ACANIO / Specialized engineering

Medical Imaging AI Integration for Clinical Workflows

Model outputs need a reliable path into the imaging workflow where they will be reviewed. ACANIO connects inference services, source-image references, and result display, delivering integration code and tests for the agreed model, archive, and viewer.

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What we build

Engineering capabilities

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AI inference integration and orchestration

Connect eligible imaging studies to an in-house or vendor inference service. Track input identifiers, job status, timeouts, and retries so the workflow can distinguish pending, completed, and failed processing.

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DICOM SR, SEG, and RTSTRUCT result handling

Associate structured findings, segmentations, and contours with their source studies, series, and images. Map supported model outputs to the agreed DICOM SR, SEG, or RTSTRUCT representation and test viewer and archive compatibility.

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Overlay and result visualization

Present findings, measurements, and segmentation overlays alongside the source images. Check spatial alignment, result provenance, and supported display controls while keeping review decisions with the clinician.

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Annotation, training feedback, and validation tooling

Build annotation and review interfaces, including MONAI Label integration, where reviewers can accept, reject, or modify model results. Capture corrected annotations and feedback for model training workflows, and compare outputs with reference annotations. Preserve model and result versions for repeatable engineering checks; clinical validation criteria remain with your clinical team.

Where this fits

Example engineering scenarios

Engineering guide

From model output to an imaging review workflow

Consider a synthetic CT study and a model that returns a segmentation with measurements. The integration needs to preserve the relationship between each result and its source images, then present that result for review.

  1. Record the input and processing state. Capture the source study, series, and instance identifiers with the model version and job ID. Define eligibility and completion rules so a late series or retried request does not silently create an ambiguous result.
  2. Associate and check the output. Confirm source-image references, orientation, spacing, and expected output types. Where the interface uses DICOM SEG, SR, or RTSTRUCT, check encoding and compatibility with the receiving archive and viewer. Quarantine unmatched or unsupported results for investigation.
  3. Compose the review interface. Choose the required display handlers and workflow tools. OHIF separates extensions from modes; the former supply tools and handlers, while the latter compose the review workflow. Make result provenance and processing failures visible beside the images.
  4. Test before handing off. Use synthetic cases covering missing references, misaligned overlays, unsupported results, and repeated jobs. Agree how reviewers accept, reject, or amend findings and how the receiving clinical application records those decisions.

Deliverables can include an inference adapter, result mapping, viewer integration, and recovery tests. Clinical acceptance criteria and any required regulatory assessment must be defined with the responsible clinical and product teams.

See the DICOMweb viewer integration sequence for source-image access and HL7/FHIR integration for downstream clinical data exchange.

How we work

Domain knowledge meets disciplined delivery.

Route studies to an in-house or vendor model, return DICOM SR, SEG, RTSTRUCT, boxes, or JSON, and render them in the reading view with the clinician in control. We begin with your workflow and integration constraints, then design, implement, review, and hand over maintainable software.

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