Presentation of Processed Images with Annotations/Markups- Brief Proposal

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1. Proposed Workitem:

  • Proposal Editor: Michael Planchart
  • Domain: Radiology

2. The Problem

CAD and clinical processing applications create processed images with annotations/markups. Different products are using different mechanisms for the markup, e.g.:


• burned into the DICOM image,

• encoded in the image overlay,

• encoded in separate presentation state graphics,

• encoded in a separate SR,

• rendered onto the image in a separate JPEG


With so many mechanisms, display systems support some of them poorly or not at all, so workflow is disrupted and key information may be inaccessible. The variability also makes it very difficult to create robust hanging protocols.

Of all the methods available the DICOM Structured Report (SR) is the preferred one and by industry-wide consensus, to contain the encoded markups.

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