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 Viewer is a hospital-wide solution that has been implemented at the clinic to import DICOM (and proprietary DICOM) exams from all media (CD, DVD, hard drive, DICOM servers and more), to view these exams, and to transmit them to any DICOM destination.

See ETIAM Nexus Solution.


Today, many exams enter the hospital at the departmental level through a series of ETIAM Viewer Windows-based applications running on Clinical Desks within each department, with manual assistance from Clinical Desk clerks.

For external CD consults, physicians immediately open, display and read exams on any CD/DVD, whatever the format, using ETIAM Viewer. This even includes difficult-to-read Philips/iSite and AMICAS PACS files. The world-renowned hospital has more than 4,000 ETIAM Viewer workstations running on local PCs hospital-wide. However, for easier maintenance, the application is managed centrally.

After images are viewed, the innovative software helps the hospital automatically integrate the relevant exams into the PACS, and to make sure all information is accurate and unique to each patient.
To initiate the process, ETIAM Viewer creates a unique online form which is automatically populated with all information from the DICOM exam header. If the patient is new to the Center, a unique patient identifier is created. Alternatively, the clerk works with the patient to identify an existing number. Clerks also manually enter information such as the doctor’s name and telephone number. Exams are copied to a local server where they are cached. If the CD contains multiple exams for various medical conditions, the clerk selects only the relevant ones.

How does it work?

ACETIAM - Viewer Cleveland clinic example