DICOM: Fields of Use

1
DICOM Fields of Use

• Allan G. Farman
• Professor of Radiology Imaging Science,
  University of Louisville, Kentucky, USA
• Co-Chair DICOM Working Group 22 (Dentistry)
• American Dental Association Representative to
  DICOM Standards Committee

2
DICOM fields of use

• DICOM Standard contains
• Services, SOP Classes, Templates, etc.
• Cross-Discipline Standards Preferred
• Field of Use Specific Standards Where needed
• DICOM Working Groups
• Cross-Discipline n16
• Field Specific n10
• DICOM Member Organizations
• Vendors Users General Interest
• Users represent Specific Fields of Use

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DICOM fields of use
http//medical.nema.org/
Fields of Use Represented in
Standard
Fields of Use Represented by
Member Organizations
Working Groups Listed Include Those Specific
to Fields of Use
4
DICOM fields of use
10 of 26 WGs represent specific fields of use
Mammography
Cardiology
WG 1
WG 15
Nuclear Med
WG 3
Dermatology
Radiation Therapy
WG 19
Veterinary Med
WG 7
WG 25
Dentistry
WG 22
WG 9
Ophthalmology
WG 24
Surgery
WG 26
Pathology
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DICOM fields of use
Ophthalmology
WG 9
WG 1
Cardiology
Diagnostic Radiology
Veterinary Medicine
WG 25
WG 22
Dentistry
WG 26
Pathology
Diagnostic Radiology
WG 1
Cardiology
Diagnostic Radiology
Health Informatics
Diagnostic Radiology
Diagnostic Radiology
Health Informatics
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DICOM fields of use

• Therefore DICOM has something for you if you make
  or use systems
• in any of the following fields

• Diagnostic Radiology
• Radiation Therapy
• Image Guided Surgery
• Mammography
• Cardiology
• Dentistry
• Pathology
• Ophthalmology
• Dermatology
• Veterinary Medicine
• Endoscopy
• Microscopy
• Clinical Photography/Video
• Computed Tomography
• Magnetic Resonance Imaging
• Ultrasound

• Nuclear Medicine
• Positron Emission Tomography
• Molecular Imaging
• Optical Coherence Tomography
• Tomosynthesis
• Image Fusion
• Structured Reporting
• Structured Displays
• Picture Archiving and Communications Systems
• Web Access to DICOM Objects
• Implants
• Angiography
• Image-Generated Models
• Teaching Case Files

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DICOM fields of use

• Discipline Unique Supplements
• e.g.
• Supplement 32 - Dental Digital Radiographs
• Supplement 74 - Radiation Therapy General Purpose
  Worklist
• Supplement 91 - Ophthalmic Photography
• Supplement 92 - Dental Grayscale Image
  Application Profiles
• Supplement 97 - CT/MR Cardiovascular Analysis
• Supplement 122 - Specimen Identification in
  Pathology
• Supplement 125 - Breast Tomosynthesis Image
  Storage
• Supplement 126 - Colon CAD Structured Reports
• Supplement 128 - Cardiac Stress Test Structured
  Reports
• Supplement 130 - Ophthalmic Refractive Structured
  Reports

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DICOM fields of use
Supplement 92 Grayscale Media Applications for
Dentistry
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DICOM fields of use

• Cross-Discipline Supplements
• e.g.
• Supplement 47 - Visible Light (Endoscopy/Photograp
  hy/Microscopy)
• Supplement 85 - Web Access to DICOM Objects
• Supplement 104 - Encapsulation of PDF Document
• Supplement 113 - DICOM e-mail Transport
• Supplement 116 - 3D X-Ray
• Supplement 123 - Structured Display
• Supplement 131 - Implant Description Storage SOP
  Class

10
DICOM fields of use
Structured Display Supplement 123
WG 9
WG 22
Ophthalmology Eye Charts
Dentistry Intraoral X-Ray Series
Radiology Teaching Cases
Cardiology
WG 1
11
DICOM fields of use
Standard Dental Radiographic Display
12
DICOM fields of use
Standard Ophthalmology Charts
13
DICOM fields of use
3D-X-ray Supplement 116
WG 15
WG 22
Dentistry CBCT
Mammography Tomosynthesis CBCT
Radiation Therapy Planning
Angiography
WG 2
WG 7
14
CBCT
Image Processing
Procedure Control
15
DICOM fields of use
16
Supernumerary Premolars
Bisphosphonate
R
L
L
L
Osteonecrosis
R
L
Mucous Extravasation R. Maxillary Sinus
Unerupted maxillary third molars without cysts
Carotid Calcified Atheroma
17
DICOM fields of use

• DICOM provides
• A set of basic rules for all disciplines
• Discipline specific rules where necessary
• The aim has been to keep the Standard as coherent
  as possible by having disciplines interact to
  develop answers with as wide a scope as possible
  and to provide use cases from representative
  disciplines concerned.