Dicom@s DX

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Dicom@sDx
Heath Standards
Restricted © Siemens AG 20XX All rights reserved. siemens.com/answers

What is DICOM
DICOM is the ONLY standard in the world

that covers the exchange of medical images
First successful DICOM Standard issued in

1993
DICOM is a cooperative standard
Every major diagnostic medical imaging

vendor in the world has incorporated the
standard into their product design.
Most of the professional societies

throughout the world have supported & are
participating in the enhancement of the
standard as well
Restricted © Siemens AG 20XX All rights reserved.

Page 2 2014-06-24 Author / Department
Why DICOM
Standards stimulate competition and drive

costs down
Easily replaceable and upgradable products
Avoids risks in investing towards proprietary

products
To create & maintain international standards

for communication of biomedical diagnostic
and therapeutic information in disciplines
that use digital images & associated data
To achieve compatibility & to improve

workflow efficiency between imaging
systems & other information systems in
healthcare environments worldwide

Dicom Services
Archive/Transfer Images: Store (across network)

Archive/Interchange Images: Media Storage
Query for Information & Retrieve Images
Make Image Hardcopies: Print Management
Patient, Study & Results Management
RIS-Modality: Worklist Management
Test Connectivity: Verification

Store Objects
Modalities acts as SCU

sDx acts as SCP while storing.
sDx behaves as a SCU when

requests storage commitment with
an AE.
Store Involves:
Association Negotiation
Sending the Image
Verifying the response

Store Objects continued..
sDx being a Cardio PACS , major use cases for store

operation consists of
-Ultrasound
-XA
But also supports

-CT
-MR
-NM
-PET
Refer Conformance statement for the full list.
Supported encoding during store:-

-Lossless JPEG
-RLE lossless
-Uncompressed
Archive/Storage Commitment
sDx server uses DICOM Storage Commitment Service Class as an SCU.
sDx can send image to another SCP for permanent storage and request safe keeping of
set of sop instances.
Committed Images are eligible for auto deletion from Cache when there is a space crunch
Support for displaying Archived Images by Query Retrieve.

Query Object
sDx server uses DICOM C-Find Class as an SCU.
Auto Pre fetching AE s for priors based on configuration
Levels of Query supported:

Patient Root
Study Root
Patient/ Study only Root

Retrieve/ Move Object
sDx Server provides standard conformance to the DICOM Query/Retrieve Service

Class as an SCU
Auto Pre fetching AE s for priors based on configuration
Levels of Move supported:
Patient Root
Study Root
Patient/ Study only Root

WADO Service
sDx Server uses WADO (Web Access for Dicom Objects) service as a SCU.
This is used with syngoVia Integration where via acts as WADO SCP.
All the findings images from via are displayed in sDx report through this.

Worklist Management
sDx Server provides Standard conformance to the DICOM Basic Worklist Management
Service Class as an SCU.
Makes association with a configured AE for querying a Patient or Study and updates
related information
Magiclink A which is a RIS can be configured with sDx for possible patient update

Study Update
sDx Server provides Standard conformance to the following presentation contexts as SCU:
Study Component Management
Basic Study Content Notification
Modality Performed Procedure steps (Both SCU/SCP)
Study Component Management will be preferred over Study Content Notification when
both the SOP classes are supported by remote AE.
MPPS notification are configurable.

Study Update –Unsolicited Notification
sDx Server provides Standard conformance to the following Detached contexts as SCU:
Detached Patient Management – Patient Updated event type
Detached Visit Management –Visit Scheduled /Patient transferred event type
Detached Study Management
Detached Interpretation Management

Media write/read
sDx supports exporting/importing studies into CD/DVD/USB.

-Supports Media Storage SOP Classes and Media Storage Directory SOP Class.
-Ability to create DICOM dir during import
-Provides a default DICOM viewer during export for image viewing
Supported Brands
CDs: Kodak, Maxwell,Mitsui,Sony,Taiyo Yuden, TDK,Verbatim & Yamaha
DVDs: Maxwell, Mtsui, Pioneer,Taiyo Yuden, TDK & Verbatim

Dicom Print
sDx supports DICOM print (Greyscale and/or Color).
Supports DICOM print management SOP class as SCU.
Dicom Printers acts as a SCP

Supports printing configured patient demographic information on images.
Printing done in an Offline mode

Structured Reporting
-Supports Comprehensive SR
-Modality sends measurements through SR
-Supported SRs are imported and SR Data gets populated in the Worksheet.
-During Study Export, new SRs are created and exported along with Study.
-Ability to handle SRs from different vendors like GE, Philips etc..

Verification
sDx supports verification service as an SCU/SCP.

It is the process of verifying whether an entity is alive or not

References
Dicom Conformance Statement @ Www.siemens.com/Dicom
Dicom Standards: @ http://medical.nema.org/standard.html

SriramBalaji S
SAN
Group / Region / Department XY
Bangalore
Phone: 080 41606214
Mobile: 9900490200
E-mail:
srirambalaji.s@siemens.com
siemens.com/answers


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Restricted © Siemens AG 20XX All rights reserved. siemens.com/answers

DICOM is the ONLY standard in the world

First successful DICOM Standard issued in

DICOM is a cooperative standard

Every major diagnostic medical imaging

Most of the professional societies

Restricted © Siemens AG 20XX All rights reserved.

Standards stimulate competition and drive

Easily replaceable and upgradable products

Avoids risks in investing towards proprietary

To create & maintain international standards

To achieve compatibility & to improve

Restricted © Siemens AG 20XX All rights reserved.

Archive/Transfer Images: Store (across network)

Restricted © Siemens AG 20XX All rights reserved.

Modalities acts as SCU

sDx behaves as a SCU when

Sending the Image

Verifying the response

Restricted © Siemens AG 20XX All rights reserved.

sDx being a Cardio PACS , major use cases for store

But also supports

Supported encoding during store:-

sDx server uses DICOM Storage Commitment Service Class as an SCU.

Support for displaying Archived Images by Query Retrieve.

Restricted © Siemens AG 20XX All rights reserved.

sDx server uses DICOM C-Find Class as an SCU.

Auto Pre fetching AE s for priors based on configuration

Levels of Query supported:

Restricted © Siemens AG 20XX All rights reserved.

sDx Server provides standard conformance to the DICOM Query/Retrieve Service

Restricted © Siemens AG 20XX All rights reserved.

Restricted © Siemens AG 20XX All rights reserved.

Restricted © Siemens AG 20XX All rights reserved.

Restricted © Siemens AG 20XX All rights reserved.

Restricted © Siemens AG 20XX All rights reserved.

sDx supports exporting/importing studies into CD/DVD/USB.

Restricted © Siemens AG 20XX All rights reserved.

sDx supports DICOM print (Greyscale and/or Color).

Supports DICOM print management SOP class as SCU.

Dicom Printers acts as a SCP

Restricted © Siemens AG 20XX All rights reserved.

Restricted © Siemens AG 20XX All rights reserved.

sDx supports verification service as an SCU/SCP.

Restricted © Siemens AG 20XX All rights reserved.

Dicom Conformance Statement @ Www.siemens.com/Dicom

Dicom Standards: @ http://medical.nema.org/standard.html

Restricted © Siemens AG 20XX All rights reserved.

Restricted © Siemens AG 20XX All rights reserved.

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