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DICOM
Digital Imaging
Communications
in Medicine
Communication Protocols:
Key to Connectivity
 Layered Model, each layer performs a specific function
 Set of Services and Protocols
 Connectivity requires sharing of a complete protocol
 Communication requires a shared Semantic Context
ISO Reference Model
LLC
MAC
PHYSICAL
DATA LINK
NETWORK
TRANSPORT
SESSION
PRESENTATION
APPLICATION
Fiber, Coax, UTP, µWave
End-to-End communication
Data Formatting, Compression,Encryption
File Transfer, E-mail, HTTP
Ethernet, FDDI, etc.
Internetworking
Upper Layers
(DICOM)
Synchronization,Comm. Management
Lower Layers
Communication Standards
 Protocols are defined by standards
 A Standard is an agreement which may be
voluntary, Government mandated, or International
Law
 Protocols may also be proprietary
Who Defines
Communication Standards?
 User Consortia (e.g., HL7)
 Organizations (e.g., NEMA, IEEE)
 US Government Agencies (e.g., ANSI, NIST)
 Foreign Government Agencies (e.g., CEN)
 United Nations (e.g., ISO, CCITT)
ACR-NEMA
 1982 - ACR and NEMA form a joint committee
 1985 - Publication of Version 1.0
 1988 - Compression and Mag Tape Standards
 1988 - Publication of Version 2.0
 1989 - Began work on Network Version with HIS/RIS
DICOM
 The name was changed to separate the standard
from the originating body
 1991 - Release of Parts 1 and 8 of DICOM
 1992 - RSNA demonstration, Part 8
 1993 - DICOM Parts 1-9 approved,
RSNA demonstration of ALL parts
 1994 - Part 10: Media Storage and File Format
 1995 - Parts 11,12, and 13 plus Supplements
The Parts of the DICOM Standard
 Part 1 - Introduction and Overview
 Part 2 - Conformance
 Part 3 - Information Object Definitions
 Part 4 - Service Class Definitions
 Part 5 - Data Structures & Semantics
 Part 6 - Data Element Listing and Typing
 Part 7 - Message Exchange Protocol
 Part 8 - Network Support for Message Exchange
 Part 9 - Point-to-Point Support
The Parts of the DICOM Standard
 Part 10 - Media Storage and File Format
 Part 11 - Media Storage Application Profiles
 Part 12 - Media Formats and Physical Media
 Part 13 - Print Management Point-to-Point
DICOM Application Domain
MAGN
ETOM
Information Management System
Storage, Query/Retrieve
Storage, Query/Retrieve
,
,
Study Component
Study Component
Query/Retrieve, Patient & Study Management
Query/Retrieve, Patient & Study Management
Query/Retrieve
Query/Retrieve
Results Management
Results Management
Print Management
Print Management
Media Exchange
Media Exchange
LiteBox
Summary of DICOM Features
 NETWORK PROTOCOL
 DICOM incorporates negotiation to permit nodes to agree on
the functions to be performed
 MESSAGE ENCODING
 DICOM defines 24 data types (V2.0 had 4)
 DICOM message encoding includes JPEG compression (17
varients)
 DICOM includes encapsulated image and multi-frame syntaxes
 DICOM supports multiple character repertoires
Summary of DICOM Features
 OBJECT DATA MODEL
 DICOM is based on a completely specified data model
 DICOM includes a robust UID mechanism
 DATA DICTIONARY
 DICOM includes a large number of new data elements
 SERVICE CLASSES
 DICOM defines classes of service for specific applications (e.g.
image management, printing) and conformance levels
Summary of DICOM Features
 Off-Line Media Support
 DICOM defines a directory structure and media profiles
 CONFORMANCE
 DICOM requires conformance statements and contains detailed
conformance requirements
DICOM Terminology
 DICOM Message Service Element (DIMSE) - The set of
DICOM Application Layer communication services.
 DIMSE Service Group (DSG) - A subset of the full DIMSE
services which is applicable to a specific IOD.
 Information Object Definition (IOD) - A data abstraction of a
class of real-world objects. A collection of related
attributes (data elements).
DICOM Terminology
 Service Class - A set of functionality relating to a
single type or real-world activity. Composed of a set
of SOP Classes plus rules and associated
semantics.
 Service-Object-Pair Class (SOP) - The atomic unit of
DICOM functionality. Composed of an IOD and a
DIMSE Service Group plus restrictions or extensions
of the IOD. (Equivalent to an Object Class)
Service-Object Pair Class
SOP
SOP
Data Dictionary
Data Dictionary
Real-World Object
Real-World Object
Information Object
Information Object DIMSE Service Group
DIMSE Service Group
DICOM Service Classes
 Composite
 Verification
 Storage
 Query/Retrieve
 Study Content Notification
 Normalized
 Patient Management
 Study Management
 Results Management
 Basic Print Management
Conformance
 DICOM Part 2 specifies the structure of a
conformance statement
 DICOM does not specify a test suite or a
compliance verification mechanism
 All DICOM implementations must be supported by
a properly constructed conformance statement
DICOM Conformance
Statement
 Implementation Model which describes the Application Entities
in the implementation
 Detailed specification of each Application Entity
 SOP Classes supported
 policies for initiation and acceptance of associations
 Presentation Contexts
 SOP options
 Supported communications protocols
 Specializations
 Configuration
Purpose of a Conformance
Statement
 Allow a user to determine which optional
components of the DICOM Standard are
supported by a particular implementation, and
what extensions or specializations an
implementation adds.
 By comparing the Conformance Statements from
two implementations, a knowledgeable user
should be able to determine whether or not
interoperability is possible.
DICOM Conformance Testing
 No Formal Mechanism is Defined in the Standard
 Committee for the Advancement of DICOM
 Define initial test plan and cross-connect matrix
 Future RFP for organization to monitor the process
 Problem: How to Map DICOM Conformance
Statements into Test Plans
The DICOM Explosion
 Joint CEN-DICOM development
 Medicom = DICOM
 MIPS 95 work is underway with JIRA
 IS&C Harmonization is also in progress
 HL7 Harmonization continuing interest
 New DICOM organization
 Companies: NEMA and non-NEMA
 ACR, ACC, CAP, ...
 individuals
Summar
y
 Networking is a critical component of all medical
imaging systems
 Support for Open Communication Standards is a
MUST
 DICOM is here, NOW
 DICOM products exist on the market
 DICOM is emerging as THE common protocol for
medical image communication - WORLD WIDE!

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254668610-Dicom-ppt PACS architecture.ppt

  • 2. Communication Protocols: Key to Connectivity  Layered Model, each layer performs a specific function  Set of Services and Protocols  Connectivity requires sharing of a complete protocol  Communication requires a shared Semantic Context
  • 3. ISO Reference Model LLC MAC PHYSICAL DATA LINK NETWORK TRANSPORT SESSION PRESENTATION APPLICATION Fiber, Coax, UTP, µWave End-to-End communication Data Formatting, Compression,Encryption File Transfer, E-mail, HTTP Ethernet, FDDI, etc. Internetworking Upper Layers (DICOM) Synchronization,Comm. Management Lower Layers
  • 4. Communication Standards  Protocols are defined by standards  A Standard is an agreement which may be voluntary, Government mandated, or International Law  Protocols may also be proprietary
  • 5. Who Defines Communication Standards?  User Consortia (e.g., HL7)  Organizations (e.g., NEMA, IEEE)  US Government Agencies (e.g., ANSI, NIST)  Foreign Government Agencies (e.g., CEN)  United Nations (e.g., ISO, CCITT)
  • 6. ACR-NEMA  1982 - ACR and NEMA form a joint committee  1985 - Publication of Version 1.0  1988 - Compression and Mag Tape Standards  1988 - Publication of Version 2.0  1989 - Began work on Network Version with HIS/RIS
  • 7. DICOM  The name was changed to separate the standard from the originating body  1991 - Release of Parts 1 and 8 of DICOM  1992 - RSNA demonstration, Part 8  1993 - DICOM Parts 1-9 approved, RSNA demonstration of ALL parts  1994 - Part 10: Media Storage and File Format  1995 - Parts 11,12, and 13 plus Supplements
  • 8. The Parts of the DICOM Standard  Part 1 - Introduction and Overview  Part 2 - Conformance  Part 3 - Information Object Definitions  Part 4 - Service Class Definitions  Part 5 - Data Structures & Semantics  Part 6 - Data Element Listing and Typing  Part 7 - Message Exchange Protocol  Part 8 - Network Support for Message Exchange  Part 9 - Point-to-Point Support
  • 9. The Parts of the DICOM Standard  Part 10 - Media Storage and File Format  Part 11 - Media Storage Application Profiles  Part 12 - Media Formats and Physical Media  Part 13 - Print Management Point-to-Point
  • 10. DICOM Application Domain MAGN ETOM Information Management System Storage, Query/Retrieve Storage, Query/Retrieve , , Study Component Study Component Query/Retrieve, Patient & Study Management Query/Retrieve, Patient & Study Management Query/Retrieve Query/Retrieve Results Management Results Management Print Management Print Management Media Exchange Media Exchange LiteBox
  • 11. Summary of DICOM Features  NETWORK PROTOCOL  DICOM incorporates negotiation to permit nodes to agree on the functions to be performed  MESSAGE ENCODING  DICOM defines 24 data types (V2.0 had 4)  DICOM message encoding includes JPEG compression (17 varients)  DICOM includes encapsulated image and multi-frame syntaxes  DICOM supports multiple character repertoires
  • 12. Summary of DICOM Features  OBJECT DATA MODEL  DICOM is based on a completely specified data model  DICOM includes a robust UID mechanism  DATA DICTIONARY  DICOM includes a large number of new data elements  SERVICE CLASSES  DICOM defines classes of service for specific applications (e.g. image management, printing) and conformance levels
  • 13. Summary of DICOM Features  Off-Line Media Support  DICOM defines a directory structure and media profiles  CONFORMANCE  DICOM requires conformance statements and contains detailed conformance requirements
  • 14. DICOM Terminology  DICOM Message Service Element (DIMSE) - The set of DICOM Application Layer communication services.  DIMSE Service Group (DSG) - A subset of the full DIMSE services which is applicable to a specific IOD.  Information Object Definition (IOD) - A data abstraction of a class of real-world objects. A collection of related attributes (data elements).
  • 15. DICOM Terminology  Service Class - A set of functionality relating to a single type or real-world activity. Composed of a set of SOP Classes plus rules and associated semantics.  Service-Object-Pair Class (SOP) - The atomic unit of DICOM functionality. Composed of an IOD and a DIMSE Service Group plus restrictions or extensions of the IOD. (Equivalent to an Object Class)
  • 16. Service-Object Pair Class SOP SOP Data Dictionary Data Dictionary Real-World Object Real-World Object Information Object Information Object DIMSE Service Group DIMSE Service Group
  • 17. DICOM Service Classes  Composite  Verification  Storage  Query/Retrieve  Study Content Notification  Normalized  Patient Management  Study Management  Results Management  Basic Print Management
  • 18. Conformance  DICOM Part 2 specifies the structure of a conformance statement  DICOM does not specify a test suite or a compliance verification mechanism  All DICOM implementations must be supported by a properly constructed conformance statement
  • 19. DICOM Conformance Statement  Implementation Model which describes the Application Entities in the implementation  Detailed specification of each Application Entity  SOP Classes supported  policies for initiation and acceptance of associations  Presentation Contexts  SOP options  Supported communications protocols  Specializations  Configuration
  • 20. Purpose of a Conformance Statement  Allow a user to determine which optional components of the DICOM Standard are supported by a particular implementation, and what extensions or specializations an implementation adds.  By comparing the Conformance Statements from two implementations, a knowledgeable user should be able to determine whether or not interoperability is possible.
  • 21. DICOM Conformance Testing  No Formal Mechanism is Defined in the Standard  Committee for the Advancement of DICOM  Define initial test plan and cross-connect matrix  Future RFP for organization to monitor the process  Problem: How to Map DICOM Conformance Statements into Test Plans
  • 22. The DICOM Explosion  Joint CEN-DICOM development  Medicom = DICOM  MIPS 95 work is underway with JIRA  IS&C Harmonization is also in progress  HL7 Harmonization continuing interest  New DICOM organization  Companies: NEMA and non-NEMA  ACR, ACC, CAP, ...  individuals
  • 23. Summar y  Networking is a critical component of all medical imaging systems  Support for Open Communication Standards is a MUST  DICOM is here, NOW  DICOM products exist on the market  DICOM is emerging as THE common protocol for medical image communication - WORLD WIDE!