Product Overview

What is DICOM Store SCP for AWS HealthImaging?

DICOM Store SCP for AWS HealthImaging (StoreSCP) is a solution for healthcare institutions to manage DICOM images from medical devices such as CT, MRI, and X-ray systems in the AWS cloud using automated DICOM ingestion workflows.

Problems This Solution Addresses

Challenges with Traditional PACS Systems:

• High upfront hardware costs and maintenance expenses

• System aging and expensive upgrade cycles

• Complex data protection and disaster recovery requirements

• Storage capacity limitations and expansion costs

• IT staffing challenges and operational burden

Solutions Provided by StoreSCP:

• Dramatically reduce initial investment (no hardware required)

• Pay-as-you-go pricing model for cost optimization

• Data protection with AWS’s highly reliable infrastructure

• Unlimited storage capacity with automatic scaling

• Reduced operational burden through managed services

Target Healthcare Organizations

• Small to Medium Hospitals: Want to implement PACS with minimal initial investment

• Large Hospitals: Considering cloud migration of existing systems

• Radiology Clinics: Need cost-effective image management solutions

• Telemedicine Providers: Require flexible cloud-based access

• Healthcare IT Vendors: Want to offer cloud PACS solutions to customers

Prerequisites

• AWS Account

• Appropriate IAM permissions

• VPC (existing or new)

• NAT Gateway (for ECR access from private subnets)

Supported Regions

This solution is designed for deployment in us-east-1 (N. Virginia) via AWS Marketplace.

Note

While AWS HealthImaging is available in multiple regions (us-west-2, eu-west-1, ap-southeast-2), this AWS Marketplace solution currently supports us-east-1 only due to container image hosting limitations.

Pricing

AWS Service Components and Costs

The following table details all AWS components deployed by this solution and their associated costs:

Primary Cost Components

Service	Quantity	Billing Model	Description
ECS Fargate	1-3 tasks	CPU/Memory hours	DICOM SCP server (1024 CPU, 2048MB default)
Network Load Balancer	1 instance	Hourly + data processing	Internet-facing load balancer
AWS HealthImaging	1 datastore	Storage + API calls	Medical image storage and management
S3 Storage	3 buckets	Storage volume	DICOM files, access logs, import results
DynamoDB	1 table	On-demand requests	Import job metadata (PAY_PER_REQUEST)

Supporting Components

Service	Quantity	Billing Model	Description
Lambda Functions	3 functions	Execution count/duration	Import workflow automation
Step Functions	1 state machine	State transitions	Workflow orchestration
SQS Queues	3 queues	Message count	Event processing and error handling
CloudWatch Logs	Multiple log groups	Log storage volume	Application and system logs

Cost Estimation Examples

Small Hospital (100-500 images/month)

Component	Monthly Cost (USD)	Notes
ECS Fargate (1 task)	$30-40	1024 CPU, 2048MB, 24/7 operation
Network Load Balancer	$16-20	Base hourly rate + minimal data processing
AWS HealthImaging	$5-15	Storage + API calls for 100-500 images
S3 Storage	$2-5	DICOM files and logs
Other Services	$5-10	Lambda, DynamoDB, SQS, CloudWatch
Total Estimate	$60-90	Varies based on actual usage

For detailed cost estimates, use the AWS Pricing Calculator.

Security Considerations

Data Protection

• Encryption at rest (S3, DynamoDB)

• Encryption in transit (TLS support)

• Communication isolation within VPC

Access Control

• IAM role-based access control

• Network control with security groups

Compliance

• Architecture designed to support secure healthcare workloads on AWS

• Security based on AWS Shared Responsibility Model

For detailed information on security architecture, responsibility boundaries, and network communication, see Security Responsibility, Network Communication, and Security and Architecture Guide.

Security, availability, and regulatory compliance depend on the customer’s AWS configuration and operational practices.