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DICOM Operations on a WAN

Same WAN sample configuration:

Round Trip Time = 200 ms

Secure DICOM (TLS)

Connection Establishment is slow

TCP / IP Protocol: slow start algorithm

Name

Time

TCP / IP Handshake

200 ms

TLS / SSL Handshake

400 ms

DICOM Handshake

200 ms

DICOM Request \ Response

200 ms

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