Question 1

What does DICOMetrics™ do?

Accepted Answer

DICOMetrics™ transforms DICOM X-rays into precise spinal motion measurements and professional CRMA reports—in minutes. Using guided digital tools, physicians can evaluate intersegmental translation and angular motion, identify measurements meeting applicable AOMSI criteria, and generate clear, standardized documentation for clinical and medico-legal use.You perform the analysis. DICOMetrics™ handles the measurements, calculations, and documentation.

Question 2

Why choose DICOMetrics™ for CRMA (Computed Radiographic Mensuration Analysis)?

Accepted Answer

DICOMetrics™ was designed to make computerized radiographic mensuration faster, simpler, and easier to document—without sacrificing measurement accuracy or physician control.Works directly with original DICOM radiographs, preserving the imaging metadata used for accurate measurement calibration.Simple, physician-focused workflow: Upload the study, plot the required landmarks, review the measurements and calculated findings, and generate the completed CRMA report.Automated calculations and analysis: Once landmarks are plotted, DICOMetrics™ automatically calculates the applicable measurements and organizes the resulting findings.Focused, standardized reports present the measurements, calculated findings, methodology, and applicable reference criteria without unnecessary or repetitive content.Clear medico-legal documentation makes results readily understandable to physicians, attorneys, adjusters, patients, and other nontechnical readers.Consistent reporting helps standardize documentation from one study to the next.Upload. Plot. Analyze. Generate. DICOMetrics™ turns a time-consuming CRMA workflow into a professional report in minutes.

Question 3

What type of X-ray images are required?

Accepted Answer

DICOMetrics™ requires original DICOM-format radiographs to ensure accurate measurement calibration using the imaging metadata contained within each file.For cervical, thoracic, and lumbar spinal motion analysis:Neutral lateral viewFlexion lateral viewExtension lateral viewFor upper cervical analysis:Neutral AP open-mouth viewRight lateral-bending AP open-mouth viewLeft lateral-bending AP open-mouth viewJPEG, PNG, screenshots, and other non-DICOM images are not supported because they do not contain the DICOM metadata required by DICOMetrics for reliable measurement calibration.

Question 4

Why does DICOMetrics™ require DICOM images?

Accepted Answer

Accurate measurements depend on accurate image calibration. DICOM files contain imaging metadata, including pixel-spacing information, that DICOMetrics uses to convert image measurements into physical dimensions such as millimeters.JPEGs, PNGs, screenshots, and other standard image formats do not preserve the DICOM metadata required for this calibration. Using the original DICOM images helps maintain the integrity of the quantitative analysis from the source image through the final report.

Question 5

How accurate are the measurements?

Accepted Answer

DICOMetrics™ calculates measurements using the spatial calibration data contained within the original DICOM images. This allows distances to be reported in physical units such as millimeters without relying on screen size, zoom level, or display scaling.As with any radiographic mensuration method, measurement quality also depends on proper image acquisition, positioning, image quality, and accurate anatomical landmark placement by the physician.

Question 6

Does DICOMetrics™ support AMA Guides methodology?

Accepted Answer

Yes. DICOMetrics™ supports biomechanical analysis using criteria and methodologies recognized in the AMA Guides to the Evaluation of Permanent Impairment, including the 5th and 6th Editions.The software provides quantitative analysis of intersegmental translation and angular motion to assist physicians in evaluating Alteration of Motion Segment Integrity (AOMSI) and other applicable biomechanical findings.DICOMetrics™ incorporates established references, including:AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th EditionsWhite & Panjabi, Clinical Biomechanics of the SpineYochum & Rowe, Essentials of Skeletal RadiologyThe physician remains responsible for selecting the appropriate methodology and interpreting the findings within the context of the patient's overall impairment evaluation.

Question 7

Does DICOMetrics™ generate an impairment rating?

Accepted Answer

No. DICOMetrics™ does not generate or assign an impairment rating. An impairment rating is a clinical determination made by a qualified physician based on the patient’s complete clinical presentation and the applicable impairment-rating methodology.DICOMetrics™ is a physician-support tool that performs and documents objective biomechanical measurements from radiographic studies. When applicable, these measurements can help the physician identify the biomechanical component used in determining an overall impairment rating, including findings related to Alteration of Motion Segment Integrity (AOMSI).The physician remains solely responsible for reviewing the measurements, correlating them with the patient’s clinical findings, applying the appropriate criteria, and determining the final impairment rating.

Question 8

How long does it take to complete a CRMA analysis?

Accepted Answer

DICOMetrics™ is designed to make CRMA analysis fast and efficient by combining image measurement, automated calculations, findings, and report generation into a single workflow.Once the DICOM images are uploaded, the physician plots the required anatomical landmarks and DICOMetrics™ performs the applicable calculations, organizes the measurement results, and generates the CRMA documentation.Actual completion time varies based on the spinal region, image quality, study complexity, and user experience, but the workflow is designed to significantly reduce the time associated with manual measurement, calculation, and report preparation.

Question 9

Do I need special software or equipment to use DICOMetrics™?

Accepted Answer

No specialized CRMA hardware or locally installed analysis software is required. DICOMetrics™ is browser-based and is designed to work with original DICOM radiographs exported from compatible digital X-ray or PACS systems.Users need a compatible web browser, internet connection, and access to the patient's original DICOM images.Because the analysis is performed within DICOMetrics™, there is no need to purchase or maintain a separate workstation dedicated specifically to CRMA analysis.

Question 10

How do I get DICOM images from my X-ray or PACS system into DICOMetrics™?

Accepted Answer

Most digital X-ray acquisition and PACS systems provide a method to export, save, or download studies in DICOM format.After exporting the required radiographs from your imaging system, the original DICOM images can be uploaded directly into DICOMetrics™ for analysis.Because export procedures vary among imaging systems, DICOMetrics™ provides support and guidance for commonly used X-ray and PACS platforms to help users locate and export the appropriate DICOM files.

Question 11

What spinal regions can DICOMetrics™ analyze?

Accepted Answer

DICOMetrics™ provides comprehensive quantitative motion analysis of the cervical, thoracic, lumbar, and upper cervical spine—all within a single platform.For the cervical, thoracic, and lumbar spine, DICOMetrics™ analyzes neutral, flexion, and extension lateral radiographs to quantify intersegmental motion. The physician plots defined anatomical landmarks, and the software automatically calculates vertebral translation, angular motion, and applicable segment-to-segment comparisons across the evaluated spinal levels.Measurements are evaluated using the selected methodology and applicable reference criteria, allowing the physician to objectively document abnormal motion findings, including Alteration of Motion Segment Integrity (AOMSI) when the appropriate criteria are met.For the upper cervical spine, DICOMetrics™ analyzes neutral and right and left lateral-bending AP open-mouth radiographs to quantify C1–C2 motion and alignment, including atlas lateral displacement/overhang and peri-odontoid relationships.Each analysis brings the measurements, calculated findings, annotated radiographic images, methodology, and supporting documentation together into a clear, standardized CRMA report ready for physician review and finalization.One platform. Three spinal regions. Objective measurements from the original DICOM images through the finished report.

Question 12

What is included in the finished CRMA report?

Accepted Answer

DICOMetrics™ generates a professional, structured CRMA (Computed Radiographic Mensuration Analysis) report designed to clearly document the quantitative analysis performed by the physician.The report includes annotated radiographic images, intersegmental translation and angular measurements, calculated findings, applicable reference criteria, methodology, and supporting references.The report organizes the relevant measurements and findings into clear documentation suitable for clinical and medico-legal use, while allowing the physician to review and finalize the analysis.

Question 13

Does DICOMetrics™ interpret X-rays or replace the physician?

Accepted Answer

No. DICOMetrics™ is a physician-support tool and does not replace professional clinical judgment.The software provides tools for quantitative radiographic mensuration, performs calculations based on physician-selected anatomical landmarks, and organizes the resulting measurements and findings into standardized documentation.The physician remains responsible for reviewing the radiographs, verifying landmark placement and measurements, interpreting the findings, correlating those findings with the patient's clinical presentation, and determining their clinical significance.

Question 14

How does DICOMetrics™ protect patient data and support HIPAA compliance?

Accepted Answer

DICOMetrics™ is designed to support HIPAA-compliant use and to protect the privacy and security of patient information.The platform incorporates multiple administrative and technical safeguards designed to protect electronic protected health information (ePHI), including:Encryption in transit and at rest to protect patient information during transmission and storage.Two-factor authentication (2FA) to provide an additional layer of security for user accounts.Role-based access controls to restrict access to patient information based on authorized user permissions.Automatic session timeout and logout to reduce the risk of unauthorized access from unattended devices.Audit logging to maintain records of system activity and access to protected information.Secure backups and disaster-recovery safeguards designed to protect against data loss and support system recovery.U.S.-based data storage for patient information and DICOM studies.Unique user accounts and authentication controls to help ensure that access to protected information is limited to authorized users.DICOMetrics™ also maintains a HIPAA compliance program and provides a Business Associate Agreement (BAA) to covered healthcare providers as applicable.HIPAA compliance is a shared responsibility. Healthcare providers remain responsible for using DICOMetrics™ in accordance with their own HIPAA policies, workforce access requirements, and privacy and security obligations.

Accurate Spinal Analysis. Finished Reports in Minutes.

Time Saving Workflow

2

Measure

3

Generate CRMA Report

1

Upload Images

From Measurements to a Finished Report—in Minutes

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DICOMetrics™ removes the friction from medical imaging analysis. No complex installations, no steep learning curves. Just upload and analyze.

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