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Imaging Upload & Segmentation Troubleshooting

DICOM upload issues, series selection, segmentation delays, incorrect results, and approval/rejection issues.

Updated this week

My DICOM upload won’t work

Common causes:

  • Folder includes non-DICOM files (viewer apps, reports)

  • Upload interrupted (network issues)

Fix:

  1. Upload a folder that contains only DICOM images

  2. Avoid including viewer software

  3. Retry on a stable connection


Upload is stuck or slow

Fix:

  • Keep the browser tab open

  • Avoid switching networks mid-upload

  • Retry on a better connection if possible


“Invalid DICOM”

Fix:

  • Confirm the files are original DICOM exports (not screenshots)

  • Export again from PACS/scanner source and retry


I’m not sure which series to select / system can’t detect series

Fix:

  • Select the highest-resolution series when possible

  • If uncertain and supported, upload all series

  • If the wrong series was selected, you may need to re-upload for correct processing


Segmentation is taking longer than expected

Segmentation may be automatic or manual, and time depends on scan quality and complexity.

Fix:

  • Check case status

  • If urgent, contact CustoMED and request priority support


Segmentation results are missing

Fix:

  1. Refresh the page

  2. Confirm upload completed

  3. Verify you’re in the right case/group

  4. If still missing, contact support with case ID


Segmentation looks incorrect

Fix:

  1. Review in CT slices + overlay and in 3D

  2. Click Reject

  3. Add a short explanation (missing region, extra anatomy, shifted mesh, etc.)


I can’t approve/reject segmentation (button disabled)

Common causes:

  • Role doesn’t allow approval

  • Step not ready yet (processing not complete)

  • Another user already finalized the step

Fix:

  • Confirm case status is ready

  • Ask an authorized approver (clinician/admin) to approve/reject


Privacy: Is imaging anonymized?

CustoMED performs client-side anonymization before uploading. Only necessary imaging information is kept; identifying data is removed.

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