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DICOM Analysis - My device can’t send to PACS!DICOM Analysis or DICOM Troubleshooting! When you get the inevitable call, “I can’t send my images to PACS!”, you are set into action. If you are new to the IT side of PACS however, you may ask yourself, “Where do I start?” I should call this page just “Troubleshooting” as a majority of calls like this tend to be networking issues or server issues rather than issues related to DICOM problems. However, this page will help develop the list of questions you need to ask in order to Your goal to resolve these types of issues will be to employ a plan that allows you to immediately eliminate the factors that are currently causing the issues. Now I know that may sound elementary but it is the most critical step to quickly identifying the issue and resolving it. You can create a list of questions that can drive your troubleshooting actions and eliminate items. Remember to think calmly and logically. Here are some things to try if you are being told that a device can’t send to PACS 1. Try to ping that device. If you can ping the device, go to 2. If you cannot ping the device, try to ping other known devices on that subnet. If other devices on the same subnet respond to ping requests, you can focus on that specific device. IF other devices do not respond to a ping, you may need to start looking at the local switches. 2. Try to ping the PACS servers. If you can ping the PACS servers, go to 3. If you can’t ping the PACs servers you have major problems, restart PACS serves or the servers themselves. 3. Access the DICOM logs on the PACS server and look for the DICOM send from the device that is having the issues. Typically, the DICOM logs are stored by AE title or you can search the log files for the AE title that is having issues. The log files will tell you if there is some DICOM specific issue. I.e. Disk space is full; the AE title is unknown (sometimes a device upgrade will reset all the DICOM configuration) or some aspect of the DICOM association is failing and why. REMINDER! This is not the definitive or the absolute way to troubleshoot when a device cannot send to PACS but merely a way to get started. As I grow the site, I will delve deeper into more specific, specialized ways of troubleshooting issues.
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