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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. DICOM fields of use.

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dicom fields of use

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

dicom fields of use1
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 [n=17]
    • Field Specific [n=10]
  • DICOM Member Organizations
    • Vendors + Users + General Interest
    • Users represent Specific Fields of Use
dicom fields of use2
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

dicom fields of use3
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

dicom fields of use4

AAOMR & AAO

APPLICATIONS PENDING

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

dicom fields of use5
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
dicom fields of use6
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
dicom fields of use7
DICOM fields of use

Supplement 92: Grayscale Media Applications for Dentistry

dicom fields of use8
DICOM fields of use

Or from the Dentist’s 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

dicom fields of use9
DICOM fields of use
  • Cross-Discipline Supplements
    • e.g.
    • Supplement 47 - Visible Light (Endoscopy/Photography/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
dicom fields of use10
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

dicom fields of use11

Structured Display

Image Boxes

(1.0, 1.0)

(0,0) BLHC

DICOM fields of use

One of Many Standard Dental Radiographic Display Templates

dicom fields of use12
DICOM fields of use

Standard Ophthalmology Charts

dicom fields of use13
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

slide15

≥180o Rotation

Solid State Detector

X-ray Source

Patient

Raw (basis) Images

CBCT Image (Isotrophic Data)

CBCT

Procedure Control

Image Processing

slide17

L

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

dicom fields of use15
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.