DICOM Distributor is one of the most powerful, most flexible, most configurable, and most scalable distribution programs for studies available.

Studies are received from any PACS via DICOM transfer, then stored in a local temporary storage. From the temporary storage, they are forwarded to recipients based on multiple configurable subscriptions. Because studies are stored in temporary storage, it is even possible to retroactively forward studies to recipients.

A separate Distributor Manager program is used to manage and configure one or more Distributor Engines, each running on a separate server. Through the use of multiple Distributor Engines, the system can be scaled to load balance over multiple machines and network connections.