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Transcript of 1 DICOM Singapore 2005 C. Parisot - GE DICOM Exchanging Imaging Data Various Modality Images,...
1 DICOM Singapore 2005C. Parisot - GE
DICOMDICOMExchanging Imaging DataExchanging Imaging Data
Various Modality Images, Presentation States, Structured Reports Various Modality Images, Presentation States, Structured Reports Finding and Retrieving Imaging ObjectsFinding and Retrieving Imaging Objects
DICOM Course – Singapore April 2005DICOM Course – Singapore April 2005
2 DICOM Singapore 2005C. Parisot - GE
DICOM...Is a GLOBAL STANDARD of Communication, developed under joint efforts ofACR (American College of Radiology) NEMA (National Electrical Manufacturers Assoc.)ESC (European Society of Cardiology) ACC (American College of Cardiology)SFR (Société Française de Radiology)DRG (Deutschen Röntgengesellschaft)AAO (American Academy of Ophthalmology)AAD (American Academy of Dermatology)CAP (College of American Pathology)JIRA (Japaneese Radiology Vendors Association)COCIR (European Radiology Vendors Association)And 25 plus vendors……
3 DICOM Singapore 2005C. Parisot - GE
• 20 Vendors 20 Vendors at the ‘93 DICOM RSNA Demonstration at the ‘93 DICOM RSNA Demonstration
• 40 Vendors40 Vendors at the ‘94 and 95 DICOM RSNA Demonstrations at the ‘94 and 95 DICOM RSNA Demonstrations
• More than More than 100 Vendors100 Vendors at RSNA 96 at RSNA 96
Since 1997 Since 1997 –– Too many to count !Too many to count !
DICOM first release approved October ’93DICOM first release approved October ’93
10 year anniversary10 year anniversary
4 DICOM Singapore 2005C. Parisot - GE
DICOMDICOM documents updated yearly documents updated yearly
DICOM DICOM 20042004 is a is a compatible extensioncompatible extension of DICOM 2003 of DICOM 2003 + + 2727 Clarifications/Changes + 80 Supplements Clarifications/Changes + 80 Supplements
But DICOM 3.0, DICOM 96, DICOM 98But DICOM 3.0, DICOM 96, DICOM 98, DICOM 99, DICOM 2000, DICOM 99, DICOM 2000 DICOM 2003 are only document publishing name DICOM 2003 are only document publishing namess..
This has no direct impact on existing This has no direct impact on existing Product Conformance !Product Conformance !
Available for free from the DICOM website:Available for free from the DICOM website:
dicom.nema.orgdicom.nema.org
5 DICOM Singapore 2005C. Parisot - GE
STORAGE
Networking Support, e.g.. TCP/IP
IMAGE INFORMATION OBJECTSQUERY
RETRIEVE
IMAGE
DICOM forDICOM forImage TransferImage Transfer
Understanding Image transfer with DICOM ...Understanding Image transfer with DICOM ...
6 DICOM Singapore 2005C. Parisot - GE
DICOM Spans Most of Medical ImagingDICOM Spans Most of Medical Imaging
INFORMATIONINFORMATIONOBJECTSOBJECTS
STORAGESTORAGE
Networking SupportNetworking SupportTCP/IPTCP/IP
QUERYQUERY
RETRIEVERETRIEVE
IMAGEIMAGE
DICOM runs onDICOM runs onInternet and Internet and
IntranetIntranet
CTCT, , MRMR, , CRCRSecond. Capt. (SC)Second. Capt. (SC)19931993
19951995X-Ray Cardio/VascX-Ray Cardio/VascX-Ray FluoroX-Ray Fluoro
19961996USUSNMNMPETPET
19971997 RTRT
19981998X-Ray Digital RADX-Ray Digital RADX-Ray Digital MammoX-Ray Digital MammoX-ray Intra-OralX-ray Intra-OralStored PrintStored Print
1999 Pathology, Optalmo.Pathology, Optalmo.VaweformVaweform
20032003 enhanced MR,enhanced MR, eCT, ….. eCT, …..
2001 Structured Reporting , Structured Reporting , KOS, Present. StatesKOS, Present. States
7 DICOM Singapore 2005C. Parisot - GE
19971997 RTRT
19981998X-Ray Digital RADX-Ray Digital RADX-Ray Digital MammoX-Ray Digital MammoX-ray Intra-OralX-ray Intra-OralStored PrintStored Print
DICOM Spans Most of Medical ImagingDICOM Spans Most of Medical Imaging
CTCT, , MRMR, , CRCRSecond. Capt. (SC)Second. Capt. (SC)19931993
19951995X-Ray Cardio/VascX-Ray Cardio/VascX-Ray FluoroX-Ray Fluoro
19961996USUSNMNMPETPET
1999 Pathology, Optalmo.Pathology, Optalmo.VaweformVaweform
20032003 enhanced MR,enhanced MR, eCT, ….. eCT, …..
2001 Structured Reporting, Structured Reporting, KOS, Present. StatesKOS, Present. States
DICOM transfers not only DICOM transfers not only ImagesImages, but also:, but also:
- Therapy Plans, Structures, etc. - Therapy Plans, Structures, etc. - Soon Waveforms- Soon Waveforms- Structure- Structuredd Reports Reports
DICOM transfers not only DICOM transfers not only RadiologyRadiology images, but also: images, but also:
- Cardiology (X-Ray Angio, US, NM)- Cardiology (X-Ray Angio, US, NM)- Oncology (RT Portal images)- Oncology (RT Portal images)- Dentistery (X-ray Intra-Oral)- Dentistery (X-ray Intra-Oral)- Pathology, Endoscopy, Microscopy, - Pathology, Endoscopy, Microscopy,
Optalmology, etc.Optalmology, etc.
8 DICOM Singapore 2005C. Parisot - GE
What can I really do with DICOM TODAY ?What can I really do with DICOM TODAY ?
• Build simple and easy-to-implement networksBuild simple and easy-to-implement networks
• Reap efficiency and productivity benefitsReap efficiency and productivity benefits
• Invest in a necessary step for future PACSInvest in a necessary step for future PACS
9 DICOM Singapore 2005C. Parisot - GE
Simple Networks in Radiology and TeleradiologySimple Networks in Radiology and Teleradiology
Analysis or Review
Workstation
CT, MR, NM, US, Digitizer, CT, MR, NM, US, Digitizer, CR, digital X-ray, PETCR, digital X-ray, PET
ISDN LinkISDN Linkor Dial-Upor Dial-Up
Local Area NetworkLocal Area Network
CT, MR, NM, US, Digitizer, CT, MR, NM, US, Digitizer, CR, digital X-ray, PETCR, digital X-ray, PET
ImagingImagingEquipment Equipment
ImagingImagingEquipment Equipment DICOM DICOM
SERVICES SERVICES USED USED
DICOM STORAGE DICOM STORAGE QUERY/RETRIEVEQUERY/RETRIEVE
DICOM DICOM STORAGE STORAGE
DICOM DICOM STORAGE STORAGE
A DICOM Network, today’s common foundation A DICOM Network, today’s common foundation both inside Radiology and for Teleradiology both inside Radiology and for Teleradiology
RemoteWorkstation
10 DICOM Singapore 2005C. Parisot - GE
Networks in Radiology and Care Units with Cluster ArchivingNetworks in Radiology and Care Units with Cluster Archiving
Analysisor Review
Workstation
ImagingImagingEquipment Equipment DICOM DICOM
SERVICES SERVICES USED USED
DICOMDICOMSTORAGE STORAGE
ImagingImagingEquipment Equipment
DICOMDICOMSTORAGE STORAGE
RemoteWS
ISDN LinkISDN Linkor Dial-Upor Dial-Up
DICOMDICOMSTORAGE STORAGE
Local Area NetworkLocal Area Network
ClusterClusterArchiveArchive
CT, MR, NM, US, Digitizer, CT, MR, NM, US, Digitizer, CR, digital X-rayCR, digital X-ray
CT, MR, NM, US, Digitizer, CT, MR, NM, US, Digitizer, CR, digital X-rayCR, digital X-ray
Cluster Archive Cluster Archive
DICOMDICOMQUERY/RETRIEVEQUERY/RETRIEVE
A DICOM Network is the common foundation both A DICOM Network is the common foundation both inside Radiology and for Teleradiology inside Radiology and for Teleradiology
Care UnitCare Unit
Analysisor Review
Workstation
DICOM STORAGEDICOM STORAGE
11 DICOM Singapore 2005C. Parisot - GE
What should I do to buildWhat should I do to build a DICOM Image Transfer Network ?a DICOM Image Transfer Network ?
Three Steps:Three Steps:
1 - Clarify my Clinical Needs for Image Transfer and 1 - Clarify my Clinical Needs for Image Transfer and Image processing Applications Image processing Applications
2 - Match Those Needs with DICOM Service Classes 2 - Match Those Needs with DICOM Service Classes using the using the DICOM Conformance StatementsDICOM Conformance Statements
3 - Validate the Imaging Application Interoperability3 - Validate the Imaging Application Interoperability
12 DICOM Singapore 2005C. Parisot - GE
Step 2 - Compare DICOM Conformance StatementsStep 2 - Compare DICOM Conformance Statements
SCU = Service Class USERSCU = Service Class USER
SCP = Service Class PROVIDERSCP = Service Class PROVIDER
CT ScannerCT ScannerConformance StatementConformance Statement
WorkstationWorkstationConformance StatementConformance Statement
1-CT STORAGE SCU1-CT STORAGE SCU
2-QUERY SCP2-QUERY SCP
3-RETRIEVE SCP3-RETRIEVE SCP
4-MODALITY WORKLIST SCU4-MODALITY WORKLIST SCU
1-CT STORAGE SCP1-CT STORAGE SCP
2-QUERY SCU2-QUERY SCU
3-RETRIEVE SCU3-RETRIEVE SCU
4-MR STORAGE SCP4-MR STORAGE SCP
5- BASIC PRINT SCU5- BASIC PRINT SCU
Matching DICOM Service ClassesMatching DICOM Service ClassesThe necessary step to find what will workThe necessary step to find what will work
13 DICOM Singapore 2005C. Parisot - GE
Service Object Pair (SOP) Class
•CR Image Storage SOP Class•CT Image Storage SOP Class
+
Store Command (the Service)
=
DICOMCommunication
(SOP Class)
Image Info. Obj.(the Data)
Modified Slide from Don Van Syckle
Patient Modul
e
General
Study Modul
e
Patient Study
Module*
General Series
Module
Frame of Reference Module
General Equipment
Module
Imag
e Module
General
Image Modul
e
Image Plane Modu
le
Contrast/
Bolus Modul
eOverlay
Plane Modul
e*
VOI LUT
Module*
SOP Comm
on Modul
e
Image Pixel
Module
14 DICOM Singapore 2005C. Parisot - GE
Image IODsImage IODs
Patient Module
General Study
Module
Patient Study
Module*
Patient Information
Study Information
General Series
Module
Frame of Reference Module
General Equipment
Module
Series Information
Image Module
General Image
Module
Image Plane
Module
Contrast/Bolus
ModuleOverlay
Plane Module*
VOI LUT
Module*
SOP Common Module
Image Pixel
Module
Image Information
Not only contains pixel data butalso key information about the image
Patient’s Name
Patient’s ID
Patient’s Birth Date
Patient’s Sex
Patient’s Weight*Referring Physician’s NameAccession NumberStudy Instance UID
Modified Slide from Jay Gaeta
15 DICOM Singapore 2005C. Parisot - GE
Storage
• Send/Receive (i.e. push images on the network)
• SOP Class dependent on IOD– CT, MR, US, CR/DR, X-ray, Secondary Capture, RT, NM, Structured
Report… (i.e. not only images)
• How the SCP stores the image is not defined by DICOM (i.e. storage of all data not guaranteed)
• May send a study via multiple associations
• May send more than one study on an association
DICOM does NOT definean “one size fits all” image
16 DICOM Singapore 2005C. Parisot - GE
Storage Transfer – Push Images
Shared ArchiveDigital Modality
- C-STORE-RQ Command
- Image Header Data (i.e. Name, ID, Row, Col..)
- Pixel Data
C-STORE-RQ …
C-STORE-RSP…
-C-STORE-RSP Command (Status)
Multiple transfers usuallyoccur on the same association
Storage SCU Storage SCP
Modified Slide fromDon Van Syckle
17 DICOM Singapore 2005C. Parisot - GE
Query/Retrieve• Typically used by workstations for remote
access and image retrieval from archives
• Simple queries such as - “give me the patient name and ID for studies performed today”
• Simple retrievals such as -“give me images for Study XYZ
• Based on information models– Patient model, Study model and Patient/Study only
Enables the “pulling” of images Modified Slide fromDon Van Syckle
18 DICOM Singapore 2005C. Parisot - GE
Verification• “Echo” to verify application level communication
between two DICOM products
• Often used for service diagnostics to determine if another product is on-line or off-line
• Products who accept DICOM associations are required to support Verification as an SCP
Verification SCU Verification SCP
C-ECHO-RQ (no data set)
C-ECHO-RSP (success status)
Shared ArchiveDigital Modality
Modified Slide fromDon Van Syckle
19 DICOM Singapore 2005C. Parisot - GE
Query Remote Device
Query SCP
-C-FIND-RQ Command- Study=today, give me name/ID, etc.
C-FIND-RQ
C-FIND-RSP
-C-FIND-RSP Command (Pending Status)- Study=Today, Joe Smith, 13456-7
C-FIND-RSP
-C-FIND-RSP Command (Pending Status)- Study=Today, Phil Jones, 2761-2
C-FIND-RSP
-C-FIND-RSP Command (Success Status)
-Query remote database
-Pending rsp for each match
-One rsp for final status
Query SCU
Shared ArchiveWorkstation
Modified Slide fromDon Van Syckle
20 DICOM Singapore 2005C. Parisot - GE
Retrieve – Pull Images
Workstation
Retrieve SCUShared Archive
Retrieve SCP
-C-MOVE-RQ Command- Study Inst UID for images to pull.
C-MOVE-RQ
-Request Move “Pull” of images-Archive opens second association to send images (the roles change for storage)-Response on same association as C-Move-RQ
C-STORE-RSP
C-STORE-RQ
(Typically for Multiple Images)
Separate association then Move
C-MOVE-RSPSame association as Move-RQ
-C-MOVE-RSP Command (Status)
Modified Slide fromDon Van Syckle
21 DICOM Singapore 2005C. Parisot - GE
Three Device Move
Workstation A
Retrieve SCU
Shared Archive
Retrieve SCP
C-MOVE-RQ
-A requests the Move of images to B
-Archive opens second association to B
-Archive sends images to B then closes assoc
-Association between A and archive open during image transfer
-Archive provides final Move-RSP status to A
-All Retrieve SCPs required to support the Three Device Move
C-S
TOR
E-R
SP
C-S
TOR
E-R
Q
C-MOVE-RSPAfter the image transfer completed
Workstation B
Storage SCP Modified Slide fromDon Van Syckle
22 DICOM Singapore 2005C. Parisot - GE
We hope you understood DICOMand are now ready to use it.
Thank You !
charles . parisot @ med . ge . com