Abstract
The DICOM Standard (for Digital Imaging and Communications in Medicine) specifies a non-proprietary data interchange protocol, digital image format, and file structure for biomedical images and image-related information. The fundamental concepts of the DICOM message protocol, services, and information objects are reviewed as background for a detailed discussion of the functionality of DICOM; the innovations and limitations of the Standard; and the impact of various DICOM features on information system users. DICOM addresses five general application areas: 1) Network Image Management, 2) Image Interpretation Management, 3) Network Print Management, 4) Imaging Procedure Management, 5) Off-line Storage Media Management. DICOM is a complete specification of the elements required to achieve a practical level of automatic interoperability between biomedical imaging computer systems — from application layer to bit-stream encoding. The Standard is being extended and expanded in modular fashion to support new applications and incorporate new technology. An interface to other Information Systems provides for shared management of patient, procedure, and results information related to images. A Conformance Statement template enables a knowledgeable user to determine if interoperability between two implementations is possible. Knowledge of DICOM’s benefits and realistic understanding of its limitations enable one to use the Standard effectively as the basis for a long term implementation strategy for image management and communications systems.
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References
Digital Imaging and Communications in Medicine (DICOM). NEMA Publications PS 3.1 — PS 3.12. The National Electrical Manufacturers Association. Rosslyn, VA. 1992, 1993, 1994, 1995.
Health Level Seven. An Application Protocol for Electronic Data Exchange In Healthcare Environments. Version 2.2. Health Level Seven, Inc., Ann Arbor, MI. 1994.
Request and report messages for diagnostic service departments. Medical Informatics CEN/TC 251/N95-027 Draft First Working Document (Red Cover Procedure) CEN/TC 251/PT3-022 BC-IT-M-021 v. 1.1, 1995-08-18.
Bidgood WD Jr. Documenting the Information Content of Images. Journal of the American Medical Informatics Association. Symposium Supplement: Proceedings of the 1997 AMIA Annual Fall Symposium. 1997:424-428.
American College of Radiology, National Electrical Manufacturers Association (ACR-NEMA) Standards Publication number 300-1988:Digital Imaging and Communications. Washington, DC: National Electrical Manufacturers Association, 1989; iii.
Irie, G: Clinical experience: 16 months of HU-PACS. In: Huang, HK, Ratib, O, Bakker, AR (Eds): Picture Archiving and Communication Systems (PACS) in Medicine, NATO ASI Series F, V. 74. Berlin, FRG, Springer-Verlag, 1991: 183–188.
Allison, D.J., Martin, N.J., Reynolds, R.A., Strickland, N.H.: Clinical Aspects of PACS, Proc 18th International Congress of Radiology, 1994: 813-819.
Siegel, E.L.: Filmless radiology department: VA Baltimore experience (Abstract). Radiology 189(P) Supplement; 1993: 93.
Mosser, H., Partan, G., Hruby, W.: Clinical routine operation of a filmless radiology department: three years experience. Proc SPIE v. 2435; PACS Design and Evaluation; 1995:321-327.
Smith, D.V., Smith, S., Bender, G.N., Carter, J.R., Cawthon, M. A., Leckie, R. G., Weiser, J.C., Romlein, J., Goeringer, F.: Lessons Learned and Two Years Clinical Experience in Implementing the Medical Diagnostic Imaging Support (MDIS) System at Madigan Army Medical Center, Proc SPIE v. 2165: Medical Imaging 1994; 1994:538–555.
Choi, H.S., Ro, D.W.: Clinical implementation of the Samsung Medical Center PACS (abstract): IMAC ′95 Abstracts; August 20, 1995: Oahu, HI.
McCray A.T. Personal Communication. March 18, 1996.
Bidgood WD Jr., Horii SC. Extension of the DICOM Standard to new imaging modalities and services. Journal of Digital Imaging. 1996, 9: 67–77.
Digital Imaging and Communications in Medicine (DICOM): Conformanceî, NEMA Publication PS 3.2-1993, Washington, DC, 1993.
Malmud, C. Stacks, Interoperability in Today ís Computer Networks. Prentice-Hall, Inc. Englewood Cliffs, New Jersey, 1992.
Digital Imaging and Communications in Medicine (DICOM). NEMA PS 3. Supplement 23: Structured Reporting. The National Electrical Manufacturers Association. Rosslyn, VA. 1997.
Digital Imaging and Communications in Medicine (DICOM). NEMA PS 3. Supplement 15: Visible Light Image and Anatomic Frame of Reference for Endoscopy, Microscopy, and Photography. The National Electrical Manufacturers Association. Rosslyn, VA. 1997.
Bidgood WD Jr. The SNOMED DICOM Microglossary: Controlled Terminology Resource for Data Interchange in Biomedical Imaging. Invited for publication in a special issue of Methods of Information in Medicine. Submitted December 3, 1996. Pre-print published in the Proceedings of the Conference on Natural Language and Medical Concept Recognition. International Medical Informatics Association, Working Group Six. Ponte Vedra, FL. January 19-22, 1997.
Benn DK, Bidgood WD Jr, Pettigrew JC Jr. An Imaging Standard for Dentistry: Extension of the Radiology DICOM Standard. Oral Surgery, Oral Medicine, Oral Pathology 1993, 76: 262–265.
CotÉ RA, Rothwell DJ, Palotay JL, Beckett RS, Brochu L, eds. The Systematized Nomenclature of Human and Veterinary Medicine. Northfield,L. College of American Pathologists. 1993.
Digital Imaging and Communications in Medicine (DICOM). NEMA Publications PS 3.4-1993. Service Class Specifications. The National Electrical Manufacturers Association. Rosslyn, VA. 1994.
Bidgood, WD Jr, alSafadi Y, Tucker M, Prior FW, Hagan G, Mattison JE. The Role of DICOM in an Evolving Healthcare Computing Environment: The Model is the Message. Accepted for publication by the Journal of Digital Imaging. September 3, 1997.
Bidgood WD Jr, Korman L, Golichowski A, Rossi Mori A, Bray B, Hildebrand L, Brown NJG, Spackman K, Dove B, Schoeffler K. Controlled Terminology for Clinically-Relevant Indexing and Selective Retrieval of Biomedical Images. International Journal of Digital Libraries. Special 1997 Issue on Digital Libraries in Medicine. Accepted for publication, June 20, 1997.
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Bidgood, W.D., Horii, S.C., Prior, F.W., Van Syckle, D.E. (1998). Understanding and Using DICOM, The Data Interchange Standard for Biomedical Imaging. In: Wong, S.T.C. (eds) Medical Image Databases. The Springer International Series in Engineering and Computer Science, vol 465. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-5553-7_2
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DOI: https://doi.org/10.1007/978-1-4615-5553-7_2
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