Case Study: The use of ETIAM Viewer at Cleveland Clinic, Ohio

Cleveland clinic chose ETIAM in the framework of its workflows & medical data organization within its main campus, as well as nine hospitals and numerous outpatient facilities in the nearby city.

ETIAM Viewer & ETIAM Nexus solutions have been used and implemented there successfully.

Needs expressed by health professionals

  • Exchange & make all type of medical images available to physicians in real-time and in security on the PACS.
  • Reconciliate patients’ data coming from CDs/DVDs, exams done in other establishments, etc.
  • Automate the inhibition, management and the communications of images when they are archived in the PACS, by taking into account data format (DICOM or non-DICOM)

Solutions provided

ETIAM Nexus is a Web application used to manage outside exams. These exams are imported from CD/DVD through ETIAM Viewer or sent directly and securely from outside institutions using ETIAM-Connect and its Secure Medical Networking technology.

See ETIAM Viewer Solution.


Today, most outside images—including these CDs, which are transformed into electronic images at the Desks, and exams sent electronically from other facilities directly to the Radiology Department—enter the PACS through an ETIAM Nexus device located in the central PACS Film Library.
ETIAM Nexus runs as a central appliance over the hospital intranet and all users are authenticated for security. The server automates many aspects of the exam reconciliation process, while specially trained technologists perform the most sophisticated changes, as the image enters the PACS.

ETIAM Nexus supports all the varied workflows required for images from the multiple sources involved and allows the fine-tuning of information that enables Cleveland Clinic to manage images their way—easily, cost-effectively and accurately.

At the Film Library, the ETIAM Nexus server efficiently processes all exams to ensure they are accepted by the PACS quickly and precisely.

How does it work?

ACETIAM - Viewer Cleveland clinic example