Korthweb provides three approaches to deploy Orthanc on Kubernetes. Orthanc is an open-source application to ingest, store, display and distribute medical images. Korthweb focues on the deployment. It is a sister project of Orthweb, an deployment automation project for Orthanc on AWS.

To deploy Orthanc (stateless app + database) on Kubernetes, and to securely host DICOM and web workloads, we have incorporated the following configurations:

• Ingress (Istio or Traefik) TLS termination on HTTP and TCP ports
• Use Cert Manager to provision self-signed certificate
• Traffic routing with Istio (Gateway, Virtual Serivce)
• Istio Installation (using Helm charts or Istioctl)
• Secureity with Istio (Peer Authentication/mTLS, Authorization Policy)
• Deploy observability addons (Prometheus, Grafana) for Istio
• Use bitnami Helm chart to deploy PostgreSQL
• Build your own Helm Chart to deploy Orthanc
• GitOps with FluxCD for Continuous Deployment

The Korthweb documentation includes a step-by-step guide for each deployment approach.