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Background: The integration of innovative imaging technologies into clinical workflows requires the utilization of a standardized data exchange format. The “Digital Imaging and Communications in Medicine” (DICOM) standard is widely used in healthcare to process and transfer medical images. However, no simulation environment is ready to use for development. The objective of this paper is to provide an open-source DICOM platform for integrating a novel ocular photography system into a clinical setting. Methods: After a thorough analysis of the available open-source tools, a subset was selected and aligned with the U-Eyecare Profile of Integrating the Healthcare Enterprise (IHE). Results: Orthanc served as a PACS with a modality worklist and the OHIF-Viewer for image retrieval. Minimal interfaces for the electronic health record and image modality were created. Docker-compose further integrates all components and simulates the network protocols DICOM Message Service Element and DICOMWeb. Discussion: The platform was used to develop and integrate the developed image modality and will be further utilized for teleophthalmology and processing eye images. The platform could be useful for other researchers to integrate an image modality into a clinical environment along IHE.

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Background: Obesity is a multifactorial chronic disease that has been associated positively with periodontal disease. The purpose of this study was to analyze the associated factors to chronic periodontitis in a group of obese patients. Methods: This study evaluated 101 obese participants aged between 18 and 60 who attended a referral center for the surgical treatment of obesity. All participants underwent periodontal examination, had anthropometric measurements and completed the structured questionnaire. Obesity was defined as a body mass index (BMI) ≥ 30 kg/m 2. Periodontitis was defined according to the criteria of Eke & Page, 2012. Descriptive analysis, bivariate and multivariate were used. Results: The prevalence of periodontitis in this group of obese patients was 35.6 %. Regarding the severity, 19.8 % of the patients had mild chronic periodontitis. 44.5 % of the subjects were classified as obese type I, 38.6 % obese type II and 16.8 % obese type III. Chronic periodontitis was significantly associated in a positive way with age, years of education and arterial hypertension. After adjusting for some variables, only age (46-60 years) remained significantly associated with increased odds of periodontitis [OR: 4.91, 95 % CI 1.02-23.56]. Conclusion: A prevalence of chronic periodontitis of 35.6 % was found. The increase in age, ≤ 12 years of education and hypertension are risk factors for the manifestation of periodontitis in this group of patients.