Dicom Director

Dicom Director DICOM Director provides secure and rapid transfer of images between clinicians within and between institutions; and creates 3D holographic AR/VR images.

For about a decade, SphereGen has been working in the healthcare data integration space. One of the main problems we discovered was in the area of radiology images and transferring them. We created Dicom Director as a solution to some of the challenges radiologists were bringing to our attention.

08/12/2026

DICOM Director Case of the Week:
Mouse Aorta
We have discussed this new era of HUMAN DIGITAL TWINS, but that can extend to digital twins of all sorts of organisms. Want to see the vasculature of your trans-genic mouse? No problem. In this case in the abdomen of the mouse we see the renal vessels, including the right gonadal as well as the mesenteric roots and in the chest we see all the great vessels in perfect clarity.

Bring your research into the new generation of DIGITAL TWINS, only with INTRAVISION XR from Dicom Director.

Segmentation by Synopsys Simpleware; viewed with the Apple Vision Pro

06/29/2026

Case of the Week from DICOM DIrector

Pulmonary Artery Sling
In normal fetal development, the left pulmonary artery courses in front of (anterior to) the trachea, but about once in 17,000 births it will wrap around behind the airway, creating a retro-tracheal pulmonary artery, or pulmonary artery sling.
It is commonly associated with other abnormalities of tracheal and/or great vessel development and will often present in childhood with airway symptoms. In this case, however, the patient lived asymptomatically until the anomaly was found incidentally on a chest CT scan as an adult.

Welcome to the era of HUMAN DIGITAL TWINS with INTRAVISION XR from DICOM Director.

Segmentation by Synopsys Simpleware Software; viewed with the Apple Vision Pro

06/22/2026

UGH! It occurred to me that I never posted Part 3 of the Tetralogy of Fallot series! Better late than never.

Tetralogy of Fallot Part 3

Ventricular Septal Defect

Externally, there is no indication of developmental issues with the ventricular septum. As we enter the right ventricle, we again see the trabeculae carnae, and the leaflets of the tricuspid valve with the attached chordae tendinae. As we approach the ‘overriding’ aortic valve, note that we can suddenly enter into the left ventricle through a large defect in the intraventricular septum, just below the aortic valve. Within the left ventricle, we again see the papillary muscles and associated chordae tendinae. Note that what appeared to be the lateral edge of the aortic valve, is in fact the inferior edge of the ventricular septal defect itself; the aortic valve sits almost perfectly astride the intraventricular septum. The developmental defect of the aortic root and the VSD are intimately related.

Welcome to the era of Human Digital Twins

Your medical imaging as you have never seen it before with INTRAVISION XR from DICOM Director.

Viewed with the AppleVision Pro; Segmentation by Synopsys Simpleware Software.

06/15/2026

Case of the Week from DICOM Director

Right Ventricular Assist Device
A right ventricular assist device does just what it claims, assisting the right heart in pumping blood from the venous system into the lungs.
In this video, we first see the external view with right and left chest tubes seen in blue, cardiac pacing wires in purple and the RVAD itself entering the patient’s left chest wall in green.
With the skin removed, we see more clearly the sternal closure wires in light blue, the right chest tube, placed laterally and coursing superiorly and posteriorly in the pleural space and the left tube placed anterolaterally, running posteriorly and inferiorly. If we enter the right chest directly, we are able to see the both chest tubes in their full orientation within the pleural spaces.
Isolating all the foreign bodies with our Cutting Plane, we are able to clearly see the sternal wires, both thoracostomy tubes, a nasogastric tube running posteriorly, two cardiac pacing wires anteriorly in purple and the three components of the RVAD in green.
Finally, we focus on just the RVAD itself, with pump input catheters in the superior and inferior vena cavae and the pump output catheter, punctured directly into the pulmonary artery. Note the shape of the collapsed balloon on the SVC and PA catheters, indicating that the image was taken during diastole.

Segmentation by Synopsys Simpleware; viewed with the Apple Vision Pro

Step into the era of and experience your imaging as never before with INTRAVISION XR from Dicom Director.

06/08/2026

Case of the Week:

Stabilization of C1-C2 subluxation with preservation of vertebral artery flow.
A dangerous shift in the uppermost cervical vertebrae was threatening the blood flow to the patient's brain. Dr. Julio Sampaio used INTRAVISION XR from DICOM Director to plan and navigate this delicate procedure and preserve cerebral blood flow.

Segmentation by Synopsys Simpleware Software; viewed with the Apple Vision Pro.

See your imaging as never before with INTRAVISION XR from DICOM Director, leading the era of

06/01/2026

Case of the week:

A dramatic case of a crush injury to the chest…the transverse ‘lines’ seen are not artifact, but actual tissue imprint from the impact.
In the first segment, we see the shattered sternum, with the cortical bone in white and the medullary bone fragments in blue.
We then see the massive subcutaneous emphysema in black and a large posterior hemothorax in dark red.

Segmentation by Synopsys Simpleware Software; viewed through the Apple Vision Pro.

See your imaging as never before and plan your procedures in the era of HUMAN DIGITAL TWINS with INTRAVISON XR from DICOM Director.

04/28/2026

The left renal vein normally passes in front of the aorta to reach the left kidney from the inferior vena cava. In some cases, however, there is a vein passing posterior to the aorta, creating a CIRCUMAORTIC LEFT RENAL VEIN.

This occurs in about 3.5% of people, but estimates of the true incidence vary widely. It is rarely of any clinical significance…unless you are a surgeon operating in the area and are not aware that it exists!

Viewed through the Apple Vision Pro; segmentation by Synopsys Simpleware Software.

See your imaging as never before. With INTRAVISION XR from DICOM Director

DICOM Director is leading the exciting world of HUMAN DIGITAL TWINS.

04/13/2026

Tetralogy of Fallot Part 4

Right ventricular hypertrophy

In normal fetal development, the right and left ventricle pump against similar pressures, resulting in similar myocardial development before birth. In normal development at birth, however, the left ventricle begins pumping against the significantly greater systemic pressure, resulting in rapid hypertrophy of the left ventricle. Normal left myocardium is quickly two to three times the thickness of the right ventricular wall. In Tetralogy of Fallot, however, the right heart pumps against the restricted outflow of the malformed conotruncal outflow tract: right ventricular blood can either go out the overriding aortic valve to the high pressure systemic circulation, or through the stenotic pulmonic valve. This added pressure load on the right ventricle results in hypertrophy of the right ventricular myocardium.

INTRAVISION XR from Dicom Director is defining the era of human digital twins...and what they can do for medicine.

Viewed with the Apple Vision Pro; Segmentation by Synopsys Simpleware Software.

03/30/2026

Tetralogy of Fallot Part 3
Ventricular septal defect
Externally, there is no indication of developmental issues with the ventricular septum. As we enter the right ventricle, we again see the trabeculae carnae, and the leaflets of the tricuspid valve with the attached chordae tendinae. As we approach the ‘overriding’ aortic valve, note that we can suddenly enter into the left ventricle through a large defect in the intraventricular septum, just below the aortic valve. Within the left ventricle, we again see the papillary muscles and associated chordae tendinae. Note that what appeared to be the lateral edge of the aortic valve, is in fact the inferior edge of the ventricular septal defect itself; the aortic valve sits almost perfectly astride the intraventricular septum. The developmental defect of the aortic root and the VSD are intimately related.

Your medical imaging as you have never seen it before with INTRAVISION XR from Dicom Director.
Viewed with the Apple Vision Pro; Segmentation by Synopsys Simpleware Software.

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