On the average, 4.48 and 1.43 of overall 8 2D and 5 3D image viewing criteria are satisfied, respectively.
They include (i) platform, (ii) interface, (iii) support, (iv) two-dimensional (2D), and (v) three-dimensional (3D) viewing. The evaluation criteria are obtained from application scenarios in clinical research rather than patient care. In this paper, a comprehensive evaluation of 28 DICOM viewers is performed. Imaging biomarkers and image-based surrogate endpoints in clinical trials and medical registries require DICOM viewer software with advanced functionality for visualization and interfaces for integration. The digital imaging and communications in medicine (DICOM) protocol is the leading standard for image data management in healthcare.