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 . (0008,0060) [CT] # Modality ID.. (0010,0010) [TEST_PAT] # PatientsName (0010,0020) [99900001] # PatientID. (0010,0030) [19800122] # PatientsBirthDate.)

2 (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. 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.)

3 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.. 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.

4 HIS .. ^ LIS toukyou tarou . A . RIS tokyo tarou . B . EIS . tokyo taro . C . 2015-04 109 23.. DICOM HL7. DICOM . 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.. ( ). 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.

5 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 . # 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.)

6 # 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.) # 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.

7 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 . 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.

8 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.