BUILDING A COMMON DICOM

CONFORMANCE MODEL IN WEB

ENABLED PACS
Presented by
D.KANNAN

Dr. S. MUTHAN

Director(ECE Dept)
Anna University
(Supervisor)

Guided by
Mr. S.ARUMUGAVELAN

Manager(IBM India Ltd)

Chennai
(External Supervisor)

AIM
DICOM file management system to transfer
Medical Images securely.
In DICOM format, these records can then be
sent to the DICOM server so that they may be
accessed via the DICOM Viewer for Diagnosis
by Doctor whenever it is necessary.
To build an easy and efficient Common DICOM
conformance model for transmission, receiving
and storing of medical images.

Existing Difficulties
In the past, many of the medical information produced by hospitals
(such as medical records or imagery) have trouble to transfer from
place to place.
The main reason for this being the difference in the many formats
that are used by each and every brand.
At present there are number of methods available for
the communication and storage of DICOM images.
Medical equipment manufactures choose those that
are favourable to them. Till now there are no common
standards for these image communication methods.

Challenges in current
scenario
With the introduction of computed tomography (CT)
followed by other digital diagnostic imaging
modalities and the increasing use of computers in
clinical applications, there is an emerging need for a
standard method for transferring images and
associated
information
between
devices
manufactured by various vendors. These devices
produce a variety of digital image formats .
Difficulties may be ,we can not make any
communication of digital image information in Medical
Imaging field
We can not make interface with other systems of
hospital information or Radiology Information system
easily

PROPOSED SYSTEM
This System reports the simulation
result of integrating several systems
to
cope
with
(HIS,RIS,PACs)
limitations by using the DICOM
standard.
This System will be designed mainly
to efficiently receive all images from
any
new
DICOM
Compliance
Machines or Modalities using DICOM
Conformance Common Model.

Continue..
The received Images will be properly
Archived using Archive Management and
the Archived Information will be viewed by
the in-built DICOM Viewer for Diagnostic
purpose by Doctor
for Analyzing the
Images..
This System proposed the common DICOM
conformances model.
This DICOM conformance common model
will choose the efficent one among the
various options in existing DICOM protocols.

Main Functionalities
Provide the capability to receive DICOM 3.0 images
from any DICOM 3.0 compatible modality.
Storing this clinical information in a secure
environment
Distributing and displaying both clinical images and
corresponding diagnostic information to Doctors
throughout a hospital or clinic using Medical Imaging
Techniques
System should support unlimited DICOM Compliance
modalities.- Common Interface

Advanced concepts Involved in this

Project
Embedded System Concepts and Understanding of
RTOS
Communication between Embedded System to PC
Based System
Advanced level understanding of DICOM (DICOM in
Network- Using DICOM PROTOCOL)
Advanced Medical Imaging Concepts and its
implementation
Image conversion techniques ( Non DICOM to DICOM)
Implementing Medical Imaging / Health care
Standards HIPAA , HL7
Web Enabled Medical Imaging Communication system
Component Object Model (COM) architecture and its
implementation
Integration of HIS,RIS and PACS

DICOM RECEIVE AND ARCHIEVE

MANAGEMENT

Scope :
This Module has to receive DICOM output from Different
DICOM Compliance Modalities
At first , receiving DICOM Data from one Modality is the
scope of this Present Module
Future Scope :
Then ,it will be generalized to N (20 or More) number of any
DICOM Compliance Modalities- It will become focusing
unique feature ,Once it is done
Need to give solution for NON DICOM Data from Modalities
so that NON DICOM Data will be converted into DICOM data
by adding Additional Software and Hardware
RISKS :
In reality , receiving DICOM Data depends on Modalitys
manual. Advanced TCP/IP networking and DICOM Protocol in
Network concept will heavily be used to receive DICOM Data
from Modalities.

DICOM RECEIVE AND ARCHIEVE MANAGEMENT

DICOM Protocol in DICOM

RECEIVE
Little ENDIAN Method
BIG ENDIAN Method

Integration
Systems

Web Enable
PACs

High Level Scope of work (to be done)

Research of DICOM Standard to creating

DICOM Common Conformance model
Implement this prototypes to PULL the
Different format images from the Medical
Imaging Modalities.

Results
DICOM IMAGE VIEWING
DICOM IMAGE
PROCESSING

DICOM Image
Viewer

Display Multi Frame Images By

Animation

Magnify the Image for

the ROI area (Region of
Interest)

Increase/ decrease the

brightness factor for the
DICOM Images

Increase/decrease the
zoom factor for the DICOM
Images ( in ROI )

Edge Detection feature

for the DICOM Image

Measure the distance

between any two Points
in the Image

Feature Work
DICOM Conformance Common model design

Integration Of HIS-RIS-PACS
Web Enable PACS

BENEFIT OF This System

The biggest benefit derived from this system
is breaking the physical as well as time
barrier for information exchange.
The film librarians job shrinks to providing
copies and reprints for clinicians etc. . who
are outside the hospital network
Radiologists are going to be happier since
comparative exams are always available
The efficacy of clinicians is possible if all the
information they need is available at one
place.

Technology
Software Requirements
FRONT END
:
VC++ 8.0,
PHP
TOOLS USED
:
IMAGE
PROCESSING TOOLKIT (TBD)
BACK END
:
MYSQL,
ORACLE 10G R2
OPERATING SYSTEM :
WINDOWS 7

References
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DICOM for Osirix, Proceeding of the IEEE-EMBS
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0596101139. ISBN 978-0596101138. September 12,
2005.
Drnasin.I,
Gogic.G
and
Tonkovic.K.
Interactive
Teleradiology. World Congress on Medical Physics and
Biomedical Engineering, Munich, Germany. Springer Berlin
Heidelberg. Volume 25/5. ISSN 1680-0737 (Print) 14339277 ,September 7 - 12, 2009,
Fitrayana.T, Purnama.I.K.E, Wulandari D.P, Interkoneksi
Simulator Modaliti dengan Picture Archiving and
Communication System (PACS) Berbasis Protokol DICOM,
unpublished.

 Gohel.N, Moore.S.M, and Sabharwal.C, CTN Test Tools: A

Guide to Programs for Testing DICOM Functionality, RSNA
Washington University, Version 2.10.0, August 1998.
Huang.K.H, PACS and Imaging Informatics: basic
principles and applications, 2nd ed., Wiley-Blackwell,
2010
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978-0596521301