DICOM の基礎と応用 - jira-net.or.jp

1 109 .. JIRA . DICOM .. 2015-04 109 1.. 2015-04 109 2.. DICOM .. 2015-04 109 3.. DICOM .. 2015-04 109 4. DICOM . DICOM . Digital Imaging and Communication in Medicine .. CT MR .. 2015-04 109 5. DICOM . DICOM .. SOP ). CT . CT . MR .. 2015-04 109 6. DICOM . 2015 DICOM . 74 . 33 .. SOP . 2015-04 109 7. DICOM . DICOM Object . KB MB.. (0010,0010) PN 0C (16 Yamada^Tarou VR (Value Representation PN: Person Name DA Date LO: Long String ( ). 2015-04 109 8. DICOM . DICOM Tag .. DICOM CT CT . (0008,0020) [20060914] # StudyDate . (0008,0021) [20060914] # SeriesDate (0008,0023) [20060914] # ContentDate (0008,002a) [ ] # AcquisitionDatetime (0008,0030) [ ] # StudyTime (0008,0031) [ ] # SeriesTime (0008,0032) [ ] # AcquisitionTime (0008,0033) [ ] # ContentTime (0008,0050) [602] # AccessionNumber WS.)

2 (0008,0060) [CT] # Modality ID.. (0010,0010) [TEST_PAT] # PatientsName (0010,0020) [99900001] # PatientID. (0010,0030) [19800122] # PatientsBirthDate . (0028,0010) 512 # Rows WS . (0028,0011) 512 # Columns . (0028,0100) 16 # BitsAllocated (0028,0101) 16 # BitsStored (0028,0102) 15 # HighBit . 2015-04 109 9. DICOM . 512*512 1024*256 .. DICOM . 2015-04 109 10. DICOM . DICOM .. DICOM . SCU SCP. / . Storage MWM. Commitment .. (Success,Fail). 2015-04 109 11. DICOM . UID Unique Identifier . DICOM 2 UID . SOP Class UID . CT (CT Image Storage) UID CT SOP . SOP Instance UID . A XX CT mm dd hh mm ss .. CT 1 . DICOM ID . 2015-04 109 12. DICOM . DICOM C C/S .. DICOM .. Service Class SOP Class UID Role Service Class SOP Class UID Role CT Image Storage SCU/SCP MR Image Storage SCU/SCP.

3 SC Image Storage SCU/SCP SC Image Storage SCU/SCP. Service Class SOP Class UID Role CR Image Storage SCU/SCP. CT Image Storage SCU/SCP.. US Image Storage SCU/SCP. SC Image Storage SCU/SCP. Visible Light Storage SCU/SCP. C/S . 2015-04 109 13. DICOM . DICOM ( . DICOM 5 2015 DICOM 5 . PS PS .. web .. 2015-04 109 14. DICOM . Service Class . Object . SOP Service Object Pair S O . SCU Service Class User . SCP Service Class Provider( . UID Unique ID . C/S Conformance Statement . AET Application Entity Title AE . IP . PORT TCP/IP . 2015-04 109 15.. DICOM .. 2015-04 109 16.. X .. 2015-04 109 17.. 2015-04 109 18.. IHE. Scheduled Work Flow). DICOM /Store . HL7/ADT . HL7/SIU S12 DICOM /QR.)

4 HL7/ORM.. HL7/ORM .. DICOM /Store DICOM /MWL. DICOM /MPPS. DICOM /MPPS. 2015-04 109 19.. DICOM .. 2015-04 109 20.. IHE HL DICOM . DICOM /Store . HL7/ADT . HL7/SIU S12 DICOM /QR. HL7/ORM.. HL7/ORM.. DICOM /Store DICOM /MWL. DICOM /MPPS. DICOM /MPPS. 2015-04 109 21.. HL7 DICOM (HIS). PID|||12345678^^^^PI|| ^ ^^^^^L^I~ ^ ^^^^L^P| |19501214|M|||. ^^^^1050001||^PRN^PH^^^0335068010 <cr>. HL7. (RIS). (0010,0010) 62 toukyou^tarou= ^ = ^ . (0010,0020) 8 12345678. (0010,0030) 8 19501214 . (0010,0040) 2 M HIS . (0040,0002) 8 20150409 . (0040,0003) 6 094500. DICOM . (MOD). 2015-04 109 22.. HIS .. ^ LIS toukyou tarou . A . RIS tokyo tarou . B . EIS . tokyo taro . C . 2015-04 109 23.. DICOM HL7. DICOM .

5 Structured Report SR . HIS . PACS HIS/RIS . HL7. DICOM PACS HIS/RIS get Storage DICOM . Structured HL7 CDA R2. Report (SR) Clinical Report HL7 put 2 HL7 .. JESRA TR-0042.. JIRA . 2015-04 109 24.. DICOM .. 2015-04 109 25.. MG .. DICOM .. 2015-04 109 26.. MG . MG Image Info. Module 1 2 3 4 .. (0008,0008) MG MG MG MG. (0020,0062) RIGHT LEFT RIGHT LEFT. (0054,0220) . > (0008,0100) R-10226 R-10226 R-10242 R-10242. > (0008,0102) SRT SRT SRT SRT. > (0008,0104) LMO LMO CC CC. 2015-04 109 27.. LMO CC 4 . PACS . LMO LMO CC CC. LMO R L) CC R L) RIGHT LEFT RIGHT LEFT. DICOM .. MG. CR . 2015-04 109 28.. DICOM .. 2015-04 109 29.. 2008 2 X CT . Perfusion X . X .. X .. FDA .. 2015-04 109 30.

6 ( ). NEMA CT (XR) . Dose Check . NEMA XR-25: CT Dose Check .. NEMA XR-26: CT . : .. NEMA XR-27: IVR .. DICOM SR .. NEMA XR-28: CT .. NEMA XR-29: . CT . 2015-04 109 31.. NEMA XR-25: CT Dose Check .. CT . AAPM . J-RIME . 2015-04 109 32.. NEMA XR-25: CT Dose Check .. CT .. 2015-04 109 33.. NEMA XR-28: CT . RDSR Radiation Dose Structured Report . DICOM . RDSR . CT RDSR . UID UID Name Basic Text SR Storage Mammography CAD SR Storage Chest CAD SR Storage X-Ray Radiation Dose SR Storage 2015-04 109 34.. Line 500+. (fffe,e000) na (Item with explicit length #=4) # 206, 1 Item (0040,a010) CS [CONTAINS] # 8, 1 RelationshipType (0040,a040) CS [NUM] # 4, 1 ValueType (0040,a043) SQ (Sequence with explicit length #=1) # 70, 1 ConceptNameCodeSequence (fffe,e000) na (Item with explicit length #=3) DLP SQ.

7 # 62, 1 Item (0008,0100) SH [113813] # 6, 1 CodeValue (0008,0102) SH [DCM] # 4, 1 CodingSchemeDesignator (0008,0104) LO [CT Dose Length Product Total] # 28, 1 CodeMeaning (fffe,e00d) na (ItemDelimitationItem for re-encoding) # 0, 0 ItemDelimitationItem (fffe,e0dd) na (SequenceDelimitationItem for re-encod.) # 0, 0 SequenceDelimitationItem (0040,a300) SQ (Sequence with explicit length #=1) # 84, 1 MeasuredValueSequence (fffe,e000) na (Item with explicit length #=2) # 76, 1 Item (0040,08ea) SQ (Sequence with explicit length #=1) # 48, 1 MeasurementUnitsCodeSequenc (fffe,e000) na (Item with explicit length #=3) DLP mGycm # 40, 1 Item (0008,0100) SH [mGycm] # 6, 1 CodeValue (0008,0102) SH [UCUM] # 4, 1 CodingSchemeDesignator (0008,0104) LO [mGycm] # 6, 1 CodeMeaning (fffe,e00d) na (ItemDelimitationItem for re-encoding) # 0, 0 ItemDelimitationItem (fffe,e0dd) na (SequenceDelimitationItem for re-encod.)

8 # 0, 0 SequenceDelimitationItem (0040,a30a) DS [ ] # 8, 1 NumericValue (fffe,e00d) na (ItemDelimitationItem for re-encoding) # 0, 0 ItemDelimitationItem (fffe,e0dd) na (SequenceDelimitationItem for re-encod.) # 0, 0 SequenceDelimitationItem 2015-04 109 35.. RDSR CT).. 113813 DCM DLP Total 113830 DCM CTDIvol 113835 DCM CTDIw 113838 DCM DLP. 113839 DCM Effective Dose RDSR CT ).. MAMMO 113738 DCM DOSE(RP). MAMMO 111637 DCM Glandular Dose Total XA 122130 DCM Dose Area Product RF 113726 DCM Fluoro DAP Total 2015-04 109 36.. IHE . REM Radiation Exposure Monitoring . Dose Register . DRL [RAD-63] Submit Dose Information ( WS). Dose Info Reporter . [RAD-64] Query Dose Information [RAD-65] Retrieve Dose Information Image Image [RAD-64] Query Dose Dose Info Manager Information Archive [RAD-65] Retrieve Dose Information Consumer [RAD-62] Store Dose Information [RAD-10] Storage Commitment DICOM .

9 Acquisition Modality RDSR DICOM STORE . [RAD-62] Store Dose Information 2015-04 109 37.. ACR .. CT . & .. DRL .. 2015-04 109 38.. 2015-04 109 39.. DICOM WG-28 AAPM ).. / . 2015-04 109 40.. ACR ASRT AAPM . 2015-04 109 41.. REM . RDSR . IHE REM .. CT IVR CR NM RT. 2015-04 109 42.. sievert = 100 rem . Gray = 100 rad curie = 1010 becqurel . CR XA RF DR E I. CT CTDI DLP mAS. MG .. NM .. ID . 2015-04 109 43.. DICOM . DICOM . IHE SWF . DICOM HL .. DICOM .. 2015-04 109 44.. Q A . 2015-04 109 45.. 2015-04 109 46.