The PACSonWEB Gateway ensures the secure transmission of data from the hospital or the medical imaging department. Both the DICOM images and reports are synchronised according to an established process, so that subsequent data adjustments are also systematically synchronised. On the basis of loss-free compression, the images are uploaded to the cloud from the PACS or modalities. Computer systems such as RIS or NIS allow for the synchronised of study data or reports via HL7, Webservices or another integration system.