An analysis of replication and retrieval of medical image data using a database management system and a distributed file system

This paper presents a research study consisting of a comparison analysis of replication and retrieval of medical image data which use the Digital Imaging and Communications in Medicine (DICOM) standard. These data are stored in a relational database management system (RDBMS) and in the Hierarchical Data Format (HDF) using a distributed file system as a data backend. The importance of this work was measured by verification of elapsed-time reduction for medical image data replication and retrieval in a real telemedicine environment.