DICOM INTERNATIONAL DICOM INTERNATIONAL CONFERENCE & SEMINAR April 8-10, 2008 Chengdu, China 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

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=16] –Field Specific [n=10] DICOM Member Organizations –Vendors + Users + General Interest –Users represent Specific Fields of Use

DICOM fields of use Fields of Use Represented in Standard Working Groups Listed Include Those Specific to Fields of Use Represented by Member Organizations

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

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 Health Informatics Diagnostic Radiology

DICOM fields of use –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 Therefore DICOM has something for you if you make or use systems in any of the following fields: –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

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 Specimen Identification in Pathology –Supplement Breast Tomosynthesis Image Storage –Supplement Colon CAD Structured Reports –Supplement Cardiac Stress Test Structured Reports –Supplement Ophthalmic Refractive Structured Reports

DICOM fields of use Supplement 92: Grayscale Media Applications for Dentistry

DICOM fields of use Cross-Discipline Supplements –e.g. –Supplement 47 - Visible Light (Endoscopy/Photography/Microscopy) –Supplement 85 - Web Access to DICOM Objects –Supplement Encapsulation of PDF Document –Supplement DICOM Transport –Supplement D X-Ray –Supplement Structured Display –Supplement Implant Description Storage SOP Class

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

DICOM fields of use (1.0, 1.0) (0,0) BLHC Structured DisplayImage Boxes Standard Dental Radiographic Display

DICOM fields of use Standard Ophthalmology Charts

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

Image Processing Raw (basis) Images Solid State Detector X-ray Source Patient CBCT ~360 o Rotation CBCT Image (Isotrophic Data) Procedure Control

DICOM fields of use

R R Mucous Extravasation R. Maxillary Sinus R R L L “Bisphosphonate” L L Supernumerary Premolars Lingual Tori L R RL Carotid Calcified Atheroma Unerupted maxillary third molars without cysts Osteonecrosis

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.