Techniques are disclosed for efficiently and securely handling of patient medical images and data. In one particular embodiment, an acquisition service and picture archive communication system (PACS) architecture are provided that facilitate the transmission and storage of medical image objects using reliable IP multicasting, packet encoded transmission, and digital rights management (DRM). The system effectively creates a broadcast signal in which all listening computers can securely receive medical image objects at once for purposes of interpretation/diagnosis, assisting in surgery, and other such appropriate medical uses.