AbstractID: 7050 Title: Design and Implementation of a Robust, High-Availability DICOM Print Network in a Large, Multi-modality Clinical Environment The purpose of this work is to describe the development and implementation of a highly reliable DICOM print network at our institution. The system requirements were to provide DICOM print services on dry media to multiple modalities, allow creation of custom lookup-tables (LUT), provide fail-over/redundancy, and allow sorting of printed image sets. Three vendors were evaluated for image quality, throughput, connectivity, and fail-over. The chosen configuration (Fuji PS551/DPL) was scaled up to meet the needs for hard copy production in our busy (300,000+ exams/year) clinical operation. System features: 1. Print servers are connected to multiple printers and are configured for automatic fail-over upon printer error. 2. Modalities are configured with dual print destinations to allow redirection of print activity upon print server error. 3. Printers sort by DICOM application entity title (AET): output from any given device may be directed to a specific sorting bin (reducing the effort needed to sort films prior to hanging). 4. Custom LUT’s were created which match those currently in use. LUT assignments are made either by calling AET or on request from the user. 5. QC is by automatic initiation of DICOM print jobs from a Unix-based workstation or by manual initiation from PC’s utilizing e-Film’s™ DICOM print capabilities. Twice-daily QC results reveal impressive consistency compared to our wet solution. The "time-to-hang films" in CT has been reduced from an average of 2.8 hours to 1.5 hours with improved image quality and extremely high system dependability.