3 for CT, and channel 4 for sonography. The advantage of the broadband communication system is that it is inexpensive and is capable of transmitting images in real time. The dis-

H. K. Huang. July 1990 0361-803x/90/1551-0183

the technologist

or abort the study. Figure 1 shows the architecture

Received December 20, 1989; accepted after revision February 21 , 1990. This work was supported in part by Public Health Service Grant No. AOl CA39063, awarded Services, and by the UCLA Department of Radiological Sciences Research Fund. 1 All authors: Medical Imaging Division, Department of Radiological Sciences, UCLA Medical AJR 155:183-186,

K. K. Chan,

and is decoded at the receiving end, very much the same as in cable television technology. Each 5i 2 x 5i 2 pixel image can be assigned to a given 6-MHz channel in the 5-540 MHz frequency range. This broadband signal is then placed onto the broadband cable and mixed with the other channels during the transmission. At the receiving end of the cable, a television tuner (broadband demodulator) simply tunes to the appropriate channel and demodulates the broadband information back into an RS-i 70 signal, which can be displayed on a video monitor. Theoretically, 60 simultaneous channels can be supported, with each channel transmitting 51 2 x 51 2 pixel images at 30 frames/sec. Broadband video communication can be used to monitor examinations of patients. An example is the MR image monitoring system. This system is for monitoring examinations performed in an MR trailer that is located outside the hospital. Because it is not practical for the radiologist to be in the trailer for every examination, it is convenient to have the technologist perform the examination and send real-time MR images to the radiologist for immediate consultation. The radiologist views the images as the study is being performed and in-

structs of image

Page

0 American Roentgen Ray Society

by the National Cancer Institute, School,

Department

Los Angeles, CA 90024-1721

.

of Health and Human

Address reprint requests to

HUANG

184

ET AL.

AJR:155, July 1990

Standard DR1 1 -W emulator boards that implement this interface are now available for many computers. The effective performance of this image transfer method from the Digital

Progressive /lntertsc.d

converter

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Equipment

Corporation’s

VAX computer

to other devices

is

less than i 0% of the specification, between 50 and 70 kilobytes/sec; from the SUN (Mountain View, CA) computer to other devices, it is about 1 00 kilobytes/sec. In radiology applications, the DR1 1 -W is used for connecting a host computer and an image acquisition device or a printer. For example, it is used in computed radiography systems [i } and laser film scanners and printers [2]. The computed radiography system developed by Fuji Photo Ltd. (Tokyo, Japan) and distributed by Philips, Siemens, and Toshiba uses this transfer method to send the image to an external computer.

Ethernet

Fig. 1.-Architecture

of a broadband

monitoring MR examinations. MR Images sent to modulator, which converts video

video communication

system

for

from the scanner’s console are signals to a certain RF range.

Converted signal is sent to head end, which assigns it to a broadband channel. Signal is broadcast through cable and received by any station tuned to this channel with demodulator.

advantage is that images that appear on the monitor are volatile and therefore cannot be stored or retrieved later. Also, the image quality may not be sufficient for primary diagnosis because the image is from a video monitor and the coaxial broadband cable degrades the video signal.

Parallel

Transfer

(DRI 1-W)

The DR1 i -W computer board uses a i 6-bit parallel transfer interface designed by Digital Equipment Corp. (Boston, MA) in the late 1 970s. The specification of the transfer speed is about 1 megabyte/sec; this translates to sending a 1 K x 1 K pixel image through the parallel communication cables in 1 sec. The drawback of this communication method is that the cable length between the two host computers (or processors) is very short, normally less than 50 ft. It is possible to use a pair of fiber-optic modems to extend the distance between the acquisition device and the host computer to about 1000 ft. This connection is convenient if the computed radiography system is located at a common processing area in the radiology department and the host computer is at a remote location.

Communication

The Ethernet with Transmission Control Protocol/Internet Protocol (TCP/IP) is the most popular serial digital communication method, almost a standard in every computer built in the late 1980s. The maximum signaling speed of Ethernet is 10 megabits/sec. In practice, we can achieve about 10-40% of its maximum speed. Ethernet was designed for transmission of text information (small files) and is not suitable for image (large files) communication. Early experience with use of Ethernet for image communication [3] was not encouraging. However, recent improvements in both the hardware and software protocol of Ethernet technology are promising. In the following paragraphs, we discuss our clinical experience with standard Ethernet communication methods. For this discussion, it is advantageous to distinguish between the communication from an image acquisition device to a host computer and that from a host computer to an image archival or display station. In the case of transmitting

images

from an acquisition

device

to a host computer,

the

transmission speed on Ethernet is very slow. One reason is that the transfer speed is constrained by the older generation

computer

used

in the acquisition

device,

which

was

not

designed for image communication. When a digital image must be transmitted, the technologist pushes a key on the device console to start the image transmission. Table 1 (left columns) shows our experience with this mode of image transmission. It takes about 30 sec to send a CT scan (16

bits/pixel),

4 sec for an MR image (8 bits/pixel),

and 8 sec for

a sonogram (8 bits/pixel) from the acquisition device to the host computer, without use of image compression. The speed of transferring an image from the host computer to either the image archival or the display station is much higher. This is because we are no longer limited by the acquisition device and can select suitable computers for the host, as well as for the archival and display stations. Table 1 (right columns) shows image transfer speed from the host

computer

to a display

station

in a clinical

environment.

For

example, the communication between the VAX (Maynard, MA) and the PC/AT computer (IBM, Poughkeepsie, NY) can reach about 100 kilobytes/sec. This means that this combination can transmit an MR, a CT, and a sonography image from the host computer to the display station in 2, 5, and 4 sec, respectively. The transfer rate can reach about 200 kilobytes/sec if both the host computer and the display station

RADIOLOGIC

AJA:155, July 1990

TABLE

1: Ethernet

Communication

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Acquisition

Point-to-Point

Device

Rate for Radiologic

185

Images Host Computer

to Host Computer

Protocol)

GE 9800 CT (Eclipse - Sun/Ethernet) FONAR MR (AT/Excellan -+AT/ExceIIan, FTP) ATL Sonography (XT/Excellan -+ VAX/Excellan, (AT/Excellan -+ VAX/Excellan, File transfer

COMMUNICATION

Speed in

Technique (Computers/Manufacturer,

a

Transfer

IMAGE

Computer

kilobytes/sec 14 30-40

VAX VAX

FTP)

14

Sun

FTP)

42

to Archival

Computer (Manufacturer)

Statio n and Display Speed in kilobytes/sec

Protocol

AT FTP#{176} (Excellan) AT Data Link (MICOM) Sun FTP (Sun)

40 100 180

protocol.

computer are SUNs. As the acquisition device is dictated by the manufacturer, the computer for the device cannot be changed. Thus, the speed from the acquisition device to the host computer cannot be improved unless the manufacturer upgrades

the acquisition-device

computer.

On the other

hand,

the host computer, the display station computer, and the archival computer can be selected by the user for high-speed communication purposes. From the data shown in Table 1 it is clear that the slowest communication link in a PACS module is from the acquisition device to the host computer.

Otherclusters

,

Image

Communication

Networks

The DR1 1-W interface allows the connection of only two computers, and Ethernet performance degrades drastically when more than two computers are connected (see Figure 4). Thus, both methods are good only for point-to-point image transfer and are not suitable for image networking. In order to have good throughput in image networking, use of the concept of clusters is important. A cluster can be loosely defined as a PACS module or a group of imaging components within which images are transmitted. Figure 2 shows the architecture of a cluster. A major component in a cluster is the hub. The function of a hub in an imaging network is to relay image information rapidly between sources and destinations. In this design, there are two hubs; one accepts images acquired from acquisition devices, the other accepts images sent by the host computer, and both accept images sent by other clusters. The image transfer rate from acquisi-

tion devices to the first hub is slow because of the older computers used in the acquisition devices. However, the image transfer in the display

rate from other station through

fast. The second

clusters to the host computer the second hub can be very

hub also is used to transmit

images

very

quickly to different display stations. Once the images are in a display station, they are stored in a local high-speed magnetic disk and can be retrieved and displayed rapidly. As we do not anticipate that manufacturers will change the computers in their acquisition devices, the image communication speed from the device to the host computer will remain slow. However, we can design high-speed communication with

state-of-the-art

technology

and a hub, between hubs, stations and image archival

Emerging

Other Clusters

Communication

We have some preliminary communication technologies

between

and between

the

host

a hub

computer

and display

stations. Technologies experience with three emerging using fiber optics as the corn-

Fig. 2.-Connectivity within a cluster. Image transfer rate from an acquisition device to hub is relatively slow because of processor and network controller used in acquisition device. However, transfer rate between all other components fast. OD = optical disk.

media.

munication

ture (Canstar

when

using

host adaptor

The first is a rooted-tree

Super

100 network,

and hub can be very

network

Toronto,

architec-

Canada).

The

Canstar nents-the

Super 100 network consists of two major compoconcentrator (or hub), with a 1 00 megabit/sec

transfer

rate, and the host-interface

unit, with a 10 megabit/

sec transfer rate (will be upgraded to a faster quarter, 1 990). The host-interface unit is inserted plane of the host computer and is connected to trator with duplex optical fiber. The concentrator

rate in first in the backthe concenallows up to

eight

design

connections.

concentrator

An example

connected

of the cluster

to four acquisition

devices,

is a

one host

computer, a second concentrator, and two display stations. Figure 3 shows the experimental setup of the Canstar network; we compared the performance of this network with that

of a standard

comparison.

Ethernet.

Although

Figure

4 shows

the host-interface

results

of one

unit is currently

lim-

ited to 1 0 megabits/sec, the Canstar performs much better than the Ethernet does. The second network is the fiber distributed data interface (FDDI) with a token ring architecture [4]. FDDI is used as the Ethernet; no computer program modification by the user is necessary. The specification for the speed of this communication method is 1 00 megabits/sec. Figure 5 shows some

preliminary Another

results with this communication new

high-speed

testing is a star topology

communication

architecture

network. network

(UltraNet,

we are

Ultra Network

Technologies, San Jose, CA) [5]. The maximum signaling speed of this network is 1 gigabit/sec. Figure 5 shows some

preliminary

results of a comparison

of this network

with other

186

HUANG

ET AL.

July 1990

AJR:155,

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#{149}3 4000 .

3500

‘%

3000

2500

G)

2000

g

U.

1500

.

1000

-

E 500 -

IFig. 3.-A

rooted-tree

network

architecture

for image communication.

Ethernet

Concentrator is connected to four computers. Transfer rate of concentrator is 100 megabits/sec and that of host interface unit (H.l.u.) is 10 megabits/ sec. This experimental setup is to compare transfer speed between Canstar Super 100 network, Ethernet, and fiber distributed data interface (FDDI). E.l. = Ethernet interface.

____________________________________________ ‘3

600

_______________________ Ethernet:

-P1-

600 550

CanstarSuperloo:

-A--

500

550

_j

500



450

450

their

performance

400

400

video

is most

350

350

the

300

300

in the image

C

250

250

an output

device

.2

oo

oo

However,

these

150

150

communication

100

100

may degrade

50

50

0

0

; -

g

-

c I-

0

1

2

3

4

5

6

8

7

of Communication

Process

parallel

in a clinical

useful

Ultranet

with

the

network.

technologies

The

patients,

DR-i

an image acquisition

broadband

the Ethernet

1 W are

best

device to another

suited

for

component

is used

for connecting

such

as the film laser

printer

to the network.

three

methods

in a PACS the image

are not adequate

network.

quality.

transfer

The

video

In the case

for image broadband

of Ethernet

rate is too slow.

Three

network architecture, the and the star topology-hold

communication results transmit

of radiologic

images.

show that the star a 2K pixel image

and

emerging

that use fiber optics as the communication

dia-the rooted tree token ring architecture,

experimental Ultranet can

and

DR-i 1 W also

DR-i 1 W, the image

rapid

environment.

for monitoring

transfer

connecting

for

Number

FDDI

Fig. 5.-Point-to-point comparison of performance of four communication methods: Ethernet, Canstar, fiber distributed data interface (FDDI), and ultraNet. A point-to-point model was used. Computers used were a SUN 3/160 and a SUN 3/260 running UNIX 4.0 operating system. Communication protocol used was Transmission Control Protocol/Internet Protocol. UltraNet is almost 10 times faster than Ethernet. 3100 kilobytes/sec can be translated to transmitting a 2K x 2K image in 1.3 sec.

g

____________________

Canstar Super 100

me-

FDDI with promise

Preliminary

topology with the in 1 .3 sec. If this

Fig. 4.-Performance of Ethernet and Canstar network when number of connections increases in a centralized model. In this model, one computer is used as server and all others are clients. Server sends out images (e.g.,

performance could be sustained throughout chiving and communication systems network,

central storage) and client requests images (e.g., a display station). Buffer size is 2 kilobytes, and measurement is from computer memory to com-

the requirement of image communication in a digital radiology department. We are in the process of designing an experiment

puter

memory.

kilobytes/sec

For Ethernet,

performance

to 60 kilobytes/sec

when

decreases

number

increases from one to seven. This result clearly Ethernet and Canstar as image communication connections becomes large.

drastically

of server-client

from 365

pairs

to optimize

the performance

of this network.

shows limitation of use of network when number of

REFERENCES 1 . Kangarloo

networks

the picture arit would satisfy

H, Boechat MI, Barbaric Z, et al. Two-year

clinical experience

the same test conditions. These results show that, for point-to-point communication, this star topology network can transmit a 2K x 2K pixel image in 1 .3 sec.

2. Lo SC, Taira AK, Mankovich NJ, Huang HK, Takeuchi H. Performance characteristics of a laser scanner and laser printer system for radiological

Conclusions

4. Templeton

We

used

under

have discussed image-transfer

our experience with methods for radiology

three commonly and measured

with a computed

radiography

system.

AJR 1988;151

:605-608

imaging. Comput Radiol 1986;10:227-237 3. Templeton AW, Owyer SJ Ill, Johnson JA, et al. An on-line digital image management system. Radiology 1984;1 52:321 -325 AW,

Cox

GG,

Owyer

SJ Ill. Oigital

image

management

works: current status. Radiology 1988;1 69: 193-1 99 Huang HK, Mankovich NJ, Taira AK, et al. PACS for radiological state of the art. Crlf Rev Diagn Imaging 1988;28:383-427

net-

images:

Radiologic image communication methods.

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