Would you mind giving some hints as to best configure Ginkgo CADx apt-get install ginkgocadx such that it will nicely interface with ORTHANC ?
As written in my previous answer, Orthanc does not currently support the "PACS Q/R" feature of Ginkgo CADx, because Orthanc does not implement DICOM C-Find SCP and C-Move SCP (yet).
Before it gets implemented, I would recommend to download ZIP files from the Orthanc Web interface, unzip their content, then import them in Ginkgo CADx by clicking on "Acquire" -> "Open Folder".
Cheers, Sébastien-