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  • Worm Storage in PACS Archives

    Posted by vascular28_304 on August 16, 2023 at 8:05 am

    Has anyone encountered, familiar with or inquired about utilizing WORM storage with respect to PACS Archiving? This would be considered a potential defense against ransomware and facilitate better overall data security, but wondering how it would work for a PACS Archive.

    vascular28_304 replied 8 months ago 4 Members · 8 Replies
  • 8 Replies
  • cbkent

    Member
    August 18, 2023 at 7:02 am

    seems to me that updates to the demographics would more difficult when the study is read only.  It would have to be rewritten, costing space.  Still as an archive, immutability would protect against contamination or corruption.  Depends on how often the data needs to change.

    • vascular28_304

      Member
      August 18, 2023 at 10:49 am

      Those were my exact thoughts… How do we make updates?

      • kaldridgewv2211

        Member
        August 21, 2023 at 12:27 pm

        how’s it work during a migration?  One that say you need to prefix accessions and MRNs.

        • vascular28_304

          Member
          August 21, 2023 at 2:05 pm

          Also a good question dicom_dan

          • Unknown Member

            Deleted User
            August 31, 2023 at 6:21 am

            !vendor alert!
            I work for Amazon Web Services and we recently released AWS HealthImaging which is an AWS managed service for medical images.  One way we innovated in this space is by making every change to data versioned like a source control system.  This guards against malicious (ransomware) and accidental (admin) mistakes as any change can be undone.  Data can also be locked to prevent updates – happy to share more

            • vascular28_304

              Member
              September 1, 2023 at 12:06 pm

              If you lock the data, how does it receive demographic updates?

              • Unknown Member

                Deleted User
                September 5, 2023 at 12:02 pm

                You unlock, update, lock.  There are usually more requirements around the ability to lock/unlock which can be addressed in various ways

                • vascular28_304

                  Member
                  September 5, 2023 at 12:39 pm

                  Ah, ok, was wondering how that would be done. 
                  Thank you for replying.