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1 DICOM Digital Imaging and Communications in Medicine DICOM DICOM Digital Imaging and Communications in Medicine ACRNEMA CD-R DICOM 1

2 HIS Server PC HL7 RIS WEB Image/Report Viewer WEB RIS Server DICOM DICOM DICOM Report Server DICOM Modality Image Server DICOM Version 3.0? Q DICOM Version 3.0 DICOM 3.0 DICOM 3 DICOM Version 1.0 Version 2.0 A DICOM Version 1.0 DICOM Version 2.0 DICOM Version 3.0 DICOM 3.0 DICOM 3 DICOM DICOM 3.0 DICOM 2

3 DICOM 1/ ACR NEMA ACR-NEMA NEMA 1985 ACR-NEMA NEMA - Version ACR-NEMA NEMA - Version 2 ACR-NEMA Ver.1, Ver.2Point-to-Point DICOM 2/ ACR-NEMA NEMA ACR-NEMA Version 3.0? DICOM 1993 DICOM DICOM Standards Committee 3

4 DICOM Conformance Statement - Supplement - Correction Proposal DICOM 1/4 DICOM DICOM Part 1 : Introduction and Overview Part 2 : Conformance Part 3 : Information Object Definitions Part 4 : Service Class Specifications Part 5 : Data Structures and Encoding Part 6 : Data Dictionary Part 7 : Message Exchange Part 8 : Network Communication Support for Message Exchange 4

5 DICOM 2/4 Part 9 : Point-to-Point Communication Support for Message Exchange Part10 : Media Storage and File Format for Media Interchange Part11 : Media Storage Application Profiles Part12 : Media Formats and Physical Media for Media Interchange Part13 : Print Management Point-to-Point Communication Support Part9, Part13Point-to-Point DICOM 3/4 Part14 : Grayscale Standard Display Function Part15 : Security Profiles Part16 : Content Mapping Resource Part17 : Explanatory Information Part18 : Web Access to DICOM Persistent Objects WADO DICOMWeb 5

6 DICOM 4/4 DICOM 1816DICOM Base Standard Supplement Correction Proposal DICOM Base Standard + Supplement + Correction Proposal PDF URL 6

7 7

8 DICOM Point-to to-point DICOM Session/Transport/ Network Layer (STN) DICOM Data Link Layer DICOM Physical Layer (50-pin) Network DICOM Upper Layer Security Layer (Optional) TCP/IP Transport Layer Standard Network Physical Layer (Ethernet, etc.) ACR-NEMA NEMA TCP/IP Point-to-Point DICOM DICOMNetwork DICOM Patient Study Study Study Series Series Series Image Images Report 8

9 DICOM DICOM - Conformance Statement Service Class SCU SCP SCP SOP 9

10 DICOM Conformance Statement DICOM DICOM DICOM DICOMDICOMDICOM DICOM Conformance Statement Service Class DICOM DICOM DICOM Service Class Verification Basic Worklist Management Study Management Storage Storage Commitment Query/Retrieve Print Management 10

11 SCU DICOM Service Class User DICOM SCP Service Class Provider DICOM SCU Storage Service Class SCP SOP Service Object Pair DICOM MR CT MR CT Image Object DICOM Storage Service Class MR CT MR CT Image Storage SOP Class MR CT MR CT SCU MR CT Image Storage SOP SOP Class SCP 11

12 DICOM - AE Abstract Syntax Transfer Syntax Tag Association Negotiation AE DICOM Application Entity DICOM AE AE Title AE Calling AE AE Called AE Calling AE Called AE 12

13 Abstract Syntax DICOM DICOMSOP Class Abstract Syntax = DICOM SOP Class CT Image Storage SOP Class CTSOP MR Image Storage SOP Class MRSOP Ultrasound Image Storage SOP Class SOP Image Storage SOP Class SOP Modality Worklist Information Model FIND SOP Class SOP Transfer Syntax DICOM DICOM Implicit VR Little Endian Explicit VR Little Endian Explicit VR Big Endian JPEG Lossless JPEG Lossy DICOM Transfer Syntax DICOM Transfer Syntax VR VR VR JPEG JPEG 13

14 Tag DICOM DICOM 216 Tag 0010, , , 0030 DICOM Tag Attribute Name Patient s Name Patient ID Patient s Birth Date 0010: DICOM DICOM Data Element Data Element Data Element Data Element Tag VR Value Length Value Field Transfer Syntax (Explicit) (Implicit) 14

15 VR Value Value Representations- Data Element Value Field Value etc VR DICOM 5 DICOM Tag Attribute Name VR Length Value 15

16 DICOM 10 AssociationNegotiation AEDICOM Association Negotiation Association Establishment DICOMAE Association Release DICOM Association Negotiation Establishment AE DICOM Message/ Data Association Release AE 16

17 Association Negotiation () Calling AE Title Called AE Title SOP Class Transfer Syntax Requestor Called AE Title Calling AE Title SOP Class Transfer Syntax Acceptor = DICOM DICOM 17

18 Verification - DICOM SCU DICOM SCP Basic Worklist Management Modality Worklist Management MWM CT RIS SCU CT SCP ex.,id, 18

19 Study Management Modality Performed Procedure StepMPPS 1000 RIS SCU 1020 SCP Storage - SCU SCP Storage Service Storage Service 19

20 Storage Commitment SCU SCP Query/Retrieve - SCU SCP 20

21 HIS Server PC HL7 RIS WEB Image/Report Viewer WEB RIS Server DICOM DICOM DICOM Report Server DICOM Modality Image Server DICOM HIS Server PC RIS Server MWM RIS MPPS Storage (Image) Query/ Retrieve (Report) Image/Report Viewer Report Server Storage (Report) Query/ Retrieve (Image) Modality Storage Image Server Commitment 21

22 DICOM Verification SCP MWM SCP MPPS SCP Verification SCU/SCP MWM SCU MPPS SCU Storage SCU Storage Commitment SCU Print Management SCU Verification SCU/SCP Query/Retrieve SCU Storage SCU/SCP Storage Commitment SCU Print Management SCU RIS Verification SCP Storage SCU/SCP Storage Commitment SCP Query/Retrieve SCP Verification SCP Print Management SCP Media Exchange File Create Media File Read File Update FSR FSU FSC FSC: File Set Creator FSR: File Set Reader FSU: File Set Updater DICOM FD, MO, CD-R, DVD-RAM/-R/-RW/+R/+RW, USB Memory, Compact Flash 22

23 DICOM DICOM - DICOM DICOM DICOM - IHE / DICOM HL7 IHE 23

24 DICOM DICOM DICOM / IHE NEMA Official DICOM Home Page DICOM Standard Status Page JIRA IHE IHE Home Page IHE-J DICOM 24