MEDICAL DISC PUBLISHER

• US 20090296540A1
• Filed: 11/26/2008
• Published: 12/03/2009
• Est. Priority Date: 11/26/2007
• Status: Abandoned Application

• Current Assignee: Codonics Incorporated
• Original Assignee: Codonics Incorporated
• Inventors: Mucher, Stephen N., Orsburn, Bret E., Shaffer, Heidi, Keefe, Gary W., Gilbert, Alan J., Tainer, Christopher M., Edwards, Richard M., Spencer, Jeffrey L., Botten, Peter O., Seto, Garvin
• Application Number:
  US12/324,830
• Publication Number:
  US 20090296540A1
• Time in Patent Office: Days
• US Class Current: 369/30.23
• CPC Class Codes: G06F 13/00 Interconnection of, or transfer of information or other signals between, memories, input/output devices or central processing units interface circuits for specific input/output devices G06F3/00 ; multiprogram control therefor G06F9/46; multiprocessor systems G06F15/16
• CPC Class Codes: G11B 23/40 Identifying or analogous means applied to or incorporated in the record carrier and not intended for visual display simultaneously with the playing-back of the record carrier, e.g. label, leader, photograph
• CPC Class Codes: G16H 10/65 stored on portable record carriers, e.g. on smartcards, RFID tags or CD
• CPC Class Codes: G16H 30/20 for handling medical images, e.g. DICOM, HL7 or PACS

Abstract

A method and apparatus for storing on a portable computer-readable medium, a study comprising at least one medical output produced by a medical modality and formatted in a standard medical format used by specialized computers configured for viewing outputs produced by medical modalities, and optionally labeling the portable computer-readable medium. The method includes receiving a transmission comprising the medical output that is formatted according to the standard medical format, at least temporarily storing the medical output as it is received in a buffer memory to be subsequently stored onto the portable computer-readable medium, and storing the medical output from the buffer memory onto the portable computer-readable medium.

Claims

1. A method of labeling a computer-readable medium for storing a medical output produced by a medical modality, said medical output being formatted in compliance with a medical output formatting standard, the method comprising:

receiving a transmission comprising the medical output from a host computer over a communication network, wherein a portion of the medical output comprises label information that is to appear in a label region on the portable computer-readable medium, and is received substantially at a beginning portion of the transmission;

storing the medical output as it is received, at least temporarily, in a buffer memory to be subsequently stored onto the portable computer-readable medium;

preparing the label information to appear in the label region from the portion of the medical output comprising the label information; and

applying the label information within the label region on the portable computer-readable medium responsive to preparing the label information, wherein applying the label information within the label region is initiated in parallel with receiving a remaining portion of the transmission comprising the medical output.

2. The method of claim 1, wherein receiving the transmission comprises:

conducting a query of the host computer storing the medical output over the communication network to prepare the label information that is to appear in the label region based on the query conducted over the communication network; and

retrieving the portion of the medical output comprising the label information from the host computer before receiving a remaining portion of the medical output.

3. The method of claim 2, wherein retrieving the label information comprises retrieving label information associated with a plurality of medical outputs to be received and later stored on the portable computer-readable medium before receiving a remaining portion of the medical outputs.

4. The method of claim 1, wherein the medical output is compliant with a DICOM standard and the label information is embedded within the medical output.

5. The method of claim 1, wherein the portable computer-readable medium is an optical computer-readable medium, and wherein applying the label information within the label region comprises printing the label information by applying a printing medium within the label region on an optical computer-readable medium.

6. The method of claim 5, wherein the printing medium is rapid drying, and dries in a period of time, wherein the period of time begins when the printing medium is applied within the label region of the optical computer-readable medium and ends before the optical computer-readable medium is rotated to store the medical output received onto the optical computer-readable medium to resist distortion from being rotated.

7. The method of claim 1 further comprising associating a parameter set with an identifying attribute transmitted over the communication network, wherein the parameter set defines a formatting scheme for the label information to be applied within the label region on the computer-readable medium, wherein the label information is applied within the label region according to the formatting scheme defined by the parameter set.

8. The method of claim 7, wherein the identifying attribute is an application entity title transmitted according to a DICOM standard.

9. The method of claim 8, wherein associating the parameter set with the identifying attribute comprises:

receiving the application entity title according to a DICOM standard from a host computer over a communication network;

associating the application entity title with the parameter set, wherein the parameter set is stored on a local computer-accessible memory; and

formatting the label information according to at least one parameter within the parameter set.

10. The method of claim 1, wherein applying the label information within the label region comprises:

for a second computer-readable medium required to store each medical output to be received, identifying an order of the second computer-readable medium within a collection of computer-readable media.

11. The method of claim 10, wherein the label information comprises at least information to enable a determination of a number of computer-readable media required to store all of the medical outputs to be stored, and the plurality of computer-readable media are labeled to identify an order of the computer-readable media in a sequence.

12. The method of claim 1, wherein the label information is independent of a substance of the medical output to be stored on the computer-readable medium.

13. The method of claim 1, wherein the portable computer-readable medium is an optical computer-readable medium, and preparing the label information to appear in the label region comprises:

creating a layout of the label information that is to appear on the optical computer-readable medium to substantially balance a distribution of a printing medium to be applied to the optical computer-readable medium during application of the label information to minimize an unbalanced condition experienced by the optical computer-readable medium when rotated during storing of the medical output onto the optical computer-readable medium.

14. The method of claim 1, wherein applying the label information within the label region on the portable computer-readable medium is completed before receiving the transmission comprising the medical output is completed.

15. The method of claim 1, wherein the portable computer-readable medium is at least one of:

an optical disc, a portable magnetic disc, and a portable flash memory.

16. A method of storing a medical output produced by a medical modality on a portable computer-readable medium, said medical output being formatted in compliance with a medical output formatting standard, the method comprising:

receiving a transmission from a host computer over a communication network, the transmission comprising the medical output that is formatted in the standard medical format;

storing the medical output as it is received, at least temporarily, in a buffer memory operatively connected to a computer-readable medium publisher to be subsequently stored onto the portable computer-readable medium;

establishing a delay between a time when a portion of the medical output is received and a time when the portion of the medical output is stored on the portable computer-readable medium;

subsequent to said delay, storing the portion of the medical output on the portable computer-readable medium in parallel with receiving the transmission from the host computer over the communication network.

17. The method of claim 16, wherein the medical output formatting standard is a DICOM standard, and the medical output is stored on the portable computer-readable medium in the medical output formatting standard.

18. The method of claim 16, wherein the portable computer-readable medium is at least one of:

an optical disc, a portable magnetic disc, and a portable flash memory.

19. A method of storing a medical output produced by a medical modality on a portable computer-readable medium, said medical output being formatted in compliance with a medical output formatting standard, the method comprising:

receiving over a communication network a transmission comprising information to be used to establish a communication session over the communication network with a host computer;

responsive to receiving the transmission, transmitting an instruction to the host computer to compress the medical output into a compressed medical output before the medical output is transmitted over the communication network to be stored on the portable computer-readable medium;

receiving the compressed medical output over the communication network;

storing the compressed medical output, at least temporarily, in a buffer memory operatively connected to a computer-readable medium publisher to be subsequently stored onto the portable computer-readable medium; and

subsequent to completion of compression, storing the compressed medical output on the portable computer-readable medium.

20. The method of claim 19, wherein the compressed medical output is stored on the portable computer-readable medium to be uncompressed for subsequent use by a compatible media presentation software being executed by suitable computer hardware.

21. The method of claim 19, wherein said compression is conducted according to a DICOM compliant compression scheme.

22. The method of claim 19, wherein storing the compressed medical output on the portable computer-readable medium requires less time than storing the medical output without previously being compressed on the portable computer-readable medium, wherein a delay incurred by compressing the medical output is less than a difference between a time required to the store medical output uncompressed on the portable computer readable medium and a time required to store the medical output compressed on the portable computer-readable medium.

23. The method of claim 19, wherein the instruction to the host computer to compress the medical output comprises an instruction to compress the medical output according to a predetermined compression scheme.

24. The method of claim 23 further comprising determining that the predetermined compression scheme is supported by the host computer, wherein receiving the compressed medical output over the communication network is responsive to a determination that the predetermined compression scheme is supported by the host computer.

25. The method of claim 19, wherein compression of the medical output is performed according to a DICOM compliant lossless compression scheme.

26. The method of claim 19, wherein transmitting the instruction to the host computer is conducted automatically, without operator intervention.

27. A method of storing a medical output produced by a medical modality on a portable computer-readable medium, said medical output being formatted in compliance with a medical output formatting standard, the method comprising:

receiving over a communication network a transmission comprising information to be used to establish a communication session over the communication network with a host computer;

responsive to receiving the transmission, receiving the medical output in an uncompressed format over the communication network from the host computer;

locally compressing the medical output into a compressed medical output;

storing the medical output, at least temporarily, in a buffer memory to be subsequently stored onto the portable computer-readable medium; and

subsequent to completion of compression, storing the compressed medical output on the portable computer-readable medium, wherein

storing the compressed medical output on the portable computer-readable medium requires less time than storing the medical output uncompressed on the portable computer-readable medium, wherein a delay incurred by locally compressing the medical output is less than a difference between a time required to store the medical output uncompressed on the portable computer readable medium and a time required to store the compressed medical output on the portable computer-readable medium.

28. The method of claim 27, wherein locally compressing the medical output occurs subsequent to receiving the medical output uncompressed over the communication network.

29. The method of claim 27, wherein locally compressing the medical output comprises compressing portions of the medical output as the portions of the medical output are received substantially in real time and storing the portions of the medical output as compressed portions of the medical output, at least temporarily, in the buffer memory.

30. The method of claim 27, wherein the compressed medical output is stored on the portable computer-readable medium to be uncompressed for subsequent use by a compatible media presentation software being executed by suitable computer hardware.

31. The method of claim 27, wherein said compression is conducted according to a DICOM compliant compression scheme.

32. The method of claim 31, wherein compression of the medical output is performed according to a DICOM compliant lossless compression scheme.

33. The method of claim 27, wherein compression of the medical output is conducted automatically, without operator intervention, and locally as the medical output is received over the communication network from the host computer.

39. The method of claim 31, wherein compression of the medical output is performed according to a DICOM compliant lossless compression scheme.

34. A method of storing a medical output produced by a medical modality on a portable computer-readable medium, said medical output being formatted in compliance with a medical output formatting standard, the method comprising:

receiving over a communication network a transmission comprising information to be used to establish a communication session over the communication network with a host computer;

predicting that compression of the medical output will shorten a total length of time required to store the medical output on the portable computer readable medium relative to a total length of time required to store the medical output uncompressed on the portable computer-readable medium;

responsive to said predicting that compression of the medical output will shorten the total length of time, predicting whether locally compressing the medical output subsequent to receiving the medical output over the communication network or instructing the host computer to compress the medical output prior to transmission of the medical output over the communication network will be a preferred compression that requires less time to complete;

initiating the preferred compression;

receiving the medical output over the communication network from the host computer;

storing the medical output received over the communication network, at least temporarily, in a local buffer memory location to be subsequently stored on the portable computer-readable medium; and

subsequent to completion of the preferred compression, storing the medical output in a compressed format as a compressed medical output on the portable computer-readable medium.

35. The method of claim 34, wherein the preferred compression is local compression to be conducted subsequent to receiving at least a portion of the medical output over the communication network.

36. The method of claim 34, wherein the preferred compression is local compression to be conducted subsequent to receiving at least a portion of the medical output uncompressed over the communication network, wherein local compression comprises compressing the medical output as it is being received substantially in real time and storing the medical output compressed locally, at least temporarily, in the buffer memory.

37. The method of claim 34, wherein the compressed medical output is stored on the portable computer-readable medium to be uncompressed for subsequent use by a compatible media presentation software being executed by suitable computer hardware.

38. The method of claim 34, wherein said compression is conducted according to a DICOM compliant compression scheme.

40. The method of claim 34, wherein predicting that compression of the medical output will shorten a total length of time required to store the medical output on the portable computer readable medium comprises:

determining that the medical output is stored uncompressed by the host computer; and

estimating that a size of the compressed medical output will be larger than a minimum amount of data required to be stored on the portable computer-readable medium.

41. The method of claim 34, wherein predicting that instructing the host computer to compress the medical output prior before transmitting the medical output over the communication network will be the preferred compression comprises:

estimating a time required to store a backlog comprising at least one queued job including a medical output received over the communication network and stored in the local buffer memory; and

predicting that compression of at least a portion of the medical output will be completed by the host computer before storing the medical output of the at least one queued job from the local buffer memory onto the portable computer-readable medium will be completed.

42. The method of claim 41 further comprising instructing the host computer to compress the medical output into compressed medical output before transmitting the compressed medical output over the communication network.

43. The method of claim 34, wherein predicting whether locally compressing the medical output subsequent to receiving the medical output over the communication network or instructing the host computer to compress the medical output prior to transmission of the medical output over the communication network will be the preferred compression comprises:

determining that the host computer does not support compression of the medical output; and

responsive to said determining, selecting local compression of the medical output as the preferred compression.

44. The method of claim 34, wherein predicting whether locally compressing the medical output subsequent to receiving the medical output over the communication network or instructing the host computer to compress the medical output prior to transmission of the medical output over the communication network will be the preferred compression comprises:

determining an amount of medical output to be received and subsequently stored on the portable computer-readable medium;

based on the amount of medical output to be received and subsequently stored on the portable computer-readable medium, estimating a first time required for compression of the amount of medical output by the host computer and transmission of the amount of medical output compressed over the communication network;

based on the amount of medical output to be received and subsequently stored on the portable computer-readable medium, estimating a second time required for transmission of the amount of medical output uncompressed over the communication network and subsequent local compression of the amount of medical output.

45. The method of claim 44 further comprising:

determining that the first time is greater than the second time; and

selecting as the preferred compression locally compressing the medical output subsequent to receiving the medical output over the communication network.

46. The method of claim 44 further comprising:

determining that the first time is less than the second time; and

selecting as the preferred compression instructing the host computer to compress the medical output prior to transmission of the medical output over the communication network.

47. A method of storing a medical output produced by a medical modality on a portable computer-readable medium, said medical output being formatted in compliance with a medical output formatting standard, the method comprising:

estimating a size of the medical output to be stored, at least temporarily, in a buffer memory and subsequently on the portable computer-readable medium;

allocating a contiguous block of memory locations of the buffer memory for storing the medical output at least temporarily, wherein the contiguous block of memory locations dedicated is approximately equal in size to the size of the medical output that was estimated;

at least temporarily storing the medical output in the contiguous block of memory locations of the buffer memory allocated for storing the medical output before storing the medical output on the portable computer-readable medium;

retrieving the medical output from the contiguous block of memory locations of the buffer memory to be stored onto the portable computer-readable medium; and

storing the medical output on the portable computer-readable medium.

48. The method of claim 47, wherein the medical output is compliant with a DICOM standard, and estimating the size of the medical output comprises evaluating information in a DICOM header portion of the medical output to estimate the size of the medical output.

49. The method of claim 47, wherein estimating the size of the medical output comprises temporarily storing the medical output to be stored on the portable computer-readable medium in a temporary memory location to determine an actual size of the medical output.

50. The method of claim 49, wherein the temporary memory location is a local computer-accessible memory for storing the medical output after having been received over the communication network.

51. The method of claim 50, wherein the temporary memory location is independent of the buffer memory.

52. The method of claim 47, wherein predicting the size of the medical output comprises transmitting a file size request to a host computer over a communication network requesting an actual size of the medical output.

53. The method of claim 47 further comprising overriding a default size of a block of memory locations in the buffer memory allocated by a file system operating on a portable computer-readable medium publisher with the size of the medical output that was estimated.

54. The method of claim 47, wherein said estimating the size of the medical output occurs before at least temporarily storing the medical output in the contiguous block of memory locations of the buffer memory allocated for storing the medical output.

55. The method of claim 47, wherein estimating the size of the medical output comprises determining an actual size of the medical output.

56. A computer-readable medium publisher for storing a medical output produced by a medical modality on a portable computer-readable medium, said medical output being formatted in compliance with a medical output formatting standard, the computer-readable medium publisher comprising:

a recording bay for writing the medical output that is formatted in the standard medical output formatting standard onto the portable computer-readable medium, wherein the medical output comprises at least a first portion and a second portion;

a first buffer memory for storing, at least temporarily, the first portion of the medical output received from a host computer over a communication network to be subsequently stored on the portable computer-readable medium;

a second buffer memory for storing, at least temporarily, the second portion of the medical output received from the host computer over the communication network to be subsequently stored on the portable computer-readable medium, wherein the second buffer memory is accessible independent of the first buffer memory;

a controller operatively connected locally to the computer-readable medium publisher for storing, at least temporarily, the first portion of the medical output in the first buffer memory and the second portion of the medical output in the second buffer memory, wherein

the controller is operable to control reading of the first and second portions of the medical output in parallel from the first and second buffer memories to be stored as the medical output on the portable computer-readable medium.

57. The computer-readable medium publisher of claim 56, wherein the recording bay is an optical recording bay for writing the first and second portions of the medical output onto an optical disc.

58. The computer-readable medium publisher of claim 56 further comprising a second recording bay for writing another medical output that is also formatted in the standard medical output formatting standard onto another portable computer-readable medium, wherein the controller is operable to control reading of the first and second portions of the medical output to be transmitted to the recording bay and to control reading of first and second portions of the another medical output from the first and second buffer memories to be transmitted to the second recording bay.

59. The computer-readable medium publisher of claim 58, wherein reading of the first and second portions of the medical output to be transmitted to the recording bay and reading of the first and second portions of the another medical output to be transmitted to the second recording bay are conducted in parallel.

60. A method of storing a medical output produced by a medical modality on a portable computer-readable medium, said medical output being formatted in compliance with a medical output formatting standard, the method comprising:

receiving identification information from a host computer over a communication network and entering into a communication session with the host computer, wherein the medical output is to be transmitted from the host computer over the communication network and the identification information is received during an early portion of the communication session;

receiving a transmission over the communication network, said transmission comprising the medical output that is formatted in the medical formatting standard;

establishing that the medical output is to be automatically recorded onto the portable computer-readable medium without operator intervention once at least a portion of the medical output has been received;

selecting an appropriate type of the portable computer-readable medium to be used to store the medical output, wherein selecting the appropriate type of the portable computer-readable medium occurs before receiving the transmission comprising the medical output is complete;

responsive to selecting the appropriate type of the portable computer-readable medium, transporting the appropriate type of portable computer-readable medium to a destination as part of a publication process for storing the medical output onto the portable computer-readable medium, wherein transporting the appropriate type of portable computer-readable medium is accomplished automatically, without operator intervention;

locally storing the medical output, at least temporarily, in a buffer memory to be subsequently stored on the appropriate type of portable computer-readable medium; and

storing the medical output from the buffer memory onto the appropriate type of portable computer-readable medium.

61. The method of claim 60, wherein the destination is a recording bay, said method further comprising initializing the recording bay including the appropriate type of portable computer-readable medium in preparation for recording of the medical output onto the appropriate type of portable computer-readable medium.

62. The method of claim 61, wherein initializing the recording bay comprises:

rotation of the portable computer-readable medium in the recording bay; and

recognition of the appropriate type of portable computer-readable medium by a computer-readable media publisher provided with the recording bay before recording of the medical output on the appropriate type of portable computer-readable medium begins.

63. The method of claim 60, wherein transporting the appropriate type of portable computer-readable medium comprises selecting the appropriate type of portable computer-readable medium from among a plurality of available storage bins storing a plurality of different types of available computer readable media, wherein the appropriate type of portable computer-readable medium is selected based on a parameter in a parameter set associated with the identification information.

64. The method of claim 63, wherein the parameter set is locally stored on a computer-readable memory of a computer-readable medium publisher that is operable to store the medical output on the appropriate portable computer-readable medium.

65. The method of claim 64, wherein the identification information comprises an identifying attribute received from the host computer over the communication network that identifies the parameter set locally stored on the computer-readable memory to be used for controlling operation of the computer-readable medium publisher.

66. The method of claim 65, wherein the host computer is a PACS server storing the medical output.

67. The method of claim 65, wherein selecting the appropriate type of the portable computer-readable medium comprises associating the identifying attribute with a locally stored parameter set, wherein the parameter set comprises a parameter indicative of the appropriate type of portable computer-readable medium for storing the medical output.

68. The method of claim 60, wherein selecting the appropriate type of the portable computer-readable medium to be used to store the medical output comprises:

conducting a query of the host computer storing the medical output to retrieve information indicative of a size of the medical output to be received; and

based on the information indicative of the size of the medical output, selecting a suitably large capacity computer-readable medium as the appropriate type of the portable computer-readable medium.

69. The method of claim 60, wherein selecting the appropriate type of the portable computer-readable medium to be used to store the medical output comprises:

receiving information from the host computer directly identifying the appropriate type of portable computer-readable medium without reference to a locally stored parameter set; and

based on the information from the host computer, selecting the portable computer-readable medium specified as the appropriate type of the portable computer-readable medium.

70. The method of claim 60, wherein the appropriate type of portable computer-readable medium comprises at least one of a CD, DVD, Blu-ray Disc and a HD-DVD.

71. The method of claim 60, wherein the appropriate type of portable computer-readable medium includes a flash-based computer-readable memory.

72. The method of claim 60, wherein the appropriate type of portable computer-readable medium is selected based on a parameter in a parameter set associated with the identification information. the parameter being indicative of a value of at least one of:

a required archive life of the portable computer-readable medium for storing the medical output;

a recording speed required for storing the medical output onto the portable computer-readable medium;

a quality of a label to be applied to the portable computer-readable medium; and

a cost of the portable computer-readable medium to be used for storing the medical output.

73. The method of claim 60, wherein the destination is a printer for applying label information within a label region provided to a surface of the appropriate type of portable computer-readable medium.

74. The method of claim 73 further comprising initiating application of the label information in parallel with the receiving of the transmission comprising the medical output over the communication network.

75. A method of performing a job that includes storing a medical output produced by a medical modality on a portable computer-readable medium, said medical output being formatted in compliance with a medical output formatting standard, the method comprising:

receiving a transmission according to a transmission protocol employed in a medical network, said transmission comprising the medical output that is compliant with the medical output formatting standard;

at least temporarily storing the medical output as it is received in a buffer memory to be subsequently stored on a portable computer-readable medium, wherein the portable computer-readable medium is one of a plurality of different portable computer-readable media available to a computer-readable media publisher utilized for storing the medical output on the portable computer-readable medium;

selecting a first portable computer-readable medium as an appropriate portable computer-readable medium to be used to store the first medical output;

responsive to selecting the first portable computer-readable medium as the appropriate portable computer-readable medium, determining an availability of the first portable computer-readable medium from among a plurality of portable computer-readable media available to the computer-readable media publisher for storing medical output;

sensing that the first portable computer-readable medium is unavailable;

responsive to said sensing, queuing the job comprising storing the medical output on the first portable computer-readable medium until the first portable computer-readable medium becomes available to the computer-readable media publisher; and

initiating another job that includes storing another medical output on a second portable computer-readable medium that is available to the computer-readable media publisher while the job is queued.

76. The method of claim 75 further comprising displaying to an operator an indication on a display device indicating that the job comprising storing of the medical output on the first portable computer-readable medium has been queued.

77. The method of claim 75 further comprising predicting an amount of time remaining before completion of the another job comprising storing of the another medical output onto the second portable computer-readable medium is completed.

78. The method of claim 77, wherein predicting the amount of time excludes from consideration a length of time required to complete the job comprising storing the medical output on the first portable computer-readable medium that has been queued.

79. The method of claim 78 further comprising displaying the amount of time remaining before completion of the another job on the display device.

80. A computer readable medium publisher for receiving a medical output produced by a medical modality over a communication network and storing said medical output onto a portable computer readable medium, said medical output being formatted in compliance with a medical output formatting standard, the computer readable medium publisher comprising:

a network interface for communicating with and receiving the medical output from a host computer storing the medical output over the communication network;

a first recording bay for storing the medical output received over the communication network onto the portable computer readable medium;

at least one of;

an automated feeder for transporting the portable computer readable medium to the first recording bay, and a printer for applying label information to a label region;

a control unit for controlling transmission of the medical output to the first recording bay to be stored on the portable computer readable medium and operation of the at least one of the automated feeder and the printer;

a first connector extending and establishing communication between the control unit and the first recording bay, wherein the medical output is to be transmitted to the first recording bay by the first connector to be stored on the portable computer readable medium; and

a second connector that is electrically independent of the first connector, said second connector extending and establishing communication between the control unit and the at least one of the automated feeder and the printer for transmitting control signals to the at least one of the automated feeder and the printer.

81. The computer readable medium publisher of claim 80 further comprising:

a second recording bay for storing a different medical output received over the communication network onto a second portable computer readable medium; and

a third connector that is electrically independent of the first and second connectors, said third connector extending and establishing communication between the control unit and the second recording bay, wherein the different medical output is to be transmitted to the second recording bay by the third connector to be stored on the second portable computer readable medium.

82. The computer readable medium publisher of claim 81, wherein each of the first, second and third connectors are electrically independent of each other.

83. The computer readable medium publisher of claim 81, wherein the first, second and third connectors are independently selected from an IEEE 1394 cable, a USB cable, a SATA cable, an eSATA cable, a fibre channel cable, a SCSI cable, and a HDMI cable.

84. The computer readable medium publisher of claim 80, wherein the first connector is dedicated for transmitting the medical output to the first recording bay and the second connector is dedicated for transmitting the control signals.

85. A method of storing a medical output produced by a medical modality on a portable computer-readable medium, the medical output being formatted in compliance with a medical output formatting standard, the method comprising:

communicating with a host computer storing the medical output over a communication network to establish a communication session with the host computer;

receiving a transmission over the communication network, wherein the transmission comprises the medical output formatted in the standard medical output formatting standard;

storing the medical output, at least temporarily, in a buffer memory to be subsequently read from the buffer memory and stored on the portable computer-readable medium;

establishing a referential link between the medical output in the buffer memory and a desired arrangement of the medical output on the portable computer readable medium on which the medical output is to be stored;

referring to the referential link to read the medical output from the buffer memory to be stored on the portable computer-readable medium;

transmitting the medical output read from the buffer memory to a recording bay; and

storing the medical output on the portable computer readable medium according to the referential link.

86. The method of claim 85, wherein the referential link is at least one of a symbolic link and a hard link.

87. The method of claim 85, wherein the medical output is to be stored on the portable computer readable medium as arranged by the referential link without first copying the medical output from the buffer memory to another local computer-accessible memory.

88. The method of claim 85, wherein the referential link specifies at least one of:

a name to be given to the medical output read from the buffer memory and stored on the portable computer readable medium; and

a folder on the portable computer readable medium in which the medical output is to be stored from the buffer memory.

89. The method of claim 85 further comprising assigning a name to the medical output stored in the buffer memory.

90. The method of claim 89 further comprising storing the medical output in a folder within the buffer memory, wherein the referential link is established between the folder in the buffer memory and a desired arrangement of the folder on the portable computer readable medium on which the folder comprising the medical output is to be stored.

91. The method of claim 89 further comprising providing the medical output with a permanent name on the portable computer-readable medium, wherein the referential link associates the permanent name to the name of the medical output stored in the buffer memory.

92. The method of claim 85 further comprising generating a file specifying an arrangement of the medical output on the portable computer-readable medium relative to other contents saved on the portable computer-readable medium.

93. The method of claim 92, wherein the file is updated in real time to specify the arrangement of the medical output on the portable computer-readable medium in response to establishment of the referential link between the medical output in the buffer memory and the arrangement of the medical output on the portable computer-readable medium.

94. The method of claim 93 further comprising storing, at least temporarily, a plurality of medical outputs in the buffer memory;

and creating an individual referential link between each of the plurality of medical outputs in the buffer memory and an arrangement of the plurality of medical outputs to be stored on the portable computer-readable medium, wherein the file is generated after each of the individual links is established.

95. The method of claim 92, wherein the file is to be stored at a root level of the portable computer-readable medium and the medical output is to be stored within a folder located at the root level of the portable computer-readable medium.

96. A method of publishing a portable computer-readable medium for storing a medical output produced by a medical modality, said medical output being formatted in compliance with a medical output formatting standard, the method comprising:

receiving an identifying attribute from a host computer over a communication network and entering into a communication session with the host computer;

associating a parameter set with the identifying attribute, wherein the parameter set comprises a parameter that defines an operational function of a portable computer-readable medium publisher for storing the medical output onto the portable computer-readable medium to minimize a length of time required to complete publication of the portable computer-readable medium;

receiving a transmission over the communication network, said transmission comprising the medical output to be stored on the portable computer-readable medium;

locally storing the medical output, at least temporarily, in a buffer memory to be subsequently stored on the portable computer-readable medium; and

storing the medical output from the buffer memory on the portable computer-readable medium.

97. The method of claim 96, wherein the parameter set is stored locally to be compared with the identifying attribute received over the communication network.

98. The method of claim 96, wherein the parameter defines a maximum amount of medical output to be stored on the portable computer-readable medium, wherein the maximum amount of medical output comprises a single collection of related medical images.

99. The method of claim 96, wherein the parameter defines a type of portable computer-readable medium for storing the medical output.

100. The method of claim 99, wherein the type of portable computer-readable medium defined by the parameter comprises a storing speed allowing the medical output to be stored quicker on the portable computer-readable medium defined by the parameter than on another type of portable computer-readable medium available to the portable computer-readable medium publisher.

101. The method of claim 96, wherein parameter defines that storing the medical output from the buffer memory on the portable computer-readable medium is to be initiated in response to a termination of the communication session after the medical output has been received and stored, at least temporarily, in the buffer memory.

102. The method of claim 101, wherein initiation of the storing of the medical output on the portable computer-readable medium occurs without waiting for expiration of a predetermined period of time to indicate that the medical output has been received.

103. The method of claim 96 further comprising applying label information within a label region of a label, wherein the parameter defines at least one of:

a print quality setting that that minimizes a length of time required to apply the label information within the label region;

a limit of graphical label information to be applied within the label region; and

a maximum number of printing media colors to be used for applying the label information within the label region.

104. The method of claim 103, wherein the limit of graphical label information prevents graphical label content from being applied within the label region.

105. The method of claim 103, wherein the maximum number of printing media colors is one.

106. The method of claim 96, wherein the identifying attribute is an application entity title transmitted from a computer-accessible storage device storing a database of medical output from a medical modality over the communication network according to a DICOM standard.