Zero-Trust API Gateways for Secure Inter-Hospital DICOM Imaging Exchange

Sharing high-resolution CT, MRI, and PET scans across regional healthcare systems traditionally requires complex VPN tunnels that expose wide network attack surfaces. This whitepaper demonstrates modern DICOMweb RESTful proxying over TLS 1.3 with cryptographic access tokens and decentralized audit trails.

Eliminating Fragile Site-to-Site VPNs

DICOMweb replaces legacy C-STORE and C-FIND protocols with standard HTTP/2 streams, allowing medical images to traverse secure corporate proxies without opening raw TCP ports.

Automated De-Identification and PHI Redaction

The gateway dynamically strips protected health information (PHI) from DICOM headers during inter-hospital academic and clinical research data sharing under HIPAA Safe Harbor rules.

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