DicomOS: A Preliminary Study on a Linux-Based Operating System Tailored for Medical Imaging and Enhanced Interoperability in Radiology Workflows

Abstract

In this paper, we propose a Linux-based operating system, namely, DicomOS, tailored for medical imaging and enhanced interoperability, addressing user-friendly functionality and the main critical needs in radiology workflows. Traditional operating systems in clinical settings face limitations, such as fragmented software ecosystems and platform-specific restrictions, which disrupt collaborative workflows and hinder diagnostic efficiency. Built on Ubuntu 22.04 LTS, DicomOS integrates essential DICOM functionalities directly into the OS, providing a unified, cohesive platform for image visualization, annotation, and sharing. Methods include custom configurations and the development of graphical user interfaces (GUIs) and command-line tools, making them accessible to medical professionals and developers. Key applications such as ITK-SNAP and 3D Slicer are seamlessly integrated alongside specialized GUIs that enhance usability without requiring extensive technical expertise. As preliminary work, DicomOS demonstrates the potential to simplify medical imaging workflows, reduce cognitive load, and promote efficient data sharing across diverse clinical settings. However, further evaluations, including structured clinical tests and broader deployment with a distributable ISO image, must validate its effectiveness and scalability in real-world scenarios. The results indicate that DicomOS provides a versatile and adaptable solution, supporting radiologists in routine tasks while facilitating customization for advanced users. As an open-source platform, DicomOS has the potential to evolve alongside medical imaging needs, positioning it as a valuable resource for enhancing workflow integration and clinical collaboration.