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This is regular diagnostic, not mammography, correct? The software is cleared for PHI? How does the system respond when bandwidth not sufficient? Does it just load longer or does it compress? If the latter, is there an indication to the reader</div>
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This is regular diagnostic, not mammography, correct?</div>
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The software is cleared for PHI? </div>
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How does the system respond when bandwidth not sufficient? Does it just load longer or does it compress? If the latter, is there an indication to the reader that it is not loaded at full quality? </div>
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Did you check any phantom image to confirm resolution is transferring correctly with no aliasing? </div>
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Last question, how does the Dicom GSDF apply? Is it calibrated with an image sent through the virtual machine? Not sure if that is necessary but might be good to check the full curve.</div>
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Not sure any of that is regulatory, but just things I could think of that might impact the read.</div>
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Breast,</div>
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Bill</div>
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William F. Sensakovic, PhD, MRSC(MRSE), FAAPM</div>
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Chair and Assoc. Prof., Mayo Clinic (Arizona)</div>
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Founder, Telerad Physics Teaching, LLC</div>
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<div id="divRplyFwdMsg" dir="ltr"><span style="font-family: Calibri, sans-serif;"><b>From:</b> Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces+wfsensak=outlook.com@lists.osu.edu> on behalf of Lee Kiessel via Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list@lists.osu.edu><br>
<b>Sent:</b> Tuesday, June 23, 2026 9:17 AM<br>
<b>To:</b> Wunderle, Kevin via Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list@lists.osu.edu><br>
<b>Subject:</b> [Intl_DxMedPhys] Rads reading with virtual desktop</span>
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<span style="font-size: 11pt;">We have one radiologist who transitioned his home reading station from using a local PACS viewer to reading images through a virtual desktop (images are loaded on a virtual machine, and the display is streamed, uncompressed, to
his home workstation). This is supposedly to help with network bandwidth issues with slow image loading.</span></p>
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<span style="font-size: 11pt;"> </span></p>
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<span style="font-size: 11pt;">I’ve verified that the images are translating to the proper display luminance by loading test patterns in PACS on the virtual machine and viewing them on the home displays. Similarly high contrast bar patterns display properly
as well.</span></p>
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<span style="font-size: 11pt;"> </span></p>
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<span style="font-size: 11pt;">Our system is considering rolling this out to more radiologists, so I’d like to check to make sure I’m not missing anything that could compromise image quality. Has anyone had experience with radiologists using a similar virtual
desktop setup to view images? Are there any pitfalls that I may be overlooking?</span></p>
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<span style="font-size: 11pt;"> </span></p>
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<span style="font-size: 11pt;">Thanks in advance!</span></p>
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<span style="font-size: 11pt;"> </span></p>
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<span style="font-size: 11pt;"><b>Lee M Kiessel, PhD, DABR </b>| Chief Diagnostic Physicist</span></p>
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<span style="font-size: 11pt;">Avera McKennan Hospital and University Health Center</span></p>
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<span style="font-size: 11pt;">1325 S Cliff Ave | Sioux Falls, SD 57105</span></p>
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<span style="font-size: 11pt;">Direct: 605-322-6279 | Cell: 605-838-8089</span></p>
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