Prism Flow® is the DICOM communications and storage and Prism workflow manager. It provides integrated access, application configuration, and audit logging across physical locations and the cloud. The dedicated DICOM store holds raw, intermediate and processed results, as well as providing DICOM interoperability with scanners, PACS, treatment planning, and surgical navigation systems through powerful configurable sender/receiver and forwarding functions. In this way, Prism can unify the disparate offerings of multiple manufacturers into a consistent, reliable imaging workflow. Prism Flow enhances scalability through support of multiple scanner and clinical viewing locations, with either centralized on-site processing or cloud processing provided through Prism Serve®.