DICOM Router
The Flywheel DICOM Router moves DICOM data from imaging devices and PACS directly into Flywheel. It is built on Flywheel's modern import pipeline, so Site Admins configure and monitor connections directly in the Flywheel web app.
Limited Release: Inbound DIMSE C-STORE (Flywheel 22.2)
The first capability of DICOM Router is inbound DIMSE C-STORE — a Flywheel-hosted DICOM receiver that scanners and PACS can send to directly over the public internet, secured with mutual TLS (mTLS). Inbound DIMSE C-STORE is production-ready in Flywheel 22.2, with additional DICOM Router capabilities planned for future releases. It is not enabled by default — contact Flywheel Support to enable it for your site.
Finding DICOM Router in the web app
In the Flywheel web app, DICOM Router appears under Interfaces → Connector.
Already have a connector, or need PULL or on-premises PUSH?
If Flywheel already operates a Legacy DICOM Connector for your site, or you need a PULL or on-premises PUSH connector, see the Legacy DICOM Connector.
What inbound DIMSE C-STORE provides
Inbound DIMSE C-STORE lets an imaging device or PACS send studies to Flywheel without any on-premises connector hardware:
- Flywheel-hosted receiver: Flywheel Core receives DICOM directly, so there is no connector to deploy or maintain at your site.
- Secure transport (mTLS): Each device authenticates to Flywheel, and Flywheel authenticates to the device, using mutual TLS. See Secure Connections (Mutual TLS).
- Per-device authorization: Administrators register each authorized device by certificate, hostname or IP, and Application Entity Title (AET) on the Interfaces → Connector → Manage Connections page.
- De-identification on ingest: DICOM data can be de-identified using your existing de-identification profiles before it is stored.
- Monitoring: inbound DIMSE C-STORE activity is monitored alongside other imports in the Flywheel web app.
Get started
- Confirm that your device — or a network appliance in front of it — can make an outbound, mutually-authenticated TLS connection. See Connectivity Requirements.
- Contact Flywheel Support to enable inbound DIMSE C-STORE for your site.
- Authorize your devices on the Interfaces → Connector → Manage Connections page (certificate, hostname or IP, and AET). See Manage Connections for step-by-step instructions.
In this section
- Connectivity Requirements — what your devices or appliances must support.
- Manage Connections — authorize devices, share the connector's certificate, and monitor activity.
- Secure Connections (Mutual TLS) — how Flywheel authenticates each device.
Related pages
- Legacy DICOM Connector — the Flywheel-managed connector for PULL, on-premises PUSH, and existing deployments.
- Getting Data In — all methods for importing data into Flywheel.