Mammography Workflow Solutions
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.
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
- 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.