SonoWin Picture Archiving System

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1 Page 1 of 13 SonoWin Picture Archiving System DICOM SSCU Module Version 4.1 DICOM Conformance Statement

2 Page 2 of 13 1 DOCUMENT HISTORY INTRODUCTION SOURCES OF INFORMATION ACRONYMS AND ABBREVIATIONS IMPLEMENTATION MODEL APPLICATION DATA FLOW DIAGRAM FUNCTIONAL DEFINITION OF APPLICATION ENTITY (AE) SEQUENCING OF REAL-WORLD ACTIVITIES AE SPECIFICATIONS AE SPECIFICATIONS FOR SONOWIN_SSCU Association establishment policies General Number of associations Asynchronous nature Implementation identifying information Calling and called AE titles Association initiation for SONOWIN_SSCU Real-World activity for Send Image operations Associated real-world activity for Send Image operations Proposed presentation contexts for Send Image operations Photometric interpretation SOP Specific Conformance to Verification SOP Class SOP Specific Conformance to Storage SOP Class Association Acceptance Policy PROFILES SUPPORTED COMMUNICATION STACKS TCP/IP STACK Physical Media Support EXTENSIONS/SPECIALIZATIONS/PRIVATIZATIONS STANDARD EXTENDED/SPECIALIZED/PRIVATE SOPS PRIVATE TRANSFER SYNTAXES CONFIGURATION SONOWIN_SSCU CONFIGURATION FILES AE title/presentation address mapping Configurable parameters SUPPORT OF EXTENDED CHARACTER SETS APPLIED US MF IMAGE IOD, US IMAGE IOD AND SC IMAGE IOD PATIENT MODULE GENERAL STUDY MODULE PATIENT STUDY MODULE GENERAL SERIES MODULE FRAME OF REFERENCE MODULE GENERAL EQUIPMENT MODULE SC EQUIPMENT MODULE GENERAL IMAGE MODULE IMAGE PIXEL MODULE SC IMAGE MODULE OVERLAY PLANE MODULE MODALITY LUT MODULE...12

3 Page 3 of CINE MODULE MULTI-FRAME MODULE US REGION CALIBRATION MODULE US IMAGE MODULE VOI LUT MODULE SOP COMMON MODULE...13

4 Page 4 of 13 1 Document History Rev Date Author Comments 1 16/04/1999 C. Schwerin Created 2 23/08/2001 T. Geweniger Revised for Version 4.1 Table 1: Document History 2 Introduction This is a conformance statement for the SonoWin DICOM Storage Service Class User (SONOWIN_ SSCU) module. The DICOM functionality is based on the MergeCOM Toolkit of Merge Technologies Inc. The following functions are supported in SONOWIN_SSCU: - Exporting images using DICOM 3.0 Storage Service Class SCU. 2.1 Sources of information - Digital Imaging and Communication in Medicine (DICOM), NEMA Standard Publication No. PS 3.1~3.13, NEMA, 1300 North 17th Street, Suite 1847, Rosslyn, VA 22209, phone: (703) World Wide Web: Acronyms and Abbreviations AE DICOM IOD ISO NEMA PDU SCP SCU TCP/IP SC SOP UID US US MF Application Entity Digital Imaging and Communication in Medicine Information Object Definition International Standards Organization National Electrical Manufacturers Association Protocol Data Unit Service Class Provider (server) Service Class User (client) Transmission Control Protocol/Internet Protocol Secondary Capture Service Object Pair Unique Identification Ultrasound Ultrasound Multi-frame 3 Implementation model SONOWIN_SSCU implements a DICOM Storage Service Class User (SCU) which can send DICOM images to a DICOM Storage Service Class Provider (SCP).

5 Page 5 of Application data flow diagram Local Remote SonoWin Archive SONOWIN_SSCU Module STORE Remote Storage Service Class provider Association Initiation DICOM Standard Interface Figure 1: SONOWIN_SSCU application data flow diagram 3.2 Functional definition of Application Entity (AE) All communications and image transfer with the remote application is accomplished utilizing the DICOM protocol over a network using the TCP/IP protocol stack. SONOWIN_SSCU establishes an association with a user selected remote AE just prior to sending a Store request to that AE. It then sends the selected images from the SonoWin image database. 3.3 Sequencing of real-world activities See previous section. 4 AE specifications 4.1 AE Specifications for SONOWIN_SSCU SONOWIN_SSCU provides Standard Conformance to the following DICOM V3.0 Service Object Pair (SOP) Classes as a Storage Service Class User (SCU). SOP Class UID SOP Class Name US Multi-frame Image Storage Ultrasound Image Storage Secondary Capture Image Storage Table 2: Valid SCU Storage SOP Classes for SONOWIN_SSCU

6 Page 6 of Association establishment policies General The SONOWIN_SSCU application will initiate an association as an SCU of Storage Services when a local operator requests to send images selected from the to SonoWin image database over the network to a remote Storage Service Class Provider. The maximum PDU size is configurable from a minimum of 4,096 bytes. The default PDU size is 28,672 bytes Number of associations The SONOWIN_SSCU AE opens only one store association at a time. If the operator selects more than one image to be sent, SONOWIN_SSCU AE will open multiple non-simultaneous associations with the remote AE Asynchronous nature The SONOWIN_SSCU AE does not support asynchronous communication (multiple outstanding transactions over a single association) Implementation identifying information This implementation will be identified by: - Implementation Class UID: Implementation Version Name: SONOWIN_ Calling and called AE titles The SONOWIN_SSCU calling AE title is preconfigured to be SONOWIN_SSCU. The user can change it if necessary. A called AE title is not used by SONOWIN_SSCU Association initiation for SONOWIN_SSCU The SONOWIN_SSCU will open an association as a result of a send request to transfer selected images to a remote system or when auto-send is enabled and an image is acquired Real-World activity for Send Image operations The SONOWIN_SSCU initiates a new association for the transfer of each image to a DICOM Image Storage Server Associated real-world activity for Send Image operations The user invocation of Net Send will open an association to the remote system. The images are transferred via the DICOM STORE-Request. The association is closed after the successful transfer or if errors occur. If more than one image is selected they will be sent sequentially Proposed presentation contexts for Send Image operations Presentation Context Table Abstract Syntax Transfer Syntax Name UID Name List UID List Ultrasound Implicit VR Little Endian Multiframe Image Explicit VR Little Endian Storage Explicit VR Big Endian Ultrasound Image Storage Secondary Capture Image Storage JPEG Baseline Implicit VR Little Endian Explicit VR Little Endian Explicit VR Big Endian JPEG Baseline Implicit VR Little Endian Explicit VR Little Endian Explicit VR Big Endian JPEG Baseline Table 3: Send Image Presentation Contexts of SONOWIN_SSCU Role SCU SCU SCU Extended Negotiation None None None

7 Page 7 of Photometric interpretation Photometric Interpretation, i.e., color mode of the pixel image data, is not a negotiable parameter in DICOM 3.0. SONOWIN_SSCU always exports images in RGB mode. JPEG Image Compression is supported for Ultrasound Multiframe Storage SOP Specific Conformance to Verification SOP Class The SONOWIN_SSCU AE supports the Verification SOP Class as an SCU SOP Specific Conformance to Storage SOP Class The SONOWIN_SSCU AE provides standard conformance to the Storage SOP Class. It shows the following behavior on successful (with or without warnings) and unsuccessful transfer of images: Success (return status 0000) Refused (return status A7xx) and error (return status A9xx or Cxxx) Warning (return status B00x) Messages indicating the status of a C-STORE request are displayed in the log window of the AE. The progress of the transfer is indicated by the status bar of the log window (if activated). In any case the transfer is run as a background progress. Extended negotiation is not supported. The standard conformance to the Storage SOP Class also implies standard conformance for the Ultrasound Multi-frame (US MF) Image Storage SOP Class Ultrasound (US) Image Storage SOP Class Secondary Capture (SC) Image Storage SOP Class Table 4 lists the applied common Conditional (DICOM Type 1C and 2C) and Optional (DICOM Type 3) attributes of these three Storage SOP Classes. All of these attributes may be empty or not even present in certain situations. DICOM specified usage: M = mandatory, U = user related Information Module Usage Conditional Attributes Optional Attributes Entity US MF US SC Patient Patient M M M -- Patient Comments Study General Study M M M Patient Study U U U -- Patient's Age Patient's Size Patient's Weight Series General Series M M M -- Performing Physicians Name Frame of Frame of U U Reference Equipment Reference General Equipment M M U -- Device Serial Number Manufacturer's Model Name Software Versions SC Equipment M -- Modality Secondary Capture Device Manufacturer Secondary Capture Device Manufacturer's Model Name Secondary Capture Device Software Versions

8 Image General Image M M M Content Date Content Time Page 8 of 13 Video Image Format Acquired Image Type Lossy Image Compression Image Pixel M M M Planar Configuration -- SC Image M -- Date of Secondary Capture Time of Secondary Capture Overlay Plane -- U U Modality LUT U Cine M Frame Time -- Multi-frame M US Region U U Calibration US Image M M VOI LUT U U U SOP Common M M M Table 4: Applied Conditional and Optional Attributes of the US MF, US and SC Image IOD Association Acceptance Policy The SONOWIN_SSCU AE does not accept associations. 5 Profiles 5.1 Supported Communication Stacks SONOWIN_SSCU provides DICOM V3.0 TCP/IP Network Communication Support as defined in PS TCP/IP Stack SONOWIN_SSCU communicates over the TCP/IP protocol stack on any physical interconnection media supporting the TCP/IP stack. It inherits the TCP/IP stack from the Microsoft Windows host operating system upon which it executes Physical Media Support SONOWIN_SSCU AE is indifferent to the physical medium over which TCP/IP executes; it inherits this from the operating system on which it exists. 6 Extensions/specializations/privatizations 6.1 Standard extended/specialized/private SOPs None supported. 6.2 Private Transfer Syntaxes None supported.

9 Page 9 of 13 7 Configuration 7.1 SONOWIN_SSCU Configuration files The SONOWIN_SSCU module references 4 configuration files. The first, dicom.ini, has to be in the module directory. dicom.ini dicom.pro dicom.app dicom.srv Specifies the names of the other 3 configuration files and also contains message logging parameters. Specifies run-time parameters for the SONOWIN_SSCU module. Defines applications on other network nodes, to which connections are possible. Service and sequence definitions AE title/presentation address mapping Presentation address mapping is configured in the dicom.app file. This is where the Host Name, Port Number, and Application Title map an Application Entity (AE) to a Presentation Address in TCP/IP for the provider to which you wish to connect. Normally, set these values in the SonoWin configuration application Configurable parameters The dicom.pro configuration file can be used to set or modify other lower-level communication parameters. This includes time-outs and other parameters. Some information about supported SOP classes is also stored here. Most parameters in this file should NEVER be changed. Doing so could break DICOM conformance. Before modifying any parameters, such as time-out, be sure to have a backup of the originally supplied dicom.pro file. Also, before modifying other parameters, you should consider contacting for advice. 8 Support of extended Character sets Extended character sets are not supported. 9 Applied US MF Image IOD, US Image IOD and SC Image IOD The modules selected from the US MF, US, and SC Image IOD module table of DICOM 3.0 are given in the following table: Information Entity Module Note Patient Patient Study General Study Patient Study Series General Series Frame of Reference Frame of Reference used for US MF and US Image only Equipment General Equipment SC Equipment Image General Image Image Pixel SC Image used for SC Image only Overlay Plane used for SC Image only Modality LUT used for SC Image only Cine used for US MF Image only Multi-frame used for US MF Image only US Region Calibration used for US MF and US Image only US Image used for US MF and US Image only VOI LUT SOP Common Table 5: Applied Modules of the US MF Image IOD, the US Image IOD, and the US MF Image IOD

10 Page 10 of 13 The details of these applied modules are given in the tables below. The list of possible values are also given (if applicable). The situation that an attribute is present conditionally/optionally or that an attribute may contain a zero length value, is indicated too. Conditions and Defined/Enumerated values of DICOM 3.0 are applicable but are not shown in the tables. These tables are complete with respect to the attributes set by the DCM_SSCU module. However, there might be additional attributes not listed below which were acquired from other sources, especially various items of the US Region Calibration Module. 9.1 Patient Module Patient s Name 0010,0010 Patient ID 0010,0020 Patient s Birth Date 0010,0030 May have a zero length value. Patient s Sex 0010,0040 Patient Comments 0010,4000 May not be present. Table 6: Used attributes of the patient module 9.2 General Study Module Study Date 0008,0020 Study Time 0008,0030 Accession Number 0008,0050 Identical with Study ID (0020,0010) Referring Physician s Name 0008,0090 May have a zero length value. Study Instance UID 0020,000D Study ID 0020,0010 Identical with Accession Number (0008,0050) Table 7: Used attributes of the general study module 9.3 Patient Study Module Patient s Age 0010,1010 May not be present. Patient s Size 0010,1020 May not be present. Patient s Weight 0010,1030 May not be present. Table 8: Used attributes of the patient study module 9.4 General Series Module Modality 0008,0060 Performing Physician s Name 0008,1050 May have a zero length value. Series Instance UID 0020,000E Series Number 0020,0011 Applied value: 1 Table 9: Used attributes of the general series module 9.5 Frame of Reference Module No attributes of this module are used.

11 Page 11 of General Equipment Module Manufacturer 0008,0070 May have a zero length value. Manufacturer s Model Name 0008,1090 May have a zero length value. Device Serial Number 0018,1000 May have a zero length value. Software Versions 0018,1020 May have a zero length value. Table 11: Used attributes of the general equipment module 9.7 SC Equipment Module Modality 0008,0060 Conversion Type 0008,0064 Applied value: DV Secondary Capture Device 0018,1016 Applied value: Manufacturer Secondary Capture Device 0018,1018 Applied value: SonoWin Manufacturer s Model Name Secondary Capture Device Software 0018,1019 Applied value: 4.0 Versions Video Image Format Acquired 0018,1022 Applied value: PAL Table 12: Used attributes of the SC equipment module 9.8 General Image Module Image Type 0008,0008 Applied values: 1. ORIGINAL or DERIVED 2. PRIMARY or SECONDARY Content Date 0008,0023 The image creation date. Content Time 0008,0033 The image creation time. Instance Number 0020,0013 A number that identifies this image. Lossy Image Compression 0028,2110 Table 13: Used attributes of the general image module 9.9 Image Pixel Module Samples per Pixel 0028,0002 Applied Value: 0003H Photometric Interpretation 0028,0004 Applied Value: RGB Planar Configuration 0028,0006 Applied Value: 0000H (color-by-pixel) Rows 0028,0010 Columns 0028,0011 Bits Allocated 0028,0100 Applied Value: 0008H Bits Stored 0028,0101 Applied Value: 0008H High Bit 0028,0102 Applied Value: 0007H Pixel Representation 0028,0103 Applied Value: 0000H (unsigned integer) Pixel Data 7FE0,0010 Table 14: Used attributes of the image pixel module

12 Page 12 of SC Image Module Date of Secondary Capture 0018,1012 Time of Secondary Capture 0018,1014 Table 15: Used attributes of the SC image module 9.11 Overlay Plane Module No attributes of this module are used Modality LUT Module No attributes of this module are used Cine Module Frame Time 0018,1063 Applied Value: 40 (sec) Table 18: Used attributes of the cine module 9.14 Multi-frame Module Number of Frames 0028,0008 Frame Increment Pointer 0028,0009 Points to Frame Time (0018,1063) Table 19: Used attributes of the multi-frame module 9.15 US Region Calibration Module No attributes of this module are used US Image Module Image Type 0008,0008 Samples Per Pixel 0028,0002 Applied Value: 0003H Photometric Interpretation 0028,0004 Applied Value: RGB Planar Configuration 0028,0006 Applied Value: 0000H (color-by-pixel) Frame Increment Pointer 0028,0009 Applied Value: (sequencing by Frame Time (0018,1063)) Bits Allocated 0028,0100 Applied Value: 0008H Bits Stored 0028,0101 Applied Value: 0008H High Bit 0028,0102 Applied Value: 0007H Pixel Representation 0028,0103 Applied Value: 0000H (unsigned integer) Lossy Image Compression 0028,2110 Table 21: Used attributes of the US image module

13 Page 13 of VOI LUT Module No attributes of this module are used SOP Common Module SOP Class UID 0008,0016 SOP Instance UID 0008,0018 Table 23: Used attributes of the SOP common module

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