1. Introduction
ALTICIAN Spine (“Application”, “we”, “us”, or “our”) is a browser-based medical image visualization tool intended for research and educational use. This Privacy Policy explains how we handle information when you use the Application. The Application is operated by Altician Inc., based in the Republic of Korea.2. Privacy by Design
This Application is architected according to Privacy by Design principles (GDPR Article 25). Patient DICOM images — which may contain Protected Health Information (PHI) under HIPAA or personal data under GDPR — are processed entirely on your local computer. No imaging data, patient identifiers, or PHI/PII is transmitted to any external server at any point. This local-first architecture means the Application does not function as a Business Associate under HIPAA, as it neither receives, maintains, nor transmits PHI on behalf of covered entities.3. Information We Collect
| Data Type | Purpose | Storage | Contains PHI? |
|---|---|---|---|
| DICOM files | Volume rendering, 3D visualization | Browser memory only (never uploaded) | Possible (user-controlled) |
| Processed volumes | Faster reload on subsequent visits | Browser IndexedDB (local) | No (derived numerical data only) |
| 3D mesh data (STL) | Faster reload on subsequent visits | Browser IndexedDB (local) | No (geometry only) |
| Cookie consent preference | Analytics consent management | Browser localStorage | No |
| Analytics data (if consented) | Usage statistics, product improvement | Google Analytics (cloud) | No |
4. ALTICIAN Spine Helper (Optional)
The optional ALTICIAN Spine Helper application runs locally on your computer for AI-based spinal segmentation. It communicates exclusively vialocalhost and does not transmit any data to external networks. No model inference data leaves the machine. It is suitable for use on hospital intranets and air-gapped (closed) networks.
5. Analytics & Consent
We use Google Analytics 4 (GA4) to understand aggregate usage patterns. Analytics is only activated after you provide explicit consent via the cookie banner (Google Consent Mode v2), in compliance with GDPR Article 7 and ePrivacy Directive requirements. Analytics data collected (when consented) includes: page views, session duration, device type, browser type, and approximate country. No patient data, DICOM content, or clinical information is ever included in analytics. You can withdraw consent at any time by clearing your browser’s local storage for this site.6. Local Data Caching & Retention
Processed 3D volumes and mesh data are cached in the browser’s IndexedDB for faster subsequent loading. This cache:- Remains entirely on your local computer and persists across browser sessions
- Contains only derived numerical arrays and 3D geometry — not original DICOM files or patient identifiers
- Can be cleared at any time via browser settings (Clear Site Data) or the Application’s cache management