Mammography Workflow Solutions

Effective mammography workflows must integrate across modalities, including 2D mammography, 3D tomosynthesis, ultrasound, and MRI, while ensuring accurate patient matching, seamless retrieval of relevant prior images, and enterprise-wide accessibility.

The Unifier platform provides a comprehensive solution for managing breast imaging workflows. With specialized functionality for interoperability, relevant priors retrieval, modality worklist integration, query/retrieve proxies, load balancing, and proprietary file conversion, Unifier simplifies complexity at scale.

By addressing challenges related to SCO/CTO to BTO conversion, management of relevant priors, and regulatory compliance, Unifier streamlines breast imaging to enhance diagnostic accuracy, reduce recalls, and support multi-site healthcare enterprises.

Benefits of the Unifier Platform for Mammography Workflows

  • Automated Relevant Priors Management
    Ensures every screening study is matched with complete historical priors, reducing false positives, unnecessary callbacks, and patient anxiety.
  • Proprietary Format Conversion and SOP Class Modification
    Converts SCO and CTO files into DICOM BTO objects and modifies SOP classes to maintain compatibility with downstream systems, eliminating vendor lock-in and enabling interoperability across PACS, VNAs, and registries.
  • Patient Identity Resolution
    Matches demographics across EHR, RIS, and MPI to maintain longitudinal records, remove duplicate identifiers, and improve diagnostic confidence.
  • Workflow Integrity and Intelligent Routing
    Integrates with HL7 DMWL and MPPS while routing studies, including relevant priors to the correct radiologist or workstation, ensuring accuracy and timeliness.
  • Performance Optimization
    Improves transfer of large datasets such as 3D tomosynthesis with on-the-fly compression and bandwidth optimization to reduce turnaround times and storage costs.
  • AI and CAD Integration
    Routes studies into AI and CAD applications for breast density assessment, lesion detection, and decision support, with results linked directly to the imaging record.
  • Regulatory Compliance Support
    Simplifies adherence to MQSA and ACR standards by enriching metadata and ensuring standardized, audit-ready datasets.

SCO/CTO to BTO Conversion mammography workflow with Dicom Systems

Mammography Workflows Expertise

Dicom Systems has delivered enterprise-scale breast imaging workflow solutions for leading healthcare providers.
  • Keck Medicine of USC utilizes DICOM Systems to convert proprietary SCO and CTO files into the DICOM-compliant BTO standard, thereby improving access to prior studies, streamlining retrieval, and enabling interoperability across enterprise systems. This standardized workflow allows radiologists to quickly retrieve historical data, improving diagnostic accuracy, reducing recalls, and accelerating patient care.
  • Solis Mammography selected Dicom Systems to automate the routing of new images and relevant priors across its network. The result is faster access to priors, reduced callbacks, and a better patient experience across its enterprise.

Enterprise-Ready Mammography Workflows

One of the biggest challenges in mammography workflows is managing the large file sizes of 3D tomosynthesis studies, which can range from 450 MB to 3 GB in size. Unifier addresses this by utilizing on-the-fly compression, network transfer optimization, study prioritization, and an enhanced routing queue to enhance transfer speed and reduce turnaround time.

The Unifier platform has been validated in large enterprise environments to deliver:

  • High-Performance Routing: Reliable delivery of thousands of mammography studies and priors daily across PACS, VNAs, and registries.
  • Standardization at Scale: Automated conversion of SCO/CTO objects to BTO files for seamless interoperability across imaging and reporting platforms.
  • Enterprise Workflow Readiness: Integration with HL7 and EHR systems to maintain accurate scheduling, billing, and compliance workflows.

Read more about imaging data transmission speed in our whitepaper.

Ready to Optimize Your Mammography Workflows?

Don’t let proprietary formats, siloed systems, or inconsistent priors slow down your breast imaging operations. Discover how the Unifier platform facilitates standardized, scalable, and compliant mammography workflows across the entire enterprise.