DAR-9400f DICOM Conformance Statement Revision A

Transcription

1 S57-E057A DAR-9400f DICOM Conformance Statement Revision A Revision Date: November 0, 2006

2 Date Rev. Author Comment First Go Takayanagi First Revision A Go Takayanagi Correct the description in.2 Sources for this document. Add the description about Bi-plane and Printer.

3 . INTRODUCTION..... PURPOSE OF THIS DOCUMENT SOURCES FOR THIS DOCUMENT..... ACRONYMS AND ABBREVIATION NOTE TO READER IMPLEMENTATION MODEL APPLICATION DATA FLOW DIAGRAM VERIFICATION BASIC WORKLIST MANAGEMENT OR IHE WORKLIST MANAGEMENT FIND MOVE IMAGES STORE IMAGES AS SCP STORE IMAGES AS SCU VERIFY STORAGE PRINT READ CD-R WRITE CD-R FUNCTIONAL DESCRIPTION OF AE S SEQUENCING OF REAL WORLD ACTIVITY AE SPECIFICATIONS DAR-9400F SPECIFICATION ASSOCIATION ESTABLISHMENT POLICIES ASSOCIATION INITIATION BY REAL WORLD ACTIVITY ASSOCIATION ACCEPTANCE POLICY DAR-9400F STORAGE MEDIA APPLICATION PROFILE CONFORMANCE STATEMENT REAL WORLD ACTIVITY - READ CD STORAGE COMMITMENT CONFORMANCE COMMUNICATION PROFILES TCP/IP STACK PHYSICAL MEDIA SUPPORT EXTENSIONS/SPECIALIZATION/PRIVATIZATION CONFIGURATION AE TITLE/PRESENTATION ADDRESS MAPPING CONFIGURABLE PARAMETERS SUPPORT FOR EXTENDED CHARACTER SETS UID GENERATION DEFINITIONS ROOT AND IMPLEMENTATION CLASS UID STUDY UID SERIES UID SOP INSTANCE UID INFORMATION OBJECT DEFINITIONS DA IMAGE DICOM META INFORMATION PATIENT MODULE GENERAL STUDY MODULE PATIENT STUDY MODULE GENERAL SERIES MODULE GENERAL EQUIPMENT MODULE CONTRAST/BOLUS MODULE CINE MODULE MULTI-FRAME MODULE FRAME POINTERS MODULE GENERAL IMAGE MODULE IMAGE PIXEL MODULE X-RAY IMAGE MODULE... 27

4 6..4. CURVE MODULE X-RAY ACQUISITION MODULE XA POSITIONER MODULE SOP COMMON MODULE ADDITIONAL ATTRIBUTES MODULE DSA IMAGE DICOM META INFORMATION PATIENT MODULE GENERAL STUDY MODULE PATIENT STUDY MODULE GENERAL SERIES MODULE GENERAL EQUIPMENT MODULE CONTRAST/BOLUS MODULE CINE MODULE MULTI-FRAME MODULE FRAME POINTERS MODULE MASK MODULE DISPLAY SHUTTER MODULE GENERAL IMAGE MODULE IMAGE PIXEL MODULE X-RAY IMAGE MODULE CURVE MODULE X-RAY ACQUISITION MODULE XA POSITIONER MODULE SOP COMMON MODULE ADDITIONAL ATTRIBUTES MODULE PHOTO FILE DICOM META INFORMATION PATIENT MODULE GENERAL STUDY MODULE PATIENT STUDY MODULE GENERAL SERIES MODULE GENERAL EQUIPMENT MODULE SC EQUIPMENT MODULE GENERAL IMAGE MODULE IMAGE PIXEL MODULE SC IMAGE MODULE SOP COMMON MODULE VOI LUT MODULE ADDITIONAL ATTRIBUTES MODULE REFERENCE IMAGE PATIENT MODULE GENERAL STUDY MODULE PATIENT STUDY MODULE GENERAL SERIES MODULE GENERAL EQUIPMENT MODULE CONTRAST/BOLUS MODULE GENERAL IMAGE MODULE IMAGE PIXEL MODULE X-RAY IMAGE MODULE CURVE MODULE X-RAY ACQUISITION MODULE XA POSITIONER MODULE SOP COMMON MODULE VOI LUT MODULE ADDITIONAL ATTRIBUTES MODULE... 55

5 . Introduction.. Purpose of this document The purpose of this document is to describe how DAR-9400f conforms to the DICOM standard. It describes what parts and definition it utilizes and in what way, in order to provide interoperability with other devices that claim same conformance..2. Sources for this document American College of Cardiology National Manufactures Association (ACR-NEMA) Digital Imaging and Communications V2.0 ACR-NEMA Digital Imaging and Communications in Medicine (DICOM) v.0, Acronyms and abbreviation The following acronyms and abbreviations are used in this document. ACR American College of Radiology AE Association Control Service Element AE Application Entity ANSI American National Standards Institute AP Application Profile API Application Programming Interface ASCII American Standard Code for Information Interchange 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 FSC File Set Creator FSR File Set Reader FSU File Set Updater GUI Graphical User Interface NEMA National Electrical Manufacturers Association PDU Protocol Data Unit RWA Real World Activity SCP Service Class Provider SCU Service Class User SOP Service Object Pair TCP/IP Transmission Control Protocol/Internet Protocol UID Unique Identifier MPPS Modality Performed Procedure Step PPS Performed Procedure Step PS Presentation State

6 .4. Note to reader Interoperability Interoperability refers to the ability of application functions, distributed over two or more systems, to work successfully together. The integration of medical devices into a networked environment may require application functions that are not specified within the scope of the DICOM standard. Consequently, using only the information provided by this conformance statement does not guarantee interoperability of Shimadzu Equipment with other vendor s equipment. It is the user s responsibility to thoroughly analyze the application requirements and to specify a solution that integrates Shimadzu equipment with the projected other vendor s equipment. Validation Although Shimadzu equipment has been completely tested to verify that the implementation of the DICOM interface for this product corresponds with this Conformance Statement, even if comparison of respective Conformance Statement indicates that successful interconnection should be possible with another vendor s equipment, additional validation will always be necessary to ensure full functionality. It is the responsibility of the user to specify the appropriate test suite and to carry out the additional validation tests. Version of the DICOM standard Shimadzu is committed to evolve with the DICOM standard as it adapts to meet the future requirement of users and technology. In order to do so, Shimadzu reserves the right to adapt and even discontinue delivery of its equipment. The user should ensure that any vendor whose equipment is connected to Shimadzu equipment also adapts to future version of the DICOM standard. If not, enhancement of Shimadzu may lead to loss of connectivity or interoperability. 2

7 2. Implementation Model DAR-9400f is an acquisition and review station used in the Cardiology environment. The application, upon user request, will:. Acquire images from a CathLab and encapsulate them to the DICOM Standard Format. 2. Issue C-ECHO command to a remote DICOM SCP.. Issue C-STORE command to configured SCP in order to archive the acquired images. 4. Issue C-MOVE command to configured SCP. 5. Query (C-FIND), retrieve (C-MOVE) and display XA images from a remote DICOM SCP. 6. Read and display XA images from DICOM CD. 7. Act as FSC for DICOM CD. Write DICOM conformant CD-R 8. Act as FSR for DICOM CD. Read and display XA images from a DICOM conformant CD- R. 9. Query Modality Worklist (C-FIND) 0. Print the images to remote DICOM SCP printer.

8 2.. Application Data flow diagram DICOM Standard Interface Verification C-ECHO Verification Query Worklist C-FIND Answer Query Query Study C-FIND Answer Query Request to Move Images Store Received Images DAR 9400f C-MOVE C-STORE Move Images Storage as SCU Request to Store Images C-STORE Storage as SCP Verify Storage N-ACTION N-EVENT REPORT Storage Commit Request to Print Images DIMSE Print Images Read CD-R Write CD-R DICOM CD-R 4

9 2... Verification DAR-9400f can send C-ECHO verifications Basic Worklist Management or IHE Worklist Management DAR-9400f will issue a C-FIND for the hospital Worklist Find DAR-9400f will issue a C-FIND command to a remote SCP to retrieve information about the studies stored on the remote SCP Move Images DAR-9400f will issue a C-MOVE command to a remote SCP to copy study information from one SCP to another or from a remote SCP to itself Store Images as SCP DAR-9400f will receive process and accept C-STORE command from a remote SCU and if the association succeeds, it will store the received data on its physical storage space Store Images as SCU DAR-9400f will issue a C-STORE command to a remote SCP. If the association is successful it will send images for storage on the remote SCP Verify storage If the Storage Commit option is enabled, DAR-9400f will issue a storage Commit N-Action command for all files sent for storage Print DAR-9400f will print an image or loop of images to the remote DICOM SCP printer Read CD-R DAR-9400f will read any DICOM conformant CD-R although it will only display compatible images Write CD-R DAR-9400f will write a DICOM conformant CD-R for the supported SOP classes. 5

10 2.2. Functional Description of AE s The DAR-9400f AE acts as a SCU and a SCP. As an SCU: If configured, DAR-9400f can query for the patient Worklist. The list of scheduled patient will be presented to the user and all fields in the patient demographic entry forms will be filled with the chosen patient. If all mandatory fields cannot be filled a form will be presented to the user with the missing fields highlighted. DAR-9400f will issue a C-Find request to retrieve Worklist information from a remote Modality Worklist SCP. DAR-9400f is a system designed to acquire images coming from the FPD of a catheterization laboratory. The system then compresses these images and transmits these compressed images over the network to a remote server that will place them in a safe place for long-term archive and retrieval. If configured to do so, when a study is terminated, DAR-9400f will send a command to the remote server to move images to one or more secondary destinations. The move may involve all the images objects of a study or only specific images belonging to one or more series. There may be any number of secondary destinations. When Secondary Destination is/are configured, DAR-9400f will issue a C-MOVE command to the server configured as Primary Server using either Move by study or Move by Series UID. The command will contain the Primary Server as origin and the Secondary destination as destination. DAR-9400f will issue a C-FIND command to get and display the content of a STORAGE-SCP remote server; it will then issue a C-MOVE command at study root level to the same server to transfer the selected image data proposing itself as destination. DAR-9400f will issue DIMSE-N set command to print SCP to print the image. DAR-9400f will issue a C-STORE command to a configured remote SCP to store images previously read from a DICOM CD. As an SCP: DAR-9400f will accept association from remote SCU and accept and process C-STORE commands for DICOM Data Object of the allowed SOP classes. 2.. Sequencing of real world activity The storage Verification is done when a study is closed, and only if files for the study have been transmitted for storage to a remote SCP. The Storage verification is done after the current study is closed. The physical CD-R writing can only occur after an empty CD-R is inserted in the drive. 6

11 . AE Specifications.. DAR-9400f specification DAR-9400f provides Standard Conformance to the following DICOM V.0 SOP Class as an SCU. Table Verification SOP Class as SCU SOP Class Name SOP Class UID Verification Study Root Query/Retrieve IM Find Study Root Query/Retrieve IM Move XA X-ray Angiographic image storage Secondary Capture Image storage Modality Worklist SOP class Basic Grayscale Print Management Meta Association establishment Policies... General The following Application Context Name will be proposed and recognized by DAR-9400f DICOM.0 Application Context Number of Associations The maximum number of association accepted or maintained by DAR-9400f is limited only by the physical memory of the machine on which it runs. Typically it can be up to Asynchronous nature DAR-9400f allows a single outstanding operation on any association. Therefore, DAR-9400f does not support asynchronous operations window negotiation, other than the default as specified by the DICOM specification Implementation Identifying Information DAR-9400f will respond with the following implementation identifying parameters: Implementation Class UID (acquisition) xxxxxxxxxxxxx Implementation Class UID (review) xxxxxxxxxxxxx The last number of the implementation class UID is the digits maximum machine serial number. Implementation Version Name VOYAGER_VX_X_X Where X_X_X is the software version The implementation version name policies are the following: product name VOYAGER followed by the version of the product, _V_0_0. 7

12 ...5. Association initiation policy DAR-9400f attempts to initiate a new association for each group of file it attempts to transfer. The group can be: - One or more files of a study 2- One or more complete study - One or more complete series of a study Case one () will only occur after a new file is created (after acquisition) the system will try to group as many files as it can in one association. Case two (2) can only occur when a user initiates a store of one or more study. In this case DAR-9400f will attempt to negotiate a new association with the target destination. All files selected will be stored in the same association. Case three () can only occur when a user initiates a store of one or more series of a study. In this case DAR-9400f will attempt to negotiate a new association with the target destination. All files selected will be stored in the same association. In all cases only the necessary presentation context will be negotiated based on the type of files to store. DAR-9400f will analyse all files it has to transfer and prepare its presentation context in accord with the files to transfer. 8

13 ..2. Association Initiation by Real World Activity..2.. Real World Activity Verification () Associated Real World Activity Verification DAR-9400f will send C-ECHO to verify the other systems if they are activated. (2) Presentation context Table Verification DAR-9400f supports the transfer syntaxes listed in Table 2. For a Verification request, DAR-9400f supports the Presentation Contexts listed in Table. Table 2 Presentation Contexts SOP Class Abstract Syntax SOP Class UID Transfer Syntax Name List UID List Role Extended Negotiation Verification Implicit Little Endian SCU None () SOP Specific conformance Verification DAR-9400f provides the standard conformance to the DICOM Verification SOP class Real World Activity Query Study () Associated Real World Activity Query Study DAR-9400f will issue a FIND request when a user of DAR-9400f wishes to view patient and study information from a remote DICOM SCP. (2) Presentation context Table Query Study DAR-9400f supports the transfer syntaxes listed in Table. For a QUERY request, DAR-9400f supports the Presentation Contexts listed in Table and Table 4. SOP Class Table Presentation Contexts Abstract Syntax Transfer Syntax Name List UID List Role SOP Class UID Extended Negotiation Study Root Query/Retrieve Information Model FIND Implicit Little Endian SCU See Note Note: Find Extended Negotiation will be supported. DAR-9400 will negotiate with the following information. Table 4 Query Extended Negotiation Field Name Value Description of Field Relational-queries relational queries supported () SOP Specific conformance Query Study DAR-9400f uses Relational query with Study root level by default. If the extended negotiation is not successful, it uses Relational query with Patient root level by default. If the extended negotiation still does not succeed, DAR-9400f will use Hierarchical query with patient root model. 9

14 Matching key attribution DAR-9400f Request matching of the following key attributes. Table 5 Matching Key s - Study Root Query/Retrieve Information Model Tag STUDY LEVEL Study Date R (0008,0020) Study Time R (0008,000) Accession Number R (0008,0050) Patient's Name R (000,000) Patient ID R (000,0020) Study ID R (0020,000) Study Instance UID U (0020,000D) SERIES LEVEL Modality R (0008,0060) Series Number R (0020,00) Series Instance UID U (0020,000E) COMPOSITE OBJECT INSTANCE LEVEL Instance Number R (0020,00) SOP Instance UID U (0008,008)..2.. Real World Activity - Move Images () Associated Real World Activity Move Images DAR-9400f will issue a MOVE request when a user of DAR-9400f wishes to move one or more studies from a remote DICOM SCP back to DAR-9400f (retrieve) or another remote DICOM SCP. (2) Presentation context Table Move DAR-9400f supports the transfer syntaxes listed in Table 6. For a MOVE request, DAR- 9400f supports the Presentation Contexts listed in Table 6 and Table 7. Table 6 Move Transfer Syntaxes Transfer Syntax UID DICOM Implicit Little Endian Transfer Syntax

15 Table 7 Move Presentation Contexts Abstract Syntax Transfer Syntax Role Extended Negotiation SOP Class SOP Class UID Name List UID List Study Root DICOM Implicit SCU None Query/Retriev Little Endian e IM Move Transfer Syntax () SOP Specific Conformance Move DAR-9400f uses specific keys for Move operation. When doing a series move the Study UID and Series UID are used as keys. When doing a study move only the Study UID is used as key Real World Activity Request to Store Images () Associated Real World Activity Storage as SCU DAR-9400f will issue a Storage request when a user of DAR-9400f wishes to send a study of images to a remote DICOM SCP. (2) Presentation context Table Storage as SCU DAR-9400f supports the transfer syntaxes listed in Table 8. Table 8 Worklist Presentation Context SOP Class Abstract Syntax SOP Class UID Name List Transfer Syntax UID List Role Extended Negotiation X-ray Angiographic Image Storage Secondary Capture Image storage Implicit Little Endian DICOM JPEG Lossless hierarchical, first order prediction Lossy JPEG 8 Bit JPEG Baseline Implicit Little Endian DICOM JPEG Lossless hierarchical, first order prediction SCU SCU None None () Storage Presentation Contexts selection Transfer syntax can be configured. They can be enabled/disabled and the presented order can be selected If no Transfer syntax are selected in the option then the system try to negotiate the default Transfer Syntax (Original Storage Transfer Syntaxes) and Implicit Little Endian Transfer Syntax. If some Transfer syntax is selected in the option, then the selection is presented in the configured order with two exception: o If the default Transfer Syntax is selected in the configuration, it negotiate first. o If Implicit Little Endian Transfer Syntax is not in the configuration then it negotiate last. (Implicit Little Endian Transfer Syntax is always negotiate).

16 Real World Activity Query Worklist () Associated Real World Activity Query Worklist as SCU DAR-9400f will issue a query Worklist request when a user of DAR-9400f opens a new study if a Modality Worklist SCP is configured in its host table. (2) Presentation context Table Query Worklist as SCU DAR-9400f supports the transfer syntaxes listed in Table 9. For a Query Worklist request, DAR-9400f supports the Presentation Contexts listed in. Table 9. Table 9 Worklist Presentation Contexts Abstract Syntax Transfer Syntax SOP Class SOP Class UID Name List UID List Modality Worklist Information Model - FIND DICOM Implicit Little Endian Transfer Syntax Role SCU None Extended Negotiation () SOP Specific Conformance general purpose Worklist SOP Class as SCU DAR-9400f supports queries against the Worklist Information Model using the baseline C-FIND SCU behaviour. DAR-9400f Request matching of the following key attributes Table 0 Matching Key s - Query Worklist Tag Scheduled Procedure Step Module Scheduled Procedure Step Sequence SQ (0040,000) >Modality >(0008,0060) >Scheduled Station AE Title AE >(0040,000) >Scheduled Procedure Step Start Date DA >(0040,0002) >Scheduled Performing Physician's PN Name >(0040,0006) Requested Procedure Module Requested Procedure ID SH (0040,00) Imaging Service Request Module Accession Number SH (0008,0050) Patient Identification Module Patient's Name PN (000,000) Patient ID LO (000,0020) DAR-9400f supports the character sets listed in Table 20. 2

17 Real World Activity Request to Print Images () Associated Real World Activity DAR-9400f will issue a Print request when the user wants to send study images to the remote DICOM printer SCP. (2) Presentation context Table Request to Print Images DAR-9400f supports the transfer syntaxes listed in Table. For a Print request, DAR- 9400f supports the Presentation Contexts listed in Table. Table 2 Request to Print Images Presentation Contexts Abstract Syntax Transfer Syntax Role Extended Negotiation SOP Class SOP Class UID Name List UID List Basic Grayscale Print Management Meta Explicit Little Endian SCU None () SOP Specific Conformance DAR-9400f provides the standard conformance to the DICOM Basic Grayscale Print Management Meta SOP class.

18 ... Association Acceptance Policy... Real World Activity - Store Received Images () Associated Real World Activity Store Received Images DAR-9400f will archive images that are sent to it from an SCU. (2) Presentation Context Table Store Received Images DAR-9400f supports the following transfer syntaxes listed in Table. Abstract Syntax Table Storage Transfer Syntaxes Transfer Syntax SOP Class SOP Class UID Name List UID List X-ray Angiographic Image Storage Implicit Little Endian JPEG Lossless, hierarchical, first order prediction Role SCP Extended Negotiation None Secondary Capture Image Storage Lossy JPEG 8 Bit JPEG Baseline Implicit Little Endian JPEG Lossless, hierarchical, first order prediction SCP None 4

19 DAR-9400f returns one of the following status codes (Table 4). Service Status Further Meaning Protocol Codes Table 4 Storage status codes Related Fields 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 DAR-9400f. Error SOP Class not supported Data set does not match SOP Class A800 A900 Indicates that the SOP Class of the Image in the C-Store operation did not match the Abstract Syntax negotiated for the Presentation Context. Indicates that the Data Set does not encode an instance of the SOP Class specified. Failed C000 The operation was not successful. Cannot understand C005 Indicates that the Data Set cannot be parsed into elements by DAR-9400f. Warning Coercion of data B000 Data elements were modified before being stored. elements Data set does not match SOP B007 Indicates that the Data Set does not match the SOP Class, but that the image was stored anyway. Class 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 Store Received Images DAR-9400f 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. The acceptable Presentation Contexts which DAR-9400f may accept are specified in Table 0. DAR-9400f will examine proposed Presentation Contexts in the order proposed. The first acceptable Presentation Context (other than Verification) determines the Abstract Syntax which will be used for the association. 5

20 .2. DAR-9400f Storage Media Application Profile Conformance Statement DAR-9400 Media Storage AE conforms to following application profiles. Table 5 Supported Application Profile Supported APS Real World Activity Role SC Option DAR-9400f Read CD-R FSR Interchange Write CD-R FSC Interchange.2.. Real World Activity - Read CD The DAR-9400f acts as a DICOM FSR with Interchange Service Class Option for images of SOP class in Table. Table 6 Supported SOP classes as FSR SOP Class SOP Class UID X-ray Angiographic Image Storage Secondary Capture Image storage Media Storage Application Profile Read CD-R applies the following profile. Table 7 Supported Application Profile for Read CD-R Supported APS Real World Activity Role SC Option DAR-9400f Read CD-R FSR Interchange Real World Activity - Write CD The DAR-9400f acts as a DICOM FSC with Interchange Service Class Option for images of SOP class in Table 5. Table 8 Supported SOP classes as FSR SOP Class SOP Class UID X-ray Angiographic Image Storage Secondary Capture Image storage Media Storage Application Profile Write CD-R applies the following profile Table 9 Supported Application Profile for Write CD-R Supported APS Real World Activity Role SC Option DAR-9400f Write CD-R FSC Interchange 6

21 .. Storage Commitment Conformance... Introduction The DAR-9400f system implements the DICOM Storage Commitment Push Model SOP Class. This system supports Storage Commitment as an SCU only Real World Activity - Storage as SCU - The Real-World activity that will cause the DAR-9400f to initiate an association to a remote DICOM entity that is a Service Class Provider (SCP) of the Storage Commitment SOP class is choosing a remote DICOM AE that supports Storage Commitment as provider as the archive device. 2- Then acquiring images using the CathLab. The acquired images to be committed are sent to the remote SCP entity first. The Commitment request for the transferred image instances is sent after the complete image transfer and the closure of the study. The closure of the study is initiated by the user. - The Commitment response has to come on a different association. 4- The expected Real-World activity Set Archive State is performed by the DICOM Server AE to respond to an incoming Storage Commitment response from the remote DICOM AE.... Functional definitions - DAR-9400f initiates the following operations: a. Negotiate and establish association with remote Storage Commitment Provider b. Send the acquired images to the remote DICOM AE SCP configured as the primary archive using C-STORE. c. Close the association. d. If there are any failures in the C-STORE for images i. The job will be marked as failed ii. The Storage Commitment request will not be sent for the failed STORE images. iii. The image C-STORE of the failed jobs will be retried continuously until successful. e. If all the images are transferred (C-STORE) without failures the following steps will be executed. i. Establish a new association for sending the commitment request.. The storage commitment request is done on a Per study basis. 2. The storage commitment request will contain all SOP instance UID of all the successfully stored images for a particular study. ii. Receive the response on same association or on a different association. iii. Updates the archive flag information for successful instances. f. When the files are successfully committed they become eligible for automatic deletion. g. Each file for which the system receives a STORAGE COMITMENT failure status is resent and a new storage commit process is started. After N unsuccessful retries (N configurable in the GUI) the user is notified Sequencing of real-world activities - The user has to declare a new study using the GUI 2- The user has to acquire new images - The user has to close the study. 7

22 4. Communication Profiles DAR-9400f provides DICOM V.0 TCP/IP Network Communication Support as defined in Part 8 of the DICOM standard. 4.. TCP/IP Stack DAR-9400f inherits its TCP/IP stack from the computer upon which it executes Physical media support DAR-9400f is indifferent to the physical medium over which TCP/IP executes; it inherits the medium from the system upon which it executes Extensions/Specialization/Privatization NA 4.. Configuration 4... AE Title/Presentation address Mapping DAR-9400f maps Application Entity titles to host name and port number via an internal configuration method. The mapping can be accessed in the configuration menu under the Database tab. Only a privileged user can change the mapping. DAR-9400f is connected to network via a router. There are 2 or computers running behind the router, and each computer could be as Storage SCU and Storage Commitment SCU. Therefore, the same IP addresses, AE titles and ports settings might be needed for the system which implements the service class SCP. For other service class, only one computer could be SCU, so an IP address and AE title should be set Configurable parameters DAR-9400f receives its configuration parameters from the user trough the AE s GUI. Configurable parameters are:. Local/remote application Entity title 2. Local/remote host name. Local/remote TCP/IP port 4. MAX PDU size 5. Time out for association 6. Time out for sub-operations 7. Machine serial Number 8. IHE configurations 4.4. Support for Extended Character Sets DAR-9400f is known to support the following character sets: Table 20 Supported Character Sets ISO-IR 00 (default) Latin Alphabet No. ISO-IR 6 Basic G0 Set ISO-IR 87 Japanese 8

23 5. UID Generation This section will describe how UID are generated by the DAR-9400f system. 5.. Definitions Serial Number: A thirteen digit maximum, number unique to this type of system (DAR-9400f ). Study Date: Date in format YYYYMMDD at which the study was created. Study Time: Time in format HHMMSS at which the study was created. Series Number: of the encoding/object: : Lossless Cine, 2: Lossy Cine, : Little Endian Implicit Cine, : Annotated images, 5: Reference Image, 5: DSA Lossless Cine 52: DSA Lossy Cine 5: DSA Little Endian Implicit Cine Instance Number: Sequential Number of the DICOM object generated by the DAR- 9400f for all objects of the same type in the same study. Instance Date: Date in format YYYYMMDD at which the image was created. Instance Time: Time formatted HHMMSS. Instance MS: The milliseconds portion of the time at which the image was created in format mmm Root and implementation class UID DAR-9400f root is Acquisition station: Implementation Class UID = <Root>..<Serial Number> Review station: Implementation Class UID = <Root>.4.<Serial Number> For the Anonymize function: This root is used only when competitor s files are being anonymized. Otherwise, the above roots are used. DAR-9400f Root for anonymization = <Root>.66 Acquisition station: Implementation Class UID = <Root>.66..<Serial Number> Review station: Implementation Class UID = <Root>.66.4.<Serial Number> 5.. Study UID Study Instance UID = <ImplementationClassUID>.<StudyDate>.<StudyTime> 5.4. Series UID Series Instance UID= <StudyInstanceUID>.<SeriesNumber> 5.5. SOP instance UID The Instance sequential number is a number that is generated by the DAR-9400f sequentially for each new sequence of the same type is a study. - Cine files <SeriesInstanceUID>.<Instance Number> 2- Annotated files <ImplementationClassUID>.<InstanceDate>.<InstanceTime>.<SeriesNumber>.<InstanceMS> 9

24 - Reference Image files <ImplementationClassUID>.<InstanceDate>.<InstanceTime>.<SeriesNumber>.<InstanceMS> 4- Anonymized files <ImplementationClassUID(anonymize)>.<SerialNumber>.<InstanceDate>.<InstanceTime>.<Se riesnumber>.<instancems> 5- Presentation State files <ImplementationClassUID>.<InstanceDate>.<InstanceTime>.<SeriesNumber>.<InstanceMS> 20

25 6. Information Object Definitions This system generates four kinds of images that are DA image, DSA image, Photo File and Reference image. DICOM attributes included in each image is as follows. 6.. DA image 6... Dicom Meta Information (0002,0000) UL Group 0002 Length (0002,000) OB File Meta Information Version (0002,0002) UI Media Storage SOP Class UID (0002,000) UI Media Storage SOP Instance UID (0002,000) UI Transfer Syntax UID (0002,002) UI Implementation Class UID (0002,002) OB C Private Information (0002,00) SH Implementation Version Name (0002,006) AE Source Application Entity Title (0002,000) UI Private Information Creator UID Patient Module (000,000) PN 2 Patient's Name (000,0020) LO 2 Patient ID (000,000) DA 2 Patient's Birth Date (000,0040) 2 Patient's Sex (000,002) LO Issuer of Patient ID (000,002) TM Patient's Birth Time (000,000) LO Other Patient IDs (000,00) PN Other Patient Names (000,260) SH Ethnic Group (000,4000) LT Patient Comments (0008,20) SQ R Referenced Patient Sequence 2

26 6... General Study Module (0020,000D) UI Study Instance UID (0008,0020) DA 2 Study Date (0008,000) TM 2 Study Time (0008,0050) (0008,0090) SH PN 2 2 Accession Number Referring Physician's Name (0020,000) SH 2 Study ID (0008,00) LO Study Description (0008,048) PN Physician(s) of Record (0008,060) PN Name of Physician(s) Reading Study (0008,0) SQ Referenced Study Sequence (0008,0096) SQ R Referring Physician Identification Sequence (0008,02) SQ R Procedure Code Sequence (0008,049) SQ R Physician(s) of Record Identification Sequence (0008,062) SQ R Physician(s) Reading Study Identification Sequence Patient Study Module (0008,080) LO Admitting Diagnoses Description (0008,084) SQ Admitting Diagnosis Code Sequence (000,00) AS Patient's Age (000,020) DS Patient's Size (000,00) DS Patient's Weight (000,280) SH Occupation (000,2B0) LT Additional Patient History 22

27 6..5. General Series Module (0008,0060) Modality (0020,000E) UI Series Instance UID (0020,00) IS 2 Series Number (008,500) (0020,0060) 2C 2C Patient Position Laterality (0008,002) DA Series Date (0008,00) TM Series Time (0008,0E) LO Series Description (0008,050) PN Performing Physician's Name (0008,070) PN Operators' Name (0008,) SQ Referenced Performed Procedure Step Sequence (0008,250) SQ Related Series Sequence (008,005) (008,00) LO Body Part Examined Protocol Name (0028,008) US Smallest Pixel Value in Series (0028,009) US Largest Pixel Value in Series (0040,0244) DA Performed Procedure Step Start Date (0040,0245) TM Performed Procedure Step Start Time (0040,025) SH Performed Procedure Step ID (0040,0254) LO Performed Procedure Step Description (0040,0280) ST Comments on the Performed Procedure Step (0008,052) SQ R Performing Physician Identification Sequence (0008,072) SQ R Operator Identification Sequence (0040,0260) SQ R Performed Protocol Code Sequence (0040,0275) SQ R Request s Sequence 2

28 6..6. General Equipment Module (0008,0070) LO 2 Manufacturer (0008,0080) (0008,008) LO ST Institution Name Institution Address (0008,00) SH Station Name (0008,040) LO Institutional Department Name (0008,090) LO Manufacturer's Model Name (008,000) LO Device Serial Number (008,020) LO Software Version(s) (008,050) DS Spatial Resolution (008,200) DA Date of Last Calibration (008,20) TM Time of Last Calibration (0028,020) US Pixel Padding Value Contrast/Bolus Module (008,000) LO 2 Contrast/Bolus Agent (008,040) LO Contrast/Bolus Route (008,04) DS Contrast/Bolus Volume (008,042) TM Contrast/Bolus Start Time (008,04) TM Contrast/Bolus Stop Time (008,044) DS Contrast/Bolus Total Dose (008,046) DS Contrast Flow Rate (008,047) DS Contrast Flow Duration (008,048) Contrast/Bolus Ingredient (008,049) DS Contrast/Bolus Ingredient Concentration (008,002) SQ R Contrast/Bolus Agent Sequence (008,004) SQ R Contrast/Bolus Administration Route Sequence (008,002A) SQ R Additional Drug Sequence 24

29 6..8. Cine Module (008,06) DS C Frame Time (008,065) DS C Frame Time Vector (00A,000) SQ C Multiplexed Audio Channels Description Code Sequence (0008,242) IS Start Trim (0008,24) IS Stop Trim (0008,244) IS Recommended Display Frame Rate (008,0040) IS Cine Rate (008,0072) DS Effective Duration (008,066) DS Frame Delay (008,067) DS Image Trigger Delay (008,242) IS (008,244) US Actual Frame Duration Preferred Playback Sequencing Multi-Frame Module (0028,0008) IS Number of Frames (0028,0009) AT Frame Increment Pointer Frame Pointers Module (0028,600) US Representative Frame Number (0028,6020) (0028,6022) US LO Frame Numbers of Interest (FOI) Frame(s) of Interest Description (0028,602) Frame of Interest 25

30 6... General Image Module (0020,00) IS 2 Instance Number (0008,002) (0008,00) DA TM 2C 2C Content Date Content Time (0020,0020) 2C Patient Orientation (0008,0022) DA Acquisition Date (0008,002A) DT Acquisition Datetime (0008,002) TM Acquisition Time (0008,22) SQ Source Image Sequence (0008,925) SQ Derivation Code Sequence (0020,002) IS Acquisition Number (0020,002) IS Images in Acquisition (0020,4000) LT Image Comments (0028,000) Quality Control Image (0028,00) (0028,22) DS Burned In Annotation Lossy Image Compression Ratio (0088,0200) SQ Icon Image Sequence Image Pixel Module (0028,000) US Rows (0028,00) US Columns (7FE0,000) OW Pixel Data (0028,0006) US C Planar Configuration (0028,004) IS C Pixel Aspect Ratio (0028,0) US C Red Palette Color Lookup Table Descriptor (0028,02) US C Green Palette Color Lookup Table Descriptor (0028,0) US C Blue Palette Color Lookup Table Descriptor (0028,20) OW C Red Palette Color Lookup Table Data (0028,202) OW C Green Palette Color Lookup Table Data (0028,20) OW C Blue Palette Color Lookup Table Data (0028,006) (0028,007) US US Smallest Image Pixel Value Largest Image Pixel Value 26

31 6... X-ray Image Module (0008,0008) Image (0028,0002) US Samples per Pixel (0028,0004) Photometric Interpretation (0028,000) US Bits Allocated (0028,00) US Bits Stored (0028,002) US High Bit (0028,00) US Pixel Representation (0028,040) Pixel Intensity Relationship (0008,40) SQ C Referenced Image Sequence (0028,20) C Lossy Image Compression (0008,2) ST Derivation Description (0008,228) SQ Anatomic Region Sequence (0008,2228) SQ Primary Anatomic Structure Sequence (008,0022) Scan Options (008,400) LO Acquisition Device Processing Description (0028,6040) US R Wave Pointer (0050,0004) Calibration Image 27

32 6..4. Curve Module (5000,0005) US Curve Dimensions (5000,000) (5000,0020) US Number of Points of Data (5000,00) US Data Value Representation (5000,000) OW Curve Data (5000,00) US C Curve Data Descriptor (5000,02) US C Coordinate Start Value (5000,04) US C Coordinate Step Value (5000,0022) LO Curve Description (5000,000) SH Axis Units (5000,0040) SH Axis Labels (5000,004) US Minimum Coordinate Value (5000,005) US Maximum Coordinate Value (5000,006) (5000,2500) SH LO Curve Range Curve Label (5000,2600) SQ Referenced Overlay Sequence (in Curve Module) X-Ray Acquisition Module (008,55) Radiation Setting (008,0060) DS 2 KVP (008,50) (008,5) IS IS 2C 2C Exposure Time X-Ray Tube Current (008,52) IS 2C Exposure (008,47) Field of View Shape (008,49) IS Field of View Dimension(s) (008,5) IS Exposure in uas (008,54) DS Average Pulse Width (008,5A) Radiation Mode (008,5E) DS Image Area Dose Product (008,6) (008,62) LO DS of Filters Intensifier Size (008,64) DS Imager Pixel Spacing (008,66) (008,90) DS Grid Focal Spot(s) (008,850) DS Exposure Time in us (008,85) DS X-Ray Tube Current in ua 28

33 6..6. XA Positioner Module (008,50) DS 2 Positioner Primary Angle (008,5) (008,500) DS 2 2C Positioner Secondary Angle Positioner Motion (008,520) DS 2C Positioner Primary Angle Increment (008,52) DS 2C Positioner Secondary Angle Increment (008,0) DS Distance Source to Detector (008,) DS Distance Source to Patient (008,4) DS Estimated Radiographic Magnification Factor (008,50) DS Detector Primary Angle (008,5) DS Detector Secondary Angle SOP Common Module (0008,0005) C Specific Character Set (0008,006) UI C SOP Class UID (0008,008) UI C SOP Instance UID (0008,002) DA Instance Creation Date (0008,00) TM Instance Creation Time (0008,004) UI Instance Creator UID (0008,020) SH Timezone Offset From UTC (000,040) SOP Instance Status (000,0420) (000,0424) DT LT SOP Authorization Date and Time SOP Authorization Comment (000,0426) LO Authorization Equipment Certification Number (FFFA,FFFA) SQ Digital Signatures Sequence (4FFE,000) SQ R MAC Parameters Sequence Additional s Module (0029,005) LO : private mapped to (0029,00FF) (0029,50) DS : private mapped to (0029,FF0) 29

34 6.2. DSA image Dicom Meta Information (0002,0000) UL Group 0002 Length (0002,000) (0002,0002) OB UI File Meta Information Version Media Storage SOP Class UID (0002,000) UI Media Storage SOP Instance UID (0002,000) UI Transfer Syntax UID (0002,002) UI Implementation Class UID (0002,002) OB C Private Information (0002,00) SH Implementation Version Name (0002,006) AE Source Application Entity Title (0002,000) UI Private Information Creator UID Patient Module (000,000) PN 2 Patient's Name (000,0020) LO 2 Patient ID (000,000) DA 2 Patient's Birth Date (000,0040) 2 Patient's Sex (000,002) LO Issuer of Patient ID (000,002) TM Patient's Birth Time (000,000) LO Other Patient IDs (000,00) PN Other Patient Names (000,260) SH Ethnic Group (000,4000) LT Patient Comments (0008,20) SQ R Referenced Patient Sequence 0

35 6.2.. General Study Module (0020,000D) UI Study Instance UID (0008,0020) DA 2 Study Date (0008,000) TM 2 Study Time (0008,0050) (0008,0090) SH PN 2 2 Accession Number Referring Physician's Name (0020,000) SH 2 Study ID (0008,00) LO Study Description (0008,048) PN Physician(s) of Record (0008,060) PN Name of Physician(s) Reading Study (0008,0) SQ Referenced Study Sequence (0008,0096) SQ R Referring Physician Identification Sequence (0008,02) SQ R Procedure Code Sequence (0008,049) SQ R Physician(s) of Record Identification Sequence (0008,062) SQ R Physician(s) Reading Study Identification Sequence Patient Study Module (0008,080) LO Admitting Diagnoses Description (0008,084) SQ Admitting Diagnosis Code Sequence (000,00) AS Patient's Age (000,020) (000,00) DS DS Patient's Size Patient's Weight (000,280) SH Occupation (000,2B0) LT Additional Patient History

36 General Series Module (0008,0060) Modality (0020,000E) UI Series Instance UID (0020,00) IS 2 Series Number (008,500) (0020,0060) 2C 2C Patient Position Laterality (0008,002) DA Series Date (0008,00) TM Series Time (0008,0E) LO Series Description (0008,050) PN Performing Physician's Name (0008,070) PN Operators' Name (0008,) SQ Referenced Performed Procedure Step Sequence (0008,250) SQ Related Series Sequence (008,005) (008,00) LO Body Part Examined Protocol Name (0028,008) US Smallest Pixel Value in Series (0028,009) US Largest Pixel Value in Series (0040,0244) DA Performed Procedure Step Start Date (0040,0245) TM Performed Procedure Step Start Time (0040,025) SH Performed Procedure Step ID (0040,0254) LO Performed Procedure Step Description (0040,0280) ST Comments on the Performed Procedure Step (0008,052) SQ R Performing Physician Identification Sequence (0008,072) SQ R Operator Identification Sequence (0040,0260) SQ R Performed Protocol Code Sequence (0040,0275) SQ R Request s Sequence 2

37 General Equipment Module (0008,0070) LO 2 Manufacturer (0008,0080) LO Institution Name (0008,008) ST Institution Address (0008,00) (0008,040) SH LO Station Name Institutional Department Name (0008,090) LO Manufacturer's Model Name (008,000) LO Device Serial Number (008,020) LO Software Version(s) (008,050) DS Spatial Resolution (008,200) DA Date of Last Calibration (008,20) TM Time of Last Calibration (0028,020) US Pixel Padding Value Contrast/Bolus Module (008,000) LO 2 Contrast/Bolus Agent (008,040) LO Contrast/Bolus Route (008,04) DS Contrast/Bolus Volume (008,042) TM Contrast/Bolus Start Time (008,04) TM Contrast/Bolus Stop Time (008,044) DS Contrast/Bolus Total Dose (008,046) DS Contrast Flow Rate (008,047) DS Contrast Flow Duration (008,048) Contrast/Bolus Ingredient (008,049) DS Contrast/Bolus Ingredient Concentration (008,002) SQ R Contrast/Bolus Agent Sequence (008,004) SQ R Contrast/Bolus Administration Route Sequence (008,002A) SQ R Additional Drug Sequence

38 Cine Module (008,06) DS C Frame Time (008,065) DS C Frame Time Vector (00A,000) SQ C Multiplexed Audio Channels Description Code Sequence (0008,242) IS Start Trim (0008,24) IS Stop Trim (0008,244) IS Recommended Display Frame Rate (008,0040) IS Cine Rate (008,0072) DS Effective Duration (008,066) DS Frame Delay (008,067) (008,242) DS IS Image Trigger Delay Actual Frame Duration (008,244) US Preferred Playback Sequencing Multi-Frame Module (0028,0008) IS Number of Frames (0028,0009) AT Frame Increment Pointer Frame Pointers Module (0028,600) US Representative Frame Number (0028,6020) US Frame Numbers of Interest (FOI) (0028,6022) LO Frame(s) of Interest Description (0028,602) Frame of Interest 4

39 6.2.. Mask Module (0028,600) SQ Mask Subtraction Sequence >(0028,60) Mask Operation >(0028,60) US C Mask Frame Numbers >(0028,620) SS 2C TID Offset >(0028,602) US Applicable Frame Range >(0028,62) US Contrast Frame Averaging >(0028,64) FL Mask Sub-pixel Shift >(0028,690) ST Mask Operation Explanation (0028,090) 2 Recommended Viewing Mode Display Shutter Module (008,600) Shutter Shape (008,602) IS C Shutter Left Vertical Edge (008,604) IS C Shutter Right Vertical Edge (008,606) IS C Shutter Upper Horizontal Edge (008,608) (008,60) IS IS C C Shutter Lower Horizontal Edge Center of Circular Shutter (008,62) IS C Radius of Circular Shutter (008,620) IS C Vertices of the Polygonal Shutter (008,622) US Shutter Presentation Value 5

40 6.2.. General Image Module (0020,00) IS 2 Instance Number (0008,002) DA 2C Content Date (0008,00) TM 2C Content Time (0020,0020) (0008,0022) DA 2C Patient Orientation Acquisition Date (0008,002A) DT Acquisition Datetime (0008,002) TM Acquisition Time (0008,22) SQ Source Image Sequence (0008,925) SQ Derivation Code Sequence (0020,002) IS Acquisition Number (0020,002) IS Images in Acquisition (0020,4000) LT Image Comments (0028,000) Quality Control Image (0028,00) Burned In Annotation (0028,22) DS Lossy Image Compression Ratio (0088,0200) SQ Icon Image Sequence Image Pixel Module (0028,000) US Rows (0028,00) US Columns (7FE0,000) OW Pixel Data (0028,0006) US C Planar Configuration (0028,004) IS C Pixel Aspect Ratio (0028,0) US C Red Palette Color Lookup Table Descriptor (0028,02) US C Green Palette Color Lookup Table Descriptor (0028,0) US C Blue Palette Color Lookup Table Descriptor (0028,20) OW C Red Palette Color Lookup Table Data (0028,202) OW C Green Palette Color Lookup Table Data (0028,20) OW C Blue Palette Color Lookup Table Data (0028,006) US Smallest Image Pixel Value (0028,007) US Largest Image Pixel Value 6

41 X-ray Image Module (0008,0008) Image (0028,0002) US Samples per Pixel (0028,0004) Photometric Interpretation (0028,000) (0028,00) US US Bits Allocated Bits Stored (0028,002) US High Bit (0028,00) US Pixel Representation (0028,040) Pixel Intensity Relationship (0008,40) SQ C Referenced Image Sequence (0028,20) C Lossy Image Compression (0008,2) ST Derivation Description (0008,228) SQ Anatomic Region Sequence (0008,2228) SQ Primary Anatomic Structure Sequence (008,0022) Scan Options (008,400) LO Acquisition Device Processing Description (0028,6040) US R Wave Pointer (0050,0004) Calibration Image Curve Module Typ e (5000,0005) US Curve Dimensions (5000,000) US Number of Points (5000,0020) of Data (5000,00) US Data Value Representation (5000,000) OW Curve Data (5000,00) US C Curve Data Descriptor (5000,02) US C Coordinate Start Value (5000,04) (5000,0022) US LO C Coordinate Step Value Curve Description (5000,000) SH Axis Units (5000,0040) SH Axis Labels (5000,004) (5000,005) US US Minimum Coordinate Value Maximum Coordinate Value (5000,006) SH Curve Range (5000,2500) LO Curve Label (5000,2600) SQ Referenced Overlay Sequence (in Curve Module) 7

42 X-Ray Acquisition Module (008,55) Radiation Setting (008,0060) (008,50) DS IS 2 2C KVP Exposure Time (008,5) IS 2C X-Ray Tube Current (008,52) IS 2C Exposure (008,47) Field of View Shape (008,49) IS Field of View Dimension(s) (008,5) IS Exposure in uas (008,54) DS Average Pulse Width (008,5A) Radiation Mode (008,5E) DS Image Area Dose Product (008,6) LO of Filters (008,62) DS Intensifier Size (008,64) (008,66) DS Imager Pixel Spacing Grid (008,90) DS Focal Spot(s) (008,850) DS Exposure Time in us (008,85) DS X-Ray Tube Current in ua XA Positioner Module (008,50) DS 2 Positioner Primary Angle (008,5) DS 2 Positioner Secondary Angle (008,500) 2C Positioner Motion (008,520) DS 2C Positioner Primary Angle Increment (008,52) DS 2C Positioner Secondary Angle Increment (008,0) DS Distance Source to Detector (008,) DS Distance Source to Patient (008,4) DS Estimated Radiographic Magnification Factor (008,50) (008,5) DS DS Detector Primary Angle Detector Secondary Angle 8

43 SOP Common Module (0008,0005) C Specific Character Set (0008,006) (0008,008) UI UI C C SOP Class UID SOP Instance UID (0008,002) DA Instance Creation Date (0008,00) TM Instance Creation Time (0008,004) UI Instance Creator UID (0008,020) SH Timezone Offset From UTC (000,040) SOP Instance Status (000,0420) DT SOP Authorization Date and Time (000,0424) LT SOP Authorization Comment (000,0426) LO Authorization Equipment Certification Number (FFFA,FFFA) SQ Digital Signatures Sequence (4FFE,000) SQ R MAC Parameters Sequence Additional s Module (0029,005) LO : private mapped to (0029,00FF) (0029,50) DS : private mapped to (0029,FF0) 9