ITKv4 DICOM Communications Discussion
Use this page to discuss and capture scenarios for using DICOM Query/Retrieve (Q/R) to load images from source (PACS) systems.
Scenarios
- User wants to query a PACS system for a particular series. The user only knows the Patient ID, Date of Exam and Series Description to look for. Ultimately, the user wants this loaded in memory as an ITK Image object.
Standards
Most of the documentation for Verification, Storage and Query/Retrieve functionality can be found in Part 4 of the DICOM Standard.
Toolkits
- GDCM is currently used for DICOM File I/O. At this time it does not support the communications aspects of DICOM, such as StoreSCU/StoreSCP, C-FIND, C-MOVE, etc. Are there plans to add this functionality to GDCM?
- DCMTK contains the code needed for DICOM communications. It is currently not integrated into the ITK toolkit. Should it be?
Service Classes
Verification
Storage
Query/Retrieve
DICOM provides a simple mechanism to query a PACS system for imaging information and receive the results. Instead of a full SQL-style syntax, a set of "Key Attributes" are passed to the server. These attributes are encoded as a DICOM Data Set. There are four levels of information that may be queried: PATIENT, STUDY, SERIES, IMAGE (instance). Each level defines specific Required and Optional keys that may be queried, as well as a required "Unique" key that identifies a single entity at the desired query level. For each entity that matches all of the keys in the query, the server sends back a set of attributes with the specific results.
For Instance, a common query is to ask the PACS for all the exams related to a specific patient. We want to pass in the tag that specifies a Study Level Query. We'll add in the Patient ID that we're searching for. And we'll request to get back the Study Description, Study Date, and Modality:
| Tag | Meaning | Value |
|---|---|---|
| (0008,0020) | StudyDate | |
| (0008,0052) | QueryRetrieveLevel | STUDY |
| (0008,0061) | ModalitiesInStudy | |
| (0008,1030) | StudyDescription | |
| (0010,0020) | PatientID | 99999 |
| Response 1 |
| ||||||||||||||||||
| Response 2 |
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| Response 3 |
|
C-FIND
TODO: The query may be rooted at the Patient or Study Level. ...
