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Ginkgo CADx is a multi-platform Open Source Medical Imaging Software which provides a complete DICOM Viewer solution with advanced capabilities and extensions support.

You could use or distribute Ginkgo freely under the license terms as a stand alone full featured medical management and visualization system.

Highlights:

Multiplatform (Windows, Linux, MacOS) and portable (no installation required).
Easy and customizable interface throught profiles.
Full featured DICOM Image Visualization.
Complete tool set (measure, markers, text, ...).
Multiple modalities support (Neurological, Radiological, Dermathological, Ophthalmological, UltraSound, Endoscopy, ...)
Dicomization support from JPEG, PNG, GIF and TIFF.
Full EMH integration support: HL7 standard, XML-RPC and IHE compliant workflows.
PACS Workstation (C-FIND, C-GET, C-MOVE, C-STORE...)
Extensible throught custom Extensions.
Retinal image mosaic composition.
Automatic retinal analysis diagnostics.
Psoriasis automatic diagnostics.