Vinith Raj

Engineering reliable systems that help people do meaningful work.

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DICOM

From Schemaless DICOM Metadata to Clinician-Friendly Relational Tables in PostgreSQL

December 17, 2025 / Leave a Comment

Introduction In a previous article, we explored a zero-code approach to storing DICOM metadata by persisting vendor-specific and modality-specific tags as JSONB in an extradicomtags column. This approach embraces the reality of clinical imaging data: the schema is heterogeneous, nested, and constantly evolving. By storing the raw metadata as a JSON document and applying GIN … [Read more…]

Posted in: Articles, DICOM modeling, Healthcare Data Architecture, Medical Imaging Infrastructure, metadata, normalization, Research Computing Infrastructure, schemas Tagged: Clinical Data Engineering, Clinical Research Infrastructure, Data Platforms, Database Normalization, DICOM, DICOM Metadata, GIN Index, Healthcare Analytics, Healthcare IT, JSONB, Medical Data Platforms, Medical Imaging Data, PL/pgSQL, PostgreSQL, Radiation Oncology, Relational Schema Design, Research Computing, Research Data Systems, SQL Data Modeling

Building a Zero-Code DICOM Ingestion Pipeline with Orthanc

December 15, 2025 / 1 Comment

The Real Problem: Ingestion Is Not the Product In medical imaging platforms, ingestion is often treated as a prerequisite rather than a core problem. Yet teams repeatedly invest months building custom pipelines just to move DICOM files from point A to point B. A typical from-scratch ingestion pipeline ends up requiring filesystem watchers or DICOM … [Read more…]

Posted in: Healthcare Data Architecture, Medical Imaging Infrastructure, Research Computing Infrastructure, Systems Architecture Tagged: Architecture, Data Ingestion Pipeline, Design, DICOM, DICOM Ingestion, Healthcare, Healthcare Infrastructure, Medical Imaging, Orthanc

A Practical Architecture for Large-Scale Clinical Data Ingestion

December 14, 2025 / Leave a Comment

Clinical environments generate vast amounts of operational data from electronic medical records, oncology information systems, PACS archives, and imaging and treatment-planning platforms. This data has enormous value for research, AI model development, and quality improvement. Yet pulling this data from production systems in a form suitable for analysis is exceptionally difficult. The core challenge is … [Read more…]

Posted in: Articles Tagged: Architecture, Clinical Data Ingestion, Clinical Research Infrastructure, Data Engineering, Design, DICOM, Healthcare, Healthcare Data, Medical Imaging, Metadata Architecture, PostgreSQL JSONB, Research Computing