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  1. 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. 2. DICOM fields of use <ul><li>DICOM Standard contains: </li></ul><ul><ul><li>Services, SOP Classes, Templates, etc. </li></ul></ul><ul><ul><li>Cross-Discipline Standards [Preferred] </li></ul></ul><ul><ul><li>Field of Use Specific Standards [Where needed] </li></ul></ul><ul><li>DICOM Working Groups </li></ul><ul><ul><li>Cross-Discipline [n=16] </li></ul></ul><ul><ul><li>Field Specific [n=10] </li></ul></ul><ul><li>DICOM Member Organizations </li></ul><ul><ul><li>Vendors + Users + General Interest </li></ul></ul><ul><ul><li>Users represent Specific Fields of Use </li></ul></ul>
  3. 3. DICOM fields of use Fields of Use Represented in Standard Working Groups Listed Include Those Specific to Fields of Use Fields of Use Represented by Member Organizations http://medical.nema.org/
  4. 4. DICOM fields of use WG 1 Cardiology WG 3 Nuclear Med WG 7 Radiation Therapy WG 9 Ophthalmology WG 15 Mammography WG 19 Dermatology WG 22 Dentistry WG 24 Surgery WG 25 Veterinary Med WG 26 Pathology 10 of 26 WGs represent specific fields of use
  5. 5. DICOM fields of use WG 1 Cardiology WG 1 Cardiology WG 22 Dentistry WG 26 Pathology WG 25 Veterinary Medicine WG 9 Ophthalmology Diagnostic Radiology Diagnostic Radiology Diagnostic Radiology Diagnostic Radiology Health Informatics Health Informatics Diagnostic Radiology
  6. 6. DICOM fields of use <ul><ul><li>Diagnostic Radiology </li></ul></ul><ul><ul><li>Radiation Therapy </li></ul></ul><ul><ul><li>Image Guided Surgery </li></ul></ul><ul><ul><li>Mammography </li></ul></ul><ul><ul><li>Cardiology </li></ul></ul><ul><ul><li>Dentistry </li></ul></ul><ul><ul><li>Pathology </li></ul></ul><ul><ul><li>Ophthalmology </li></ul></ul><ul><ul><li>Dermatology </li></ul></ul><ul><ul><li>Veterinary Medicine </li></ul></ul><ul><ul><li>Endoscopy </li></ul></ul><ul><ul><li>Microscopy </li></ul></ul><ul><ul><li>Clinical Photography/Video </li></ul></ul><ul><ul><li>Computed Tomography </li></ul></ul><ul><ul><li>Magnetic Resonance Imaging </li></ul></ul><ul><ul><li>Ultrasound </li></ul></ul><ul><li>Therefore DICOM has something for you if you make or use systems </li></ul><ul><li>in any of the following fields: </li></ul><ul><ul><li>Nuclear Medicine </li></ul></ul><ul><ul><li>Positron Emission Tomography </li></ul></ul><ul><ul><li>Molecular Imaging </li></ul></ul><ul><ul><li>Optical Coherence Tomography </li></ul></ul><ul><ul><li>Tomosynthesis </li></ul></ul><ul><ul><li>Image Fusion </li></ul></ul><ul><ul><li>Structured Reporting </li></ul></ul><ul><ul><li>Structured Displays </li></ul></ul><ul><ul><li>Picture Archiving and Communications Systems </li></ul></ul><ul><ul><li>Web Access to DICOM Objects </li></ul></ul><ul><ul><li>Implants </li></ul></ul><ul><ul><li>Angiography </li></ul></ul><ul><ul><li>Image-Generated Models </li></ul></ul><ul><ul><li>Teaching Case Files </li></ul></ul>
  7. 7. DICOM fields of use <ul><li>Discipline Unique Supplements </li></ul><ul><ul><li>e.g. </li></ul></ul><ul><ul><li>Supplement 32 - Dental Digital Radiographs </li></ul></ul><ul><ul><li>Supplement 74 - Radiation Therapy General Purpose Worklist </li></ul></ul><ul><ul><li>Supplement 91 - Ophthalmic Photography </li></ul></ul><ul><ul><li>Supplement 92 - Dental Grayscale Image Application Profiles </li></ul></ul><ul><ul><li>Supplement 97 - CT/MR Cardiovascular Analysis </li></ul></ul><ul><ul><li>Supplement 122 - Specimen Identification in Pathology </li></ul></ul><ul><ul><li>Supplement 125 - Breast Tomosynthesis Image Storage </li></ul></ul><ul><ul><li>Supplement 126 - Colon CAD Structured Reports </li></ul></ul><ul><ul><li>Supplement 128 - Cardiac Stress Test Structured Reports </li></ul></ul><ul><ul><li>Supplement 130 - Ophthalmic Refractive Structured Reports </li></ul></ul>
  8. 8. DICOM fields of use Supplement 92: Grayscale Media Applications for Dentistry
  9. 9. DICOM fields of use <ul><li>Cross-Discipline Supplements </li></ul><ul><ul><li>e.g. </li></ul></ul><ul><ul><li>Supplement 47 - Visible Light (Endoscopy/Photography/Microscopy) </li></ul></ul><ul><ul><li>Supplement 85 - Web Access to DICOM Objects </li></ul></ul><ul><ul><li>Supplement 104 - Encapsulation of PDF Document </li></ul></ul><ul><ul><li>Supplement 113 - DICOM e-mail Transport </li></ul></ul><ul><ul><li>Supplement 116 - 3D X-Ray </li></ul></ul><ul><ul><li>Supplement 123 - Structured Display </li></ul></ul><ul><ul><li>Supplement 131 - Implant Description Storage SOP Class </li></ul></ul>
  10. 10. DICOM fields of use Dentistry Intraoral X-Ray Series Ophthalmology Eye Charts Cardiology Structured Display Supplement 123 Radiology Teaching Cases WG 1 WG 22 WG 9
  11. 11. DICOM fields of use Standard Dental Radiographic Display (1.0, 1.0) (0,0) BLHC Structured Display Image Boxes
  12. 12. DICOM fields of use Standard Ophthalmology Charts
  13. 13. DICOM fields of use Dentistry CBCT Mammography Tomosynthesis & CBCT Angiography 3D-X-ray Supplement 116 Radiation Therapy Planning WG 2 WG 22 WG 7 WG 15
  14. 14. Image Processing CBCT Procedure Control Raw (basis) Images Solid State Detector X-ray Source Patient ~360 o Rotation CBCT Image (Isotrophic Data)
  15. 15. DICOM fields of use
  16. 16. Mucous Extravasation R. Maxillary Sinus R L “ Bisphosphonate” L L Supernumerary Premolars R L Carotid Calcified Atheroma Unerupted maxillary third molars without cysts Osteonecrosis R R R L Lingual Tori L R
  17. 17. DICOM fields of use <ul><li>DICOM provides </li></ul><ul><ul><li>A set of basic rules for all disciplines </li></ul></ul><ul><ul><li>Discipline specific rules where necessary </li></ul></ul><ul><ul><li>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. </li></ul></ul>