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Kompella Technologies

Life Imaging · Healthcare Imaging

Re-architecting a HIPAA-compliant radiology pipeline processing 10TB of medical imaging data per day

Fractional CTO + healthcare infrastructure transformation

Fractional CTOHealthcare SaaSCloud Infrastructure
Life Imaging — Re-architecting a HIPAA-compliant radiology pipeline processing 10TB of medical imaging data per day

87.5%

Failure Rate Reduction

50%

File Size Reduction

10TB/day

Data Processed

The Situation

Life Imaging FLA operates preventive health screening centers across Florida, processing thousands of scans daily. Their DICOM transfer pipeline was failing under load — 40% retry rates, partial corruptions, and 30-minute delays per scan — threatening their expansion from 10 centers to 50.

What We Did

  • —Stepped in as Fractional CTO to diagnose the failing DICOM pipeline and design a production-grade replacement
  • —Architected a hybrid Azure IoT Edge pipeline with edge modules at each imaging center for local ingestion, validation, and compression
  • —Built an idempotent messaging layer with zero data loss guarantees, even during network outages
  • —Implemented JPEG-LS lossless compression, reducing file sizes by 50% without diagnostic quality loss
  • —Delivered end-to-end HIPAA compliance with full audit trails and encryption at rest and in transit

Outcomes

  • —Reduced transfer failure rates from 40% to under 5% — an 87.5% improvement
  • —Cut scan transfer times from 30+ minutes to under 10 minutes per study
  • —50% reduction in storage costs through lossless compression across all centers
  • —Pipeline scaled to handle 10TB/day, ready to grow from 10 to 50 centers

“Ganesh was a fantastic CTO. He quickly understood our complex Healthcare SaaS platform and brought structure, clarity, and strong leadership to the team. Delivered real results.”

Tom Graham

CEO, Life Imaging

Related service: Healthcare software development

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