Enhanced DICOM Objects - Brief Proposal

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1. Proposed Workitem: Enhanced DICOM Image Profile

  • Proposal Editor: <Name of author/editor/contact for the proposal>
  • Editor: <Name of candidate Lead Editor for the Profile, if known>
  • Date:
  • Domain: Radiology

2. The Problem

The original DICOM cross-sectional and multi-frame projectional objects needed a significant revision because of technology advancements, and the introduction of new acquisition protocols for which there was no standard description.

DICOM has created a new "enhanced family" of multi-frame image objects for MR, CT, PET, and most recently XA, XRF and 3D X-Ray (cone beam CT and tomosynthesis), and there is a new 3D Ultrasound object in development. In addition, new types of data such as raw data and MR spectroscopy can now be stored in a standard manner. Products have now entered the market that are capable of creating some of these new objects. There is a need to promote their adoption for storage in and retrieval from Image Managers and Archives as well as their display by Image Displays.

It is desirable to profile the multitude of possible clinical acquisition protocols supported by these objects in order to constrain alternative means of encoding the same information and to make feasible and interoperable the consistent hanging and display on workstations.

Profiles for a few clinical use cases have already be defined by WG16 and the committee for the advancement of DICOM, and have been demonstrated at the SCAR and RSNA conference by a number of vendors. DICOM WG16 and the NEMA (MITA) Advanced CT/MR Taskforce has requested that these profiles be elaborated and promoted to IHE profiles:

CT/MR CARDIAC IMAGING

New CT/MR cardiac images containing standard attributes for location and timing information.

MR DIFFUSION

MR diffusion images containing standard attributes for diffusion B values, direction and diffusion image type.

CT/MR CONTRAST PERFUSION

Intra-venous contrast enhanced images containing standard attributes for timing and phase.

MULTI-STACK SPINE IMAGING

Images are acquired at multiple disk space levels of the spine such that multiple slices at each level are parallel to the disk space, each in a separate stack from slices at different angles through other disks. These images are exchanged in an interoperable way with standard attributes describing the stacks and their geometries.

MR SPECTROSCOPY Single-voxel, multi-voxel or multi-slice 1D MR spectra are exchanged with reference and metabolite images that contain information to allow correct display, post-processing and analysis.

PROFILE REQUIREMENTS

These use cases may constitute the basis for a new IHE CT/MR Image profile, which specifies for each all that are applicable of the following: • The required attributes (mostly already defined in the standard), • The relevant functional grouping • The content of the dimension module • The use of a Real World Values LUT • The use of a Supplemental Color LUT • The relevant attributes for display on a workstation

Additional profiles for improved query requirements for these objects, as well as per-frame retrieval of image contents may also be warranted.

3. Key Use Case

<Describe a short use case scenario from the user perspective. The use case should demonstrate the integration/workflow problem.>

<Feel free to add a second use case scenario demonstrating how it “should” work. Try to indicate the people/systems, the tasks they are doing, the information they need, and hopefully where the information should come from.>


4. Standards & Systems

<List existing systems that are/could be involved in the problem/solution.>

<If known, list standards which might be relevant to the solution>


5. Discussion

<Include additional discussion or consider a few details which might be useful for the detailed proposal>

<Why IHE would be a good venue to solve the problem and what you think IHE should do to solve it.>
<What might the IHE technical approach be? Existing Actors? New Transactions? Additional Profiles?>
<What are some of the risks or open issues to be addressed?>


<This is the brief proposal. Try to keep it to 1 or at most 2 pages>

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