This case study details the deployment of the IWRS+IMAGING integrated system by Octalsoft for a client in the oncology therapeutic area. The client required an auto-shipment logic system tailored to site recruitment potential and anticipated subject visits, alongside a workflow for cold chain transportation of temperature-sensitive chemotherapeutic drugs. The solution included an imaging portal for DICOM image uploads, enabling timely reviews by independent radiologists, and facilitated the online completion of RECIST 1.1 forms for assessing tumor size changes. Octalsoft's implementation provided automated shipment workflows, real-time inventory tracking, and predictive re-ordering algorithms. The system also featured a user-friendly interface for DICOM file uploads and introduced an online RECIST 1.1 form for capturing tumor response data. The study outlines the structured archival of DICOM files and highlights the solution's compliance with regulatory standards while managing costs effectively through smart algorithms.