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DICOM Fields of Use

DICOM Fields of Use. Klaus Neuner Brainlab AG Software Project Manager Feldkirchen , Germany. Introduction . This presentation provides a journey through the world of DICOM Information Object Definitions. It’s not complete It only touches the surface It goes beyond DICOM.

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DICOM Fields of Use

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  1. DICOM Fields of Use Klaus Neuner Brainlab AG Software Project Manager Feldkirchen, Germany

  2. Introduction • This presentation provides a journey through the world of DICOM Information Object Definitions. • It’s not complete • It only touches the surface • It goes beyond DICOM March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 2

  3. Well-known DICOM IODs • CR • Digital X-Ray XA Digital Angiography CT Computed Tomography MR Magnetic Resonance Tomography March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 3

  4. Well-known DICOM IODs • US • Ultrasound US 3D Ultrasound NM • e.g., Single-photon Emission Computed Tomography PET • Positron Emission Tomography March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 4

  5. Enrichment • Presentation States • Annotations, shutters, overlays, regions of interest, flipping, rotation, zoom, windowing, device independent display. • Segmentation • Either provides a binary classification of pixels or a polygonal representation of a 3D surface, e.g., defining organs. • Registration • Rigid or deformable spatial relationship between images in one or more frame of references. March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 5

  6. Reporting • Encapsulated Document • Encapsulates, e.g., PDF documents. • Structured Report • Representation of reports with a hierarchical structure containing text, measurements and references. • Key Object Selection Document • Flags or relates one or more (significant) images, waveforms or other composite IODs. March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 6

  7. Mammography • MG • Digital Mammography X-Ray • Breast Tomosynthesis • High-resolution limited-angle tomography at mammographic dose levels. • Mammography CAD SR • Used to convey mammography detection and analysis results, e.g., textual information, coded information, measurements, regions of interest and references to other IODs. March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 7

  8. Intravascular Imaging • Intravascular Ultrasound (IVUS) • A catheter-based imaging modality with a miniaturized ultrasound probe. It allows images from inside blood vessels out through the surrounding blood column, visualizing the endothelium (inner wall) of blood vessels in living individuals. March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 8

  9. Intravascular Imaging • Intravascular Optical Coherence Tomography • (IVOCT) • A high resolution catheter-based imaging modality upon low coherence interferometry to visualize coronary artery lesions. March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 9

  10. Radiotherapy • RT Dose • Dose distributions and dose volume histograms calculated by radiotherapy treatment planning systems. • RT Structure Set • Structures derived from CT or MR images defining organs and target volumes. • RT Plan • Treatment plan March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 10

  11. Visible Light Images • VL • The Visible Light IODs specify images that are • acquired by means of a camera or other sensors for visible or near-visible light. • Equipment Examples • Rigid and flexible endoscopy equipment • Operation microscopes / colposcopes • Analysis microscopes • Ophthalmology equipment • Digital or Video Cameras March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 11

  12. Visible Light Images • Endoscopy • VL Endoscopic Image • Video Endoscopic Image March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 12

  13. Visible Light Images • Pathology • VL Microscopic Image • VL Slide-Coordinates Microscopic Image • VL Whole Slide Microscopy • Video Microscopic Image March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 13

  14. Visible Light Images • Dermatology • VL Photographic Image • Video Photographic Image March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 14

  15. Ophthalmology • Ophthalmic Photography • Ophthalmic Tomography • OphthalmicRefractiveMeasurements • LensometryMeasurements • AutorefractionMeasurements • Visual AcuityMeasurements • Ophthalmic Axial Measurements • IntraocularLensCalculations March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 15

  16. Dental Images • Digital Intra-oral X-ray • X-Ray 3D Angiography March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 16

  17. Waveforms • Audio • Basic Voice Audio • General Voice Audio March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 17

  18. Waveforms • Cardiac • 12-Lead Electrocardiogram (ECG) • General ECG • Ambulatory ECG • Hemodynamic • Basic CardiacElectrophysiology • Arterial Pulse Waveform March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 18

  19. Waveforms • RespiratoryWaveform March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 19

  20. Implants • Implant Templates • GenericImplant Template • ImplantAssembly Template • Implant Template Group • Implantation Plan SR Document March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 20

  21. Veterinary • CP-643 • Veterinary IODs require additional identifying attributes to define the owner as well as characteristics of the species and breed. March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 21

  22. DICONDE • Digital Imaging and Communication in Nondestructive Evaluation • A standardby ASTM International: • E2339 General DICONDE Standard • E2663 DICONDE forUltrasonic Test Methods • E2699 DICONDE for Digital Radiographic (DR) Test Methods • E2738 DICONDE forComputed Radiography (CR) Test Methods • E2767 DICONDE for X-rayComputed Tomography (CT) Test Methods March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 22

  23. DICONDE March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 23

  24. DICOS • Digital Imaging and Communications in Security • Facilitatesdatainformationinterchange (demographicinformation, x-rayradiographs, CT images, material specificinformation, tracedetectionsignatures, threatassessment, ...) ofobjectsofinspection (checkedluggage, carry-on luggage, parcels, personnel, ...) forsecurityscreeningapplications. March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 24

  25. References http://dicom.nema.org/ http://www.astm.org/ http://www.ndt.net/article/wcndt2008/papers/460.pdf http://www.nema.org/ March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 25

  26. Author Contacts • Klaus Neuner • Klaus.Neuner@Brainlab.com • Kapellenstr. 1285622 FeldkirchenGermany Thank you for your attention ! March 2013 DICOM International Conference & Seminar Klaus Neuner DICOM Fields of Use 26

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