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DICOM: Fields of Use

Explore the diverse fields of use covered by DICOM standard, including diagnostic radiology, radiation therapy, cardiology, dentistry, ophthalmology, pathology, veterinary medicine, and more. DICOM provides specific rules and supplements for each discipline, ensuring a coherent and comprehensive standard for all medical imaging applications.

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DICOM: Fields of Use

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  1. DICOM: Fields of Use Allan G. Farman Professor of Radiology & Imaging Science, University of Louisville, Kentucky, USA Co-Chair DICOM Working Group 22 (Dentistry) American Dental Association Representative to DICOM Standards Committee

  2. DICOM fields of use • DICOM Standard contains: • Services, SOP Classes, Templates, etc. • Cross-Discipline Standards [Preferred] • Field of Use Specific Standards [Where needed] • DICOM Working Groups • Cross-Discipline [n=16] • Field Specific [n=10] • DICOM Member Organizations • Vendors + Users + General Interest • Users represent Specific Fields of Use

  3. DICOM fields of use http://medical.nema.org/ Fields of Use Represented in Standard Fields of Use Represented by Member Organizations Working Groups Listed Include Those Specific to Fields of Use

  4. DICOM fields of use 10 of 26 WGs represent specific fields of use Mammography Cardiology WG 1 WG 15 Nuclear Med WG 3 Dermatology Radiation Therapy WG 19 Veterinary Med WG 7 WG 25 Dentistry WG 22 WG 9 Ophthalmology WG 24 Surgery WG 26 Pathology

  5. DICOM fields of use Ophthalmology WG 9 WG 1 Cardiology Diagnostic Radiology Veterinary Medicine WG 25 WG 22 Dentistry WG 26 Pathology Diagnostic Radiology WG 1 Cardiology Diagnostic Radiology Health Informatics Diagnostic Radiology Diagnostic Radiology Health Informatics

  6. DICOM fields of use • Therefore DICOM has something for you if you make or use systems • in any of the following fields: • Diagnostic Radiology • Radiation Therapy • Image Guided Surgery • Mammography • Cardiology • Dentistry • Pathology • Ophthalmology • Dermatology • Veterinary Medicine • Endoscopy • Microscopy • Clinical Photography/Video • Computed Tomography • Magnetic Resonance Imaging • Ultrasound • Nuclear Medicine • Positron Emission Tomography • Molecular Imaging • Optical Coherence Tomography • Tomosynthesis • Image Fusion • Structured Reporting • Structured Displays • Picture Archiving and Communications Systems • Web Access to DICOM Objects • Implants • Angiography • Image-Generated Models • Teaching Case Files

  7. DICOM fields of use • Discipline Unique Supplements • e.g. • Supplement 32 - Dental Digital Radiographs • Supplement 74 - Radiation Therapy General Purpose Worklist • Supplement 91 - Ophthalmic Photography • Supplement 92 - Dental Grayscale Image Application Profiles • Supplement 97 - CT/MR Cardiovascular Analysis • Supplement 122 - Specimen Identification in Pathology • Supplement 125 - Breast Tomosynthesis Image Storage • Supplement 126 - Colon CAD Structured Reports • Supplement 128 - Cardiac Stress Test Structured Reports • Supplement 130 - Ophthalmic Refractive Structured Reports

  8. DICOM fields of use Supplement 92: Grayscale Media Applications for Dentistry

  9. DICOM fields of use • Cross-Discipline Supplements • e.g. • Supplement 47 - Visible Light (Endoscopy/Photography/Microscopy) • Supplement 85 - Web Access to DICOM Objects • Supplement 104 - Encapsulation of PDF Document • Supplement 113 - DICOM e-mail Transport • Supplement 116 - 3D X-Ray • Supplement 123 - Structured Display • Supplement 131 - Implant Description Storage SOP Class

  10. DICOM fields of use Structured Display Supplement 123 WG 9 WG 22 Ophthalmology Eye Charts Dentistry Intraoral X-Ray Series Radiology Teaching Cases Cardiology WG 1

  11. Structured Display Image Boxes (1.0, 1.0) (0,0) BLHC DICOM fields of use Standard Dental Radiographic Display

  12. DICOM fields of use Standard Ophthalmology Charts

  13. DICOM fields of use 3D-X-ray Supplement 116 WG 15 WG 22 Dentistry CBCT Mammography Tomosynthesis & CBCT Radiation Therapy Planning Angiography WG 2 WG 7

  14. ~360o Rotation Solid State Detector X-ray Source Patient Raw (basis) Images CBCT Image (Isotrophic Data) CBCT Procedure Control Image Processing

  15. DICOM fields of use

  16. Lingual Tori R R L R R L Supernumerary Premolars “Bisphosphonate” R L L L Osteonecrosis R L Mucous Extravasation R. Maxillary Sinus Unerupted maxillary third molars without cysts Carotid Calcified Atheroma

  17. DICOM fields of use • DICOM provides • A set of basic rules for all disciplines • Discipline specific rules where necessary • The aim has been to keep the Standard as coherent as possible by having disciplines interact to develop answers with as wide a scope as possible… and to provide use cases from representative disciplines concerned.

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