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How to Set Up and Use Orthanc on Windows

Orthanc is an open-source, lightweight DICOM server for medical imaging. It is designed to store, query, retrieve, and manage DICOM files, making it an essential tool for healthcare institutions and research facilities. While Orthanc is often associated with Unix-based systems, it can also be configured to run on Windows. This article will guide you through the process of setting up Orthanc on a Windows environment, ensuring you can leverage its capabilities on your preferred operating system.

Examples:

  1. Download Orthanc for Windows:

    • Visit the official Orthanc website and navigate to the download section.
    • Download the Windows installer for Orthanc.
  2. Install Orthanc:

    • Run the downloaded installer and follow the on-screen instructions to complete the installation process.
    • By default, Orthanc will be installed in C:\Orthanc.
  3. Configure Orthanc:

    • Navigate to the Orthanc installation directory, typically C:\Orthanc.
    • Open the Orthanc.json configuration file in a text editor such as Notepad or Notepad++.
    • Modify the configuration settings as needed. For example, to change the HTTP port:
      {
      "Name": "Orthanc",
      "HttpPort": 8042,
      ...
      }
    • Save and close the configuration file.
  4. Run Orthanc via CMD:

    • Open Command Prompt (CMD) as an administrator.
    • Navigate to the Orthanc installation directory:
      cd C:\Orthanc
    • Start Orthanc by running the following command:
      Orthanc.exe Orthanc.json
    • Orthanc will start, and you will see log messages indicating its status.
  5. Access Orthanc Web Interface:

    • Open a web browser and navigate to http://localhost:8042 (or the port you specified in the configuration file).
    • You should see the Orthanc web interface, where you can manage DICOM files and perform various operations.
  6. Automate Orthanc Startup with Task Scheduler:

    • Open Task Scheduler and create a new task.
    • Set the task to run with highest privileges and configure it to start at system startup.
    • In the "Actions" tab, create a new action to start a program. Set the program/script to C:\Orthanc\Orthanc.exe and add C:\Orthanc\Orthanc.json as an argument.
    • Save the task, and Orthanc will automatically start with Windows.

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