参考文献

影像诊断学

超声成像(Ultrasonography)

  • 50年代

γ闪烁成像(γ-scintigraphy)

  • 60年代

CT(Electronic computer X-ray tomography technique

  • 70年代

磁共振成像

  • Magnetic Resonance Imaging,磁共振成像,是一种生物自旋成像技术,利用原子核自旋运动的特点,使用磁场人体层面的空间位置,利用无线电波进行序列照射,激发原子核产生共振.当停止无线电波照射,原子核自动恢复到平衡状态,把吸收的能量放出来.这个能量信号可用探测器检测,输入计算机进行编码,再用计算机创建图形.
  • 80年代

发射体层成像(ECT,Emission Computed Tomography)

  • 80年代

医学坐标体系

世界坐标体系

  • 世界坐标体系是典型的笛卡尔坐标体系,在这个坐标体系中模型(如核磁扫描器,病人)被定位.每个模型都有它自身的坐标体系但是只存在一个世界坐标体系来定义模型的位置与方向.

解剖学坐标体系

  • 对医学图像处理技术来说,最重要的坐标体系是解剖学空间坐标体系.这个坐标体系由三个位面组成,用来描述标准的人体在解剖学上的位置

    • 横断面(The axial plane):与地面平行,分离头部(Superior)与脚部(Inferior)
    • 冠状面(The coronal plane):与地面垂直,分离人体的前(Anterior)后(Posterior)
    • 矢状面(The sagittal plane):与地面垂直,分离人体的左(Left)右(Right)

    img

图像坐标体系

DICOM相关名词解释

  • DICOM

    • Digital Imaging and Communications in Medicine,医学数字成像和通信标准,DICOM标准详细定义了影像及其相关信息的组成格式和交换方法,利用这个标准,人们可以在影像设备上建立一个接口来完成影像数据的输入/输出工作.
  • WADO

    • Web Access to DICOM Objects,DICOM对象的Web接入标准,WADO的主要目地就是要共通化 URL 的格式及方法,使得不同厂商的DICOM 服务器和电子病历系统的组合均能兼容,并在电子病历系统上也能显示DICOM 影像.WADO 规格定义了客户端,如电子病历等系统,如何从 Web Enabled DICOM 服务器取得影像数据的URL格式及方法,以及相关的技术要求.
  • VTK

    • Visualization toolkit,是一个开放资源的免费软件系统,主要用于三维计算机图形学、图像处理和可视化.Vtk是在面向对象原理的基础上设计和实现的,它的内核是用C++构建的,包含有大约250,000行代码,650多个类,还包含有几个转换界面,因此也可以自由的通过Java,Tcl/Tk和Python各种语言使用vtk. Vtk几乎可以在任何一个基于Unix的平台上操作,以及Windows 95/98/NT/2000/XP.
  • ITK

    • Insight Segmentation and Registration Toolkit 是一种开源的、跨平台的影像分析扩展软件工具.ITK的开发过程中采用了先进的多模态数据分割配准算法.它提供一些主流算法,如区域生长、阈值分割、基于分水岭的分割、Fast Marching算法、Level Set等多种分割算法,并将这些用于医学图像处理的算法和程序的开发过程屏蔽起来.ITK没有实现可视化的功能,在VTK中可以实现可视化,所以医学影像系统中,在用ITK进行分割的基础上,结合VTK对图像进行可视化处理.
  • MPPS

    • MPPS 是Medical Images Per Second的缩写,意为每秒处理的医学图像数.
    • MPPS 是评估医学影像设备性能和吞吐量的一个指标.医学影像设备,如数字X射线设备、CT扫描仪、核磁共振仪等,可以以每秒处理多少张医学图像的方式来衡量其性能.MPPS 数值越高,表示设备在单位时间内能够处理更多的医学图像,具有更高的效率.
    • MPPS 的数值通常取决于设备本身的技术能力、硬件配置、处理速度以及图像文件的大小等因素.不同类型的医学影像设备可能具有不同的 MPPS 值,因此 MPPS 在比较不同设备性能时是一个重要的指标.
  • GSPS

    • GSPS(Grayscale Softcopy Presentation State Storage SOP Class)是DICOM(医学数字成像和通信)标准中定义的一种SOP(Service-Object Pair)类.GSPS用于存储和传输图像显示参数和注释,以实现在软件上呈现灰度图像的功能.
    • GSPS主要用于描述和记录影像的显示状态和相关的结构化信息,例如标注、测量结果、区域兴趣(ROI)等.它可以存储灰度图像的布局、窗宽窗位设置、标注文本、箭头、线条、矩形、椭圆等图形元素,以及与这些图形元素相关联的属性和信息.
    • 通过使用GSPS,医疗图像可以与特定的显示设置和分析结果关联起来,从而提供更丰富的视觉解释和辅助诊断信息.GSPS数据可以在DICOM网络中进行传输和共享,使得不同的医疗设备和软件应用能够共享和显示相同的图像呈现状态.
    • GSPS是DICOM标准中的一个重要组成部分,它增强了医学图像的可视化和分析能力,并促进了医疗影像领域的信息交流与协作.
  • RDSR

    • RDSR(X-Ray Radiation Dose SR Storage SOP class)是DICOM(医学数字成像和通信)标准中定义的一种SOP(Service-Object Pair)类,用于存储和传输X射线辐射剂量相关的结构化报告.
    • RDSR主要用于记录和描述X射线检查过程中患者接受的辐射剂量信息.它可以包含多个辐射剂量事件的详细信息,例如剂量值、剂量类型、剂量计算方法、扫描参数、患者信息等.RDSR还可以包括其他与辐射剂量相关的数据,例如辐射源信息、辐射保护设备使用情况等.
    • 通过使用RDSR,医疗机构可以记录和跟踪患者在X射线检查中暴露的辐射剂量,从而评估和控制患者的辐射风险.RDSR还可以用于辅助医生进行诊断和治疗决策,以及提供给患者作为健康档案的一部分.
    • RDSR数据可以在DICOM网络中进行传输和共享,使得不同的医疗设备和软件应用能够共享和访问辐射剂量信息.这有助于提高医疗影像的辐射安全性,减少患者接受的不必要的辐射剂量,并促进医疗机构间的合作与交流.
    • RDSR是DICOM标准中的一个重要组成部分,它提供了一种标准化的方式来记录和管理X射线辐射剂量数据,以确保患者的辐射安全和医疗影像的质量控制.
  • CAD

    • CAD(Mammography CAD SR Storage SOP class)是DICOM(医学数字成像和通信)标准中定义的一种SOP(Service-Object Pair)类,用于存储和传输乳腺X射线摄影CAD(计算机辅助诊断)相关的结构化报告.
    • CAD系统在乳腺X射线摄影中起到辅助诊断的作用,它可以自动检测和标记潜在的异常区域,如钙化灶、肿块等,并产生相应的分析结果和报告.CAD报告中包含了患者的乳腺影像数据、CAD算法的检测结果、标注、测量值、定位信息以及其他相关信息.
    • 通过使用CAD报告,医生可以更准确地进行乳腺疾病的诊断和分析.CAD系统可以提供第二意见和辅助决策,帮助医生发现潜在的问题,并指导进一步的检查和治疗方案.
    • CAD报告数据可以在DICOM网络中进行传输和共享,使得不同的医疗设备和软件应用能够共享和访问CAD分析结果.这有助于促进医生之间的合作与交流,提高乳腺疾病的早期诊断率和治疗效果.
    • CAD(Mammography CAD SR Storage SOP class)是DICOM标准中专门用于存储乳腺X射线摄影CAD报告的SOP类,它提供了一种标准化的方式来记录和管理CAD分析结果,以支持乳腺疾病的准确诊断和治疗.
  • 窗宽(Window Width)/窗位(Window Level)

    • 窗宽指CT图像所显示的CT 值范围.在此CT值范围内的组织结构按其密度高低从白到黑分为16 个灰阶以供观察对比.例如,窗宽选定为100 Hu ,则人眼可分辨的CT值为100 / 16 =6 . 25 Hu ,即2 种组织CT值相差在6 . 25Hu以上者即可为人眼所识别.因此,窗宽的宽窄直接影响图像的清晰度与对比度.如果使用窄的窗宽,则显示的CT 值范围小,每一灰阶代表的CT 值幅度小,对比度强,适于观察密度接近的组织结构(如脑组织).反之,如果使用宽的窗宽,则显示的CT值范围大,每一灰阶代表的CT 值幅度大,则图像对比度差,但密度均匀,适于观察密度差别大的结构.

      • 窗位(窗中心)指窗宽范围内均值或中心值.比如一幅CT图像,窗宽为100Hu,窗位选在0Hu;则以窗位为中心(0Hu),向上包括+50Hu,向下包括-50Hu,凡是在这个100Hu 范围内的组织均可显示出来并为人眼所识别.凡是大于+50Hu 的组织均为白色;凡是小于-50Hu 的组织均为黑色,其密度差异无法显示.人眼只能识别土50Hu 范围内的CT 值,每一个灰阶的CT 值范围是100 / 16=6 . 25 Hu

      • 常见的窗宽窗位值

        部位 组织 窗宽(WW) 窗位(WL)
        肺窗 1500-2000 HU -450到-600 HU
        纵膈窗 250-350 HU 30-50 HU
        头颅 脑组织 80-100 HU 30-40 HU
        头颅 脑出血 80-140 HU 30-50 HU
        头颅 颌面部眼眶 150-250 HU 30-40 HU
        头颅 鼻咽 300-350 HU 30-50 HU
        头颅 颌面部眼眶 150-250 HU 30-40 HU
        头颅 垂体及蝶鞍区 200-250 HU 45-50 HU
        骨骼 骨骼 1000-1500HU 250-350HU
        喉颈部 300-350 HU 30-50 HU
        咽喉部 300-350 HU 30-50 HU
        软组织 软组织 300-500HU 40-60HU
        • 纵隔窗是用于观察胸部CT检查中的纵隔(mediastinum).纵隔是指位于胸腔内的位于双侧肺之间的区域,包括心脏、大血管、气管、食管、淋巴结等结构.通过调整窗宽和窗位,纵隔窗可以帮助医生观察心脏、大血管的位置关系、纵隔内淋巴结的大小以及纵隔内肿块等
  • MRI 是核磁共振成像(Magnetic Resonance Imaging)的缩写.它是一种非侵入性的医学影像技术,通过利用人体组织中的水分子在强磁场和射频脉冲的作用下产生的信号来生成图像.

    • MRI 可以提供高分辨率、多层次的图像,对于检测和诊断多种疾病具有很高的准确性.它广泛应用于脑部、脊柱、关节、胸部、腹部等部位的检查,可以帮助医生观察和评估器官结构、血管、肿瘤、损伤等情况.
    • MRI 检查通常需要患者躺在一个圆筒形的设备中,设备会产生强大的磁场.在检查过程中,患者需要保持安静,并根据医生或技术人员的指示进行呼吸暂停.整个过程可能需要几十分钟到一小时不等.
    • MRI 是一种安全的诊断工具,但对于某些人群,如孕妇或装有心脏起搏器等医疗器械的人,可能存在禁忌或特殊注意事项.在接受 MRI 检查之前,应与医生或技术人员详细咨询,并告知自己的健康状况和相关情况.

三维重建技术

  • 对于一些复杂的图像,医生希望用三维重建来观察病灶点来辅助诊断,一般在医学领域内的三维重建类型分为以下六种:
    • 多层面重建(MPR):多层面重建是一种将原始的二维医学影像数据通过计算机算法生成多个平面的三维重建技术.通过在不同方向上切割和重新构建图像,医生可以更全面地评估病变的位置、形状和大小.
    • 最大密度投影(MIP):最大密度投影是一种影像处理技术,通过选择沿着给定方向具有最高密度值的像素来创建一个图像.这种方法常用于显示血管系统,以提供更清晰的血管影像.
    • 表面阴影遮盖(SSD):表面阴影遮盖是一种利用光线追踪算法生成三维模型并进行渲染的技术.它可用于显示器官表面并产生更真实的立体感,有助于医生更好地理解解剖结构.
    • 容积漫游技术(VR):容积漫游技术是一种可视化技术,通过生成三维模型并利用交互式操作来浏览和探索解剖结构.医生可以沿着不同方向和角度浏览内部解剖结构,以更好地了解病变的位置和关系.
    • 曲面重建(CPR):曲面重建是一种利用计算机算法生成解剖结构的三维表面模型的技术.医生可以通过旋转、平移和缩放这些模型来直观地查看病变区域,有助于诊断和手术规划.
    • 虚拟内镜技术(VE):虚拟内镜技术是一种虚拟现实技术,通过在计算机模型中模拟内窥镜的视野,使医生能够以三维立体的方式浏览和检查解剖内部的器官或腔隙,以提供更详细的诊断信息.

DICOM数据模型

  • 基于DICOM3.0标准的医学图像中,每一张图像中都携带着许多的信息,这些信息主要可以分为Patient, Study, SeriesImage四类.
    • Patient Patient ID (0010,0020)

      • Patient’s Name, Patient ID, Patient’s Birth Date, Patient Sex
    • Study Study Instance UID (0020,000D)

      • Study Date, Study Time, Referring Physician’s Name, Study ID, Accession
        Number
    • Series Series Instance UID (0020,000E)

      • Series Number, Manufacturer, Institution Name
    • Image Image Instance UID = SOP Instance UID (0008,0018)

      • Image Number, Image Type

img

img

  • 每一个DICOM Tag都是由两个十六进制数的组合来确定的,分别为GroupElement.如*(0010,0010)这个Tag表示的是Patient’s Name*,它存储着这张DICOM图像的患者姓名.
  • 处理DICOM的第三方库
    • 基于C++DCMTK
    • 基于Javadcm4che
  • 在大多数实现中,患者ID(Patient ID ) 由医院信息系统 (HIS) 生成,并且研究(Study)、系列(Series )和图像(Image ) ID 由创建图像的模态单元自动生成.

PACS相关名词解释[]

  • 在两个设备之间建立 DICOM 连接需要三个强制参数. AET、IP 和端口.在两台设备之间的通信中,一个是SCU,另一个是SCP.每个设备必须有自己的 AET、IP 和端口.每个 DICOM 设备还必须知道与之通信的任何其他设备的 AET、IP 和端口.

  • AE: Application Entity 代表DICOM通信中的一个终端,可以代表一个系统或者一个程序.每个系统中的AE拥有一个唯一的Application Entity Title (AET) .AET的要求时不能超过16个字节,AET 也区分大小写.一个设备上面可以有很多个AE.AE可以简单理解为服务名称

  • AET: Application Entity Title 应用实体名称

  • SCP: Service Class Provider 服务类提供者扮演“服务器”角色来执行操作和在关联期间调用通知

  • SCU: Service Class User服务类用户扮演“客户”角色来调用和执行操作关联期间的通知

  • SOP: DICOM Service-Object Pair SOP类由信息对象的并集定义.定义和一组DIMSE服务.一个DICOM应用实体可以支持一个或多个SOP类.每个SOP类由一个SOP类UID唯一标识.

  • Association Establishment: 关联建立是之间通信的第一阶段,两个 DICOM 应用程序实体. AE 使用关联建立来协商数据的存储方式编码和要交换的数据类型

  • Association: 是DICOM中定义的通信管道.Association可以简单理解为DICOM连接

    • 分为两个阶段.第一阶段称为关联协商.在第二阶段,两个 AE 交换 DICOM 命令

      • 在连接协商中,请求 AE 发送一个表示上下文列表,用于标识它希望使用的 DICOM 服务,而响应 AE 发回相同的列表,标记其接受和可以使用哪些服务以及拒绝和不能使用哪些服务.在本次连接中使用.
    • 在DICOM定义的通信协议中,提供服务的被称为 Service Class Provider (SCP), 消费服务的被称为 Service Class User (SCU).这和我们HTTP中的server和client异曲同工.两个Application Entity如果想要通信,必须由一方发起一个Association,这个就是SCU,并且询问另一方(SCP)是否支持具体的功能.

    • Association Negotiation:连接协商,建立连接的第一部分,其中两个AE在建立连接期间可以做什么和不可以做什么达成一致.

  • Calling AET(Calling Application Entity Title/Called AET(Called Application Entity Title)

    • 理解这些术语很重要,因为它们可能需要在配置过程中定义.正如我们现在所知……在 DICOM 通信中,在两个设备之间,每个设备都有一个 AET.在通话过程中,一个可以作为主叫,另一个可以作为被叫.呼叫 AET 是与其他设备进行通信的初始 DICOM 设备的名称.接收端的设备是被叫AET.
  • Transfer Syntax: 传输语法是一组编码规则,允许 DICOM 应用程序实体协商他们能够使用的编码技术(例如数据元素结构、字节顺序、压缩)支持.传输语法是在关联协商期间协商的. Transfer Syntax可以简单理解为HTTP服务中Header里的Content-Type

  • Presentation Contexts: 客户端(SCU)会向服务端发送一系列长度小于128的被称为描述上下文(Presentation Contexts)的消息列表,

    • 每一个描述上下文代表一种客户端期望的服务.客户端用DICOM标识符来标识每种服务,即SOP Class UID(Service Object Pair Class Unique Identifier),在DICOM标准的第4部分有详细介绍.在连接上下文中,被发送的SOP Class 也被叫做抽象语义Abstract Syntax(一定要与Transfer Syntaxes中的Syntaxes区分开来.
    • 它们由三个主要部分组成: 一个*Context ID,一个Abstract Syntax*和一个或多个 Transfer Syntaxes.
    • Context ID是一个介于1和 255(含)之间的奇数,用于标识上下文
    • Abstract Syntax定义数据代表什么,通常由 DICOM SOP 类 UID 标识(但也允许使用私有抽象语法)
    • Transfer Syntaxes定义了数据的编码方式,通常由 DICOM 传输语法 UID 标识(但也允许使用私有传输语法)
  • Attribute: Attribute是DICOM中文件存储的重要内容,它包含了DICOM文件的所有信息,比如Study, Series, Patient, Instance等等的信息,每一个Attribute最重要的是Tag, Value Representation (VR)Value.其中TagAttribute的唯一标识,不同的AttributeTag都不一样.VR表示Attribute的值类型,ValueAttribute具体的值.Attribute可以简单理解为HTTP协议中的body,但不仅仅是这样.

  • PDU DICOM Protocol Data Unit

  • LUT Look-up Table

  • P-LUT Presentation Look-up Table

  • MWL Modality Worklist

    • Dicom 模态工作列表 (MWL) 是一种允许在医学成像设备和临床应用程序之间交换信息的标准.
    • MWL 至关重要,因为它可以确保患者信息在设备之间准确传输,从而有助于改善患者护理.
  • Q/R Query Retrieve

  • IOD Information Object Definition 信息对象定义

DICOM

  • DICOM 的核心是文件格式和网络协议.
    • DICOM 文件格式 – 所有医学图像均以 DICOM 格式保存.医疗成像设备创建 DICOM 文件.医生使用 DICOM 查看器(可以显示 DICOM 图像的计算机软件应用程序)来诊断图像中的发现. DICOM 文件不仅仅包含图像.每个 DICOM 文件都包含患者信息(姓名、ID、性别和出生日期)、重要采集数据(例如,使用的设备类型及其设置)以及用于将图像与其医疗治疗相关联的成像研究背景.
    • DICOM 网络协议 – 连接到医院网络的所有医学成像应用程序都使用 DICOM 协议来交换信息,主要是 DICOM 图像,但也包括患者和手术信息. DICOM 网络协议用于搜索档案中的影像研究并将影像研究恢复到工作站以进行显示.还有更先进的网络命令用于控制和跟踪治疗、安排程序、报告状态以及在医生和成像设备之间分担工作量.
  • DICOM 使用像素单元的概念来存储每个像素值.每个单元的大小由分配的位标签 (0028,0100) 指示,其中包含值 16(本质上是 2 个字节)((0028,0100) Bits Allocated 16).存储位标签 (0028,0101) 帮助指定每个单元中已分配的总位数(此处的值为 16)((0028,0101) Bits Stored 16),并且永远不能大于分配的位数值.高位标签(0028,0102)指定在像素单元中存储数据时高位被放置的位置.该数字使用基于零的索引((0028,0102) High Bit 15). Number of Frames 标签(0028,0008)显示该 DICOM 文件内存储了多少帧图像数据,此处为 1 表示只有一帧.行标签 (0028,0010) 和列标签 (0028,0011) 帮助定义图像的大小,每个标签都是 512 像素.请注意,在多帧 DICOM 文件中,所有图像都以相同的像素行数和列数存储.像素间距标签 (0028,0030) 允许我们以毫米等物理单位进行测量,并且在必要时还允许进行 3D 重建.除了这些标签之外,还有另一个名为 Planar Configuration (0028,0006) 的标签,仅在 DICOM 彩色图像中使用,并指定像素数据的排列方式.

配置PACS流程

  1. 在您的设备上打开 DICOM 配置实用程序.

  2. 在 DICOM 配置实用程序中输入 IP 地址、端口和 AET 信息.

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    Following our example above, you would enter the following PACS destination into the CT modality:
    AET: PACSPROD
    IP: 192.158.1.38
    Port: 12000
  3. 保存更改并退出实用程序.

  4. 对所有模式重复这些步骤.

  5. 打开 PACS 上的 DICOM 配置实用程序.

  6. 在实用程序中输入设备的 IP 地址、端口和 AET 信息

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    Following our example above, you would enter the following CT modality into the PACS:
    AET: CT01
    IP: 192.168.1.1
    Port: 104
  7. 通过执行网络 ping 来连接到 PACS,以确认存在基本网络连接.并非所有方式都提供此选项.

  8. 通过执行 DICOM C-ECHO 建立与 PACS 的 DICOM 连接.这确认存在有效的 DICOM 连接

  9. 通过发送测试图像来验证图像传输是否正确.确保您从设备收到成功发送通知.

  10. 通过在 PACS 查看器中查看图像来验证所有图像是否已到达 PACS.

PACS交互流程

  • 启动 TCP/IP 连接
    • Start a TCP/IP connection
  • 协商关联参数以商定关联期间可以执行的操作
    • Negotiates the association parameters to agree what can be done during the association
  • 交互(发送数据/接收数据)
  • 关闭连接
    • Close the association
  • 关闭 TCP/IP 连接
    • Close the TCP/IP connection

图片来源于https://saravanansubramanian.com/dicomassociations/

  • 整个过程开始于发起方(通常是 SCU 又称为主叫 AE( Calling AE) - 这里是设备 A)建立到另一方(通常是 SCP 又称为被叫 AE( Called AE) - 这里是设备 B)的套接字连接.这是通过在套接字连接建立期间提供 IP 地址和端口号来完成的.进行一些安全检查以确保主叫方已在被叫 AE( Called AE) 数据库中注册,如果没有,则此处不允许连接.如果效果良好,则套接字连接已建立.
  • 接下来发生称为关联协商(Association Negotiation)的过程,在此期间,调用 AE( Calling AE) 向另一方发送一些称为表示上下文(Presentation Contexts)的对象.关联发起方可以传输多个呈现上下文,但 DICOM 标准将数量限制为最多 128 个.
    • 每个呈现上下文对象本身由两个对象组成.一个称为抽象语法(Abstract Syntax),另一个对象称为传输语法(Transfer Syntax)列表.抽象语法指定了 SOP 类的类型(通过我们之前看到的 SOP UID 指定)以及它想要扮演的角色 - SCU 或 SCP).被调用的 AE 必须支持此抽象语法,否则,它将彻底拒绝关联请求.
    • 例如,主叫AE可以指定它想要来自被叫AE的C-Find SCP服务.如果提供此服务,则被叫 AE 将查看发送给它的传输语法列表.这指定了主叫 AE 希望说出的 DICOM 方言.例如,调用 AE 可能希望使用通过 UID 1.2.840.10008.1.2.1 指示的显式 VR Little-endian.被叫AE可能不支持该传输语法,并且可以查看列表中的其他传输语法以查看列表中是否有它理解的内容.如果列表中的任何传输语法都不被支持,则拒绝关联请求.
    • 所有 DICOM 应用程序都必须支持至少一种传输语法.此传输语法是 Implicit VR Little-endian,由 UID 1.2.840.10008.1.2 指示.这是所有 DICOM 应用程序都必须支持的唯一强制 DICOM 传输语法.此语法的问题在于,正如名称所指定的那样,VR 编码是隐式的,因此需要被调用的应用程序具有最新的 DICOM 字典才能理解传入数据.但是,建议尽可能始终使用某种显式 VR 编码传输语法,因为可以从传入的数据本身来理解 VR 类型.请注意,该标准还允许在各方之间使用私有抽象语法以及私有传输语法.请参阅官方 DICOM 文档以获取更多信息.
    • 在协商的这一点上,关联要么被接受,并且通知主叫 AE 在响应消息中可接受的表示上下文,要么被叫 AE 拒绝关联.另请注意,可以有多个表示上下文被接受为多个 SOP 类,或者设备可能支持“抽象语法”.除了此信息之外,还指示了该表示上下文支持的特定传输语法.
    • 扩展协商(Extended Negotiation)
      • 在此过程中,设备之间会发生额外的协商,以就特定 SOP 类(例如 C-FIND、C-GET)的特定语义达成一致.这是设备想要扮演的角色(SCU、SCP 或两者)、设备可以调用/执行的最大异步操作数、用户名形式的用户身份信息、Kerberos 等信息的情况.身份验证票证、SAML 断言、JSON Web 令牌等也可以在此过程中进行通信.例如,交换的用户身份信息可用于保留审计跟踪、提供对返回到用户所属的特定组织级别的结果的访问或限制返回的结果等.并非所有供应商都实现所有这些功能,或者可能选择在关联建立期间忽略这些功能.在某些情况下(例如未指定角色),仍然可以使用服务提供商假定的某些默认值来建立关联,而在其他情况下,关联也会被拒绝.在某些情况下,DICOM 的这一方面肯定会导致互操作性问题,因此在购买产品之前请进行一些测试.有关详细信息,请参阅 DICOM 文档.
  • 一旦完成基本以及任何扩展协商,主叫 AE 就知道期望从被叫 AE 获得什么服务,这完成了 DICOM 网络中所谓的关联建立.此时,主叫 AE 可以开始向被叫 AE 发送 DICOM 命令以及任何相关数据.下图显示了在任何关联协商相关活动期间来回传递的各种 DIMSE 命令.

DICOM Query/Retrieve Services的基本实现过程

  • 首先通过协商(Negotiate)建立SCPSCU的DICOM关联(Association).在进行协商时SCU要指定所请求使用的Query/Retrieve信息模型和消息服务组(由SOP Class UID确定).
  • SCP根据它对SCU所请求的服务的支持情况对此次请求(Request)进行接受(Accept)或拒绝(Refuse),若接受请求则关联建立.
  • 在关联建立后,SCP处理SCU发送的DICOM数据集(DICOM Data Set)形式的请求标示符(Request Identifier).Request Identifier中包含要求匹配的关键字属性(Key Attributes),查询获取层次(Query/Retrieve Level,坐标为:0008,0052),及所使用的字符集(Character Set,坐标为:0008,0005).
  • SCP按照查询关键字属性(Key Attributes),在Query/Retrieve信息模型中匹配符合要求的存储复合SOP实例.每匹配一条SOP实例,构造一个响应标示符(Response Identifier)向SCU发送(如果是Retrieve服务,还要发起一个Storage Service),并且向SCU发送响应状态:pending.
  • 在整个查询匹配完成后,SCPSCU发送总的响应状态:SuccessRefused
  • SCP匹配Query/Retrieve信息模型的过程中,SCU可以发送C-CANCEL请求,要求SCP停止此次Query/Retrieve服务.SCP收到C-CANCE请求后因停止对Query/Retrieve信息模型的匹配以及发起C-STORE服务,并向SCU响应此次Query/Retrieve服务的状态:CANCEL

DICOM结构化报告

  • DICOM标准内的结构化报告(SR)支持在医疗设备之间交换诊断报告.这些报告以与任何其他DICOM对象相同的格式存储.为SR定义的特殊SOP类提供了一种简便的方法来基于研究中的图像存储基本诊断信息,例如可以无缝存储过程日志,观察值,测量值,波形,并允许我们链接这些报告到任何对应的图像.根据报告中包含的编码信息的复杂性,有两种类型:基本文本SR;和增强型SR.

符合DICOM

  • 尽管不是强制性的,但声称其产品符合DICOM标准的供应商通常会提供一份一致性声明,说明其设备或软件如何支持该标准.一致性声明中的信息包括如何处理关联(例如,是否能够启动关联以及并行并行的数量等),受支持的SOP类以及其他信息(例如表示上下文)和通讯资料.客户可以使用这些文档中包含的信息来确定供应商的产品是否可以与他们网络中其他兼容DICOM的设备或软件成功通信.

DIMSE

  • DICOM SOP 类(SOP 代表服务对象对(Service Object Pair))是 DICOM 消息服务元素(称为 DIMSE)的组合,这些元素本质上是命令以及由信息对象定义 (IOD) 定义的对象数据

  • DICOM协议规定了11种DIMSE消息

    • C-STORE

      • C-GET

      • C-MOVE

      • C-FIND

      • C-ECHO

      • N-EVENT-REPORT

      • N-GET、N-SET

      • N-ACTON

      • N-CREATE

    • N-DELETE

  • DIMSE-C 是特定于服务类的命令,用于在两个应用程序实体之间发送请求和响应.

    • DIMSE-C 请求包含以下信息:
      • 命令字段,指定所请求的特定复合操作
      • 消息 ID,用于标识请求;
  • DIMSE-C 响应包含响应状态代码(指示请求是否成功)和错误注释(可以提供有关错误内容的附加信息).

C-FIND

  • 查询/检索 SCP AE 支持分层查询和关系查询.默认情况下不总是返回任何属性.仅返回查询标识符中请求的那些属性.

  • Type of Matching:

    • “S”表示该属性支持单值匹配.
    • “R”表示该属性支持范围匹配.
    • "*”表示该属性支持通配符匹配.
    • “U”表示该属性支持通用匹配.
    • “M”表示该属性支持多值匹配.
    • “L”表示该属性支持 UID 匹配列表.
    • “SQ”表示支持序列匹配(Sequence Matching)来匹配该属性.
    • “NONE”表示不支持匹配,但可以返回数据库中该属性的值.
额外的Query/Retrieve 属性
属性名称 Tag 属性描述
Number of Patient Related Studies (0020,1200) 满足Patient层查询标准的Study的数量
Number of Patient Related Series (0020,1202) 满足Patient层查询标准的Series的数量
Number of Patient RelatedInstances (0020,1204) 满足Patient层查询标准的composite object instances的数量
Number of Study Related Series (0020,1206) 满足Study层查询标准的Series的数量
Number of Series RelatedInstances (0020,1209) 满足Series层查询标准的composite object instances的数量
Number of Study Related Instances (0020,1208) 满足Study层查询标准的composite object instances的数量
SOP Classes in Study (0008,0062) Study包含的SOP Classes.
Alternate Representation Sequence (0008,3001) 一个Item序列, 每个item代表一个满足Instance层查询标准的可选图像编码. (见C.6.1.1.5.1)
Patient Root C-FIND SCP Supported Elements
  • Patient Root Information Model All required search keys on each of the four levels (Patient, Study, Series, and Image) are supported. However, the Patient ID (0010,0020) key must have at least a partial value if the Patient’s Name (0010,0010) is not present in a Patient Level query.
  • 患者根信息模型 支持四个级别(患者、研究、系列和图像)中每个级别所需的所有搜索键.但是,如果患者级别查询中不存在患者姓名 (0010,0010),则患者 ID (0010,0020) 键必须至少具有部分值.
Level Name/Attribute Name Tag VR Types of Matching
SOP Common
Specific Character Set 0008,0005 CS NONE
Timezone Offset From UTC 0008,0201 SH NONE
Patient Level
Patient’s Name 0010,0010 PN S,*,U
Patient ID 0010,0020 LO S,*,U
Issuer of Patient ID 0010,0021 LO S,*,U
Issuer of Patient ID Sequence 0010,0024 SQ SQ,*,U
Patient’s Birth Date 0010,0030 DA S,*,U,R
Patient’s Sex 0010,0040 CS S,*,U,M
Patient’s Birth Time 0010,0032 TM NONE
Other Patient IDs Sequence 0010,1002 SQ NONE
Other Patient Names 0010,1001 PN NONE
Patient’s Birth Date in Alternative Calendar 0010,0033 LO NONE
Patient’s Death Date in Alternative Calendar 0010,0034 LO NONE
Patient’s Alternative Calendar 0010,0035 CS NONE
Patient’s Insurance Plan Code Sequence 0010,0050 SQ NONE
Patient’s Primary Language Code Sequence 0010,0101 SQ NONE
Quality Control Subject 0010,0200 CS NONE
Strain Description 0010,0212 UC NONE
Strain Nomenclature 0010,0213 LO NONE
Strain Stock Sequence 0010,0216 SQ NONE
Strain Additional Information 0010,0218 UT NONE
Strain Code Sequence 0010,0219 SQ NONE
Genetic Modifications Code Sequence 0010,0229 SQ NONE
Patient’s Birth Name 0010,1005 PN NONE
Patient’s Address 0010,1040 LO NONE
Patient’s Mother’s Birth Name 0010,1060 PN NONE
Military Rank 0010,1080 LO NONE
Branch of Service 0010,1081 LO NONE
Medical Record Locator (retired) 0010,1090 LO NONE
Country of Residence 0010,2150 LO NONE
Region of Residence 0010,2152 LO NONE
Patient’s Telephone Numbers 0010,2154 SH NONE
Patient’s Telecom Information 0010,2155 LT NONE
Ethnic Group 0010,2160 SH NONE
Patient’s Religious Preference 0010,21F0 LO NONE
Patient Species Description 0010,2201 LO NONE
Patient Species Code Sequence 0010,2202 SQ NONE
Patient Breed Description 0010,2292 LO NONE
Patient Breed Code Sequence 0010,2293 SQ NONE
Breed Registration Sequence 0010,2294 SQ NONE
Responsible Person 0010,2297 PN NONE
Responsible Person Role 0010,2298 CS NONE
Responsible Organization 0010,2299 LO NONE
Patient Comments 0010,4000 LT NONE
Clinical Trial Sponsor Name 0012,0010 LO NONE
Clinical Trial Protocol ID 0012,0020 LO NONE
Clinical Trial Protocol Name 0012,0021 LO NONE
Clinical Trial Site ID 0012,0030 LO NONE
Clinical Trial Site Name 0012,0031 LO NONE
Clinical Trial Subject ID 0012,0040 LO NONE
Clinical Trial Subject Reading ID 0012,0042 LO NONE
Patient Identity Removed 0012,0062 CS NONE
De-identification Method 0012,0063 LO NONE
De-identification Method Code Sequence 0012,0064 SQ NONE
Clinical Trial Protocol Ethics Committee Name 0012,0081 LO NONE
Clinical Trial Protocol Ethics Committee Approval Number 0012,0082 LO NONE
Special Needs 0038,0050 LO NONE
Pertinent Documents Sequence 0038,0100 SQ NONE
Patient Clinical Trial Participation Sequence 0038,0502 SQ NONE
Confidentiality Constraint on Patient Data Description 0040,3001 LO NONE
Study Level
Study Date 0008,0020 DA S,*,U,R
Study Time 0008,0030 TM U,R
Accession Number 0008,0050 SH S,*,U
Issuer of Accession Number Sequence 0008,0051 SQ SQ,*,U
Study ID 0020,0010 SH S,*,U,M
Study Instance UID 0020,000D SH S,U,L
Referring Physician’s Name 0008,0090 PN S,*,U
Study Description 0008,1030 LO S,*,U,M
Modalities in Study 0008,0061 CS S,*,U,M
Procedure Code Sequence 0008,1032 SQ SQ,*,U
Admission ID 0038,0010 LO S,*,U
Issuer of Admission ID Sequence 0038,0014 SQ SQ,*,U
Physician(s) of Record 0008,1048 PN NONE
Patient’s Age 0010,1010 AS NONE
Patient’s Size 0010,1020 DS NONE
Patient’s Size Code Sequence 0010,1021 SQ NONE
Patient’s Weight 0010,1030 DS NONE
Patient’s Body Mass Index 0010,1022 DS NONE
Measured AP Dimension 0010,1023 DS NONE
Measured Lateral Dimension 0010,1024 DS NONE
Medical Alerts 0010,2000 LO NONE
Allergies 0010,2110 LO NONE
Smoking Status 0010,21A0 CS NONE
Pregnancy Status 0010,21C0 US NONE
Last Menstrual Date 0010,21D0 DA NONE
Patient State 0038,0500 LO NONE
Admitting Diagnoses Description 0008,1080 LO NONE
Admitting Diagnoses Code Sequence 0008,1084 SQ NONE
Route of Admissions 0038,0016 LO NONE
Reason for Visit 0032,1066 UT NONE
Reason for Visit Code Sequence 0032,1067 SQ NONE
Occupation 0010,2180 SH NONE
Additional Patient History 0010,21B0 LT NONE
Service Episode ID 0038,0060 LO NONE
Service Episode Description 0038,0062 LO NONE
Issuer of Service Episode ID Sequence 0038,0064 SQ NONE
Patient’s Sex Neutered 0010,2203 CS NONE
Series Level
Modality 0008,0060 CS S,*,U,M
SeriesNumber 0020,0011 IS S,*,U
SeriesInstanceUID 0020,000E UI S,*,U,L
Operator’s Name 0008,1070 PN NONE
Body Part Examined 0018,0015 CS S,*,U,M
Laterality 0020,0060 CS S,*,U,M
Performed Procedure Step Start Date 0040,0244 DA S,*,U,R
Performed Procedure Step Start Time 0040,0245 TM S,*,U,R
Performing Physician Name 0008, 1050 PN
Series Description 0008,103E LO S,*,U,M
Station Name 0008,1010 SH S,*,U,M
Institutional Department Name 0008,1040 LO S,*,U,M
Institution Name 0008,0080 LO S,*,U,M
Institutional Department Type Code Sequence 0008,1041 SQ SQ,*,U
Institution Code Sequence 0008,0082 SQ SQ,*,U
Request Attributes Sequence 0040,0275 SQ SQ,U
Series Date 0008,0021 DA NONE
Series Time 0008,0031 TM NONE
Manufacturer 0008,0070 LO NONE
Institution Address 0008,0081 ST NONE
Manufacturer’s Model Name 0008,1090 LO NONE
Referenced Performed Procedure Step Sequence 0008,1111 SQ NONE
Anatomic Region Sequence 0008,2218 SQ NONE
Performed Procedure Step End Date 0040,0250 DA NONE
Performed Procedure Step End Time 0040,0251 TM NONE
Performed Protocol Code Sequence 0040,0260 SQ NONE
Series Description Code Sequence 0008,103F SQ NONE
Image Level
Instance Number 0020,0013 IS S,*,U
SOP Class UID 0008,0016 UI S,*,U,L
SOP Instance UID 0008,0018 UI S,*,U,L
Content Date 0008,0023 DA S,*,U,R
Content Time 0008,0033 TM S,*,U,R
Completion Flag 0040,A491 UI S,*,U,M
Verification Flag 0040,A493 UI S,*,U,M
Concept Name Code Sequence 0040,A043 SQ SQ,*,U
Verifying Observer Sequence 0040,A073 SQ SQ,*,U
Referenced Request Sequence 0040,A370 SQ SQ,*,U
Image Type 0008,0008 CS NONE
Instance Creation Date 0008,0012 DA NONE
Instance Creation Time 0008,0012 TM NONE
Referenced Series Sequence 0008,1115 SQ NONE
Anatomic Region Sequence 0008,2218 SQ NONE
Number Of Frames 0028,0008 IS NONE
Rows 0028,0010 US NONE
Columns 0028,0011 US NONE
Bits Allocated 0028,0100 US NONE
Observation DateTime 0040,A032 DT NONE
Content Template Sequence 0040,A504 SQ NONE
Document Title 0042,0010 ST NONE
MIME Type of Encapsulated Document 0042,0012 LO NONE
Content Label 0070,0080 CS NONE
Content Description 0070,0081 LO NONE
Presentation Creation Date 0070,0082 DA NONE
Presentation Creation Time 0070,0083 TM NONE
Content Creator’s Name 0070,0084 PN NONE
Identical Documents Sequence 0040,A525 SQ NONE
Current Requested Procedure Evidence Sequence 0040,A375 SQ NONE
Concatenation UID 0020,9161 UI NONE
SOP Instance UID of Concatenation Source 0020,0242 UI NONE
Container Identifier 0040,0512 CS NONE
Alternate Container Identifier Sequence 0040,0515 SQ NONE
Issuer of the Container Identifier Sequence 0040,0513 SQ NONE
Specimen UID 0040,0554 UI NONE
Specimen Identifier 0040,0551 LO NONE
Issuer of the Specimen Identifier Sequence 0040,0562 SQ NONE
Image Laterality 0020,0062 CS NONE
Primary Anatomic Structure Sequence 0008,2228 SQ NONE
Segment Sequence 0062,0002 SQ NONE
Quantity Definition Sequence 0040,9220 SQ NONE
Study Root C-FIND SCP Supported Elements
  • Study Root Information Model All the required search keys on each of the three levels (Study, Series, and Image) are supported. If no partial values are specified for Study attributes then either the Patient ID (0010,0020) key or the Patient’s Name (0010,0010) must have at least a partial value specified.
  • 研究根信息模型 支持三个级别(研究、系列和图像)中每个级别所需的所有搜索键.如果没有为研究属性指定部分值,则患者 ID (0010,0020) 键或患者姓名 (0010,0010) 必须至少指定部分值.
Level Name/Attribute Name Tag VR Types of Matching
SOP Common
Specific Character Set 0008,0005 CS NONE
Timezone Offset From UTC 0008,0201 SH NONE
Study Level
Patient’s Name 0010,0010 PN S,*,U
Patient ID 0010,0020 LO S,*,U
Issuer of Patient ID 0010,0021 LO S,*,U
Issuer of Patient ID Sequence 0010,0024 SQ SQ,*,U
Patient’s Birth Date 0010,0030 DA S,*,U,R
Patient’s Sex 0010,0040 CS S,*,U,M
Patient’s Birth Time 0010,0032 TM NONE
Other Patient IDs Sequence 0010,1002 SQ NONE
Other Patient Names 0010,1001 PN NONE
Patient’s Birth Date in Alternative Calendar 0010,0033 LO NONE
Patient’s Death Date in Alternative Calendar 0010,0034 LO NONE
Patient’s Alternative Calendar 0010,0035 CS NONE
Patient’s Insurance Plan Code Sequence 0010,0050 SQ NONE
Patient’s Primary Language Code Sequence 0010,0101 SQ NONE
Quality Control Subject 0010,0200 CS NONE
Strain Description 0010,0212 UC NONE
Strain Nomenclature 0010,0213 LO NONE
Strain Stock Sequence 0010,0216 SQ NONE
Strain Additional Information 0010,0218 UT NONE
Strain Code Sequence 0010,0219 SQ NONE
Genetic Modifications Code Sequence 0010,0229 SQ NONE
Patient’s Birth Name 0010,1005 PN NONE
Patient’s Address 0010,1040 LO NONE
Patient’s Mother’s Birth Name 0010,1060 PN NONE
Military Rank 0010,1080 LO NONE
Branch of Service 0010,1081 LO NONE
Medical Record Locator (retired) 0010,1090 LO NONE
Country of Residence 0010,2150 LO NONE
Region of Residence 0010,2152 LO NONE
Patient’s Telephone Numbers 0010,2154 SH NONE
Patient’s Telecom Information 0010,2155 LT NONE
Ethnic Group 0010,2160 SH NONE
Patient’s Religious Preference 0010,21F0 LO NONE
Patient Species Description 0010,2201 LO NONE
Patient Species Code Sequence 0010,2202 SQ NONE
Patient Breed Description 0010,2292 LO NONE
Patient Breed Code Sequence 0010,2293 SQ NONE
Breed Registration Sequence 0010,2294 SQ NONE
Responsible Person 0010,2297 PN NONE
Responsible Person Role 0010,2298 CS NONE
Responsible Organization 0010,2299 LO NONE
Patient Comments 0010,4000 LT NONE
Clinical Trial Sponsor Name 0012,0010 LO NONE
Clinical Trial Protocol ID 0012,0020 LO NONE
Clinical Trial Protocol Name 0012,0021 LO NONE
Clinical Trial Site ID 0012,0030 LO NONE
Clinical Trial Site Name 0012,0031 LO NONE
Clinical Trial Subject ID 0012,0040 LO NONE
Clinical Trial Subject Reading ID 0012,0042 LO NONE
Patient Identity Removed 0012,0062 CS NONE
De-identification Method 0012,0063 LO NONE
De-identification Method Code Sequence 0012,0064 SQ NONE
Clinical Trial Protocol Ethics Committee Name 0012,0081 LO NONE
Clinical Trial Protocol Ethics Committee Approval Number 0012,0082 LO NONE
Special Needs 0038,0050 LO NONE
Pertinent Documents Sequence 0038,0100 SQ NONE
Patient Clinical Trial Participation Sequence 0038,0502 SQ NONE
Confidentiality Constraint on Patient Data Description 0040,3001 LO NONE
Study Date 0008,0020 DA S,*,U,R
Study Time 0008,0030 TM U,R
Accession Number 0008,0050 SH S,*,U
Issuer of Accession Number Sequence 0008,0051 SQ SQ,*,U
Study ID 0020,0010 SH S,*,U,M
Study Instance UID 0020,000D SH S,U,L
Referring Physician’s Name 0008,0090 PN S,*,U
Study Description 0008,1030 LO S,*,U,M
Modalities in Study 0008,0061 CS S,*,U,M
Procedure Code Sequence 0008,1032 SQ SQ,*,U
Admission ID 0038,0010 LO S,*,U
Issuer of Admission ID Sequence 0038,0014 SQ SQ,*,U
Physician(s) of Record 0008,1048 PN NONE
Patient’s Age 0010,1010 AS NONE
Patient’s Size 0010,1020 DS NONE
Patient’s Size Code Sequence 0010,1021 SQ NONE
Patient’s Weight 0010,1030 DS NONE
Patient’s Body Mass Index 0010,1022 DS NONE
Measured AP Dimension 0010,1023 DS NONE
Measured Lateral Dimension 0010,1024 DS NONE
Medical Alerts 0010,2000 LO NONE
Allergies 0010,2110 LO NONE
Smoking Status 0010,21A0 CS NONE
Pregnancy Status 0010,21C0 US NONE
Last Menstrual Date 0010,21D0 DA NONE
Patient State 0038,0500 LO NONE
Admitting Diagnoses Description 0008,1080 LO NONE
Admitting Diagnoses Code Sequence 0008,1084 SQ NONE
Route of Admissions 0038,0016 LO NONE
Reason for Visit 0032,1066 UT NONE
Reason for Visit Code Sequence 0032,1067 SQ NONE
Occupation 0010,2180 SH NONE
Additional Patient History 0010,21B0 LT NONE
Service Episode ID 0038,0060 LO NONE
Service Episode Description 0038,0062 LO NONE
Issuer of Service Episode ID Sequence 0038,0064 SQ NONE
Patient’s Sex Neutered 0010,2203 CS NONE
Series Level
Modality 0008,0060 CS S,*,U,M
SeriesNumber 0020,0011 IS S,*,U
SeriesInstanceUID 0020,000E UI S,*,U,L
Operator’s Name 0008,1070 PN NONE
Body Part Examined 0018,0015 CS S,*,U,M
Laterality 0020,0060 CS S,*,U,M
Performed Procedure Step Start Date 0040,0244 DA S,*,U,R
Performed Procedure Step Start Time 0040,0245 TM S,*,U,R
Performing Physician Name 0008, 1050 PN
Series Description 0008,103E LO S,*,U,M
Station Name 0008,1010 SH S,*,U,M
Institutional Department Name 0008,1040 LO S,*,U,M
Institution Name 0008,0080 LO S,*,U,M
Institutional Department Type Code Sequence 0008,1041 SQ SQ,*,U
Institution Code Sequence 0008,0082 SQ SQ,*,U
Request Attributes Sequence 0040,0275 SQ SQ,U
Series Date 0008,0021 DA NONE
Series Time 0008,0031 TM NONE
Manufacturer 0008,0070 LO NONE
Institution Address 0008,0081 ST NONE
Manufacturer’s Model Name 0008,1090 LO NONE
Referenced Performed Procedure Step Sequence 0008,1111 SQ NONE
Anatomic Region Sequence 0008,2218 SQ NONE
Performed Procedure Step End Date 0040,0250 DA NONE
Performed Procedure Step End Time 0040,0251 TM NONE
Performed Protocol Code Sequence 0040,0260 SQ NONE
Series Description Code Sequence 0008,103F SQ NONE
Image Level
Instance Number 0020,0013 IS S,*,U
SOP Class UID 0008,0016 UI S,*,U,L
SOP Instance UID 0008,0018 UI S,*,U,L
Content Date 0008,0023 DA S,*,U,R
Content Time 0008,0033 TM S,*,U,R
Completion Flag 0040,A491 UI S,*,U,M
Verification Flag 0040,A493 UI S,*,U,M
Concept Name Code Sequence 0040,A043 SQ SQ,*,U
Verifying Observer Sequence 0040,A073 SQ SQ,*,U
Referenced Request Sequence 0040,A370 SQ SQ,*,U
Image Type 0008,0008 CS NONE
Instance Creation Date 0008,0012 DA NONE
Instance Creation Time 0008,0012 TM NONE
Referenced Series Sequence 0008,1115 SQ NONE
Anatomic Region Sequence 0008,2218 SQ NONE
Number Of Frames 0028,0008 IS NONE
Rows 0028,0010 US NONE
Columns 0028,0011 US NONE
Bits Allocated 0028,0100 US NONE
Observation DateTime 0040,A032 DT NONE
Content Template Sequence 0040,A504 SQ NONE
Document Title 0042,0010 ST NONE
MIME Type of Encapsulated Document 0042,0012 LO NONE
Content Label 0070,0080 CS NONE
Content Description 0070,0081 LO NONE
Presentation Creation Date 0070,0082 DA NONE
Presentation Creation Time 0070,0083 TM NONE
Content Creator’s Name 0070,0084 PN NONE
Identical Documents Sequence 0040,A525 SQ NONE
Current Requested Procedure Evidence Sequence 0040,A375 SQ NONE
Concatenation UID 0020,9161 UI NONE
SOP Instance UID of Concatenation Source 0020,0242 UI NONE
Container Identifier 0040,0512 CS NONE
Alternate Container Identifier Sequence 0040,0515 SQ NONE
Issuer of the Container Identifier Sequence 0040,0513 SQ NONE
Specimen UID 0040,0554 UI NONE
Specimen Identifier 0040,0551 LO NONE
Issuer of the Specimen Identifier Sequence 0040,0562 SQ NONE
Image Laterality 0020,0062 CS NONE
Primary Anatomic Structure Sequence 0008,2228 SQ NONE
Segment Sequence 0062,0002 SQ NONE
Quantity Definition Sequence 0040,9220 SQ NONE

Association Rejection Reasons

Result Source Reason Description
2 - rejected transient provider 2 - local-limit exceeded The (configurable) maximum number of simultaneous associations has been reached. An association request with the same parameters may succeed at a later time.
1 - rejected permanent user 2 - application con-text name not supported The Association request contained an unsupported Application Context Name. An association request with the same parameters will NOT succeed at a later time.
1 - rejected permanent user 3 – calling AE title not recognized The Association request contained an unrecognized Calling AE Title. An association request with the same parameters will NOT succeed at a later time unless configuration changes are made.
  • 2 - application con-text name not supported

    • 检查AAssociateRQ是否设置了正确的PresentationContext,如执行C-ECHO命令时,需要配置

      1
      2
      3
      4
      5
      6
      7
      8
      private static String[] IVR_LE_FIRST = {
      UID.ImplicitVRLittleEndian,
      UID.ExplicitVRLittleEndian,
      UID.ExplicitVRBigEndian
      };

      rq.addPresentationContext(new PresentationContext(2 * rq.getNumberOfPresentationContexts() + 1,
      UID.Verification, IVR_LE_FIRST));
  • 3 – calling AE title not recognized

    • 目标AE是否在呼叫的AE上进行配置,如执行C-MOVE命令时movescu -c DCM4CHEE@192.168.11.216:11112 -m StudyInstanceUID=xxx --dest scp_test 目标AETscp_test是否在192.168.11.216上进行配置

Presentation Contexts

  • DICOM 中的表示上下文发生在关联协商期间.表示上下文定义了交换什么信息以及将使用什么传输语法.交换的信息称为前面定义的抽象语法.

  • Consider an acceptor that supports the following abstract syntax/transfer syntaxes:

    • Verification SOP Class

      • Implicit VR Little Endian

      • Explicit VR Little Endian

      • CT Image Storage

      • Implicit VR Little Endian

    • MR Image Storage

      • JPEG Baseline
  • And a requestor that proposes the following presentation contexts:

    • Context 1: Verification SOP Class

      • Implicit VR Little Endian
      • Explicit VR Little Endian
      • Explicit VR Big Endian
      • JPEG Baseline
    • Context 3: CT Image Storage

      • Implicit VR Little Endian
      • Explicit VR Little Endian
      • Explicit VR Big Endian
    • Context 5: MR Image Storage

      • Implicit VR Little Endian
      • Explicit VR Little Endian
    • Context 7: CR Image Storage

      • Implicit VR Little Endian
        • Explicit VR Little Endian

SOP

  • 服务对象对(SOP)类定义如下. SOP 类是信息对象定义 (IOD) 和 DICOM 服务元素 (DIMSE) 的配对. DIMSE 是一组命令.
  • SOP 类是封装 DICOM 图像文件的服务对象.每个 SOP 类都由唯一的 UID(通用唯一标识符)来标识. UID 是一串数字,用作指向相应 DICOM 文件的指针.
1
2
IOD + DIMSE = SOP class
Image + Action = SOP class

数据类型-值表现(VR)

VR 含义 允许字符 数据长度
CS - Code String代码字符串 开头结尾可以有没有意义的空格的字符串,比如*“CD123_4”* 大写字母,0-9,空格以及下划线字符 最多 16 个字符
SH - Short String短字符串 短字符串,比如*:*电话号码,ID 最多 16 个字符
LO - Long String 长字符串 一个字符串,可能在开头、结尾填有空 格.比如*“Introduction to DICOM”* 最多 64 个字符
ST - Short Text短文本 可能包含一个或多个段落的字符串 最多 1024 个字符
LT - Long Text短文本 可能包含一个或多个锻炼的字符串,与LO相同,但可以更长 最多 10240 个字符
UT - Unlimited Text无限制文本 包含一个或多个段落的字符串,与 LT 类似 最多*(232次方–2)*个字符
AE - Application Entity应用实体 标识一个设备的名称的字符串,开头和 结尾可以有无意义的字符.比如 “MyPC01” 最多 16 个字符
PN - Person Name病人姓名 有插入符号*(^)作为姓名分隔符的病人姓名.比如“SMITH^JOHN” “Morrison- Jones^Susan^^^Ph.D*, Chief Executive Officer” 最多 64 个字符
UI *- Unique Identifier (UID)*唯一标识符 一个用作唯一标识各类项目的包含 UID 的字符串.比如*“1.2.840.10008.1.1”* 0-9 和半角句号(.) 最多64 个字符
DA - Date日期 格式为 YYYYMMDD 的字符串;YYYY 代表年;MM 代表月;DD 代表日.比 如*“20050822”*表示 2005822 0-9 8个字符
TM - Time时间 格式为 HHMMSS 的字符串.FRAC; HH 表示小时*(范围“00”-“23”); MM 表示分钟(范围“00”-“59”); 而 FRAC 包含秒的小数部分,即百万分 之一秒.比如“183200.00”* 表示下午 6:32 0-9 和半角句号(.) 最多 16 个字符
DT - Date Time日期时间 格式为 YYYYMMDDHHMMSS. FFFFFF,串联的日期时间字符串.字符串的各部分从左至右是:年 YYYY;月 MM;日 DD;小时 HH;分钟 MM;秒 SS;秒的小数 FFFFFF.比如 20050812183000.00”表示 2005 年 8 月 12 日下午 18 点 30 分 00 秒 0-9,加号,减号和半角句号 最多 26 个字符
AS - Age String年龄字符串 符合以下格式的字符串*:nnnD*, nnnW, nnnM, nnnY;其中 nnn 对于 D 来说表示天数,对于W来说表示周数,对于M 来说表示月数,对于 Y 来说表示岁数. 比如*“018M”*表示他的年龄是 18 个月 0–9, D, W,M, Y 4 个字符
S - Integer String整型字符串 表示一个整型数字的字符串.比如*“-1234567”* 0-9,加号(+),减号(-) 最多 12 个字符
DS - Decimal String 小数字符串 表示定点小数和浮点小数. 比如*“12345.67”,“-5.0e3”* 0-9,加号(+),减号(-), 最多 16 个字符 E,e 和半角句号(.) 最多 16 个字符
SS - Signed Short有符号短型 符号型二进制整数,长度 16 比特 2 个字符
US - Unsigned Short 无符号短型 无符号二进制整数,长度 16 比特 2 个字符
SL - Signed Long有符号长型 有符号二进制整数 4 个字符
UL - Unsigned Long 无符号长型 无符号二进制整数,长度 32 比特 4 个字符
AT - Attribute Tag属性标签 16 比特无符号整数的有序对,数据元素的标签 4 个字符
FL - Floating Single 单精度浮点 单精度二进制浮点数字 4 个字符
FD - Floating Point Double双精度二进制浮点数字 双精度二进制浮点数字 8 个字符
OB - Other Byte String其他字节字符串 字节的字符串(其他表示没有在VR中定义的内容)
OW - Other Word String其他单词字符串 16 比特*(2* 字节*)*单词字符串
OF - Other Float String其他浮点字符串 32 比特*(4* 个字节*)*浮点单词字符串
SQ - Sequence Items条目序列 条目的序列
UN– Unknown未知 字节的字符串,其中内容的编码方式是未知的

传输语义(Transfer Syntax)

  • 什么是 DICOM 传输语法?简单地说,它是一组规定 DICOM 文件如何编码和传输的规则.这些规则控制从文件结构到数据压缩方式的一切.

  • 存在多种不同的 DICOM 传输语法,每种语法都有自己的优点和缺点.在本模块中,我们将了解一些最流行的 DICOM 传输语法并讨论它们的主要功能.

  • 具体见附录Transfer Syntax Values

字节顺序

  • 字节顺序有两种类型,即 Little EndianBig Endian.
  • Little Endian,也称为“Intel”或“MS Windows OS”格式,是指一种编码类型,其中最低有效字节首先出现,高位字节按重要性升序排列.
  • Big-Endian,也称为“Motorola”格式或“Mac OS 格式”,是指一种编码类型,其中最高有效字节首先出现,其余字节按重要性降序排列.
  • 传输语法的另一个方面是所使用的 VR 编码的类型(“隐式”或“显式”(implicit or explicit)).
    • 在显式编码中,显式指定 DICOM 属性的数据类型,
    • 而在隐式编码中则忽略此数据类型,仅使用指定的 DICOM 标签号来理解属性.
  • 除了字节排序和 VR 编码之外,还需要压缩类型(或缺乏压缩类型)来编码 DICOM 数据(可以是“未压缩”、有损或“无损”). VR 编码、字节排序和压缩机制的组合有效地形成了 DICOM 中的“传输语法”.

抽象语法(Abstract syntax)

  • DICOM 抽象语法是 DICOM 数据模型的正式描述.它定义了 DICOM 文件的结构和内容,并允许计算机明确解释 DICOM 文件.

Abstract syntaxTransfer Syntax常见场景示例

Accepted Presentation Contexts of Storage Application Entity by default configuration

Presentation Context Table
Abstract Syntax Transfer Syntax Role Ext. Neg.
Name UID Name UID
Verification 1.2.840.10008.1.1 Implicit VR Little Endian 1.2.840.10008.1.2 SCP None
Storage Commitment Push Model 1.2.840.10008.1.20.1 Implicit VR Little Endian 1.2.840.10008.1.2 SCP None
Image Storage SOP Classes in SOP Classes for Storage Application Entity (SCP) see Transfer Syntaxes for Image Storage SOP Classes SCP None
Video Storage SOP Classes in SOP Classes for Storage Application Entity (SCP) see Transfer Syntax for Video Storage SOP Classes SCP None
SR Storage SOP Classes in SOP Classes for Storage Application Entity (SCP) see Transfer Syntaxes for SR Storage SOP Classes SCP None
Other Storage SOP Classes in SOP Classes for Storage Application Entity (SCP) see Transfer Syntaxes for Other Storage SOP Classes SCP None
Transfer Syntaxes for Image Storage SOP Classes
  • Abstract syntax看附录 SOP Classes for Storage Application Entity (SCP)中的Image Storage SOP Classes
Transfer Syntax Name UID
Implicit VR Little Endian 1.2.840.10008.1.2
Explicit VR Little Endian 1.2.840.10008.1.2.1
JPEG Baseline (Process 1) 1.2.840.10008.1.2.4.50
JPEG Extended (Process 2 & 4) 1.2.840.10008.1.2.4.51
JPEG Lossless, Non-Hierarchical (Process 14) 1.2.840.10008.1.2.4.54
JPEG Lossless, Non-Hierarchical, First-Order Prediction (Process 14 [Selection Value 1]) 1.2.840.10008.1.2.4.70
JPEG-LS Lossless 1.2.840.10008.1.2.4.80
JPEG-LS Lossy (Near-Lossless) 1.2.840.10008.1.2.4.81
JPEG 2000 (Lossless Only) 1.2.840.10008.1.2.4.90
JPEG 2000 1.2.840.10008.1.2.4.91
RLE Lossless 1.2.840.10008.1.2.5
  • JPEG2000:JPEG2000是一种无损和有损压缩编码格式.它采用基于小波变换的数据压缩算法,能够提供较高的图像质量和压缩比.JPEG2000支持多分辨率图像表示和逐渐加载,适用于高分辨率医学图像存储和传输.
  • JPEG2000Lossless:JPEG2000无损压缩格式提供了完全无损的图像存储和传输.它保留了原始图像中的所有细节,但压缩比较低,文件大小较大.
  • JPEGLSLossless:JPEG-LS是一种无损压缩格式,适用于需要快速编码和解码的场景.它采用了自适应差分脉冲编码调制(ADPCM)算法,能够在无损情况下达到较高的压缩比.
  • JPEGLSNearLossless:JPEGLS近无损压缩格式在保持较高压缩比的同时,允许在一定程度上丢失一些图像细节.这样可以在一定程度上减小文件大小,但对图像质量有一定影响.
  • JPEGBaseline8Bit:JPEGBaseline是一种有损压缩格式,特别适用于8位灰度图像.它提供了较高的压缩比,但会导致图像质量的损失.
  • JPEGLosslessSV1:JPEGLosslessSV1是一种无损压缩格式,适用于灰度和彩色图像.它在保持图像质量的同时,能够达到较高的压缩比.
Transfer Syntax for Video Storage SOP Classes
  • Abstract syntax看附录 SOP Classes for Storage Application Entity (SCP)中的Video Storage SOP Classes
Transfer Syntax Name UID
JPEG Baseline (Process 1) 1.2.840.10008.1.2.4.50
MPEG2 Main Profile @ Main Level 1.2.840.10008.1.2.4.100
Fragmentable MPEG2 Main Profile @ Main Level 1.2.840.10008.1.2.4.100.1
MPEG2 Main Profile @ High Level 1.2.840.10008.1.2.4.101
Fragmentable MPEG2 Main Profile @ High Level 1.2.840.10008.1.2.4.101.1
MPEG-4 AVC/H.264 High Profile / Level 4.1 1.2.840.10008.1.2.4.102
Fragmentable MPEG-4 AVC/H.264 High Profile / Level 4.1 1.2.840.10008.1.2.4.102.1
MPEG-4 AVC/H.264 BD-compatible High Profile / Level 4.1 1.2.840.10008.1.2.4.103
Fragmentable MPEG-4 AVC/H.264 BD-compatible High Profile / Level 4.1 1.2.840.10008.1.2.4.103.1
MPEG-4 AVC/H.264 High Profile / Level 4.2 For 2D Video 1.2.840.10008.1.2.4.104
Fragmentable MPEG-4 AVC/H.264 High Profile / Level 4.2 For 2D Video 1.2.840.10008.1.2.4.104.1
MPEG-4 AVC/H.264 High Profile / Level 4.2 For 3D Video 1.2.840.10008.1.2.4.105
Fragmentable MPEG-4 AVC/H.264 High Profile / Level 4.2 For 3D Video 1.2.840.10008.1.2.4.105.1
MPEG-4 AVC/H.264 Stereo High Profile / Level 4.2 1.2.840.10008.1.2.4.106
Fragmentable MPEG-4 AVC/H.264 Stereo High Profile / Level 4.2 1.2.840.10008.1.2.4.106.1
HEVC/H.265 Main Profile / Level 5.1 1.2.840.10008.1.2.4.107
HEVC/H.265 Main 10 Profile / Level 5.1 1.2.840.10008.1.2.4.108
Transfer Syntaxes for SR Storage SOP Classes
  • Abstract syntax看附录 SOP Classes for Storage Application Entity (SCP)中的Structured Report Storage SOP Classes
Transfer Syntax Name UID
Implicit VR Little Endian 1.2.840.10008.1.2
Explicit VR Little Endian 1.2.840.10008.1.2.1
Deflated Explicit VR Little Endian 1.2.840.10008.1.2.1.99
Transfer Syntaxes for Other Storage SOP Classes
Transfer Syntax Name UID
Implicit VR Little Endian 1.2.840.10008.1.2
Explicit VR Little Endian 1.2.840.10008.1.2.1

Proposed Presentation Contexts by the Query/Retrieve Application Entity

Presentation Context Table
Abstract Syntax Transfer Syntax Role Ext. Neg.
Name UID Name UID
Verification 1.2.840.10008.1.1 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Study Root Query/RetrieveInformation Model - FIND 1.2.840.10008.5.1.4.1.2.2.1 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Study Root Query/RetrieveInformation Model - MOVE 1.2.840.10008.5.1.4.1.2.2.2 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Image Storage SOP Class in SOP Classes for Query/Retrieve Application Entity Transfer Syntaxes for Image Storage SOP Classes SCU None
Video Storage SOP Class in SOP Classes for Query/Retrieve Application Entity Transfer Syntax for Video Storage SOP Classes SCU None
SR Storage SOP Class in SOP Classes for Query/Retrieve Application Entity Transfer Syntaxes for SR Storage SOP Classes SCU None
Other Storage SOP Class in SOP Classes for Query/Retrieve Application Entity Transfer Syntaxes for Other Storage SOP Classes SCU None

Accepted Presentation Contexts of Query/Retrieve Application Entity by default configuration

Presentation Context Table
Abstract Syntax Transfer Syntax Role Ext. Neg.
Name UID Name UID
Verification 1.2.840.10008.1.1 Implicit VR Little Endian 1.2.840.10008.1.2 SCP None
Patient Root Query/RetrieveInformation Model - FIND 1.2.840.10008.5.1.4.1.2.1.1 Implicit VR Little Endian 1.2.840.10008.1.2 SCP RelationalDate RangeFuzzyTimezone
Patient Root Query/RetrieveInformation Model - MOVE 1.2.840.10008.5.1.4.1.2.1.2 Implicit VR Little Endian 1.2.840.10008.1.2 SCP Relational
Patient Root Query/RetrieveInformation Model - GET 1.2.840.10008.5.1.4.1.2.1.3 Implicit VR Little Endian 1.2.840.10008.1.2 SCP Relational
Study Root Query/RetrieveInformation Model - FIND 1.2.840.10008.5.1.4.1.2.2.1 Implicit VR Little Endian 1.2.840.10008.1.2 SCP RelationalDate RangeFuzzyTimezone
Study Root Query/RetrieveInformation Model - MOVE 1.2.840.10008.5.1.4.1.2.2.2 Implicit VR Little Endian 1.2.840.10008.1.2 SCP Relational
Study Root Query/RetrieveInformation Model - GET 1.2.840.10008.5.1.4.1.2.2.3 Implicit VR Little Endian 1.2.840.10008.1.2 SCP Relational
Image Storage SOP Class listed in SOP Classes for Query/Retrieve Application Entity Transfer Syntaxes for Image Storage SOP Classes SCU None
Any Video Storage SOP Class listed in SOP Classes for Query/Retrieve Application Entity Transfer Syntax for Video Storage SOP Classes SCU None
SR Storage SOP Class listed in SOP Classes for Query/Retrieve Application Entity Transfer Syntaxes for SR Storage SOP Classes SCU None
Other Storage SOP Class listed in SOP Classes for Query/Retrieve Application Entity Transfer Syntaxes for Other Storage SOP Classes SCU None

模态(Modality)

  • (0080,0060)
Value Description 说明
AR Autorefraction
ASMT Content Assessment Results
AU Audio
BDUS Bone Densitometry (ultrasound)
BI Biomagnetic imaging
BMD Bone Densitometry (X-Ray)
CR Computed Radiography
CT Computed Tomography
DG Diaphanography
DOC Document
DX Digital Radiography
ECG Electrocardiography
EPS Cardiac Electrophysiology
ES Endoscopy
FID Fiducials
GM General Microscopy
HC Hard Copy
HD Hemodynamic Waveform
IO Intra-Oral Radiography
IOL Intraocular Lens Data
IVOCT Intravascular Optical Coherence Tomography
IVUS Intravascular Ultrasound
KER Keratometry
KO Key Object Selection KO 文件是标记研究中某些图像的关键对象
LEN Lensometry
LS Laser surface scan
MG Mammography
MR Magnetic Resonance
NM Nuclear Medicine
OAM Ophthalmic Axial Measurements
OCT Optical Coherence Tomography (non-Ophthalmic)
OP Ophthalmic Photography
OPM Ophthalmic Mapping
OPT Ophthalmic Tomography
OPV Ophthalmic Visual Field
OSS Optical Surface Scan
OT Other
PLAN Plan
PR Presentation State 指的是呈现状态,它提供有关图像的附加信息,例如测量或注释
PT Positron emission tomography (PET)
PX Panoramic X-Ray
REG Registration
RESP Respiratory Waveform
RF Radio Fluoroscopy
RG Radiographic imaging (conventional film/screen)
RTDOSE Radiotherapy Dose
RTIMAGE Radiotherapy Image
RTPLAN Radiotherapy Plan
RTRECORD RT Treatment Record
RTSTRUCT Radiotherapy Structure Set
RWV Real World Value Map
SEG Segmentation
SM Slide Microscopy
SMR Stereometric Relationship
SR Structured Reports 结构化报告,它提供有关图像内容的详细信息
SRF Subjective Refraction
STAIN Automated Slide Stainer
TG Thermography
US Ultrasound
XA X-Ray Angiography
XC External-camera Photography

DICOM Tag分类

img

Patient Tag(病人)

Group Element Tag Description 中文解释 VR
0010 0010 Patient’s Name 患者姓名 PN
0010 0020 Patient ID 患者ID LO
0010 0030 Patient’s Birth Date 患者出生日期 DA
0010 0032 Patient’s Birth Time 患者出生时间 TM
0010 0040 Patient’s Sex 患者性别 CS
0010 1030 Patient’s Weight 患者体重 DS
0010 21C0 Pregnancy Status 怀孕状态 US

Study Tag(检验)

Group Element Tag Description 中文解释 VR
0008 0050 Accession Number: A RIS generated number that identifies the order for the Study. 检查号:RIS的生成序号,用以标识做检查的次序. SH
0020 0010 Study ID 检查ID. SH
0020 000D Study Instance UID:Unique identifier for the Study. 检查实例号:唯一标记不同检查的号码 UI
0008 0020 Study Date:Date the Study started. 检查日期:检查开始的日期 DA
0008 0030 Study Time:Time the Study started. 检查时间:检查开始的时间 TM
0008 0061 Modalities in Study 一个检查中含有的不同检查类型 CS
0008 0015 Body Part Examined 检查的部位 CS
0008 1030 Study Description 检查的描述 LO
0010 1010 Patient’s Age 做检查时刻的患者年龄*,*而不是此刻患者的真实年龄 AS

Series Tag(系列)

Group Element Tag Description 中文解释 VR
0020 0011 Series Number: A number that identifies this Series. 序列号:识别不同检查的号码 IS
0020 000E Series Instance UID:Unique identifier for the Series. 序列实例号:唯一标记不同序列的号码 UI
0008 0060 Modality 检查模态(MRI/CT/CR/DR) CS
0008 103E Series Description 检查描述和说明 LO
0008 0021 Series Date 检查日期 DA
0008 0031 Series Time 检查时间 TM
0020 0032 Image Position (Patient):The x, y and z coordinates of the upper left hand corner of the image, in mm. 图像位置:图像的左上角在空间坐标系中的x,y,z坐标,单位是毫米. 如果在检查中,则指该序列中第一张影像左上角的坐标 DS
0020 0037 Image Orientation (Patient):The direction cosines of the first row and the first column with respect to the patient. 图像方位:第一行和第一列的方向余弦相对于病人 DS
0018 0050 Slice Thickness:Nominal slice thickness, in mm. 层厚 DS
0018 0088 Spacing Between Slices 层与层之间的间距,单位为mm DS
0020 1041 Slice Location:Relative position of exposure expressed in mm. 实际的相对位置,单位为mm DS
0018 0023 MR Acquisition 数据编码表的标识.枚举值:
2D = 频率x相位
3D = 频率x相位x相位
CS
0018 0015 Body Part Examined 身体部位 CS

Image Tag(图像)

Group Element Tag Description 中文解释 VR
0008 0008 Image Type: Image identification characteristics. 图像类型: 图象标识字特性 CS
0008 0018 SOP Instance UID SOP实例UID
0008 0023 Content Date:The date the image pixel data creation started. 影像拍摄的日期 DA
0008 0033 Content Time 影像拍摄的时间 TM
0020 0013 Image/Instance Number: A number that identifies this image. 图像码:辨识图像的号码 IS
0028 0002 Samples Per Pixel: Number of samples (planes) in this image. 图像上的采样率 US
0028 0004 Photometric Interpretation: Specifies the intended interpretation of the pixel data. 光度计的解释*,对于CT*图像,用两个枚举值:MONOCHROME1,*MONOCHROME2.*用来判断图像是否是彩色的,MONOCHROME1/2是灰度图,RGB则是真彩色图,还有其他 CS
0028 0010 Rows: Number of rows in the image. 图像的总行数,行分辨率 US
0028 0011 Columns: Number of columns in the image. 图像的总列数,列分辨率 US
0028 0030 Pixel Spacing: Physical distance in the patient between the center of each pixel. 像素间距*.*像素中心之间的物理间距 DS
0028 0100 Bits Allocated: Number of bits allocated for each pixel sample. Each sample shall have the same number of bits allocated. 存储的位数:有1216列举值*.存储的位数:有1216列举值* US
0028 0102 Pixel Representation:
Data representation of the pixel samples. Each sample shall have the same pixel representation.
Enum: 0000H=unsigned integer,0001H=2’s complement.
像素数据的表现类型*:这是一个枚举值,分别为十六进制数0000和*0001.0000H = 无符号整数,0001H = 2的补码 US
0028 1050 Window Center 窗位 DS
0028 1051 Window Width 窗宽 DS
0028 1052 Rescale Intercept:
The value b in relationship between stored values (SV) and the output units.
Output units = m*SV + b.
Required if Modality LUT Sequence (0028, 0030) is not present.
截距*:如果表明不同模态的LUT颜色对应表不存在时,*则使用方程.Units = m*SV + b,计算真实的像素值到呈现像素值.其中这个值为表达式中的b. DS
0028 1053 Rescale Slope: m in the equation specified by Rescale Intercept (0028,1052).Required if Rescale Intercept is present. 斜率*.这个值为表达式中的m* DS
0028 1054 Rescale Type:

Specifies the output units of Rescale Slope (0028,1053) and Rescale Intercept (0028,1052).
Enum: US=Unspecified Requried if Photometric Interpretation is MONOCHROME2, and Bits Stored is greater than 1.
This specifies an identity Modality LUT transformation.
输出值的单位*.*这是一个枚举值 LO

DICOM判断3D图像的方向的TAG

  • ImagePositionPatient (0020,0032)

    specifies the x, y, and z coordinates of the upper left hand corner of the image. In other words, this tag specifies the coordinates of the the first voxel transmitted.

    • 图像位置:指示了图像左上角的第一个像素的空间坐标(x,y,z). 也就是DICOM文件传输的第一个像素的坐标.
  • ImageOrientationPatient (0020,0037)

    specifies the direction cosines of the first row and the first column with respect to the patient. The direction of the axes are defined by the patients orientation to ensure LPS system ( x-axis increasing to the left hand side of the patient, y-axis increasing to the posterior side of the patient and z-axis increasing toward the head of the patient )

    • 图像方向:指示了图像第一行和第一列相对于病人的余弦方向. 坐标轴的方向是根据病人的方向来确定的(X轴指向病人的左手边,y轴指向病人的后面,Z轴指向病人的头部.

    • TAGImageOrientationPatient 的值通常表示如下:

      1
      ImageOrientationPatient = (x1, y1, z1, x2, y2, z2)
      • (x1, y1, z1):表示图像的行方向向量,通常代表从图像的左侧到右侧的方向。
      • (x2, y2, z2):表示图像的列方向向量,通常代表从图像的上方到下方的方向。
      • 这些向量定义了图像的行(横向)和列(纵向)方向在病人坐标系统中的方向。
      • 病人坐标系统通常遵循以下标准:
      • X轴 (Right-Left):从病人的右侧到左侧,右侧为正方向。
      • Y轴 (Anterior-Posterior):从病人的前面(腹部)到背面(后背),前面为正方向。
      • Z轴 (Inferior-Superior):从病人的脚到头,脚部为正方向。

      假设 TAGImageOrientationPatient 的值为 1\0\0\0\1\0:

      • (x1, y1, z1) = (1, 0, 0):表示图像的行方向(横向)与病人坐标系的 X 轴(左右方向)一致,即从病人的右侧到左侧。
      • (x2, y2, z2) = (0, 1, 0):表示图像的列方向(纵向)与病人坐标系的 Y 轴(前后方向)一致,即从病人的前面(腹部)到背面(后背)。

      因此,这个值表示图像的行方向沿着病人的左右方向,列方向沿着病人的前后方向。

      病人方位的推导

      根据这个信息,我们可以推导出病人的方位:

      • 行方向 (1, 0, 0):从右到左。
      • 列方向 (0, 1, 0):从前到后。

      因此,图像的上方是病人的前面,图像的下方是病人的后面。图像的左侧是病人的右侧,图像的右侧是病人的左侧。

  • PatientPosition( 0018,5100)

    Patient position descriptor relative to the equipment. Required for CT and MR images.

    Possible values: HFP= head first-prone,

    ​ HFS=head first-supine,

    ​ HFDR= head first-decibitus right,

    ​ HFDL = head first-decubiturs left,

    ​ FFP = feet first-prone,

    ​ FFS, FFDR, FFDL.

    • 病人的位置: 是描述病人相对于CT或者MR等成像设备的位置. HFP:头部在前,俯卧; HFS:头在前,仰卧

相关框架

国外开源的PACS服务器

  • 名称:Dcm4che
    评级:★★★★★
    开源许可:GPL LGPL MPL
    功能: 影像处理,影像归档,影像管理,影像传输,Worklist支持
    标准:DICOM,HL7,IHE,MPPS,WADO
    语言:英语
    客户端: 桌面,基于web
    平台:跨平台
    编程语言:Java
    数据库:MySQL,Postgre SQL,Firebird
    官方网站:http://www.dcm4che.org/
  • 名称:DCMTK-DICOM Toolkit
    评级:★★★★★
    开源许可:BSD
    功能: 影像处理,影像归档,影像管理,影像传输
    标准:DICOM
    语言:英语
    客户端: 桌面
    平台:跨平台
    编程语言:C/C++
    官方网站:http://dicom.offis.de/
  • 名称:CDMEDIC PACS WEB
    开源许可:GPL
    功能: 影像处理,影像归档,影像管理,影像传输
    标准:DICOM
    语言:英语,西班牙语
    客户端: 基于web
    平台:Unix,Mac OS
    官方网站:http://cdmedicpacsweb.sourceforge.net/
  • 名称:Conquest DICOM software
    开源许可:Public Domain
    功能: 影像处理,影像归档,影像管理,影像传输,数据转换,Worklist支持
    标准:DICOM,HL7
    语言:英语
    客户端: 基于web
    平台:Unix,Windows,Mac OS
    官方网站:http://www.xs4all.nl/~ingenium/dicom.html
  • 名称:ClearCanvas
    评级:★★★★★
    开源许可:BSD
    功能: 影像处理,影像归档,影像管理,影像传输,影像浏览
    标准:DICOM
    开发语言:C#
    客户端: 桌面
    平台:Windows
    官方网站:http://www.clearcanvas.ca/
  • 名称:mdcm
    评级:★★★★
    开源许可:LGPL
    功能: 影像处理,影像归档,影像管理,影像传输,影像浏览
    标准:DICOM
    开发语言:C#
    客户端: 桌面
    平台:Windows
    官方网站:https://github.com/rcd/mdcm
  • 名称:OpenSourcePACS
    开源许可:LGPL
    功能: 排队系统,影像处理,影像归档,影像管理,影像传输,影像浏览
    标准:DICOM
    语言:英语
    客户端: 桌面
    平台:跨平台
    官方网站:http://www.mii.ucla.edu/opensourcepacs/
  • 名称:OSPACS(Open Source Picture Archiving and Communication System)
    开源许可:Cranfield Open-Source License
    功能: 影像处理,影像归档,影像管理,影像传输,影像浏览
    标准:DICOM
    语言:英语
    客户端: 桌面,基于web
    平台:Windows
    官方网站:http://www.ospacs.org/
  • 名称:Xebra
    开源许可:GPL
    功能: 影像管理,影像传输,影像浏览,医疗顾问
    标准:DICOM,IHE,IHE-XDS-I
    语言:英语
    客户端: 桌面
    平台:跨平台
    编程语言:Java
    数据库:MySQL,Postgre SQL,Firebird
    官方网站:http://www.hxti.com/technology/xebra.html

附录

Abstract Syntax Values

Member Value
VerificationClass 1.2.840.10008.1.1
MediaStorageDirectory 1.2.840.10008.1.3.10
BasicStudyNotificationClass 1.2.840.10008.1.9
StorageCommitmentPushModelClass 1.2.840.10008.1.20.1
StorageCommitmentPullModelClass 1.2.840.10008.1.20.2
DetachedPatientClass 1.2.840.10008.3.1.2.1.1
DetachedPatientMetaClass 1.2.840.10008.3.1.2.1.4
DetachedVisitClass 1.2.840.10008.3.1.2.2.1
DetachedStudyClass 1.2.840.10008.3.1.2.3.1
StudyComponentClass 1.2.840.10008.3.1.2.3.2
ModalityPerformedClass 1.2.840.10008.3.1.2.3.3
ModalityPerformedRetrieveClass 1.2.840.10008.3.1.2.3.4
ModalityPerformedNotificationClass 1.2.840.10008.3.1.2.3.5
DetachedResultsClass 1.2.840.10008.3.1.2.5.1
DetachedResultsMetaClass 1.2.840.10008.3.1.2.5.4
DetachedStudyMetaClass 1.2.840.10008.3.1.2.5.5
DetachedInterpretationClass 1.2.840.10008.3.1.2.6.1
BasicFilmSessionClass 1.2.840.10008.5.1.1.1
BasicFilmBoxClass 1.2.840.10008.5.1.1.2
BasicGrayscaleImageBoxClass 1.2.840.10008.5.1.1.4
BasicColorImageBoxClass 1.2.840.10008.5.1.1.4.1
ReferencedImageBoxClassRetired 1.2.840.10008.5.1.1.4.2
BasicGrayscalePrintMetaClass 1.2.840.10008.5.1.1.9
ReferencedGrayscalePrintMetaClassRetired 1.2.840.10008.5.1.1.9.1
PrintJobClass 1.2.840.10008.5.1.1.14
BasicAnnotationBoxClass 1.2.840.10008.5.1.1.15
PrinterClass 1.2.840.10008.5.1.1.16
PrinterConfigurationRetrievalClass 1.2.840.10008.5.1.1.16.376
BasicColorPrintMetaClass 1.2.840.10008.5.1.1.18
ReferencedColorPrintMetaClassRetired 1.2.840.10008.5.1.1.18.1
VoiLutBoxClassRetired 1.2.840.10008.5.1.1.22
PresentationLutClass 1.2.840.10008.5.1.1.23
ImageOverlayBoxClassRetired 1.2.840.10008.5.1.1.24
BasicPrintImageOverlayBoxClass 1.2.840.10008.5.1.1.24.1
PrintQueueClass 1.2.840.10008.5.1.1.26
StoredPrintStorageClass 1.2.840.10008.5.1.1.27
HardcopyGrayscaleImageStorageClass 1.2.840.10008.5.1.1.29
HardcopyColorImageStorageClass 1.2.840.10008.5.1.1.30
PullPrintRequestClass 1.2.840.10008.5.1.1.31
PullStoredPrintMetaClass 1.2.840.10008.5.1.1.32
CRImageStorage 1.2.840.10008.5.1.4.1.1.1
DXImageStoragePresentation 1.2.840.10008.5.1.4.1.1.1.1
DXImageStorageProcessing 1.2.840.10008.5.1.4.1.1.1.1.1
DXMammographyImageStoragePresentation 1.2.840.10008.5.1.4.1.1.1.2
DXMammographyImageStorageProcessing 1.2.840.10008.5.1.4.1.1.1.2.1
DXIntraoralImageStoragePresentation 1.2.840.10008.5.1.4.1.1.1.3
DXIntraoralImageStorageProcessing 1.2.840.10008.5.1.4.1.1.1.3.1
CTImageStorage 1.2.840.10008.5.1.4.1.1.2
USMultiframeImageStorageRetired 1.2.840.10008.5.1.4.1.1.3
USMultiframeImageStorage 1.2.840.10008.5.1.4.1.1.3.1
MRImageStorage 1.2.840.10008.5.1.4.1.1.4
EnhancedMRImageStorage 1.2.840.10008.5.1.4.1.1.4.1
MRSpectroscopyStorage 1.2.840.10008.5.1.4.1.1.4.2
NMImageStorageRetired 1.2.840.10008.5.1.4.1.1.5
USImageStorageRetired 1.2.840.10008.5.1.4.1.1.6
USImageStorage 1.2.840.10008.5.1.4.1.1.6.1
SCImageStorage 1.2.840.10008.5.1.4.1.1.7
SCMultiFrameSingleBitImageStorage 1.2.840.10008.5.1.4.1.1.7.1
SCMultiFrameGrayscaleByteImageStorage 1.2.840.10008.5.1.4.1.1.7.2
SCMultiFrameGrayscaleWordImageStorage 1.2.840.10008.5.1.4.1.1.7.3
SCMultiFrameTrueColorImageStorage 1.2.840.10008.5.1.4.1.1.7.4
StandaloneOverlayStorage 1.2.840.10008.5.1.4.1.1.8
StandaloneCurveStorage 1.2.840.10008.5.1.4.1.1.9
TwleveLeadECGWaveformStorage 1.2.840.10008.5.1.4.1.1.9.1.1
GeneralECGWaveformStorage 1.2.840.10008.5.1.4.1.1.9.1.2
AmbulatoryECGWaveformStorage 1.2.840.10008.5.1.4.1.1.9.1.3
HemodynamicWaveformStorage 1.2.840.10008.5.1.4.1.1.9.2.1
CardiacElectrophysiologyWaveformStorage 1.2.840.10008.5.1.4.1.1.9.3.1
BasicVoiceAudioWaveformStorage 1.2.840.10008.5.1.4.1.1.9.4.1
StandaloneModalityLutStorage 1.2.840.10008.5.1.4.1.1.10
StandaloneVoiLutStorage 1.2.840.10008.5.1.4.1.1.11
GrayscaleSoftcopyPresentationStateStorage 1.2.840.10008.5.1.4.1.1.11.1
XAImageStorage 1.2.840.10008.5.1.4.1.1.12.1
XRayRadiofluoroscopicImageStorage 1.2.840.10008.5.1.4.1.1.12.2
XABiplaneImageStorageRetired 1.2.840.10008.5.1.4.1.1.12.3
NMImageStorage 1.2.840.10008.5.1.4.1.1.20
RawDataStorage 1.2.840.10008.5.1.4.1.1.66
VLImageStorageRetired 1.2.840.10008.5.1.4.1.1.77.1
VLMultiframeImageStorageRetired 1.2.840.10008.5.1.4.1.1.77.2
VLEndoscopicImageStorageClass 1.2.840.10008.5.1.4.1.1.77.1.1
VideoEndoscopicImageStorage 1.2.840.10008.5.1.4.1.1.77.1.1.1
VLMicroscopicImageStorageClass 1.2.840.10008.5.1.4.1.1.77.1.2
VideoMicroscopicImageStorage 1.2.840.10008.5.1.4.1.1.77.1.2.1
VLSlideCoordinatesMicroscopicImageStorageClass 1.2.840.10008.5.1.4.1.1.77.1.3
VLPhotographicImageStorageClass 1.2.840.10008.5.1.4.1.1.77.1.4
VideoPhotographicImageStorage 1.2.840.10008.5.1.4.1.1.77.1.4.1
Ophthalmic8BitPhotographyImageStorage 1.2.840.10008.5.1.4.1.1.77.1.5.1
Ophthalmic16BitPhotographyImageStorage 1.2.840.10008.5.1.4.1.1.77.1.5.2
StereometricRelationshipStorage 1.2.840.10008.5.1.4.1.1.77.1.5.3
BasicTextSR 1.2.840.10008.5.1.4.1.1.88.11
EnhancedSR 1.2.840.10008.5.1.4.1.1.88.22
ComprehensiveSR 1.2.840.10008.5.1.4.1.1.88.33
MammographyCadSR 1.2.840.10008.5.1.4.1.1.88.50
KeyObjectSelectionDocument 1.2.840.10008.5.1.4.1.1.88.59
ChestCadSR 1.2.840.10008.5.1.4.1.1.88.65
PETImageStorage 1.2.840.10008.5.1.4.1.1.128
StandalonePETCurveStorage 1.2.840.10008.5.1.4.1.1.129
RTImageStorage 1.2.840.10008.5.1.4.1.1.481.1
RTDoseStorage 1.2.840.10008.5.1.4.1.1.481.2
RTStructureStorage 1.2.840.10008.5.1.4.1.1.481.3
RTBeamsTreatmentRecordStorageClass 1.2.840.10008.5.1.4.1.1.481.4
RTPlanStorage 1.2.840.10008.5.1.4.1.1.481.5
RTBrachyTreatmentRecordStorageClass 1.2.840.10008.5.1.4.1.1.481.6
RTTreatmentSummaryRecordStorageClass 1.2.840.10008.5.1.4.1.1.481.7
PatientRootQueryFind 1.2.840.10008.5.1.4.1.2.1.1
PatientRootQueryMove 1.2.840.10008.5.1.4.1.2.1.2
PatientRootQueryGet 1.2.840.10008.5.1.4.1.2.1.3
StudyRootQueryFind 1.2.840.10008.5.1.4.1.2.2.1
StudyRootQueryMove 1.2.840.10008.5.1.4.1.2.2.2
StudyRootQueryGet 1.2.840.10008.5.1.4.1.2.2.3
PatientStudyQueryFind 1.2.840.10008.5.1.4.1.2.3.1
PatientStudyQueryMove 1.2.840.10008.5.1.4.1.2.3.2
PatientStudyQueryGet 1.2.840.10008.5.1.4.1.2.3.3
ModalityWorklistFind 1.2.840.10008.5.1.4.31
GeneralPurposeWorklistFind 1.2.840.10008.5.1.4.32.1
GeneralPurposeScheduledProcedureStepSopClass 1.2.840.10008.5.1.4.32.2
GeneralPurposePerformedProcedureStepSopClass 1.2.840.10008.5.1.4.32.3
GeneralPurposeWorklistManagementMetaSopClass 1.2.840.10008.5.1.4.32

Transfer Syntax Values

Transfer Syntax UID Transfer Syntax name
1.2.840.10008.1.2 Implicit VR Endian: Default Transfer Syntax for DICOM
1.2.840.10008.1.2.1 Explicit VR Little Endian
1.2.840.10008.1.2.1.99 Deflated Explicit VR Little Endian
1.2.840.10008.1.2.2 Explicit VR Big Endian
Transfer Syntax UID Transfer Syntax name
1.2.840.10008.1.2.4.50 JPEG Baseline (Process 1): Default Transfer Syntax for Lossy JPEG 8-bit Image Compression
1.2.840.10008.1.2.4.51 JPEG Baseline (Processes 2 & 4): Default Transfer Syntax for Lossy JPEG 12-bit Image Compression (Process 4 only)
1.2.840.10008.1.2.4.52 JPEG Extended (Processes 3 & 5) Retired
1.2.840.10008.1.2.4.53 JPEG Spectral Selection, Nonhierarchical (Processes 6 & 8) Retired
1.2.840.10008.1.2.4.54 JPEG Spectral Selection, Nonhierarchical (Processes 7 & 9) Retired
1.2.840.10008.1.2.4.55 JPEG Full Progression, Nonhierarchical (Processes 10 & 12) Retired
1.2.840.10008.1.2.4.56 JPEG Full Progression, Nonhierarchical (Processes 11 & 13) Retired
1.2.840.10008.1.2.4.57 JPEG Lossless, Nonhierarchical (Processes 14)
1.2.840.10008.1.2.4.58 JPEG Lossless, Nonhierarchical (Processes 15) Retired
1.2.840.10008.1.2.4.59 JPEG Extended, Hierarchical (Processes 16 & 18) Retired
1.2.840.10008.1.2.4.60 JPEG Extended, Hierarchical (Processes 17 & 19) Retired
1.2.840.10008.1.2.4.61 JPEG Spectral Selection, Hierarchical (Processes 20 & 22) Retired
1.2.840.10008.1.2.4.62 JPEG Spectral Selection, Hierarchical (Processes 21 & 23) Retired
1.2.840.10008.1.2.4.63 JPEG Full Progression, Hierarchical (Processes 24 & 26) Retired
1.2.840.10008.1.2.4.64 JPEG Full Progression, Hierarchical (Processes 25 & 27) Retired
1.2.840.10008.1.2.4.65 JPEG Lossless, Nonhierarchical (Process 28) Retired
1.2.840.10008.1.2.4.66 JPEG Lossless, Nonhierarchical (Process 29) Retired
1.2.840.10008.1.2.4.70 JPEG Lossless, Nonhierarchical, First- Order Prediction (Processes 14 [Selection Value 1]): Default Transfer Syntax for Lossless JPEG Image Compression
1.2.840.10008.1.2.4.80 JPEG-LS Lossless Image Compression
1.2.840.10008.1.2.4.81 JPEG-LS Lossy (Near- Lossless) Image Compression
1.2.840.10008.1.2.4.90 JPEG 2000 Image Compression (Lossless Only)
1.2.840.10008.1.2.4.91 JPEG 2000 Image Compression
1.2.840.10008.1.2.4.92 JPEG 2000 Part 2 Multicomponent Image Compression (Lossless Only)
1.2.840.10008.1.2.4.93 JPEG 2000 Part 2 Multicomponent Image Compression
Transfer Syntax UID Transfer Syntax name
1.2.840.10008.1.2.4.94 JPIP Referenced
1.2.840.10008.1.2.4.95 JPIP Referenced Deflate
1.2.840.10008.1.2.5 RLE Lossless
1.2.840.10008.1.2.6.1 RFC 2557 MIME Encapsulation
Transfer Syntax UID Transfer Syntax name
1.2.840.10008.1.2.4.100 MPEG2 Main Profile Main Level
1.2.840.10008.1.2.4.102 MPEG-4 AVC/H.264 High Profile / Level 4.1
1.2.840.10008.1.2.4.103 MPEG-4 AVC/H.264 BD-compatible High Profile / Level 4.1

SOPs

SOP UID SOP name Modality
1.2.840.10008.1.1 Verification SOP Class
1.2.840.10008.1.20.1 Storage Commitment Push Model SOP Class
1.2.840.10008.1.20.2 Storage Commitment Pull Model SOP Class Retired
1.2.840.10008.1.3.10 Media Storage Directory Storage
1.2.840.10008.1.40 Procedural Event Logging SOP Class
1.2.840.10008.1.9 Basic Study Content Notification SOP Class Retired
SOP UID SOP name
1.2.840.10008.3.1.2.1.1 Detached Patient Management SOP Class Retired
1.2.840.10008.3.1.2.1.4 Detached Patient Management Meta SOP Class Retired
1.2.840.10008.3.1.2.2.1 Detached Visit Management SOP Class Retired
1.2.840.10008.3.1.2.3.1 Detached Study Management SOP Class Retired
1.2.840.10008.3.1.2.3.2 Study Componenet Management SOP Class Retired
1.2.840.10008.3.1.2.3.3 Modality Performed Procedure Step SOP Class
1.2.840.10008.3.1.2.3.4 Modality Performed Procedure Step Retrieve SOP Class
1.2.840.10008.3.1.2.3.5 Modality Performed Procedure Step Notification SOP Class
1.2.840.10008.3.1.2.5.1 Detached Results Management SOP Class Retired
1.2.840.10008.3.1.2.5.4 Detached Results Management Meta SOP Class Retired
1.2.840.10008.3.1.2.5.5 Detached Study Management Meta SOP Class Retired
1.2.840.10008.3.1.2.6.1 Detached Interpretation Management SOP Class Retired
SOP UID SOP name
1.2.840.10008.4.2 Storage Service Class
SOP UID SOP name
1.2.840.10008.5.1.1.1 Basic Film Session SOP Class
1.2.840.10008.5.1.1.14 Print Job SOP Class
1.2.840.10008.5.1.1.15 Basic Annotation Box SOP Class
1.2.840.10008.5.1.1.16 Printer SOP Class
1.2.840.10008.5.1.1.16.376 Printer Configuration Retrieval SOP Class
1.2.840.10008.5.1.1.18 Basic Color Print Management Meta SOP Class
1.2.840.10008.5.1.1.18.1 Referenced Color Print Management Meta SOP Class Retired
1.2.840.10008.5.1.1.2 Basic Film Box SOP Class
1.2.840.10008.5.1.1.22 VOI LUT Box SOP Class
1.2.840.10008.5.1.1.23 Presentation LUT SOP Class
1.2.840.10008.5.1.1.24 Image Overlay Box SOP Class Retired
1.2.840.10008.5.1.1.24.1 Basic Print Image Overlay Box SOP Class Retired
1.2.840.10008.5.1.1.26 Print Queue Management SOP Classs Retired
1.2.840.10008.5.1.1.27 Stored Print Storage SOP Class Retired
1.2.840.10008.5.1.1.29 Hardcopy Grayscale Image Storage SOP Class Retired
1.2.840.10008.5.1.1.30 Hardcopy Color Image Storage SOP Class Retired
1.2.840.10008.5.1.1.31 Pull Print Request SOP Class Retired
1.2.840.10008.5.1.1.32 Pull Stored Print Management Meta SOP Class Retired
1.2.840.10008.5.1.1.33 Media Creation Management SOP Class UID
1.2.840.10008.5.1.1.4 Basic Grayscale Image Box SOP Class
1.2.840.10008.5.1.1.4.1 Basic Color Image Box SOP Class
1.2.840.10008.5.1.1.4.2 Referenced Image Box SOP Class Retired
1.2.840.10008.5.1.1.9 Basic Grayscale Print Management Meta SOP Class
1.2.840.10008.5.1.1.9.1 Referenced Grayscale Print Management Meta SOP Class Retired
SOP UID SOP name
1.2.840.10008.5.1.4.1.1.1 CR Image Storage
1.2.840.10008.5.1.4.1.1.1.1 Digital X-Ray Image Storage – for Presentation
1.2.840.10008.5.1.4.1.1.1.1.1 Digital X-Ray Image Storage – for Processing
1.2.840.10008.5.1.4.1.1.1.2 Digital Mammography X-Ray Image Storage – for Presentation
1.2.840.10008.5.1.4.1.1.1.2.1 Digital Mammography X-Ray Image Storage – for Processing
1.2.840.10008.5.1.4.1.1.1.3 Digital Intra – oral X-Ray Image Storage – for Presentation
1.2.840.10008.5.1.4.1.1.1.3.1 Digital Intra – oral X-Ray Image Storage – for Processing
1.2.840.10008.5.1.4.1.1.10 Standalone Modality LUT Storage Retired
1.2.840.10008.5.1.4.1.1.104.1 Encapsulated PDF Storage
1.2.840.10008.5.1.4.1.1.11 Standalone VOI LUT Storage Retired
1.2.840.10008.5.1.4.1.1.11.1 Grayscale Softcopy Presentation State Storage SOP Class PR
1.2.840.10008.5.1.4.1.1.11.2 Color Softcopy Presentation State Storage SOP Class PR
1.2.840.10008.5.1.4.1.1.11.3 Pseudocolor Softcopy Presentation Stage Storage SOP Class
1.2.840.10008.5.1.4.1.1.11.4 Blending Softcopy Presentation State Storage SOP Class
1.2.840.10008.5.1.4.1.1.12.1 X-Ray Angiographic Image Storage
1.2.840.10008.5.1.4.1.1.12.1.1 Enhanced XA Image Storage
1.2.840.10008.5.1.4.1.1.12.2 X-Ray Radiofluoroscopic Image Storage
1.2.840.10008.5.1.4.1.1.12.2.1 Enhanced XRF Image Storage
1.2.840.10008.5.1.4.1.1.12.3 X-Ray Angiographic Bi-plane Image Storage Retired
1.2.840.10008.5.1.4.1.1.128 Positron Emission Tomography Curve Storage Retired
1.2.840.10008.5.1.4.1.1.129 Standalone Positron Emission Tomography Curve Storage Retired
1.2.840.10008.5.1.4.1.1.2 CT Image Storage
1.2.840.10008.5.1.4.1.1.2.1 Enhanced CT Image Storage
1.2.840.10008.5.1.4.1.1.20 NM Image Storage
1.2.840.10008.5.1.4.1.1.3 Ultrasound Multiframe Image Storage Retired
1.2.840.10008.5.1.4.1.1.3.1 Ultrasound Multiframe Image Storage
1.2.840.10008.5.1.4.1.1.4 MR Image Storage
1.2.840.10008.5.1.4.1.1.4.1 Enhanced MR Image Storage
1.2.840.10008.5.1.4.1.1.4.2 MR Spectroscopy Storage
SOP UID SOP name
1.2.840.10008.5.1.4.1.1.481.1 Radiation Therapy Image Storage
1.2.840.10008.5.1.4.1.1.481.2 Radiation Therapy Dose Storage
1.2.840.10008.5.1.4.1.1.481.3 Radiation Therapy Structure Set Storage
1.2.840.10008.5.1.4.1.1.481.4 Radiation Therapy Beams Treatment Record Storage
1.2.840.10008.5.1.4.1.1.481.5 Radiation Therapy Plan Storage
1.2.840.10008.5.1.4.1.1.481.6 Radiation Therapy Brachy Treatment Record Storage
1.2.840.10008.5.1.4.1.1.481.7 Radiation Therapy Treatment Summary Record Storage
1.2.840.10008.5.1.4.1.1.481.8 Radiation Therapy Ion Plan Storage
1.2.840.10008.5.1.4.1.1.481.9 Radiation Therapy Ion Beams Treatment Record Storage
SOP UID SOP name
1.2.840.10008.5.1.4.1.1.5 NM Image Storage Retired
SOP UID SOP name
1.2.840.10008.5.1.4.1.1.6 Ultrasound Image Storage Retired
1.2.840.10008.5.1.4.1.1.6.1 Ultrasound Image Storage
1.2.840.10008.5.1.4.1.1.66 Raw Data Storage
1.2.840.10008.5.1.4.1.1.66.1 Spatial Registration Storage
1.2.840.10008.5.1.4.1.1.66.2 Spatial Fiducials Storage
1.2.840.10008.5.1.4.1.1.66.3 Deformable Spatial Registration Storage
1.2.840.10008.5.1.4.1.1.66.4 Segmentation Storage
1.2.840.10008.5.1.4.1.1.67 Real World Value Mapping Storage
SOP UID SOP name
1.2.840.10008.5.1.4.1.1.7 Secondary Capture Image Storage
1.2.840.10008.5.1.4.1.1.7.1 Multiframe Single Bit Secondary Capture Image Storage
1.2.840.10008.5.1.4.1.1.7.2 Multiframe Grayscale Byte Secondary Capture Image Storage
1.2.840.10008.5.1.4.1.1.7.3 Multiframe Grayscale Word Secondary Capture Image Storage
1.2.840.10008.5.1.4.1.1.7.4 Multiframe True Color Secondary Capture Image Storage
1.2.840.10008.5.1.4.1.1.77.1 VL (Visible Light) Image Storage Retired
1.2.840.10008.5.1.4.1.1.77.1.1 VL endoscopic Image Storage
1.2.840.10008.5.1.4.1.1.77.1.1.1 Video Endoscopic Image Storage
1.2.840.10008.5.1.4.1.1.77.1.2 VL Microscopic Image Storage
1.2.840.10008.5.1.4.1.1.77.1.2.1 Video Microscopic Image Storage
1.2.840.10008.5.1.4.1.1.77.1.3 VL Slide-Coordinates Microscopic Image Storage
1.2.840.10008.5.1.4.1.1.77.1.4 VL Photographic Image Storage
1.2.840.10008.5.1.4.1.1.77.1.4.1 Video Photographic Image Storage
1.2.840.10008.5.1.4.1.1.77.1.5.1 Ophthalmic Photography 8-Bit Image Storage
1.2.840.10008.5.1.4.1.1.77.1.5.2 Ophthalmic Photography 16-Bit Image Storage
1.2.840.10008.5.1.4.1.1.77.1.5.3 Stereometric Relationship Storage
1.2.840.10008.5.1.4.1.1.77.1.6 VL Whole Slide Microscopy Image Storage
1.2.840.10008.5.1.4.1.1.77.2 VL Multiframe Image Storage Retired
SOP UID SOP name
1.2.840.10008.5.1.4.1.1.8 Standalone Overlay Storage Retired
1.2.840.10008.5.1.4.1.1.88.11 Basic Text SR Storage SR
1.2.840.10008.5.1.4.1.1.88.22 Enhanced SR Storage SR
1.2.840.10008.5.1.4.1.1.88.33 Comprehensive SR Storage SR
1.2.840.10008.5.1.4.1.1.88.40 Procedure Log Storage
1.2.840.10008.5.1.4.1.1.88.50 Mammography CAD SR Storage SR
1.2.840.10008.5.1.4.1.1.88.59 Key Object Selection Document KO
1.2.840.10008.5.1.4.1.1.88.65 Chest CAD SR Storage SR
1.2.840.10008.5.1.4.1.1.88.67 X-Ray Radiation Dose SR Storage SR
1.2.840.10008.5.1.4.1.1.88.68 Radiopharmaceutical Radiation Dose SR Storage SR
1.2.840.10008.5.1.4.1.1.88.76 Enhanced X-Ray Radiation Dose SR Storage SR
SOP UID SOP name
1.2.840.10008.5.1.4.1.1.9 Standalone Curve Storage Retired
1.2.840.10008.5.1.4.1.1.9.1.1 12-lead ECG Waveform Storage
1.2.840.10008.5.1.4.1.1.9.1.2 General ECG Waveform Storage
1.2.840.10008.5.1.4.1.1.9.1.3 Ambulatory ECG Waveform Storage
1.2.840.10008.5.1.4.1.1.9.2.1 Hemodynamic Waveform Storage
1.2.840.10008.5.1.4.1.1.9.3.1 Cardiac Electrophysiology Waveform Storage
1.2.840.10008.5.1.4.1.1.9.4.1 Basic Voice Audio Waveform Storage
SOP UID SOP name
1.2.840.10008.5.1.4.1.2.1.1 Patient Root Query/Retrieve Information Model – FIND
1.2.840.10008.5.1.4.1.2.1.2 Patient Root Query/Retrieve Information Model – MOVE
1.2.840.10008.5.1.4.1.2.1.3 Patient Root Query/Retrieve Information Model – GET
1.2.840.10008.5.1.4.1.2.2.1 Study Root Query/Retrieve Information Model – FIND
1.2.840.10008.5.1.4.1.2.2.2 Study Root Query/Retrieve Information Model – MOVE
1.2.840.10008.5.1.4.1.2.2.3 Study Root Query/Retrieve Information Model – GET
1.2.840.10008.5.1.4.1.2.3.1 Patient/Study Only Query/Retrieve Information Model – FIND Retired
1.2.840.10008.5.1.4.1.2.3.2 Patient/Study Only Query/Retrieve Information Model – MOVE Retired
1.2.840.10008.5.1.4.1.2.3.3 Patient/Study Only Query/Retrieve Information Model – GET Retired
SOP UID SOP name
1.2.840.10008.5.1.4.31 Modality Worklist Information Model – FIND
1.2.840.10008.5.1.4.32 General Purpose Worklist Management Meta SOP Class
1.2.840.10008.5.1.4.32.1 General Purpose Worklist Information Model – FIND
1.2.840.10008.5.1.4.32.2 General Purpose Scheduled Procedure Step SOP Class
1.2.840.10008.5.1.4.32.3 General Purpose Performed Procedure Step SOP Class
1.2.840.10008.5.1.4.33 Instance Availability Notification SOP Class
1.2.840.10008.5.1.4.37.1 General Relevant Patient Information Query
1.2.840.10008.5.1.4.37.2 Breast Imaging Relevant Patient Information Query
1.2.840.10008.5.1.4.37.3 Cardiac Relevant Patient Information Query
1.2.840.10008.5.1.4.38.1 Hanging Protocol Storage
1.2.840.10008.5.1.4.38.2 Hanging Protocol Information Model – FIND
1.2.840.10008.5.1.4.38.3 Hanging Protocol Information Model – MOVE

Space storage

Value Description Matric(px) Bit per px Size Study count
CD Color flow Doppler 768 x 576 8 0,442 MB
CR Computed radiography 3520 x 4280 12 30 MB 2
CT Computed tomography 512 x 512 16 0,524 MB 40-3000
DSA Digital Subtraction Angiography 512 x 512 8 15-40
DX Digital Radiography 2048 x 2048 12 2
MG Mammography 4608 x 5200 14 45,7 MB 1
MR Magnetic Resonance 256 x 256 16 0,131 MB 60-3000
NM Nuclear Medicine 256 x 256 0,128 MB
PET Positron Emission Tomography - PET 128 x 128 32 MB
US Ultrasound 512 x 512 8 0,262 MB 20-240
XA X-Ray Angiography 512 x 512 16

SOP Classes for Storage Application Entity (SCP)

SOP Class Name SOP Class UID SCU SCP
Verification SOP Class 1.2.840.10008.1.1 Yes Yes
Storage Commitment Push Model SOP Class 1.2.840.10008.1.20.1 No Yes
Image Storage SOP Classes:
Computed Radiography Image Storage 1.2.840.10008.5.1.4.1.1.1 No Yes
Digital X-Ray Image Storage - For Presentation 1.2.840.10008.5.1.4.1.1.1.1 No Yes
Digital X-Ray Image Storage - For Processing 1.2.840.10008.5.1.4.1.1.1.1.1 No Yes
Digital Mammography X-Ray Image Storage - For Presentation 1.2.840.10008.5.1.4.1.1.1.2 No Yes
Digital Mammography X-Ray Image Storage - For Processing 1.2.840.10008.5.1.4.1.1.1.2.1 No Yes
Digital Intra-Oral X-Ray Image Storage - For Presentation 1.2.840.10008.5.1.4.1.1.1.3 No Yes
Digital Intra-Oral X-Ray Image Storage - For Processing 1.2.840.10008.5.1.4.1.1.1.3.1 No Yes
CT Image Storage 1.2.840.10008.5.1.4.1.1.2 No Yes
Enhanced CT Image Storage 1.2.840.10008.5.1.4.1.1.2.1 No Yes
Legacy Converted Enhanced CT Image Storage 1.2.840.10008.5.1.4.1.1.2.2 No Yes
Ultrasound Multi-frame Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.3 No Yes
Ultrasound Multi-frame Image Storage 1.2.840.10008.5.1.4.1.1.3.1 No Yes
MR Image Storage 1.2.840.10008.5.1.4.1.1.4 No Yes
Enhanced MR Image Storage 1.2.840.10008.5.1.4.1.1.4.1 No Yes
Enhanced MR Color Image Storage 1.2.840.10008.5.1.4.1.1.4.3 No Yes
Legacy Converted Enhanced MR Image Storage 1.2.840.10008.5.1.4.1.1.4.4 No Yes
Nuclear Medicine Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.5 No Yes
Ultrasound Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.6 No Yes
Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1 No Yes
Enhanced US Volume Storage 1.2.840.10008.5.1.4.1.1.6.2 No Yes
Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 No Yes
Multi-frame Grayscale Byte Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7.2 No Yes
Multi-frame Grayscale Word Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7.3 No Yes
Multi-frame True Color Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7.4 No Yes
X-Ray Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.12.1 No Yes
Enhanced XA Image Storage 1.2.840.10008.5.1.4.1.1.12.1.1 No Yes
X-Ray Radiofluoroscopic Image Storage 1.2.840.10008.5.1.4.1.1.12.2 No Yes
Enhanced XRF Image Storage 1.2.840.10008.5.1.4.1.1.12.2.1 No Yes
X-Ray Angiographic Bi-Plane Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.12.3 No Yes
X-Ray 3D Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.13.1.1 No Yes
X-Ray 3D Craniofacial Image Storage 1.2.840.10008.5.1.4.1.1.13.1.2 No Yes
Breast Tomosynthesis Image Storage 1.2.840.10008.5.1.4.1.1.13.1.3 No Yes
Breast Projection X-Ray Image Storage - For Presentation 1.2.840.10008.5.1.4.1.1.13.1.4 No Yes
Breast Projection X-Ray Image Storage - For Processing 1.2.840.10008.5.1.4.1.1.13.1.5 No Yes
Intravascular Optical Coherence Tomography Image Storage - For Presentation 1.2.840.10008.5.1.4.1.1.14.1 No Yes
Intravascular Optical Coherence Tomography Image Storage - For Processing 1.2.840.10008.5.1.4.1.1.14.2 No Yes
Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.20 No Yes
VL Image Storage - Trial (Retired) 1.2.840.10008.5.1.4.1.1.77.1 No Yes
VL Multi-frame Image Storage - Trial (Retired) 1.2.840.10008.5.1.4.1.1.77.2 No Yes
VL Endoscopic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.1 No Yes
VL Microscopic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.2 No Yes
VL Slide-Coordinates Microscopic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.3 No Yes
VL Photographic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.4 No Yes
Ophthalmic Photography 8 Bit Image Storage 1.2.840.10008.5.1.4.1.1.77.1.5.1 No Yes
Ophthalmic Photography 16 Bit Image Storage 1.2.840.10008.5.1.4.1.1.77.1.5.2 No Yes
Ophthalmic Tomography Image Storage 1.2.840.10008.5.1.4.1.1.77.1.5.4 No Yes
Wide Field Ophthalmic Photography Stereographic Projection Image Storage 1.2.840.10008.5.1.4.1.1.77.1.5.5 No Yes
Wide Field Ophthalmic Photography 3D Coordinates Image Storage 1.2.840.10008.5.1.4.1.1.77.1.5.6 No Yes
Ophthalmic Optical Coherence Tomography En Face Image Storage 1.2.840.10008.5.1.4.1.1.77.1.5.7 No Yes
Ophthalmic Optical Coherence Tomography B-scan Volume Analysis Storage 1.2.840.10008.5.1.4.1.1.77.1.5.8 No Yes
VL Whole Slide Microscopy Image Storage 1.2.840.10008.5.1.4.1.1.77.1.6 No Yes
Dermoscopic Photography Image Storage 1.2.840.10008.5.1.4.1.1.77.1.7 No Yes
Ophthalmic Thickness Map Storage 1.2.840.10008.5.1.4.1.1.81.1 No Yes
Corneal Topography Map Storage 1.2.840.10008.5.1.4.1.1.82.1 No Yes
Positron Emission Tomography Image Storage 1.2.840.10008.5.1.4.1.1.128 No Yes
Legacy Converted Enhanced PET Image Storage 1.2.840.10008.5.1.4.1.1.128.1 No Yes
Enhanced PET Image Storage 1.2.840.10008.5.1.4.1.1.130 No Yes
RT Image Storage 1.2.840.10008.5.1.4.1.1.481.1 No Yes
Enhanced RT Image Storage 1.2.840.10008.5.1.4.1.1.481.23 No Yes
Enhanced Continuous RT Image Storage 1.2.840.10008.5.1.4.1.1.481.24 No Yes
Private Fuji CR Image Storage 1.2.392.200036.9125.1.1.2 No Yes
Private GE Dicom CT Image Info Object 1.2.840.113619.4.3 No Yes
Private GE Dicom Display Image Info Object 1.2.840.113619.4.4 No Yes
Private GE Dicom MR Image Info Object 1.2.840.113619.4.2 No Yes
Private Philips CT Synthetic Image Storage 1.3.46.670589.5.0.9 No Yes
Private Philips CX Image Storage 1.3.46.670589.2.4.1.1 No Yes
Private Philips CX Synthetic Image Storage 1.3.46.670589.5.0.12 No Yes
Private Philips MR Color Image Storage 1.3.46.670589.11.0.0.12.3 No Yes
Private Philips MR Synthetic Image Storage 1.3.46.670589.5.0.10 No Yes
Private Philips Perfusion Image Storage 1.3.46.670589.5.0.14 No Yes
Private PixelMed Floating Point Image Storage 1.3.6.1.4.1.5962.301.9 No Yes
Private PixelMed Legacy Converted Enhanced CT Image Storage 1.3.6.1.4.1.5962.301.1 No Yes
Private PixelMed Legacy Converted Enhanced MR Image Storage 1.3.6.1.4.1.5962.301.2 No Yes
Private PixelMed Legacy Converted Enhanced PET Image Storage 1.3.6.1.4.1.5962.301.3 No Yes
Private PMOD Multi-frame Image Storage 2.16.840.1.114033.5.1.4.1.1.130 No Yes
Private Toshiba US Image Storage 1.2.392.200036.9116.7.8.1.1.1 No Yes
Video Storage SOP Classes:
Video Endoscopic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.1.1 No Yes
Video Microscopic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.2.1 No Yes
Video Photographic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.4.1 No Yes
Structured Report Storage SOP Classes:
Spectacle Prescription Report Storage 1.2.840.10008.5.1.4.1.1.78.6 No Yes
Macular Grid Thickness and Volume Report Storage 1.2.840.10008.5.1.4.1.1.79.1 No Yes
Basic Text SR Storage 1.2.840.10008.5.1.4.1.1.88.11 No Yes
Enhanced SR Storage 1.2.840.10008.5.1.4.1.1.88.22 No Yes
Comprehensive SR Storage 1.2.840.10008.5.1.4.1.1.88.33 No Yes
Comprehensive 3D SR Storage 1.2.840.10008.5.1.4.1.1.88.34 No Yes
Extensible SR Storage 1.2.840.10008.5.1.4.1.1.88.35 No Yes
Procedure Log Storage 1.2.840.10008.5.1.4.1.1.88.40 No Yes
Mammography CAD SR Storage 1.2.840.10008.5.1.4.1.1.88.50 No Yes
Key Object Selection Document Storage 1.2.840.10008.5.1.4.1.1.88.59 No Yes
Chest CAD SR Storage 1.2.840.10008.5.1.4.1.1.88.65 No Yes
X-Ray Radiation Dose SR Storage 1.2.840.10008.5.1.4.1.1.88.67 No Yes
Radiopharmaceutical Radiation Dose SR Storage 1.2.840.10008.5.1.4.1.1.88.68 No Yes
Colon CAD SR Storage 1.2.840.10008.5.1.4.1.1.88.69 No Yes
Implantation Plan SR Storage 1.2.840.10008.5.1.4.1.1.88.70 No Yes
Acquisition Context SR Storage 1.2.840.10008.5.1.4.1.1.88.71 No Yes
Simplified Adult Echo SR Storage 1.2.840.10008.5.1.4.1.1.88.72 No Yes
Patient Radiation Dose SR Storage 1.2.840.10008.5.1.4.1.1.88.73 No Yes
Planned Imaging Agent Administration SR Storage 1.2.840.10008.5.1.4.1.1.88.74 No Yes
Performed Imaging Agent Administration SR Storage 1.2.840.10008.5.1.4.1.1.88.75 No Yes
Enhanced X-Ray Radiation Dose SR Storage 1.2.840.10008.5.1.4.1.1.88.76 No Yes
Other Storage SOP Classes:
Stored Print Storage SOP Class (Retired) 1.2.840.10008.5.1.1.27 No Yes
Hardcopy Grayscale Image Storage SOP Class (Retired) 1.2.840.10008.5.1.1.29 No Yes
Hardcopy Color Image Storage SOP Class (Retired) 1.2.840.10008.5.1.1.30 No Yes
MR Spectroscopy Storage 1.2.840.10008.5.1.4.1.1.4.2 No Yes
Multi-frame Single Bit Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7.1 No Yes
Standalone Overlay Storage (Retired) 1.2.840.10008.5.1.4.1.1.8 No Yes
Standalone Curve Storage (Retired) 1.2.840.10008.5.1.4.1.1.9 No Yes
12-lead ECG Waveform Storage 1.2.840.10008.5.1.4.1.1.9.1.1 No Yes
General ECG Waveform Storage 1.2.840.10008.5.1.4.1.1.9.1.2 No Yes
Ambulatory ECG Waveform Storage 1.2.840.10008.5.1.4.1.1.9.1.3 No Yes
Hemodynamic Waveform Storage 1.2.840.10008.5.1.4.1.1.9.2.1 No Yes
Cardiac Electrophysiology Waveform Storage 1.2.840.10008.5.1.4.1.1.9.3.1 No Yes
Basic Voice Audio Waveform Storage 1.2.840.10008.5.1.4.1.1.9.4.1 No Yes
General Audio Waveform Storage 1.2.840.10008.5.1.4.1.1.9.4.2 No Yes
Arterial Pulse Waveform Storage 1.2.840.10008.5.1.4.1.1.9.5.1 No Yes
Respiratory Waveform Storage 1.2.840.10008.5.1.4.1.1.9.6.1 No Yes
Multi-channel Respiratory Waveform Storage 1.2.840.10008.5.1.4.1.1.9.6.2 No Yes
Routine Scalp Electroencephalogram Waveform Storage 1.2.840.10008.5.1.4.1.1.9.7.1 No Yes
Electromyogram Waveform Storage 1.2.840.10008.5.1.4.1.1.9.7.2 No Yes
Electrooculogram Waveform Storage 1.2.840.10008.5.1.4.1.1.9.7.3 No Yes
Sleep Electroencephalogram Waveform Storage 1.2.840.10008.5.1.4.1.1.9.7.4 No Yes
Body Position Waveform Storage 1.2.840.10008.5.1.4.1.1.9.8.1 No Yes
Standalone Modality LUT Storage (Retired) 1.2.840.10008.5.1.4.1.1.10 No Yes
Standalone VOI LUT Storage (Retired) 1.2.840.10008.5.1.4.1.1.11 No Yes
Grayscale Softcopy Presentation State Storage SOP Class 1.2.840.10008.5.1.4.1.1.11.1 No Yes
Color Softcopy Presentation State Storage SOP Class 1.2.840.10008.5.1.4.1.1.11.2 No Yes
Pseudo-Color Softcopy Presentation State Storage SOP Class 1.2.840.10008.5.1.4.1.1.11.3 No Yes
Blending Softcopy Presentation State Storage SOP Class 1.2.840.10008.5.1.4.1.1.11.4 No Yes
XA/XRF Grayscale Softcopy Presentation State Storage 1.2.840.10008.5.1.4.1.1.11.5 No Yes
Grayscale Planar MPR Volumetric Presentation State Storage 1.2.840.10008.5.1.4.1.1.11.6 No Yes
Compositing Planar MPR Volumetric Presentation State Storage 1.2.840.10008.5.1.4.1.1.11.7 No Yes
Advanced Blending Presentation State Storage 1.2.840.10008.5.1.4.1.1.11.8 No Yes
Volume Rendering Volumetric Presentation State Storage 1.2.840.10008.5.1.4.1.1.11.9 No Yes
Segmented Volume Rendering Volumetric Presentation State Storage 1.2.840.10008.5.1.4.1.1.11.10 No Yes
Multiple Volume Rendering Volumetric Presentation State Storage 1.2.840.10008.5.1.4.1.1.11.11 No Yes
Parametric Map Storage 1.2.840.10008.5.1.4.1.1.30 No Yes
Raw Data Storage 1.2.840.10008.5.1.4.1.1.66 No Yes
Spatial Registration Storage 1.2.840.10008.5.1.4.1.1.66.1 No Yes
Spatial Fiducials Storage 1.2.840.10008.5.1.4.1.1.66.2 No Yes
Deformable Spatial Registration Storage 1.2.840.10008.5.1.4.1.1.66.3 No Yes
Segmentation Storage 1.2.840.10008.5.1.4.1.1.66.4 No Yes
Surface Segmentation Storage 1.2.840.10008.5.1.4.1.1.66.5 No Yes
Tractography Results Storage 1.2.840.10008.5.1.4.1.1.66.6 No Yes
Real World Value Mapping Storage 1.2.840.10008.5.1.4.1.1.67 No Yes
Surface Scan Mesh Storage 1.2.840.10008.5.1.4.1.1.68.1 No Yes
Surface Scan Point Cloud Storage 1.2.840.10008.5.1.4.1.1.68.2 No Yes
Stereometric Relationship Storage 1.2.840.10008.5.1.4.1.1.77.1.5.3 No Yes
Lensometry Measurements Storage 1.2.840.10008.5.1.4.1.1.78.1 No Yes
Autorefraction Measurements Storage 1.2.840.10008.5.1.4.1.1.78.2 No Yes
Keratometry Measurements Storage 1.2.840.10008.5.1.4.1.1.78.3 No Yes
Subjective Refraction Measurements Storage 1.2.840.10008.5.1.4.1.1.78.4 No Yes
Visual Acuity Measurements Storage 1.2.840.10008.5.1.4.1.1.78.5 No Yes
Ophthalmic Axial Measurements Storage 1.2.840.10008.5.1.4.1.1.78.7 No Yes
Intraocular Lens Calculations Storage 1.2.840.10008.5.1.4.1.1.78.8 No Yes
Ophthalmic Visual Field Static Perimetry Measurements Storage 1.2.840.10008.5.1.4.1.1.80.1 No Yes
BasicStructuredDisplayStorage 1.2.840.10008.5.1.4.1.1.131 No Yes
Encapsulated PDF Storage 1.2.840.10008.5.1.4.1.1.104.1 No Yes
Encapsulated CDA Storage 1.2.840.10008.5.1.4.1.1.104.2 No Yes
Encapsulated STL Storage 1.2.840.10008.5.1.4.1.1.104.3 No Yes
Encapsulated OBJ Storage 1.2.840.10008.5.1.4.1.1.104.4 No Yes
Encapsulated MTL Storage 1.2.840.10008.5.1.4.1.1.104.5 No Yes
Standalone PET Curve Storage (Retired) 1.2.840.10008.5.1.4.1.1.129 No Yes
Text SR Storage Trial (Retired) 1.2.840.10008.5.1.4.1.1.88.1 No Yes
Audio SR Storage Trial (Retired) 1.2.840.10008.5.1.4.1.1.88.2 No Yes
Detail SR Storage Trial (Retired) 1.2.840.10008.5.1.4.1.1.88.3 No Yes
Comprehensive SR Storage Trial (Retired) 1.2.840.10008.5.1.4.1.1.88.4 No Yes
Content Assessment Results Storage 1.2.840.10008.5.1.4.1.1.90.1 No Yes
Microscopy Bulk Simple Annotations Storage 1.2.840.10008.5.1.4.1.1.91.1 No Yes
CT Performed Procedure Protocol Storage 1.2.840.10008.5.1.4.1.1.200.2 No Yes
XA Performed Procedure Protocol Storage 1.2.840.10008.5.1.4.1.1.200.8 No Yes
RT Dose Storage 1.2.840.10008.5.1.4.1.1.481.2 No Yes
RT Structure Set Storage 1.2.840.10008.5.1.4.1.1.481.3 No Yes
RT Beams Treatment Record Storage 1.2.840.10008.5.1.4.1.1.481.4 No Yes
RT Plan Storage 1.2.840.10008.5.1.4.1.1.481.5 No Yes
RT Brachy Treatment Record Storage 1.2.840.10008.5.1.4.1.1.481.6 No Yes
RT Treatment Summary Record Storage 1.2.840.10008.5.1.4.1.1.481.7 No Yes
RT Ion Plan Storage 1.2.840.10008.5.1.4.1.1.481.8 No Yes
RT Ion Beams Treatment Record Storage 1.2.840.10008.5.1.4.1.1.481.9 No Yes
RT Physician Intent Storage 1.2.840.10008.5.1.4.1.1.481.10 No Yes
RT Segment Annotation Storage 1.2.840.10008.5.1.4.1.1.481.11 No Yes
RT Radiation Set Storage 1.2.840.10008.5.1.4.1.1.481.12 No Yes
C-Arm Photon-Electron Radiation Storage 1.2.840.10008.5.1.4.1.1.481.13 No Yes
Tomotherapeutic Radiation Storage 1.2.840.10008.5.1.4.1.1.481.14 No Yes
Robotic-Arm Radiation Storage 1.2.840.10008.5.1.4.1.1.481.15 No Yes
RT Radiation Record Set Storage 1.2.840.10008.5.1.4.1.1.481.16 No Yes
RT Radiation Salvage Record Storage 1.2.840.10008.5.1.4.1.1.481.17 No Yes
Tomotherapeutic Radiation Record Storage 1.2.840.10008.5.1.4.1.1.481.18 No Yes
C-Arm Photon-Electron Radiation Record Storage 1.2.840.10008.5.1.4.1.1.481.19 No Yes
Robotic Radiation Record Storage 1.2.840.10008.5.1.4.1.1.481.20 No Yes
RT Radiation Set Delivery Instruction Storage 1.2.840.10008.5.1.4.1.1.481.21 No Yes
RT Treatment Preparation Storage 1.2.840.10008.5.1.4.1.1.481.22 No Yes
RT Patient Position Acquisition Instruction Storage 1.2.840.10008.5.1.4.1.1.481.25 No Yes
RT Beams Delivery Instruction Storage 1.2.840.10008.5.1.4.34.7 No Yes
RT Brachy Application Setup Delivery Instruction Storage 1.2.840.10008.5.1.4.34.10 No Yes
Private Agfa Arrival Transaction 1.2.124.113532.3500.8.1 No Yes
Private Agfa Basic Attribute Presentation State 1.2.124.113532.3500.7 No Yes
Private Agfa Dictation Transaction 1.2.124.113532.3500.8.2 No Yes
Private Agfa Report Approval Transaction 1.2.124.113532.3500.8.4 No Yes
Private Agfa Report Transcription Transaction 1.2.124.113532.3500.8.3 No Yes
Private ERAD Practice Builder Report Dictation Storage 1.2.826.0.1.3680043.293.1.0.2 No Yes
Private ERAD Practice Builder Report Text Storage 1.2.826.0.1.3680043.293.1.0.1 No Yes
Private GE 3D Model Storage 1.2.840.113619.4.26 No Yes
Private GE Collage Storage 1.2.528.1.1001.5.1.1.1 No Yes
Private GE eNTEGRA Protocol or NM Genie Storage 1.2.840.113619.4.27 No Yes
Private GE PET Raw Data Storage 1.2.840.113619.4.30 No Yes
Private GE RT Plan Storage 1.2.840.113619.4.5.249 No Yes
Private Philips 3D Object Storage 1.3.46.670589.5.0.2.1 No Yes
Private Philips 3D Object Storage (Retired) 1.3.46.670589.5.0.2 No Yes
Private Philips 3D Presentation State Storage 1.3.46.670589.2.5.1.1 No Yes
Private Philips Composite Object Storage 1.3.46.670589.5.0.4 No Yes
Private Philips HP Live 3D 01 Storage 1.2.840.113543.6.6.1.3.10001 No Yes
Private Philips HP Live 3D 02 Storage 1.2.840.113543.6.6.1.3.10002 No Yes
Private Philips Live Run Storage 1.3.46.670589.7.8.1618510092 No Yes
Private Philips MR Cardio Analysis Storage 1.3.46.670589.5.0.11.1 No Yes
Private Philips MR Cardio Analysis Storage (Retired) 1.3.46.670589.5.0.11 No Yes
Private Philips MR Cardio Profile Storage 1.3.46.670589.5.0.7 No Yes
Private Philips MR Cardio Storage 1.3.46.670589.5.0.8.1 No Yes
Private Philips MR Cardio Storage (Retired) 1.3.46.670589.5.0.8 No Yes
Private Philips MR Examcard Storage 1.3.46.670589.11.0.0.12.4 No Yes
Private Philips MR Series Data Storage 1.3.46.670589.11.0.0.12.2 No Yes
Private Philips MR Spectrum Storage 1.3.46.670589.11.0.0.12.1 No Yes
Private Philips Perfusion Storage 1.3.46.670589.5.0.13 No Yes
Private Philips Reconstruction Storage 1.3.46.670589.7.8.16185100130 No Yes
Private Philips Run Storage 1.3.46.670589.7.8.16185100129 No Yes
Private Philips Specialised XA Storage 1.3.46.670589.2.3.1.1 No Yes
Private Philips Surface Storage 1.3.46.670589.5.0.3.1 No Yes
Private Philips Surface Storage (Retired) 1.3.46.670589.5.0.3 No Yes
Private Philips Volume Set Storage 1.3.46.670589.2.11.1.1 No Yes
Private Philips Volume Storage 1.3.46.670589.5.0.1.1 No Yes
Private Philips Volume Storage (Retired) 1.3.46.670589.5.0.1 No Yes
Private Philips VRML Storage 1.3.46.670589.2.8.1.1 No Yes
Private Philips X-Ray MF Storage 1.3.46.670589.7.8.1618510091 No Yes
Private Siemens AX Frame Sets Storage 1.3.12.2.1107.5.99.3.11 No Yes
Private Siemens CSA Non Image Storage 1.3.12.2.1107.5.9.1 No Yes
Private Siemens CT MR Volume Storage 1.3.12.2.1107.5.99.3.10 No Yes
Private TomTec Annotation Storage 1.2.276.0.48.5.1.4.1.1.7 No Yes

SOP Classes for Query/Retrieve Application Entity

SOP Class Name SOP Class UID SCU SCP
Verification SOP Class 1.2.840.10008.1.1 Yes Yes
Patient Root Query/Retrieve Information Model - FIND 1.2.840.10008.5.1.4.1.2.1.1 No Yes
Patient Root Query/Retrieve Information Model - MOVE 1.2.840.10008.5.1.4.1.2.1.2 No Yes
Patient Root Query/Retrieve Information Model - GET 1.2.840.10008.5.1.4.1.2.1.3 No Yes
Study Root Query/Retrieve Information Model - FIND 1.2.840.10008.5.1.4.1.2.2.1 Yes Yes
Study Root Query/Retrieve Information Model - MOVE 1.2.840.10008.5.1.4.1.2.2.2 Yes Yes
Study Root Query/Retrieve Information Model - GET 1.2.840.10008.5.1.4.1.2.2.3 No Yes
Image Storage SOP Classes:
Computed Radiography Image Storage 1.2.840.10008.5.1.4.1.1.1 Yes No
Digital X-Ray Image Storage - For Presentation 1.2.840.10008.5.1.4.1.1.1.1 Yes No
Digital X-Ray Image Storage - For Processing 1.2.840.10008.5.1.4.1.1.1.1.1 Yes No
Digital Mammography X-Ray Image Storage - For Presentation 1.2.840.10008.5.1.4.1.1.1.2 Yes No
Digital Mammography X-Ray Image Storage - For Processing 1.2.840.10008.5.1.4.1.1.1.2.1 Yes No
Digital Intra-Oral X-Ray Image Storage - For Presentation 1.2.840.10008.5.1.4.1.1.1.3 Yes No
Digital Intra-Oral X-Ray Image Storage - For Processing 1.2.840.10008.5.1.4.1.1.1.3.1 Yes No
CT Image Storage 1.2.840.10008.5.1.4.1.1.2 Yes No
Enhanced CT Image Storage 1.2.840.10008.5.1.4.1.1.2.1 Yes No
Legacy Converted Enhanced CT Image Storage 1.2.840.10008.5.1.4.1.1.2.2 Yes No
Ultrasound Multi-frame Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.3 Yes No
Ultrasound Multi-frame Image Storage 1.2.840.10008.5.1.4.1.1.3.1 Yes No
MR Image Storage 1.2.840.10008.5.1.4.1.1.4 Yes No
Enhanced MR Image Storage 1.2.840.10008.5.1.4.1.1.4.1 Yes No
Enhanced MR Color Image Storage 1.2.840.10008.5.1.4.1.1.4.3 Yes No
Legacy Converted Enhanced MR Image Storage 1.2.840.10008.5.1.4.1.1.4.4 Yes No
Nuclear Medicine Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.5 Yes No
Ultrasound Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.6 Yes No
Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1 Yes No
Enhanced US Volume Storage 1.2.840.10008.5.1.4.1.1.6.2 Yes No
Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 Yes No
Multi-frame Grayscale Byte Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7.2 Yes No
Multi-frame Grayscale Word Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7.3 Yes No
Multi-frame True Color Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7.4 Yes No
X-Ray Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.12.1 Yes No
Enhanced XA Image Storage 1.2.840.10008.5.1.4.1.1.12.1.1 Yes No
X-Ray Radiofluoroscopic Image Storage 1.2.840.10008.5.1.4.1.1.12.2 Yes No
Enhanced XRF Image Storage 1.2.840.10008.5.1.4.1.1.12.2.1 Yes No
X-Ray Angiographic Bi-Plane Image Storage (Retired) 1.2.840.10008.5.1.4.1.1.12.3 Yes No
X-Ray 3D Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.13.1.1 Yes No
X-Ray 3D Craniofacial Image Storage 1.2.840.10008.5.1.4.1.1.13.1.2 Yes No
Breast Tomosynthesis Image Storage 1.2.840.10008.5.1.4.1.1.13.1.3 Yes No
Breast Projection X-Ray Image Storage - For Presentation 1.2.840.10008.5.1.4.1.1.13.1.4 Yes No
Breast Projection X-Ray Image Storage - For Processing 1.2.840.10008.5.1.4.1.1.13.1.5 Yes No
Intravascular Optical Coherence Tomography Image Storage - For Presentation 1.2.840.10008.5.1.4.1.1.14.1 Yes No
Intravascular Optical Coherence Tomography Image Storage - For Processing 1.2.840.10008.5.1.4.1.1.14.2 Yes No
Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.20 Yes No
VL Image Storage - Trial (Retired) 1.2.840.10008.5.1.4.1.1.77.1 Yes No
VL Multi-frame Image Storage - Trial (Retired) 1.2.840.10008.5.1.4.1.1.77.2 Yes No
VL Endoscopic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.1 Yes No
VL Microscopic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.2 Yes No
VL Slide-Coordinates Microscopic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.3 Yes No
VL Photographic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.4 Yes No
Ophthalmic Photography 8 Bit Image Storage 1.2.840.10008.5.1.4.1.1.77.1.5.1 Yes No
Ophthalmic Photography 16 Bit Image Storage 1.2.840.10008.5.1.4.1.1.77.1.5.2 Yes No
Ophthalmic Tomography Image Storage 1.2.840.10008.5.1.4.1.1.77.1.5.4 Yes No
Wide Field Ophthalmic Photography Stereographic Projection Image Storage 1.2.840.10008.5.1.4.1.1.77.1.5.5 Yes No
Wide Field Ophthalmic Photography 3D Coordinates Image Storage 1.2.840.10008.5.1.4.1.1.77.1.5.6 Yes No
Ophthalmic Optical Coherence Tomography En Face Image Storage 1.2.840.10008.5.1.4.1.1.77.1.5.7 Yes No
Ophthalmic Optical Coherence Tomography B-scan Volume Analysis Storage 1.2.840.10008.5.1.4.1.1.77.1.5.8 Yes No
VL Whole Slide Microscopy Image Storage 1.2.840.10008.5.1.4.1.1.77.1.6 Yes No
Dermoscopic Photography Image Storage 1.2.840.10008.5.1.4.1.1.77.1.7 Yes No
Ophthalmic Thickness Map Storage 1.2.840.10008.5.1.4.1.1.81.1 Yes No
Corneal Topography Map Storage 1.2.840.10008.5.1.4.1.1.82.1 Yes No
Positron Emission Tomography Image Storage 1.2.840.10008.5.1.4.1.1.128 Yes No
Legacy Converted Enhanced PET Image Storage 1.2.840.10008.5.1.4.1.1.128.1 Yes No
Enhanced PET Image Storage 1.2.840.10008.5.1.4.1.1.130 Yes No
RT Image Storage 1.2.840.10008.5.1.4.1.1.481.1 Yes No
Enhanced RT Image Storage 1.2.840.10008.5.1.4.1.1.481.23 Yes No
Enhanced Continuous RT Image Storage 1.2.840.10008.5.1.4.1.1.481.24 Yes No
Private Fuji CR Image Storage 1.2.392.200036.9125.1.1.2 Yes No
Private GE Dicom CT Image Info Object 1.2.840.113619.4.3 Yes No
Private GE Dicom Display Image Info Object 1.2.840.113619.4.4 Yes No
Private GE Dicom MR Image Info Object 1.2.840.113619.4.2 Yes No
Private Philips CT Synthetic Image Storage 1.3.46.670589.5.0.9 Yes No
Private Philips CX Image Storage 1.3.46.670589.2.4.1.1 Yes No
Private Philips CX Synthetic Image Storage 1.3.46.670589.5.0.12 Yes No
Private Philips MR Color Image Storage 1.3.46.670589.11.0.0.12.3 Yes No
Private Philips MR Synthetic Image Storage 1.3.46.670589.5.0.10 Yes No
Private Philips Perfusion Image Storage 1.3.46.670589.5.0.14 Yes No
Private PixelMed Floating Point Image Storage 1.3.6.1.4.1.5962.301.9 Yes No
Private PixelMed Legacy Converted Enhanced CT Image Storage 1.3.6.1.4.1.5962.301.1 Yes No
Private PixelMed Legacy Converted Enhanced MR Image Storage 1.3.6.1.4.1.5962.301.2 Yes No
Private PixelMed Legacy Converted Enhanced PET Image Storage 1.3.6.1.4.1.5962.301.3 Yes No
Private PMOD Multi-frame Image Storage 2.16.840.1.114033.5.1.4.1.1.130 Yes No
Private Toshiba US Image Storage 1.2.392.200036.9116.7.8.1.1.1 Yes No
Video Storage SOP Classes:
Video Endoscopic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.1.1 Yes No
Video Microscopic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.2.1 Yes No
Video Photographic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.4.1 Yes No
Structured Report Storage SOP Classes:
Spectacle Prescription Report Storage 1.2.840.10008.5.1.4.1.1.78.6 Yes No
Macular Grid Thickness and Volume Report Storage 1.2.840.10008.5.1.4.1.1.79.1 Yes No
Basic Text SR Storage 1.2.840.10008.5.1.4.1.1.88.11 Yes No
Enhanced SR Storage 1.2.840.10008.5.1.4.1.1.88.22 Yes No
Comprehensive SR Storage 1.2.840.10008.5.1.4.1.1.88.33 Yes No
Comprehensive 3D SR Storage 1.2.840.10008.5.1.4.1.1.88.34 Yes No
Extensible SR Storage 1.2.840.10008.5.1.4.1.1.88.35 Yes No
Procedure Log Storage 1.2.840.10008.5.1.4.1.1.88.40 Yes No
Mammography CAD SR Storage 1.2.840.10008.5.1.4.1.1.88.50 Yes No
Key Object Selection Document Storage 1.2.840.10008.5.1.4.1.1.88.59 Yes No
Chest CAD SR Storage 1.2.840.10008.5.1.4.1.1.88.65 Yes No
X-Ray Radiation Dose SR Storage 1.2.840.10008.5.1.4.1.1.88.67 Yes No
Radiopharmaceutical Radiation Dose SR Storage 1.2.840.10008.5.1.4.1.1.88.68 Yes No
Colon CAD SR Storage 1.2.840.10008.5.1.4.1.1.88.69 Yes No
Implantation Plan SR Storage 1.2.840.10008.5.1.4.1.1.88.70 Yes No
Acquisition Context SR Storage 1.2.840.10008.5.1.4.1.1.88.71 Yes No
Simplified Adult Echo SR Storage 1.2.840.10008.5.1.4.1.1.88.72 Yes No
Patient Radiation Dose SR Storage 1.2.840.10008.5.1.4.1.1.88.73 Yes No
Planned Imaging Agent Administration SR Storage 1.2.840.10008.5.1.4.1.1.88.74 Yes No
Performed Imaging Agent Administration SR Storage 1.2.840.10008.5.1.4.1.1.88.75 Yes No
Enhanced X-Ray Radiation Dose SR Storage 1.2.840.10008.5.1.4.1.1.88.76 Yes No
Other Storage SOP Classes:
Stored Print Storage SOP Class (Retired) 1.2.840.10008.5.1.1.27 Yes No
Hardcopy Grayscale Image Storage SOP Class (Retired) 1.2.840.10008.5.1.1.29 Yes No
Hardcopy Color Image Storage SOP Class (Retired) 1.2.840.10008.5.1.1.30 Yes No
MR Spectroscopy Storage 1.2.840.10008.5.1.4.1.1.4.2 Yes No
Multi-frame Single Bit Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7.1 Yes No
Standalone Overlay Storage (Retired) 1.2.840.10008.5.1.4.1.1.8 Yes No
Standalone Curve Storage (Retired) 1.2.840.10008.5.1.4.1.1.9 Yes No
12-lead ECG Waveform Storage 1.2.840.10008.5.1.4.1.1.9.1.1 Yes No
General ECG Waveform Storage 1.2.840.10008.5.1.4.1.1.9.1.2 Yes No
Ambulatory ECG Waveform Storage 1.2.840.10008.5.1.4.1.1.9.1.3 Yes No
Hemodynamic Waveform Storage 1.2.840.10008.5.1.4.1.1.9.2.1 Yes No
Cardiac Electrophysiology Waveform Storage 1.2.840.10008.5.1.4.1.1.9.3.1 Yes No
Basic Voice Audio Waveform Storage 1.2.840.10008.5.1.4.1.1.9.4.1 Yes No
General Audio Waveform Storage 1.2.840.10008.5.1.4.1.1.9.4.2 Yes No
Arterial Pulse Waveform Storage 1.2.840.10008.5.1.4.1.1.9.5.1 Yes No
Respiratory Waveform Storage 1.2.840.10008.5.1.4.1.1.9.6.1 Yes No
Multi-channel Respiratory Waveform Storage 1.2.840.10008.5.1.4.1.1.9.6.2 Yes No
Routine Scalp Electroencephalogram Waveform Storage 1.2.840.10008.5.1.4.1.1.9.7.1 Yes No
Electromyogram Waveform Storage 1.2.840.10008.5.1.4.1.1.9.7.2 Yes No
Electrooculogram Waveform Storage 1.2.840.10008.5.1.4.1.1.9.7.3 Yes No
Sleep Electroencephalogram Waveform Storage 1.2.840.10008.5.1.4.1.1.9.7.4 Yes No
Body Position Waveform Storage 1.2.840.10008.5.1.4.1.1.9.8.1 Yes No
Standalone Modality LUT Storage (Retired) 1.2.840.10008.5.1.4.1.1.10 Yes No
Standalone VOI LUT Storage (Retired) 1.2.840.10008.5.1.4.1.1.11 Yes No
Grayscale Softcopy Presentation State Storage SOP Class 1.2.840.10008.5.1.4.1.1.11.1 Yes No
Color Softcopy Presentation State Storage SOP Class 1.2.840.10008.5.1.4.1.1.11.2 Yes No
Pseudo-Color Softcopy Presentation State Storage SOP Class 1.2.840.10008.5.1.4.1.1.11.3 Yes No
Blending Softcopy Presentation State Storage SOP Class 1.2.840.10008.5.1.4.1.1.11.4 Yes No
XA/XRF Grayscale Softcopy Presentation State Storage 1.2.840.10008.5.1.4.1.1.11.5 Yes No
Grayscale Planar MPR Volumetric Presentation State Storage 1.2.840.10008.5.1.4.1.1.11.6 Yes No
Compositing Planar MPR Volumetric Presentation State Storage 1.2.840.10008.5.1.4.1.1.11.7 Yes No
Advanced Blending Presentation State Storage 1.2.840.10008.5.1.4.1.1.11.8 Yes No
Volume Rendering Volumetric Presentation State Storage 1.2.840.10008.5.1.4.1.1.11.9 Yes No
Segmented Volume Rendering Volumetric Presentation State Storage 1.2.840.10008.5.1.4.1.1.11.10 Yes No
Multiple Volume Rendering Volumetric Presentation State Storage 1.2.840.10008.5.1.4.1.1.11.11 Yes No
Parametric Map Storage 1.2.840.10008.5.1.4.1.1.30 Yes No
Raw Data Storage 1.2.840.10008.5.1.4.1.1.66 Yes No
Spatial Registration Storage 1.2.840.10008.5.1.4.1.1.66.1 Yes No
Spatial Fiducials Storage 1.2.840.10008.5.1.4.1.1.66.2 Yes No
Deformable Spatial Registration Storage 1.2.840.10008.5.1.4.1.1.66.3 Yes No
Segmentation Storage 1.2.840.10008.5.1.4.1.1.66.4 Yes No
Surface Segmentation Storage 1.2.840.10008.5.1.4.1.1.66.5 Yes No
Tractography Results Storage 1.2.840.10008.5.1.4.1.1.66.6 Yes No
Real World Value Mapping Storage 1.2.840.10008.5.1.4.1.1.67 Yes No
Surface Scan Mesh Storage 1.2.840.10008.5.1.4.1.1.68.1 Yes No
Surface Scan Point Cloud Storage 1.2.840.10008.5.1.4.1.1.68.2 Yes No
Stereometric Relationship Storage 1.2.840.10008.5.1.4.1.1.77.1.5.3 Yes No
Lensometry Measurements Storage 1.2.840.10008.5.1.4.1.1.78.1 Yes No
Autorefraction Measurements Storage 1.2.840.10008.5.1.4.1.1.78.2 Yes No
Keratometry Measurements Storage 1.2.840.10008.5.1.4.1.1.78.3 Yes No
Subjective Refraction Measurements Storage 1.2.840.10008.5.1.4.1.1.78.4 Yes No
Visual Acuity Measurements Storage 1.2.840.10008.5.1.4.1.1.78.5 Yes No
Ophthalmic Axial Measurements Storage 1.2.840.10008.5.1.4.1.1.78.7 Yes No
Intraocular Lens Calculations Storage 1.2.840.10008.5.1.4.1.1.78.8 Yes No
Ophthalmic Visual Field Static Perimetry Measurements Storage 1.2.840.10008.5.1.4.1.1.80.1 Yes No
BasicStructuredDisplayStorage 1.2.840.10008.5.1.4.1.1.131 Yes No
Encapsulated PDF Storage 1.2.840.10008.5.1.4.1.1.104.1 Yes No
Encapsulated CDA Storage 1.2.840.10008.5.1.4.1.1.104.2 Yes No
Encapsulated STL Storage 1.2.840.10008.5.1.4.1.1.104.3 Yes No
Encapsulated OBJ Storage 1.2.840.10008.5.1.4.1.1.104.4 Yes No
Encapsulated MTL Storage 1.2.840.10008.5.1.4.1.1.104.5 Yes No
Standalone PET Curve Storage (Retired) 1.2.840.10008.5.1.4.1.1.129 Yes No
Text SR Storage Trial (Retired) 1.2.840.10008.5.1.4.1.1.88.1 Yes No
Audio SR Storage Trial (Retired) 1.2.840.10008.5.1.4.1.1.88.2 Yes No
Detail SR Storage Trial (Retired) 1.2.840.10008.5.1.4.1.1.88.3 Yes No
Comprehensive SR Storage Trial (Retired) 1.2.840.10008.5.1.4.1.1.88.4 Yes No
Content Assessment Results Storage 1.2.840.10008.5.1.4.1.1.90.1 Yes No
Microscopy Bulk Simple Annotations Storage 1.2.840.10008.5.1.4.1.1.91.1 Yes No
CT Performed Procedure Protocol Storage 1.2.840.10008.5.1.4.1.1.200.2 Yes No
XA Performed Procedure Protocol Storage 1.2.840.10008.5.1.4.1.1.200.8 Yes No
RT Dose Storage 1.2.840.10008.5.1.4.1.1.481.2 Yes No
RT Structure Set Storage 1.2.840.10008.5.1.4.1.1.481.3 Yes No
RT Beams Treatment Record Storage 1.2.840.10008.5.1.4.1.1.481.4 Yes No
RT Plan Storage 1.2.840.10008.5.1.4.1.1.481.5 Yes No
RT Brachy Treatment Record Storage 1.2.840.10008.5.1.4.1.1.481.6 Yes No
RT Treatment Summary Record Storage 1.2.840.10008.5.1.4.1.1.481.7 Yes No
RT Ion Plan Storage 1.2.840.10008.5.1.4.1.1.481.8 Yes No
RT Ion Beams Treatment Record Storage 1.2.840.10008.5.1.4.1.1.481.9 Yes No
RT Physician Intent Storage 1.2.840.10008.5.1.4.1.1.481.10 Yes No
RT Segment Annotation Storage 1.2.840.10008.5.1.4.1.1.481.11 Yes No
RT Radiation Set Storage 1.2.840.10008.5.1.4.1.1.481.12 Yes No
C-Arm Photon-Electron Radiation Storage 1.2.840.10008.5.1.4.1.1.481.13 Yes No
Tomotherapeutic Radiation Storage 1.2.840.10008.5.1.4.1.1.481.14 Yes No
Robotic-Arm Radiation Storage 1.2.840.10008.5.1.4.1.1.481.15 Yes No
RT Radiation Record Set Storage 1.2.840.10008.5.1.4.1.1.481.16 Yes No
RT Radiation Salvage Record Storage 1.2.840.10008.5.1.4.1.1.481.17 Yes No
Tomotherapeutic Radiation Record Storage 1.2.840.10008.5.1.4.1.1.481.18 Yes No
C-Arm Photon-Electron Radiation Record Storage 1.2.840.10008.5.1.4.1.1.481.19 Yes No
Robotic Radiation Record Storage 1.2.840.10008.5.1.4.1.1.481.20 Yes No
RT Radiation Set Delivery Instruction Storage 1.2.840.10008.5.1.4.1.1.481.21 Yes No
RT Treatment Preparation Storage 1.2.840.10008.5.1.4.1.1.481.22 Yes No
RT Patient Position Acquisition Instruction Storage 1.2.840.10008.5.1.4.1.1.481.25 Yes No
RT Beams Delivery Instruction Storage 1.2.840.10008.5.1.4.34.7 Yes No
RT Brachy Application Setup Delivery Instruction Storage 1.2.840.10008.5.1.4.34.10 Yes No
Private Agfa Arrival Transaction 1.2.124.113532.3500.8.1 Yes No
Private Agfa Basic Attribute Presentation State 1.2.124.113532.3500.7 Yes No
Private Agfa Dictation Transaction 1.2.124.113532.3500.8.2 Yes No
Private Agfa Report Approval Transaction 1.2.124.113532.3500.8.4 Yes No
Private Agfa Report Transcription Transaction 1.2.124.113532.3500.8.3 Yes No
Private ERAD Practice Builder Report Dictation Storage 1.2.826.0.1.3680043.293.1.0.2 Yes No
Private ERAD Practice Builder Report Text Storage 1.2.826.0.1.3680043.293.1.0.1 Yes No
Private GE 3D Model Storage 1.2.840.113619.4.26 Yes No
Private GE Collage Storage 1.2.528.1.1001.5.1.1.1 Yes No
Private GE eNTEGRA Protocol or NM Genie Storage 1.2.840.113619.4.27 Yes No
Private GE PET Raw Data Storage 1.2.840.113619.4.30 Yes No
Private GE RT Plan Storage 1.2.840.113619.4.5.249 Yes No
Private Philips 3D Object Storage 1.3.46.670589.5.0.2.1 Yes No
Private Philips 3D Object Storage (Retired) 1.3.46.670589.5.0.2 Yes No
Private Philips 3D Presentation State Storage 1.3.46.670589.2.5.1.1 Yes No
Private Philips Composite Object Storage 1.3.46.670589.5.0.4 Yes No
Private Philips HP Live 3D 01 Storage 1.2.840.113543.6.6.1.3.10001 Yes No
Private Philips HP Live 3D 02 Storage 1.2.840.113543.6.6.1.3.10002 Yes No
Private Philips Live Run Storage 1.3.46.670589.7.8.1618510092 Yes No
Private Philips MR Cardio Analysis Storage 1.3.46.670589.5.0.11.1 Yes No
Private Philips MR Cardio Analysis Storage (Retired) 1.3.46.670589.5.0.11 Yes No
Private Philips MR Cardio Profile Storage 1.3.46.670589.5.0.7 Yes No
Private Philips MR Cardio Storage 1.3.46.670589.5.0.8.1 Yes No
Private Philips MR Cardio Storage (Retired) 1.3.46.670589.5.0.8 Yes No
Private Philips MR Examcard Storage 1.3.46.670589.11.0.0.12.4 Yes No
Private Philips MR Series Data Storage 1.3.46.670589.11.0.0.12.2 Yes No
Private Philips MR Spectrum Storage 1.3.46.670589.11.0.0.12.1 Yes No
Private Philips Perfusion Storage 1.3.46.670589.5.0.13 Yes No
Private Philips Reconstruction Storage 1.3.46.670589.7.8.16185100130 Yes No
Private Philips Run Storage 1.3.46.670589.7.8.16185100129 Yes No
Private Philips Specialised XA Storage 1.3.46.670589.2.3.1.1 Yes No
Private Philips Surface Storage 1.3.46.670589.5.0.3.1 Yes No
Private Philips Surface Storage (Retired) 1.3.46.670589.5.0.3 Yes No
Private Philips Volume Set Storage 1.3.46.670589.2.11.1.1 Yes No
Private Philips Volume Storage 1.3.46.670589.5.0.1.1 Yes No
Private Philips Volume Storage (Retired) 1.3.46.670589.5.0.1 Yes No
Private Philips VRML Storage 1.3.46.670589.2.8.1.1 Yes No
Private Philips X-Ray MF Storage 1.3.46.670589.7.8.1618510091 Yes No
Private Siemens AX Frame Sets Storage 1.3.12.2.1107.5.99.3.11 Yes No
Private Siemens CSA Non Image Storage 1.3.12.2.1107.5.9.1 Yes No
Private Siemens CT MR Volume Storage 1.3.12.2.1107.5.99.3.10 Yes No
Private TomTec Annotation Storage 1.2.276.0.48.5.1.4.1.1.7 Yes No

Support of Character Sets

Character Set Description DICOM attribute: Specific Character Set (0008,0005) HL7 field: Character Set MSH 18
Latin alphabet No. 1 ISO_IR 100 8859/1
Latin alphabet No. 2 ISO_IR 101 8859/2
Latin alphabet No. 3 ISO_IR 109 8859/3
Latin alphabet No. 4 ISO_IR 110 8859/4
Cyrillic ISO_IR 144 8859/5
Arabic ISO_IR 127 8859/6
Greek ISO_IR 126 8859/7
Hebrew ISO_IR 138 8859/8
Latin alphabet No. 5 ISO_IR 148 8859/9
Japanese ISO_IR 13 ISO IR14
Thai ISO_IR 166 CNS 11643-1992
Default repertoire ISO 2022 IR 6 not supported
Latin alphabet No. 1 ISO 2022 IR 100 not supported
Latin alphabet No. 2 ISO 2022 IR 101 not supported
Latin alphabet No. 3 ISO 2022 IR 109 not supported
Latin alphabet No. 4 ISO 2022 IR 110 not supported
Cyrillic ISO 2022 IR 144 not supported
Arabic ISO 2022 IR 127 not supported
Greek ISO 2022 IR 126 not supported
Hebrew ISO 2022 IR 138 not supported
Latin alphabet No. 5 ISO 2022 IR 148 not supported
Japanese ISO 2022 IR 13 not supported
Thai ISO 2022 IR 166 not supported
Japanese ISO 2022 IR 87 not supported
Japanese ISO 2022 IR 159 not supported
Korean ISO 2022 IR 149 not supported
Simplified Chinese ISO 2022 IR 58 not supported
Unicode in UTF-8 ISO_IR 192 UNICODE UTF-8
GB18030 GB18030 GB 18030-2000
GBK GBK GB 18030-2000

9.2 DICOM Upper Layer Protocol for TCP/IP State Machine

9.2.1 Machine States Definition
  • Table 9-1. No Association

    State Definition
    Sta 1 Idle
  • Table 9-2. Association Establishment

    State Definition
    Sta 2 Transport connection open (Awaiting A-ASSOCIATE-RQ PDU)
    Sta 3 Awaiting local A-ASSOCIATE response primitive (from local user)
    Sta 4 Awaiting transport connection opening to complete (from local transport service)
    Sta 5 Awaiting A-ASSOCIATE-AC or A-ASSOCIATE-RJ PDU
  • Table 9-3. Data Transfer

    State Definition
    Sta 6 Association established and ready for data transfer
  • Table 9-4. Association Release

    State Definition
    Sta 7 Awaiting A-RELEASE-RP PDU
    Sta 8 Awaiting local A-RELEASE response primitive (from local user)
    Sta 9 Release collision requestor side; awaiting A-RELEASE response (from local user)
    Sta 10 Release collision acceptor side; awaiting A-RELEASE-RP PDU
    Sta 11 Release collision requestor side; awaiting A-RELEASE-RP PDU
    Sta 12 Release collision acceptor side; awaiting A-RELEASE response primitive (from local user)
  • Table 9-5. Waiting for Transport Connection Close

    State Definition
    Sta 13 Awaiting Transport Connection Close Indication (Association no longer exists)
9.2.2 State Machine Actions Definition
  • Table 9-6. Association Establishment Related Actions

    Action Definition
    AE-1 Issue TRANSPORT CONNECT request primitive to local transport serviceNext state is Sta4
    AE-2 Send A-ASSOCIATE-RQ-PDUNext state is Sta5
    AE-3 Issue A-ASSOCIATE confirmation (accept) primitiveNext state is Sta6
    AE-4 Issue A-ASSOCIATE confirmation (reject) primitive and close transport connectionNext state is Sta1
    AE-5 Issue Transport connection response primitive; start ARTIM timerNext state is Sta2
    AE-6 Stop ARTIM timer and if A-ASSOCIATE-RQ acceptable by service-provider:- issue A-ASSOCIATE indication primitiveNext state is Sta3otherwise:-issue A-ASSOCIATE-RJ-PDU and start ARTIM timerNext state is Sta13
    AE-7 Send A-ASSOCIATE-AC PDUNext state is Sta6
    AE-8 Send A-ASSOCIATE-RJ PDU and start ARTIM timerNext state is STA13
  • Table 9-7. Data Transfer Related Actions

    State Definition
    DT-1 Send P-DATA-TF PDUNext state is Sta6
    DT-2 Send P-DATA indication primitiveNext state is Sta6
  • Table 9-8. Association Release Related Actions

    Action Definition
    AR-1 Send A-RELEASE-RQ PDUNext state is Sta7
    AR-2 Issue A-RELEASE indication primitiveNext state is Sta8
    AR-3 Issue A-RELEASE confirmation primitive, and close transport connectionNext state is Sta1
    AR-4 Issue A-RELEASE-RP PDU and start ARTIM timerNext state is Sta13
    AR-5 Stop ARTIM timerNext state is Sta1
    AR-6 Issue P-DATA indicationNext state is Sta7
    AR-7 Issue P-DATA-TF PDUNext state is Sta8
    AR-8 Issue A-RELEASE indication (release collision) :- if association-requestor, next state is Sta9- if not, next state is Sta10
    AR-9 Send A-RELEASE-RP PDUNext state is Sta11
    AR-10 Issue A-RELEASE confirmation primitiveNext state is Sta12
  • Table 9-9. Association Abort Related Actions

    Action Definition
    AA-1 Send A-ABORT PDU (service-user source) and start (or restart if already started) ARTIM timer;Next state is Sta13
    AA-2 Stop ARTIM timer if running. Close transport connectionNext state is Sta1
    AA-3 If (service-user inititated abort)- issue A-ABORT indication and close transport connectionotherwise (service-provider inititated abort) :- issue A-P-ABORT indication and close transport connectionNext state is Sta1
    AA-4 Issue A-P-ABORT indication primitive, Next state is Sta1
    AA-5 Stop ARTIM timer, Next state is Sta1
    AA-6 Ignore PDU, Next state is Sta13
    AA-7 Send A-ABORT PDU, Next state is Sta13
    AA-8 Send A-ABORT PDU (service-provider source-), issue an A-P-ABORT indication, and start ARTIM timer;Nest state is Sta13
9.2.3 DICOM Upper Layer Protocol for TCP/IP State Transition Table
  • Table 9-10. DICOM Upper Layer Protocol State Transition Table

    STATES No assocn Association establishment Data transfer Association release (normal & collision) Wait for Tp Close
    EVENTS Sta1 Sta2 Sta3 Sta4 Sta5 Sta6 Sta7 Sta8 Sta9 Sta10 Sta11 Sta12 Sta13
    A-ASSOCIATE Request (local user) AE-1Sta4
    Transport Conn. Confirmn (local transport service) AE-2Sta5
    A-ASSOCIATE-AC PDU (received on transport connection) AA-1Sta13 AA-8Sta13 AE-3Sta6 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-6Sta13
    A-ASSOCIATE-RJ PDU (received on transport connection) AA-1Sta13 AA-8Sta13 AE-4Sta1 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-6Sta13
    Transport Connection Indication (local transport service) AE-5Sta2
    A-ASSOCIATE-RQ PDU (received on transport connection) AE-6Sta3 or 13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-7Sta13
    A-ASSOCIATE response primitive (accept) AE-7Sta6
    A-ASSOCIATE response primitive (reject) AE-8Sta13
    P-DATA request primitive DT-1Sta6 AR-7Sta8
    P-DATA-TF PDU AA-1Sta13 AA-8Sta13 AA-8Sta13 DT-2Sta6 AR-6Sta7 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-6Sta13
    A-RELEASE Request primitive AR-1Sta7
    A-RELEASE-RQ PDU (received on open transport connection) AA-1Sta13 AA-8Sta13 AA-8Sta13 AR-2Sta8 AR-8Sta9 or 10 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-6Sta13
    A-RELEASE-RP PDU (received on transport connection) AA-1Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AR-3Sta1 AA-8Sta13 AA-8Sta13 AR-10Sta12 AR-3Sta1 AA-8Sta13 AA-6Sta13
    A-RELEASE Response primitive AR-4Sta13 AR-9Sta11 AR-4Sta13
    A-ABORT Request primitive AA-1Sta13 AA-2Sta1 AA-1Sta13 AA-1Sta13 AA-1Sta13 AA-1Sta13 AA-1Sta13 AA-1Sta13 AA-1Sta13 AA-1Sta13
    A-ABORT PDU (received on open transport connection) AA-2Sta1 AA-3Sta1 AA-3Sta1 AA-3Sta1 AA-3Sta1 AA-3Sta1 AA-3Sta1 AA-3Sta1 AA-3Sta1 AA-3Sta1 AA-2Sta1
    Transport connection closed indication (local transport service) AA-5Sta1 AA-4Sta1 AA-4Sta1 AA-4Sta1 AA-4Sta1 AA-4Sta1 AA-4Sta1 AA-4Sta1 AA-4Sta1 AA-4Sta1 AA-4Sta1 AR-5Sta1
    ARTIM timer expired (Association reject/release timer) AA-2Sta1 AA-2Sta1
    Unrecognized or invalid PDU received AA-1Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-8Sta13 AA-7Sta13