IHE IHE Year 5) Year 5) PIR, - ED KIN SINR PGP PWF RWF CHG SWF CPI

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1 Consistent Presentation of Images Integration Profile / Original: Charles Parisot / GE Medical Systems IT Planning and Technical Radiology Committees

2 IHE IHE Year 5) Year 5) PIR, - ED KIN SINR PGP PWF RWF CHG SWF CPI

4 VOI David Clunie

5 David Clunie

6 David Clunie

7 Digital Modality Laser Printer David Clunie

8 CRT vs David Clunie

9 IHE :

10 Cal Hard Soft DICOM (GSDF) LUT DICOM DICOM GSPS

11 Evidence Creator 10. Storage Commitment Image Manager 10. Storage Commitment 14. Query Images 16. Retrieve Images 18. Creator Image Stored 19. Creator Pres.State Stored Image Archive 14. Query Images 15. Query Pres.State 16. Retrieve Images 17. Retrieve Pres.State 8. Modality Image Stored 9. Modality Pres. State Stored Image Display Acquisition Modality Print Composer 23. Print Request with Presentation LUT Print Server

12 Cal DICOM : (GSDF)

13 Cal DICOM GSDF Film Monitors P David Clunie

14 Cal Just Noticeable Difference == David Clunie

15 Cal ( )

16 Cal ( )

17 Cal David Clunie

18 Cal + + Jmax == P-Value of 2 n -1 Jmin == P-Value of 0 David Clunie

19 Cal David Clunie

20 DICOM : Hard LUT

21 LUT Print Composer Print Server DICOM Film Session N-CREATE DICOM Presentation LUT N-CREATEN DICOM Film Box N-CREATE Print Composer Print Request with Presentation LUT DICOM Image Box N-SET DICOM Film Box N-ACTION DICOM Film Session N-ACTION Print Server Print Status (DICOM N-EVENT-REPORT) Hard Printer Status

22 LUT Print Composer DICOM Print SCU DICOM. Print composer LUT Print server P Print Server DICOM Print SCP DICOM Hard

23 DICOM : Soft (GSPS):

Standard Area Of Interest Annotate Achieving Consistent Presentation

24 Reporting Radiologist Referring Physician or Reviewing Radiologist Soft Area Of Interest Presentation State Presentation LUT Grayscale Standard Area Of Interest Annotate Achieving Consistent Presentation Zoom Flip Window Level Without Consistent Presentation Original Image

25 Soft DICOM Rescale Slope/Intercept or Modality LUT Window/Level or VOI LUT Presentation LUT Modality LUT Transformation Ma s k (Subtraction) VOI LUT Transformation Presentation LUT Transformation Grayscale Transformations P-Values Shutter Transformation Image Annotation Spatial Tra ns forma tion Dis p. Are a Annotation Shutter, Annotation and Spatial Transformations

26 GSPS Image Display Image Creator Query Presentation State Retrieve Presentation State Creator Presentation State Stored 19 IHE -an Acquisition Modality Image Creator DICOM GSPS C-STORE Image Archive Image Archive Modality Presentation State Stored 9 IHE -Image Display C-FIND Image Manager Acquisition Modality IHE -Image Display C-MOVE Image Archive Soft

27 Soft IHE Year 4: Query Matching and Return Keys Attribute Name Tag Query Keys Matching SCU SCP Query Keys Return SCU Presentation Label (0070,0080) O O R+ R+ Presentation Description (0070,0081) O O O R+ Presentation Creation Date (0070,0082) O O R+ R+ Presentation Creation Time (0070,0083) O O R+ R+ Presentation Creator s s Name (0070,0084) O O R+ R+ Referenced Series Sequence (0008,1115) O O R+ R+ > Series Instance UID SCP (0020,000E) O O O R+ > Referenced Image Sequence (0008,1140) O O O R+ >> Referenced SOP Class UID (0008,1150) O O O R+ >> Referenced SOP Instance UID (0008,1155) O O O R+

28 David Clunie

29 ?

Interoperability Workshop

Interoperability Workshop 画像表示の一貫性確保 Consistent Presentation of Images CPI IHE-J 接続検証委員会 IHE-J Workshop May 2011 1 What IHE Delivers Consistent Presentation of Images ソフトコピー表示フィルム出力に関わらない装置に依存しない表示状態の一貫性を提供する読影時に適用した画像変換 ( 階調変換