ODXACS: An Efficient Web-Based Solution for Digital X-ray Archiving and Communication

Abstract Radiology departments in Bangladesh often struggle with managing large volumes of outpatient diagnostic X-rays, leading to delays in report delivery and increased burdens on low-income patients. While digital X-ray machines are in use, existing systems lack efficiency in report generation and communication. This paper presents the Online Digital X-ray Archiving and Communication System (ODXACS), a low-cost, web-based solution leveraging Digital Imaging and Communications in Medicine (DICOM) standards to enable real-time archiving, image processing, and secure dissemination of X-ray reports. The system features a scalable, role-based architecture tailored to the needs of resource-constrained healthcare settings. Experimental evaluation shows high image quality (PSNR > 31 dB, SSIM > 0.89), fast processing speeds, and system availability above 99.5%, demonstrating its effectiveness in improving diagnostic workflows. ODXACS reduces operational costs, accelerates report generation, and enhances access to timely medical care, offering a practical solution for improving radiology services in underserved regions.