5
White Paper
Integrating Mac Systems into
a Medical IT Infrastructure
fusion methods. OsiriX is also highly customizable via third-party plug-ins, and it can be
integrated into a wide range of workows and Picture Archiving and Communications
Systems (PACS).
OsiriX benets from its genesis in the open source community. This has allowed it to
rapidly mature into one of the most complete and feature-rich radiological software
solutions available. Numerous open source developers regularly incorporate new
features at the request of end users. Although free radiology-oriented software projects
exist for other operating systems, including Linux and Microsoft Windows, none can
equal the features and performance of OsiriX. Similarly, it is dicult for any single
medical imaging vendor to match the blistering pace of innovation that this open
source project enjoys.
Apple Mac Pro and Mac OS X
The Apple Mac OS X operating system is frequently regarded as the most advanced
operating system available, combining the powerful and security-aware techniques
of UNIX systems with a user-friendly interface.
2
Via modern programming techniques
such as Objective-C and the Cocoa framework, Mac OS X can support new generations
of highly stable and scalable tools for use in professional environments. And with Apple
Mac Pro systems, the requirements of a high-performance radiological workstation can
be easily met, with a single workstation powered by four or eight Intel Xeon processor
cores, up to 16GB of memory, as much as 3TB of disk storage, and a choice of three
available graphics card options, one of which oers stereo viewing capability.
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Barriers to Widespread Adoption
Certain factors, however, have kept imaging workstations based on OsiriX running on
the Mac platform from being widely adopted.
Integration. IT managers and end users accustomed to Windows systems may fear that
integrating a Mac system into their environment will be dicult or time-consuming.
Security. Throughout the world, most of the client systems used for viewing and
processing radiological images are driven by Microsoft Windows. As in other industries
with high security demands, IT systems for medical use must comply with a vast array
of regulations—more today than ever before. Typical among these is ISO 27001, a glob-
ally recognized certication standard for IT security management. Other regulations
vary by country. For instance, in the United States, health care facilities must adhere to
privacy and security regulations as outlined in Title II of the Health Insurance Portability
and Accountability Act (HIPAA), which mandates a series of protections aimed at man-
aging and securing patient information. In Germany, similar regulations are provided by
the Federal Oce for Information Security (BSI). Since Microsoft Windows is the most
widely used operating system in radiology departments, IT security expertise naturally
tends to concentrate on Windows.
So despite the technological and economic advantages of an OsiriX workstation based
on the Mac platform, most medical institutions hesitate to implement such a solution.
Solving the Imaging Workstation Problem
The authors of this white paper believe that this hesitation may come at too great
a cost—not just to hospitals and clinics, but to their patients as well. Indeed, after
successfully integrating a Mac-based OsiriX workstation into a radiology environment
in Germany (arguably one of the most heavily regulated health care environments in
the world), we contend that budget-constrained institutes need no longer settle for
a substandard imaging solution.
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