PACS & DICOM Architecture
Design, migration, and integration of PACS and DICOM networking, gateways, and routing — including thorny cross-vendor association and transcoding problems.
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Clinical Imaging Informatics Consultancy · Serving Health Systems & Imaging Centers Nationwide
Health information
systems, built to work
the way clinicians need.
We help health systems and imaging organizations modernize PACS, DICOM pipelines, and AI-driven radiology workflows — with hands-on engineering, not slideware.
What we do
Senior engineering, with clinical context.
We've sat in the reading room and in the server room. These are the problems we solve hands-on.
Clinical Data Pipelines
Config-driven ETL for imaging and clinical data: ingestion, de-identification, validation, and delivery you can actually audit.
Learn more →AI in Radiology Workflows
Practical integration of imaging AI into live workflows — from viewer overlays to inference pipelines — evaluated against real clinical use.
Learn more →Cloud Infrastructure for Imaging
AWS architecture for healthcare imaging: secure storage, compute, and automation sized for PHI and for scale.
PHI De-identification
Pixel- and header-level de-identification with OCR census, visual review, and defensible audit trails.
Learn more →Viewers & Interoperability
OHIF/Orthanc deployments, HL7 and DICOM interfaces, and the integration glue that ties modalities, RIS, and PACS together.
Who we are
An independent imaging informatics consultancy.
Mission Clinical IT was founded by clinicians-turned-engineers who got tired of watching imaging systems fail the people using them. We build infrastructure that respects both the reading room and the server room.
No bloated retainers. No abstractions that fall apart in production. Just senior engineering, delivered with the clinical context most vendors are missing — serving health systems and imaging centers nationwide.
30+combined years in clinical imaging
PACSto pipeline to cloud
Hands-onnot slideware
How we work
A clear path from first call to go-live.
Every engagement follows the same three stages, scoped to what you actually need.
1. Assess
A focused review of your imaging environment — PACS, interfaces, data flows, and risks — ending in a written plan you can act on with or without us.
2. Build
Hands-on delivery against a defined scope: migrations, pipelines, and integrations, with your team in the loop and nothing handed over as a black box.
3. Support
Validation, go-live support, and documentation and knowledge transfer, so your staff can confidently run what we built.
The team
Meet Team Mission Clinical IT.
CIIP-certified Medical Informatics Engineer with a background in radiologic sciences and health information management. Nearly a decade as a technical lead embedded in a major academic medical center, building PACS/DICOM tooling, clinical data pipelines, and cloud infrastructure that clinicians rely on every day.
Alaina Tillage
BSRA, RT(R)(CT)(CI), CIIP
Co-Founder & Principal Consultant
Clinical applications and imaging informatics consultant with more than 30 years bridging the gap between caregivers, technology teams, and healthcare leadership. A Certified Imaging Informatics Professional with frontline experience across diagnostic radiology, CT, interventional cardiology, and electrophysiology. She specializes in clinical applications support, workflow optimization, system implementations, and end-user training — delivering solutions that are practical, sustainable, and focused on patient care.
Resources
Field notes from the reading room and the server room.
Practical writing on PACS migration, compliance, and imaging AI — no vendor spin.
How to Choose a PACS Migration Consultant
What to actually look for — and the red flags that predict a rough go-live.
Read article →HIPAA Compliance Checklist for Imaging Centers
A practical, non-exhaustive checklist for imaging-specific HIPAA exposure.
Read article →What Is PHI De-identification, Really?
Pixel data, header tags, and burned-in text — where PHI actually hides in imaging.
Read article →Running Cloud PACS on Low Bandwidth Sites
Architecture patterns for rural and low-connectivity imaging sites.
Read article →
Get in touch
Let's talk about your imaging systems.
Tell us what you're working on. You'll hear back from us personally — not a sales funnel.
Prefer email? Use the contact form