DICOM Fields of Use

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DICOM Fields of Use
Allan G. Farman Professor of Radiology Imaging
Science, University of Louisville, Kentucky, USA
Founding Co-Chair DICOM Working Group 22
(Dentistry) AAOMR Representative-Designate to
DICOM Standards Committee President, AAOMR
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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 n17
• 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
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DICOM fields of use
10 of 27 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
WG-27 Web Services
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
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
• Surgery (Endosseous Implants)
• Prosthetic Chain and CAD/CAM

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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
Or from the Dentists viewpoint
Supplement 92 Grayscale Media Applications for
Dentistry
Forensics
Images referred to specialists
Patient
Hospital or Physician
Orthodontist
2y Admin Uses
General Dentist
Oral Surgeon
Endodontist
Satelite Dental Office
Practice management data base archive
Alternative Digital System in Same Office
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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 Polygonal Surface Description
• Supplement 132 - Implant Description Storage SOP
  Class

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DICOM fields of use
Structured Display Supplement 123
WG 9
WG 22
Ophthalmology Eye Charts
Dentistry Intraoral X-Ray Series
Cardiology
Radiology Teaching Cases
WG 1
WG 10 20
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DICOM fields of use
One of Many Standard Dental
Radiographic Display Templates
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DICOM fields of use
Standard Ophthalmology Charts
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DICOM fields of use
3D-X-ray Supplement 116
WG 15
Mammography Tomosynthesis CBCT
WG 22
Dentistry CBCT
Angiography
Radiation Therapy Planning
WG 2
WG 7
15
CBCT
Image Processing
Procedure Control
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DICOM fields of use
17
Dental impaction
TMJ Osteoarthrosis
Bisphosphonate
R
L
L
L
Osteonecrosis
R
L
Mucous Extravasation R. Maxillary Sinus
Unerupted maxillary third molars without cysts
Carotid Calcified Atheroma
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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.