DICOM Load Balancer



Make 100% uptime for your imaging workflows within reach with the Dicom Systems Unifier Load Balancer. Use alone or with our state of the art High Availability for all incoming traffic. Optimized features such as DICOM image caching, compression, faster application delivery and ensure scalability.


Dicom Systems Unifier Load Balancing Module Features

  • Round Robin
  • Weighted round robin
  • Customizable number of thread to each node
  • Balancing traffic by any DICOM TAG or any combination of DICOM tags
  • DICOM PROXY capabilities
  • Bind and support transparent AE Title and bind any AE Title
  • Guarantee to deliver the same study to the same destination regardless of the time it was received

The flow of DICOM data within and across a healthcare network is dependent on a variety of variables. The performance of servers, time of day, size of data files and available network bandwidth can all impact how quickly a study moves between modalities, archives and workstations. The urgency of emergent studies, workflow needs of various specialties, and service level agreements with both internal and external constituencies can be drivers for exercising more control over data traffic. Load balancing technology specifically designed for DICOM data gives imaging IT departments full control over how resources can be efficiently used in the transmission and storage of these large datasets. 

With Unifier, an enterprise can intelligently and proactively balance the transmission of data to and from any system. Load balancing rules customized to specific preferences and needs can contribute to delivering timely, high quality care to patients while also optimizing IT resources, application delivery, and overall scalability. 

High Availability

Using health and performance checks, the Dicom System Unifier Load Balancer module distributes traffic for efficient use of server resources and employs server failover for high availability. Content routing and content rewrites enable full control of application traffic. Client controls gives administrators the ability to throttle, prioritize and further manage requests to ensure application availability even during periods of heavy traffic.


Unifier Software updates ensure comprehensive security for existing and emerging Layer 7 Threats. TLS 1.2 connectivity

Technical Specifications

  • Active/passive high availability
  • Layer 7 load balancing
  • Default load balancing
  • Round robin
  • Weighted round robin
  • DICOM content-based
  • Adaptive load balancing by server feedback
  • Guarantee STUDY persistence
  • Extensive logging
  • Custom Health Checking
Load balancing our DICOM traffic required a level of sophistication and flexibility that Dicom Systems was able to rapidly deploy. Our enterprise workload is now balanced by a set of algorithms which boosts IT resources and reinforces our commitment to delivering the highest quality care to patients.
Paul J. Smith

Chief Information Officer, Desert Radiology