1. 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 1

2. DICOM fields of use DICOM Standard contains: DICOM Working Groups
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

3. DICOM fields of use http://medical.nema.org/ Fields of Use
Represented in
Standard
Working
Groups
Listed
Include Those
Specific to
Fields of Use
Fields of Use
Represented by
Member
Organizations

4. 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
WG 22
Dentistry
WG 9
Ophthalmology
WG 24
Surgery
WG 26
Pathology
WG-27 Web Services

5. DICOM fields of use Ophthalmology WG 9 WG 1 Cardiology Veterinary
Medicine
Diagnostic Radiology
WG 25
AAOMR & AAO
APPLICATIONS PENDING
Dentistry
WG 22
WG 26
Pathology
Diagnostic Radiology
Cardiology
WG 1
Diagnostic Radiology
Health Informatics
Diagnostic Radiology
Diagnostic
Radiology
Diagnostic
Radiology
Health Informatics

6. 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

7. 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

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

9. Alternative Digital System in Same Office
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

10. 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 131 – Polygonal Surface Description
Supplement Implant Description Storage SOP Class

11. DICOM fields of use Structured Display Supplement 123 WG 9 WG 22
Dentistry
Intraoral X-Ray
Series
Ophthalmology
Eye Charts
Cardiology
Radiology
Teaching
Cases
WG 1
WG 10 & 20

12. DICOM fields of use
(1.0, 1.0)
(0,0) BLHC
Structured Display
Image Boxes
One of Many Standard Dental Radiographic Display Templates

13. DICOM fields of use
Standard Ophthalmology Charts

14. DICOM fields of use 3D-X-ray Supplement 116 WG 22 Mammography
Tomosynthesis
& CBCT
WG 15
Dentistry
CBCT
Angiography
Radiation
Therapy
Planning
WG 2
WG 7

15. CBCT ≥180o Rotation Solid State Detector X-ray Source Patient
Raw (basis) Images
CBCT Image (Isotrophic Data)
Image Processing
Procedure Control

16. DICOM fields of use

17. Dental impaction TMJ Osteoarthrosis “Bisphosphonate” R L L L L
Osteonecrosis
Mucous Extravasation
R. Maxillary Sinus R L
Unerupted maxillary third
molars without cysts
Carotid Calcified Atheroma

18. 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.