Import cases from PACS


Import your own cases to eScan Academy to create customized exercises

This guide presents how to import your own cases to eScan Academy. Importing cases to eScan Academy is simple if you follow the steps outlined in this guide. Our data processing agreement outlines the conditions that apply when importing cases to eScan Academy. Learn more. If you have already imported your case, and are looking for help creating customized exercises please read this guide.

  1. Follow the steps in this guide to open the 'add exercise' card and select import case. Hereafter you will see a step-by-step guide that will guide you through the process.

  2. Add a title for easier retrieval. You can find all your imported cases in 'my archive' in the top menu.  This is also where you delete your data from the eScan Academy servers.

  3. Select medical specialty and sub-specialty from the drop down lists. Based on this selection eScan Academy will customize features such as allowed image types, required patient information, available multiple-choice questions, teaching points, segmentation labels, etc. Please note that you cannot change this later. Feel free to contact us at if your desired specialty or sub-specialty is missing.


  4. You are now ready to select your files. Simply drag and drop them to the drop zone, and click 'next' in the upper right corner.

    Please observe the following information when exporting images from PACS and importing to eScan Academy.

    Export from PACS
    Images are commonly exported to a ZIP folder that contains several files and subfolders, among these the actual DICOM image files, readme files, application files, and several other files depending on PACS provider. We recommend you import the subfolder containing the DICOM image files only. Please consult your system administrator if you have difficulties exporting files.

    Allowed file extensions
    The following file formats can be imported to eScan Academy:
         DICOM (.dcm, or without file extension)
         JPEG (.jpg)
         PNG (.png)
         ZIP compressed folders (.zip) containing supported file format

    Image requirements for 3D images (e.g. CT, SPECT, PET)
    Import the transactional plane only. We reconstruct the transversal and coronal planes based on the data from the transactional plane. For educational purposes it is often sufficient to display 3D volumes with a slice thickness of 5 mm. Although images with a slice thickness less than 5mm are accepted by eScan Academy, we recommend that you crop these images for better user experience.

  5. Select image series. eScan Academy will automatically list all images series from your data, and try to establish correct image type. Please select proper image type for all the series you wish to import. You can preview the image or see the DICOM tags for help. Remove series that you do not wish to import. 

  6. eScan Academy automatically takes care of patient de-identification, and most often you are not required to do anything in relation hereto. Patient de-identification ensures that patient sensitive information never leaves your closed network. Learn more about patient de-identification in eScan Academy, and how your data is stored on our secure servers

    As part of the de-identification process eScan Academy will scan your images' pixel data for embedded patient information using Optical Character Recognition (OCR). If we detect any text you will be notified immediately and asked to do a manual review before you can proceed to upload. Here you can choose to remove the detected characters, upload images without change, or omit the image entirely from upload.

    Once data is de-identified it gets compressed. All this happens in your web browser and the speed depends on your device and file size. Please sit back and relax while we work in the background. Hereafter you data is upload, processed, optimized and finally marked complete. We will optimize your imported images for better user experience, and create several versions with different image quality and file size, and assignees will see an optimized version based on their device and internet connection. 

    OCR scan can be time consuming and is only performed on images that are commonly known to store sensitive patient information (such as x-ray, mammography, and screenshots). However, we will not perform OCR scan if DICOM tag '0012, 0063 Patient Identity Removed' is set to 'Yes'.
  7. After following the above steps, your images should now be imported to eScan Academy, and presented in the case editor. Click here to learn how you create assignments (questions) in the case editor.