The ability to capture and control images is another key requirement of HD endoscopy systems. Ideally, the HD imaging platform is capable of displaying medical images acquired using a range of modalities and stored using PACS. Conversely, it must be possible to transfer HD images to such systems using whatever converters or routing systems are needed.

Today's imaging systems also provide new functional capabilities to surgeons, including picture-in-picture viewing as well as control of various surgical systems and environmental lighting. HD systems must be able to accommodate this broader range of capabilities and system functions that are available to surgeons.

Use of optical fibers for HD image transmission effectively extends the reach of the image management system, allowing distribution of HD image data to a broader range of imaging sources and destinations. In addition to delivering desired video performance, the HD infrastructure should support both existing and anticipated imaging modalities.

Image management in the HD-equipped OR is based on proper planning of transmission media. For short distances, DVI cable offers a viable solution. For longer distances, such as linking to PACS, use of DVI cable and a converter system either in the camera or a separate device is necessary.