Within the EC Conquest project, a full featured DICOM server has been developed based on and heavily extending the public domain UCDMC DICOM code developed by Mark Oskin when he was at the Medical Center of the University of California at Davis.

Complete DICOM server offering storage, verification, query and retrieve with programmable SQL database tables. This user-programmable feature allows the MicroPACS to be custom tailored to a particular Clinical/Research area.
The server supports a wide range of databases with ODBC (Windows) or without (Windows/Linux), including DbaseIII, MySQL, Postgres and SqLite.

https://youtu.be/_nUelx4ZlW8?si=6CmMF2Mz0dWnip6y