WINRAD-32 Teleradiology System Conformance Claim

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1 WINRAD-32 Teleradiology System Conformance Claim Revision: 2.1 Date: February 13, 2001 Copyright by LINE Imaging Systems, L.L.C.

2 Revision History Revision Date Author Reason for Change 2.0 Feb 9, 1998 JES First draft of 32-bit WINRAD Conformance Claim 2.1 Feb 13, 2001 JES Modifications for DICOM Print, Windows 2000, Windows ME, minor error corrections LINE Imaging Systems Page 2

3 Contents 1. INTRODUCTION PURPOSE OF THIS DOCUMENT SOURCES FOR THIS DOCUMENT ACRONYMS AND ABBREVIATIONS TYPOGRAPHICAL CONVENTIONS IMPLEMENTATION MODEL APPLICATION DATA FLOW DIAGRAM FUNCTIONAL DEFINITIONS OF AES SEQUENCING OF REAL WORLD ACTIVITIES AE SPECIFICATIONS AE1 SPECIFICATIONS Association Establishment Policies Association Initiation by Real World Activity Association Acceptance Policy TCP/IP STACK Physical Media Support CONFIGURATION SUPPORT FOR EXTENDED CHARACTER SETS LINE Imaging Systems Page 3

4 1. Introduction 1.1 Purpose of this Document This document is a DICOM Conformance Statement for the WINRAD-32 Teleradiology System software product. WINRAD-32 (hereafter referred to as WINRAD) is a general purpose teleradiology product that runs under the Windows 95, 98, ME, NT, and 2000 operating systems. An option may be purchased that also allows a WINRAD station to act as service class provider for the DIMSE-C services for the storage of images, and a service class user for DIMSE-C services for the query and retrieval of images. Additional options allow WINRAD to act as a DICOM Print Service Class User, and as a service class user for the DIMSE-C services for the storage of images. LINE Imaging has incorporated the DTK product from Mitra Imaging, Inc., into WINRAD for the purpose of implementing the DICOM functions described in this document. 1.2 Sources for this Document American College of Radiology-National Electrical Manufacturers Association (ACR-NEMA) Digital Imaging and Communications v2.0, ACR-NEMA Digital Imaging and Communications in Medicine (DICOM) v3.0, Final Draft, Aug Acronyms and Abbreviations The following acronyms and abbreviations are used in this document. ACR American College of Radiology ANSI American National Standards Institute DICOM Digital Imaging and Communications in Medicine DIMSE DICOM Message Service Element DIMSE-C DICOM Message Service Element-Composite DIMSE-N DICOM Message Service Element-Normalized NEMA National Electrical Manufacturers Association PDU Protocol Data Unit SCP Service Class Provider SCU Service Class User SOP Service Object Pair TCP/IP Transmission Control Protocol/Internet Protocol UID Unique Identifier 1.4 Typographical Conventions This section is designed to assist the reader in understanding the terms and typographical conventions used in this document. Formatting convention Type of information Bold type Italic type DICOM Service Class, DICOM, or DIMSE Service Application Entity LINE Imaging Systems Page 4

5 2. Implementation Model When bundled with the DICOM option, WINRAD is an image database, storage, communication, and display facility. WINRAD is a single application entity that stores images sent to it by service class users, allows queries based on several standard query models, retrieves requested images, and sends selected images to a storage SCP. When WINRAD is first brought up, three threads of execution are instantiated which act as (1) a Connection Request Listener thread, (2) a DICOM Storage SCU thread, and (3) a File Reception processing thread. The Connection Request Listener waits for association establishment requests to be received from external DICOM Application Entities that are issuing requests for storage service. When such a request is received, an additional thread (a DICOM Storage SCP thread) is created to handle DICOM objects delivered over the association; this thread remains extant until the association is terminated by the partner entity. Multiple such threads may be created and run concurrently, depending on limits established when the WINRAD license was issued; the default is a maximum of six concurrent associations for reception of DICOM images. As images are received over an association (embodied in one of the Storage SCP threads created by the Listener), they are placed into a specified directory (known as the DICOM Holding Pen ) in DICOM Part 10 format. The File Reception thread is designed to receive an event notification when a Part 10 file is written into the pen; it is awakened and initiates the process of parsing the DICOM tags and making the image accessible, and viewable, through the local WINRAD database. This thread also moves the DICOM object into the currently active WINRAD study directory, and compresses the image data, if need be, for transmission to another WINRAD station. The DICOM Storage SCU thread is used to deliver images to external DICOM Application Entities at user request, or as a result of an autorouting operation. WINRAD maintains a queue of images to be sent to external destinations, and it is this queue that delivers images to this thread for delivery. This thread creates and tears down DICOM associations as needed with external DICOM entities. An additional thread is created on an as-needed basis when a user issues a query against a remote DICOM image database. This thread implements a DICOM Query User, and is terminated upon successful delivery of the requested images to WINRAD. No more than one such Query User thread may be active at a given time. If the DICOM Print option is included in WinRad, an additional thread is created on an as-needed basis when a user issues a print request to a DICOM Print SCP. This thread implements a DICOM Print User, and is terminated upon successful printing of the selected images. No more than one such Print User thread may be active at a given time. The WINRAD AE is configured by means of several configuration files, which are typically created at installation time. These include WINRAD.INI and DTK.INI. In addition, the DTK package is configured by means of a Microsoft Access Database which is installed on the user s system as part of the WINRAD installation process. There are two local real world activities, Query Request and Send Request. Query Request causes the WINRAD AE to initiate a DICOM association to a Query Class SCP. Query Request consists of an operator s requesting a list of studies resident on the remote system and, upon receiving the response and seeing it displayed, requesting a download of a specified study using the C-MOVE service. Query Request interacts with the user via the native WINRAD Graphic User Interface. Send Request causes the WINRAD AE to initiate a DICOM association to a Storage Class SCP. Send Request consists of an operator s requesting a list of studies resident on the local system and, upon receiving the response and seeing it displayed, requesting an upload of a specified study using the C-MOVE service. Send Request interacts with the user via the native WINRAD Graphic User Interface. LINE Imaging Systems Page 5

6 2.1 Application Data Flow Diagram ASSOCIATION INITIATION IMAGE COMPRESSED & STORED WINRAD SCP and File Reception Threads REMOTE STORAGE SCU Legend WINRAD Application WINRAD QUERY REQUESTS WINRAD QUERY Thread REMOTE QUERY SCP Real World Activity WINRAD SEND REQUESTS WINRAD SEND Thread REMOTE STORAGE SCP WINRAD PRINT REQUESTS WINRAD PRINT Thread REMOTE PRINT SCP DICOM INTERFACE STANDARD LINE Imaging Systems Page 6

7 2.2 Functional Definitions of AEs The WINRAD AE, AEI, supports the following functions: Manually initiates a DICOM association to query the remote database. Manually initiates a DICOM association to send images to the remote database. Manually initiates a DICOM association to print images on a remote printer. Responds to DICOM associations with Presentation Contexts for es of the Storage Service Class. Receives images on these Presentation Contexts, inserts them into the WINRAD database, optionally compressing them at user-specified compression levels. Optionally sends studies to other WINRAD or DICOM stations. The destination station is determined based on message content. 2.3 Sequencing of Real World Activities Query Request: Send Request: Print Request: The WINRAD AE initiates a DICOM association. The AE selects the appropriate Abstract and Transfer Syntaxes from those accepted by the remote AE. The AE uses the C-FIND service to request information regarding all remote studies satisfying the specified criteria. The C-FIND response is used to create a Dialog Box from which the user may select a study of interest. The specified study is requested via the C-MOVE service. The remote AE uses the C-STORE service to send the requested study to the WINRAD AE. The WINRAD AE initiates a DICOM association. The user is presented with a Dialog Box from which the user may select a study of interest. The AE selects the appropriate Abstract and Transfer Syntaxes from those accepted by the remote AE. The specified study is sent to the remote SCP via the C-STORE service. The WINRAD AE initiates a DICOM association. The user selects Print from the File menu, and is presented with a Dialog Box from which the user may select images and series of interest. The specified images are sent to the remote Print SCP. LINE Imaging Systems Page 7

8 Image Receiver: The WINRAD AE responds to a DICOM association initiation and accepts only the Abstract and Transfer Syntaxes specified in this document. At a later time, the AE responds to C-STORE requests and places received images, in DICOM Part 10 format, into a specified directory. As each image is received, the local AE processes the received image by creating or adding to WINRAD studies with (optionally) compressed data. If the appropriate setting appears in the configuration file, the resulting study or studies are enqueued for sending to destination WINRAD or DICOM stations. The WINRAD AE determines the destination to send the studies based on elements in the DICOM messages. The studies are routed based on the contents of the AE-Title element (0002, 0016); the contents of this tag are used to look up a routing destination in the WINRAD communications directory. This destination includes a protocol to be used during the routing operation; this protocol may be a WINRAD-to-WINRAD protocol, or DICOM if the destination is a non- WINRAD DICOM Storage SCP. If the routing element does not appear in the received message but the configuration file specifies delivery to remote WINRAD stations, then the study is sent to the WINRAD station that had last received a study from this AE. The creation and enqueueing of studies for routing to remote sites are logged as events in a WINRAD system log, including time, date, study instance UID, patient name and ID, and number of series and images. LINE Imaging Systems Page 8

9 3. AE Specifications 3.1 AE1 Specifications This Application Entity provides Standard Conformance to the following DICOM V3.0 Verification SOP Class as an SCP. Table 1. Verification Verification This Application Entity provides Standard Conformance to the following DICOM V3.0 Storage SOP Classes as an SCP. Table 2 Storage es Computed Radiography Image Storage CT Image Storage Ultrasound Multi-frame Image Storage (Retired) Ultrasound Multi-frame Image Storage (1995) MR Image Storage Nuclear Medicine Image Storage (Retired) Ultrasound Image Storage (Retired) Ultrasound Image Storage (1995) Secondary Capture Image Storage Stand-alone Overlay Image Storage Stand-alone Modality LUT Storage Stand-alone VOI LUT Storage X-Ray Angiographic Image Storage X-Ray Radiofluoroscopic Image Storage Nuclear Medicine Image Storage (1995) The Application Entity provides conformance to the following DICOM V3.0 Verification as an SCU. Table 3 Verification Verification LINE Imaging Systems Page 9

10 The Application Entity provides Standard Conformance to the following DICOM V3.0 Query/Retrieve es as an SCU. Table 4 Query/Retrieve es Study Root Query/Retrieve IM Find Study Root Query/Retrieve IM Move The Application Entity provides Standard Conformance to the following DICOM V3.0 Storage SOP Classes as an SCU. Table 5 Storage es Computed Radiography Image Storage CT Image Storage Ultrasound Multi-frame Image Storage (Retired) Ultrasound Multi-frame Image Storage (1995) MR Image Storage Nuclear Medicine Image Storage (Retired) Ultrasound Image Storage (Retired) Ultrasound Image Storage (1995) Secondary Capture Image Storage Stand-alone Overlay Image Storage Stand-alone Modality LUT Storage Stand-alone VOI LUT Storage X-Ray Angiographic Image Storage X-Ray Radiofluoroscopic Image Storage Nuclear Medicine Image Storage (1995) The Application Entity provides Standard Conformance to the following DICOM V3.0 Print Management es as an SCU. Table 6 Print Management es Basic Grayscale Print Management Meta Referenced Grayscale Print Management Meta Print Job Basic Annotation Box Printer Basic Color Print Management Meta Referenced Color Print Management Meta LINE Imaging Systems Page 10

11 Note: Support for Basic Grayscale Print Management Meta includes by definition support for the following SOP classes: Preformatted Grayscale Image, Basic Film Session, Basic Film Box, Basic Image Box, Printer. Support for Basic Color Print Management Meta includes by definition support for the following SOP classes: Preformatted Color Image, Basic Film Session, Basic Film Box, Basic Image Box, Printer Association Establishment Policies General The following Application Context Name will be proposed and recognized by WINRAD: DICOM 3.0 Application Context WINRAD contains no limitations for maximum PDU size Number of Associations The maximum number of simultaneous associations accepted by WINRAD for image storage is configurable at the time of software licensing; the default is two. An additional single association may be in progress for querying remote image servers or for sending images to remote image servers, concurrent with the associations that are open for image storage Asynchronous Nature WINRAD allows a single outstanding operation on any association. Therefore, WINRAD does not support asynchronous operations window negotiation, other than the default as specified by the DICOM specification Implementation Identifying Information The Application Entity will respond with the following parameters that identify the implementation: Implementation Class UID Implementation Version Name MITRA2MAY96 The implementation version name policies are the following: the name MITRA followed by the day, month and year of the product 2MAY96. These identifying parameters can be changed by an application Called/Calling Titles The calling title that WINRAD will use is configurable in the DICOM configuration file DTK.INI. LINE Imaging Systems Page 11

12 3.1.2 Association Initiation by Real World Activity Real World Activity Storage Associated Real World Activity Storage WINRAD will issue a Storage request when a user wishes to send a study of images to a remote DICOM SCP Proposed Presentation Contexts Storage WINRAD supports the transfer syntaxes listed in Table 7. For a Storage request, WINRAD supports the Presentation Contexts listed in Table 8. Table 7 Storage Transfer Syntaxes Transfer Syntax UID DICOM Implicit VR Little Endian Transfer Syntax DICOM Explicit VR Little Endian Transfer Syntax DICOM Explicit VR Big Endian Transfer Syntax Table 8 Storage Presentation Contexts Abstract Syntax Transfer Syntax Role Extended Negotiation Computed Radiography Image Storage all from Table 7 SCU None CT Image Storage all from Table 7 SCU None Ultrasound Multi-frame Image Storage (Retired) all from Table 7 SCU None Ultrasound Multi-frame Image Storage (1995) all from Table 7 SCU None MR Image Storage all from Table 7 SCU None Nuclear Medicine Image Storage (Retired) all from Table 7 SCU None Ultrasound Image Storage (Retired) all from Table 7 SCU None Ultrasound Image Storage (1995) all from Table 7 SCU None Secondary Capture Image Storage all from Table 7 SCU None Stand-alone Overlay Image Storage all from Table 7 SCU None Stand-alone Modality LUT Storage all from Table 7 SCU None Stand-alone VOI LUT Storage all from Table 7 SCU None X-Ray Angiographic Image Storage all from Table 7 SCU None X-Ray Radiofluoroscopic Image Storage all from Table 7 SCU None Nuclear Medicine Image Storage (1995) all from Table 7 SCU None LINE Imaging Systems Page 12

13 Real World Activity Find Associated Real World Activity Find WINRAD will issue a FIND request when a user of WINRAD wishes to view patient and study information from a remote DICOM SCP Proposed Presentation Contexts Find WINRAD supports the transfer syntaxes listed in Table 9. For a QUERY request, WINRAD supports the Presentation Contexts listed in Table 10. Table 9 Query Transfer Syntaxes Transfer Syntax UID DICOM Implicit VR Little Endian Transfer Syntax DICOM Explicit VR Little Endian Transfer Syntax DICOM Explicit VR Big Endian Transfer Syntax Table 10 Query Presentation Contexts Abstract Syntax Transfer Syntax Role Extended Negotiation Patient Root Query/Retrieve IM Find all from Table 9 SCU None Study Root Query/Retrieve IM Find all from Table 9 SCU None Patient Study Only Query/Retrieve IM Find all from Table 9 SCU None Real World Activity Move Associated Real World Activity Move WINRAD will issue a MOVE request when a user of WINRAD wishes to move one or more studies from a remote DICOM SCP back to WINRAD (retrieve) Proposed Presentation Contexts Move WINRAD supports the transfer syntaxes listed in Table 11. For a MOVE request, WINRAD supports the Presentation Contexts listed in Table 12. Table 11 Move Transfer Syntaxes Transfer Syntax UID DICOM Implicit VR Little Endian Transfer Syntax DICOM Explicit VR Little Endian Transfer Syntax DICOM Explicit VR Big Endian Transfer Syntax LINE Imaging Systems Page 13

14 Table 12 Move Presentation Contexts Abstract Syntax Transfer Syntax Role Extended Negotiation Patient Root Query/Retrieve IM Move all from Table 11 SCU None Study Root Query/Retrieve IM Move all from Table 11 SCU None Patient/Study Only Query/Retrieve IM Move all from Table 11 SCU None Real World Activity Printing Associated Real World Activity Printing WINRAD will issue Print Management requests to an SCP supporting the DICOM V3.0 Print services, in order to produce hard copy representations of DICOM images Presentation Context Table Printing WINRAD supports the following transfer syntaxes listed in Table 13. WINRAD supports any of the Presentation Contexts listed in Table 14 for Print Management. Table 13 Print Management Transfer Syntaxes Transfer Syntax UID DICOM Implicit VR Little Endian Transfer Syntax DICOM Explicit VR Little Endian Transfer Syntax DICOM Explicit VR Big Endian Transfer Syntax Table 14 Print Management Presentation Contexts Abstract Syntax Transfer Syntax Role Extended Negotiation Basic Grayscale Print Management Meta Referenced Grayscale Print Management Meta all from Table 13 SCU None all from Table 13 SCU None Print Job all from Table 13 SCU None Basic Annotation Box all from Table 13 SCU None Printer all from Table 13 SCU None Basic Color Print Management Meta all from Table 13 SCU None Referenced Color Print Management Meta all from Table 13 SCU None LINE Imaging Systems Page 14

15 SOP Specific Conformance Printing WINRAD provides standard conformance to the DICOM Print Management Service Class by supporting a number of distinct SOP classes described below SOP Specific Conformance to Basic Film Session WINRAD issues the following DIMSE-N commands for the Basic Film Session : N-Create and N-Action Print SOP Specific Conformance to Basic Film Box WINRAD issues the following DIMSE-N commands for the Basic Film Box : N-Create, N- Delete, and N-Action Print SOP Specific Conformance to Basic Image Box WINRAD issues the following DIMSE-N commands for the Basic Image Box : N-Set SOP Specific Conformance to Printer WINRAD issues the following DIMSE-N commands for the Printer : N-Get Association Acceptance Policy Real World Activity Verification Associated Real World Activity Verification WINRAD will respond to Verification requests to provide an SCU with the ability to determine if WINRAD is receiving DICOM requests Presentation Context Table Verification WINRAD supports the transfer syntaxes listed in Table 15. WINRAD will accept any of the Presentation Contexts listed in Table 15 for Verification. Table 15 Verification Transfer Syntaxes Transfer Syntax UID DICOM Implicit VR Little Endian Transfer Syntax Table 16 Verification Presentation Contexts Abstract Syntax Transfer Syntax Role Extended Negotiation Verification all from Table 15 SCP None LINE Imaging Systems Page 15

16 SOP Specific Conformance Verification WINRAD provides standard conformance to the DICOM Verification Service Class. WINRAD returns one of the following status codes. Table 17 Verification status codes. Service Status Further Meaning Protocol Codes Description Error Failed C000 The operation was not successful. Success Success 0000 Operation performed properly Presentation Context Acceptance Criterion Verification WINRAD will always accept a Presentation Context for the Verification with the default DICOM transfer syntax listed in Table Transfer Syntax Selection Policies Verification Since no DICOM data object is associated with a Verification command, only the default DICOM transfer syntax is required/supported Real World Activity Storage Associated Real World Activity Storage WINRAD will archive images that are sent to it from an SCU Presentation Context Table Storage WINRAD supports the following transfer syntaxes listed in Table 18. WINRAD supports any of the Presentation Contexts listed in Table 19 for Storage. Table 18 Storage Transfer Syntaxes Transfer Syntax UID DICOM Implicit VR Little Endian Transfer Syntax DICOM Explicit VR Little Endian Transfer Syntax DICOM Explicit VR Big Endian Transfer Syntax LINE Imaging Systems Page 16

17 Table 19 Storage Presentation Contexts Abstract Syntax Transfer Syntax Role Extended Negotiation Computed Radiography Image Storage all from Table 18 SCP/SCU See Note 1 CT Image Storage all from Table 18 SCP/SCU See Note 1 Ultrasound Multi-frame Image Storage (Retired) all from Table 18 SCP/SCU See Note 1 Ultrasound Multi-frame Image Storage (1995) all from Table 18 SCP/SCU See Note 1 MR Image Storage all from Table 18 SCP/SCU See Note 1 Nuclear Medicine Image Storage (Retired) all from Table 18 SCP/SCU See Note 1 Ultrasound Image Storage (Retired) all from Table 18 SCP/SCU See Note 1 Ultrasound Image Storage (1995) all from Table 18 SCP/SCU See Note 1 Secondary Capture Image Storage all from Table 18 SCP/SCU See Note 1 Stand-alone Overlay Image Storage all from Table 18 SCP/SCU See Note 1 Stand-alone Modality LUT Storage all from Table 18 SCP/SCU See Note 1 Stand-alone VOI LUT Storage all from Table 18 SCP/SCU See Note 1 X-Ray Angiographic Image Storage all from Table 18 SCP/SCU See Note 1 X-Ray Radiofluoroscopic Image Storage all from Table 18 SCP/SCU See Note 1 Nuclear Medicine Image Storage (1995) all from Table 18 SCP/SCU See Note 1 Note 1: Storage Extended Negotiation will be supported. WINRAD will respond with the following information: Table 20 Storage Extended Negotiation Field Name Value Description of Field Level of Support 2 level 2 (FULL) SCP Element Coercion 0 does not coerce any element SOP Specific Conformance Storage WINRAD conforms to the DICOM Storage Service Class at Level 2 (Full). No elements are discarded or coerced by WINRAD. WINRAD returns one of the following status codes: LINE Imaging Systems Page 17

18 Table 21 Storage Status Codes. Service Status Further Meaning Protocol Codes Description Refused Out of resources A700 Indicates that there was not enough storage space to store the image. Recovery from this condition is left to the administrative functions available in WINRAD. not supported A800 Indicates that the of the Image in the C-Store operation did not match the Abstract Syntax negotiated for the Presentation Context. Error Data set does not match A900 Indicates that the Data Set does not encode an instance of the specified. Failed C000 The operation was not successful. Cannot understand C005 Indicates that the Data Set cannot be parsed into elements by WINRAD. Warning Coercion of data elements B000 Data elements were modified before being stored. Data set does not match B007 Indicates that the Data Set does not match the, but that the image was stored anyway. Elements Discarded B006 Indicates that some of the elements of the Data Set were discarded. Duplicate SOP Instance UID D000 Indicates that the SOP Instance UID of the specified image is already stored in the database. Success Success 0000 Operation performed properly Presentation Context Acceptance Criterion Storage WINRAD will accept any number of Storage Presentation Contexts per association request. Any one Abstract Syntax may be specified more than once in an association request, if the Transfer Syntaxes differ between the Presentation Contexts. LINE Imaging Systems Page 18

19 4. Communications Profiles WINRAD provides DICOM V3.0 TCP/IP Network Communication Support as defined in Part 8 of the DICOM standard. 4.1 TCP/IP Stack WINRAD inherits its TCP/IP stack from the computer system upon which it executes. WINRAD expects the host system to present a WINSOCK-style interface to its TCP stack Physical Media Support WINRAD is indifferent to the physical medium over which TCP/IP executes; it inherits the medium from the computer system upon which it executes. LINE Imaging Systems Page 19

20 5. Configuration WINRAD obtains configuration information from the following sources: The HOSTS file that is used by the resident TCP stack must be modified to associate hostnames with the IP addresses of the remote entities and the local AE as well. A configuration file (DTK.INI) stores Called and Calling Application Entity Titles, Log File Names, Compression Specifications, and the hostnames of remote entities. These hostnames must agree with the entries in the HOSTS file mentioned above. This file also specifies the holding pen directory from which DICOM Part 10 images are to be taken for processing. A configuration file (WINRAD.INI) indicates whether or not autorouting of images to remote entities is to be performed following reception of a DICOM image. A Microsoft Access Database file (WR32.MDB) contains a list of known UIDs, and preferred transfer syntaxes for the SOP classes supported by WINRAD. LINE Imaging Systems Page 20

21 6. Support for Extended Character Sets WINRAD supports the following character sets: ISO-IR 6 (default) Basic G0 Set ISO-IR 100 (default) Latin Alphabet No. 1 LINE Imaging Systems Page 21

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