DICOM is one of those words that gets used constantly and explained rarely. If you have ever been told a system is “DICOM compliant” and nodded along, here is what it actually means, and why it quietly determines how smooth your imaging life is.
The short version: DICOM is the standard format and language for medical and veterinary imaging. Strong DICOM support means your modalities, viewers, and archive all speak the same language, so studies move without conversion headaches and keep the data a clinician needs.

DICOM stands for Digital Imaging and Communications in Medicine. It is two things at once: a file format for storing an image plus its information, and a set of rules for how imaging devices and software exchange those files. A DICOM study is not just a picture. It carries the patient and study details, the technical settings, and the data a viewer needs to provide tools like measurement and window/level.
That bundled-up information is the whole point. When you share a true DICOM study, the person on the other end gets the real thing, with working tools, not a flattened snapshot. This is why emailing a screenshot or a compressed JPEG is not the same as sharing the study: the JPEG looks like the image but has lost the data underneath it.
Keystone is DICOM compliant across modalities, so the imaging you already own works with it, and studies you share open as full DICOM in the browser with the tools intact. It also lets you attach non-DICOM files, like reports, photos, and short videos, to a study, so the standard imaging and the supporting material live together.
Buyer’s note: ask a vendor to prove DICOM send and receive with your specific modalities. “DICOM compliant” in a brochure is not the same as tested on your equipment.
For the bigger picture, see what a veterinary PACS is.
Keystone is DICOM compliant across your modalities, so studies move and share without conversion headaches.
Submit images directly through Asteris Keystone or via our free and simple Asteris Keystone Community application.
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