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1Neurocirurgiã e Doutora em Anatomia e Cirurgia – FMRP-USP, Diretora de Ensino e Pesquisa do Hospital Pelópidas Silveira HPS/IMIP/SES/SUS – Recife, PE, Brasil. 2Enfermeira e Técnica em Pesquisa do Banco de Imagens Clínicas – HPS/IMIP/SES/SUS Recife, PE, Brasil. 3Estagiária em Neurocirurgia, Imperial College London – Londres, Reino Unido. 4Professor Titular do Programa de Pós-Graduação em Tecnologia em SaúdePontifícia Universidade Católica do Paraná – PUC-PR, Brasil 5Professor Livre-Docente, Pós Graduação em Neurociências -UFPE –Recife, PE, Brasil 6Enfermeira, Mestre em Neurociências UFPE, Hospital Pelópidas Silveira-IMIP/SES/SUS–Recife, PE, Brasil 7Diretor Administrativo, Hospital Pelópidas Silveira-IMIP/SES/SUS–Recife, PE, Brasil 8Neurocirurgião e Superintendente, Hospital Pelópidas Silveira-IMIP/SES/SUS – Recife, PE, Brasil ABSTRACT The Clinical Images Database (BIC) is an archive of clinical images for medical care and research. Objective: To describe the characteristics of and requirements for the creation of a BIC in a tertiary center in Northeastern Brazil. Methods: Technological advances allow for long-term storage of clinical images and retrieval according to clinical needs. With the patient consent and image anonymousness, the database can be used for research. It allows measurements/comparisons, reconstruction/ deconstruction and analysis of anatomical, clinical and pathological variables. The specific infrastructure and image capture and storage requirements for a BIC used for clinical and research purposes are analyzed. Results: Image capture and storage: Comprises centralization of X-ray, CT, MRI and angiography data through the network to a server. An anonymous version of each set of studies must be available for use in research. External backup is needed. Visualization: Comprises the user interface and includes stations for viewing and data processing. Maintenance: A technical team assists users and manages the system, troubleshooting problems, registering users and performing regular audits. An external committee supervised the creation of the BIC, and continues to review its progress. Conclusions: The present study could serve as a basis for the creation of similar clinical databases for research use.

Characteristics of a Hybrid Image Archiving and Communication System Serving a Neurological-Neurosurgical Facility