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RGDicom is a Java viewer of medical images (DICOM - Digital Imaging and Communications in Medicine). It allows direct connection with the medical devices, therefore it implements DICOM 3.0 protocol and includes a lot util features, like edit the images.
Xebra is an open source, cross-platform, thin client and server for web-based distribution and clinical review of medical imaging results. Xebra is based on the latest open industry standards including JPEG2000, WADO and IHE XDS-I.