# DICOM Real-Time Video **Domain:** Clinical Media Transport / DICOM **Doc Type:** Technical Standard Node **Maturity:** Codified DICOM Service Architecture **Related:** [[DICOM]], [[Real-Time Transport Protocol]], [[SMPTE ST 2110]], [[Precision Time Protocol]], [[Essence Flow]] --- ## Definition **DICOM Real-Time Video (DICOM-RTV)** is the real-time communication architecture defined in DICOM PS3.22 for transmitting synchronized medical video, audio, and DICOM metadata as network flows. Despite the name, its architecture includes audio, metadata, and rendition binding as well as video. ## Neural-interface role It provides a model for preserving the temporal relationship among stimuli, clinical video, audio, device context, and physiological response—relationships that can become invalid if streams drift by even milliseconds. ## Primary source - [DICOM Supplement 202: Real-Time Video](https://www.dicomstandard.org/docs/librariesprovider2/dicomdocuments/news/ftsup/docs/sups/sup2021ed698b842ec4ac7a8e4bf6d8c7a3d19.pdf)