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DICOM

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as "DICOM 3.0" to distinguish it from its predecessors. DICOM has been constantly updated and extended since 1993, with the intent that changes are backward compatible, except in rare cases where the earlier specification was incorrect or ambiguous. Officially there is no "version" of the standard except the current standard, hence the "3.0" version number is no longer used. There are no "minor" versions to the standard (e.g., no such thing as "DICOM 3.1") and there are no current plans to develop a new, incompatible, version of the standard (i.e., no "DICOM 4.0"). The standard should be referenced without specification of the date of release of a particular published edition, except when specific conformance requirements are invoked that depend on a retired feature that is no longer documented in the current standard.
186:). The first demonstration of ACR/NEMA V2.0 interconnectivity technology was held at Georgetown University, May 21–23, 1990. Six companies participated in this event, DeJarnette Research Systems, General Electric Medical Systems, Merge Technologies, Siemens Medical Systems, Vortech (acquired by Kodak that same year) and 3M. Commercial equipment supporting ACR/NEMA 2.0 was presented at the annual meeting of the Radiological Society of North America (RSNA) in 1990 by these same vendors. Many soon realized that the second version also needed improvement. Several extensions to ACR/NEMA 2.0 were created, like Papyrus (developed by the University Hospital of Geneva, Switzerland) and SPI (Standard Product Interconnect), driven by Siemens Medical Systems and Philips Medical Systems. 351:
can have only one attribute containing pixel data. For many modalities, this corresponds to a single image. However, the attribute may contain multiple "frames", allowing storage of cine loops or other multi-frame data. Another example is NM data, where an NM image, by definition, is a multi-dimensional multi-frame image. In these cases, three- or four-dimensional data can be encapsulated in a single DICOM object. Pixel data can be compressed using a variety of standards, including
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specifications carefully. This is a historical requirement to maintain compatibility with older existing systems. It also mandates the presence of a media directory, the DICOMDIR file, which provides index and summary information for all the DICOM files on the media. The DICOMDIR information provides substantially greater information about each file than any filename could, so there is less need for meaningful file names.
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imaging acquisition, confirming successful archiving of images, encrypting datasets, removing patient identifying information from datasets, organizing layouts of images for review, saving image manipulations and annotations, calibrating image displays, encoding ECGs, encoding CAD results, encoding structured measurement data, and storing acquisition protocols.
585:(picture archiving and communication systems), image viewers and display stations, CAD (computer-aided detection/diagnosis systems), 3D visualization systems, clinical analysis applications, image printers, Film scanners, media burners (that export DICOM files onto CDs, DVDs, etc.), media importers (that import DICOM files from CDs, DVDs, USBs, etc.), 806:
regulations. Techniques for de-identification involve stripping out or masking identifiable data elements within the DICOM metadata, such as patient names, birth dates, and other unique identifiers. Ensuring thorough de-identification is crucial to balance the benefits of data sharing with the obligation to maintain patient confidentiality.
684:(SNOMED) is a systematic, computer-processable collection of medical terms, in human and veterinary medicine, to provide codes, terms, synonyms and definitions which cover anatomy, diseases, findings, procedures, microorganisms, substances, etc. DICOM data makes use of SNOMED to encode relevant concepts. 1440:
A weakness in the DICOM image format enables malware to infect patient data by directly inserting itself into medical imaging files. These hybrid files are both fully-executable malware binaries and fully-functioning, standards-compliant DICOM images that preserve the original patient data and can be
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Ensuring the security of patient data within DICOM is critical, as these files often contain sensitive personal health information (PHI). Security measures for DICOM data include encryption, access control, and auditing mechanisms to prevent unauthorized access, modification, or disclosure of patient
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DICOM restricts the filenames on DICOM media to 8 characters (some systems wrongly use 8.3, but this does not conform to the standard). No information must be extracted from these names (PS3.10 Section 6.2.3.2). This is a common source of problems with media created by developers who did not read the
179:. ACR and NEMA collaborated and formed a standard committee in 1983. Their first standard, ACR/NEMA 300, entitled "Digital Imaging and Communications", was released in 1985. Very soon after its release, it became clear that improvements were needed. The text was vague and had internal contradictions. 350:
A DICOM data object consists of a number of attributes, including items such as name, ID, etc., and also one special attribute containing the image pixel data (i.e. logically, the main object has no "header" as such, being merely a list of attributes, including the pixel data). A single DICOM object
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In 1993 the third version of the standard was released. Its name was then changed to "Digital Imaging and Communications in Medicine", abbreviated DICOM. New service classes were defined, network support added and the Conformance Statement was introduced. Initially the DICOM standard was referred to
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According to a paper presented at an international symposium in 2008, the DICOM standard has problems related to data entry. "A major disadvantage of the DICOM Standard is the possibility for entering probably too many optional fields. This disadvantage is mostly showing in inconsistency of filling
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Many fields of medicine have a dedicated Working Group within DICOM, and DICOM is applicable to any field of medicine in which imaging is prevalent, including:, radiology, cardiology, oncology, nuclear medicine, radiotherapy, neurology, orthopedics, obstetrics, gynecology, ophthalmology, dentistry,
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DICOM uses three different data element encoding schemes. With explicit value representation (VR) data elements, for VRs that are not OB, OW, OF, SQ, UT, or UN, the format for each data element is: GROUP (2 bytes) ELEMENT (2 bytes) VR (2 bytes) LengthInByte (2 bytes) Data (variable length). For the
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The first large-scale deployment of ACR/NEMA technology was made in 1992 by the US Army and Air Force, as part of the MDIS (Medical Diagnostic Imaging Support) program based at Ft. Detrick, Maryland. Loral Aerospace and Siemens Medical Systems led a consortium of companies in deploying the first US
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De-identification of DICOM refers to the process of removing or anonymizing personal health information (PHI) from medical images to protect patient privacy. This process is vital for sharing medical data for research, educational purposes, or public health activities while complying with privacy
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The core application of the DICOM standard is to capture, store and distribute medical images. The standard also provides services related to imaging such as managing imaging procedure worklists, printing images on film or digital media like DVDs, reporting procedure status like completion of an
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The DICOM modality worklist service provides a list of imaging procedures that have been scheduled for performance by an image acquisition device (sometimes referred to as a modality system). The items in the worklist include relevant details about the subject of the procedure (patient ID, name,
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A complementary service to modality worklist, this enables the modality to send a report about a performed examination including data about the images acquired, beginning time, end time, and duration of a study, dose delivered, etc. It helps give the radiology department a more precise handle on
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While the DICOM standard has achieved a near universal level of acceptance among medical imaging equipment vendors and healthcare IT organizations, the standard has its limitations. DICOM is a standard directed at addressing technical interoperability issues in medical imaging. It is not a
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is a non-profit organization involved in the development of international healthcare informatics interoperability standards. HL7 and DICOM manage a joint Working Group to harmonize areas where the two standards overlap and address imaging integration in the electronic medical record.
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The DICOM print service is used to send images to a DICOM printer, normally to print an "X-Ray" film. There is a standard calibration (defined in DICOM Part 14) to help ensure consistency between various display devices, including hard copy printout.
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Prior to the use of the DICOM modality worklist service, the scanner operator was required to manually enter all the relevant details. Manual entry is slower and introduces the risk of misspelled patient names, and other data entry errors.
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The same basic format is used for all applications, including network and file usage, but when written to a file, usually a true "header" (containing copies of a few key attributes and details of the application that wrote it) is added.
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to indicate the number of data elements contained in the attribute. For character string value representations, if more than one data element is being encoded, the successive data elements are separated by the backslash character "\".
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resource (acquisition station) use. Also known as MPPS, this service allows a modality to better coordinate with image storage servers by giving the server a list of objects to send before or while actually sending such objects.
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To promote identical grayscale image display on different monitors and consistent hard-copy images from various printers, the DICOM committee developed a lookup table to display digitally assigned pixel values. To use the
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The DICOM storage commitment service is used to confirm that an image has been permanently stored by a device (either on redundant disks or on backup media, e.g. burnt to a CD). The Service Class User (SCU: similar to a
339:. For example, a file of a chest x-ray image may contain the patient ID within the file, so that the image can never be separated from this information by mistake. This is similar to the way that image formats such as 1080:
Best, David E.; Horii, Steven C.; Bennett, William C.; Parisot, Charles R. (1 July 1992). Jost, R. Gilbert (ed.). "Update of the ACR-NEMA digital imaging and communications in medicine standard".
140:(MRI), and radiation therapy. DICOM includes protocols for image exchange (e.g., via portable media such as DVDs), image compression, 3-D visualization, image presentation, and results reporting. 678:
is an industry sponsored non-profit organization that profiles the use of standards to address specific healthcare use cases. DICOM is incorporated in a variety of imaging related IHE profiles.
1768: 2127: 638:(TLS) over TCP or UDP; 11112 registered port for DICOM using standard, open communication over TCP or UDP. The standard recommends but does not require the use of these port numbers. 665:
is an Open Source project for testing, validating and diagnosing communication protocols and scenarios in medical environments. It supports DICOM, HL7 and IHE integration profiles.
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web services have been defined to allow mobile device friendly access to DICOM objects and services, which include WADO-RS, STOW-RS and QIDO-RS, which together constitute the
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In 1988 the second version was released. This version gained more acceptance among vendors. The image transmission was specified as over a dedicated 2 pair cable (
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DICOM consists of services, most of which involve transmission of data over a network. The file format for offline media is a later addition to the standard.
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Kahn, Charles E.; Carrino, John A.; Flynn, Michael J.; Peck, Donald J.; Horii, Steven C. (September 2007). "DICOM and Radiology: Past, Present, and Future".
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In December 2023, cybersecurity researcher Sina Yazdanmehr unveiled a critical security issue within the Store service. This revelation, presented at
467:, to get this information which is then presented to the system operator and is used by the imaging device to populate details in the image metadata. 1039:
Smith, D. V.; Smith, S.; Bender, G. N.; Carter, J. R.; Kim, Y.; Cawthon, M. A.; Leckie, R. G.; Weiser, J. C.; Romlein, J.; Goeringer, F. (May 1995).
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all the fields with the data. Some image objects are often incomplete because some fields are left blank and some are filled with incorrect data."
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This enables a workstation to find lists of images or other such objects and then retrieve them from a picture archiving and communication system.
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devices to decode the images that the machines generated. Radiologists and medical physicists wanted to use the images for dose-planning for
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The format for offline media files is specified in Part 10 of the DICOM Standard. Such files are sometimes referred to as "Part 10 files".
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sex, and age), the type of procedure (equipment type, procedure description, procedure code) and the procedure order (referring physician,
1419: 1223:"ASTM E2663-23 Standard Practice for Digital Imaging and Communication in Nondestructive Evaluation (DICONDE) for Ultrasonic Test Methods" 589:(radiology information systems), VNA (vendor-neutral archives), EMR (electronic medical record) systems, and radiology reporting systems 4649: 3979: 3776: 2718: 1151: 862:– free, open source software that can be used to view DICOM images and transform DICOM image stacks to 3D models and export them to .STL 717:
DICOM Makes use of the OSI network model. It uses the 2 network protocols on which the Internet is based and which allow data transfer,
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DICOM files typically have a .dcm file extension if they are not part of a DICOM media (which requires them to be without extension).
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There is also an ongoing media exchange test and "connectathon" process for CD media and network operation that is organized by the
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The DICOM information object definitions encode the data produced by a wide variety of imaging device types, including,
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maxillofacial surgery, dermatology, pathology, clinical trials, veterinary medicine, and medical/clinical photography
371:(zip) compression can be used for the whole data set (not just the pixel data), but this has rarely been implemented. 218: 136:: DICOM incorporates standards for imaging modalities such as radiography, ultrasonography, computed tomography (CT), 4634: 4542: 4492: 4251: 3584: 3579: 848: 172: 137: 118:"Health informatics – Digital imaging and communication in medicine (DICOM) including workflow and data management" 67: 1280: 1133: 4900: 4845: 4624: 4609: 4589: 3867: 3287: 2783: 2657: 2236: 1732: 1704: 1115: 368: 4948: 4855: 4644: 4619: 3831: 3826: 2723: 2231: 2104: 1872: 1824: 635: 50:
to communicate between systems. The primary purpose of the standard is to facilitate communication between the
1390: 626:(UDP). Since 104 is in the reserved subset, many operating systems require special privileges to use it; 2761 439: 435: 1344: 463:, reason for exam). An image acquisition device, such as a CT scanner, queries a service provider, such as a 438:), a modality or workstation, etc., uses the confirmation from the Service Class Provider (SCP: similar to a 5083: 4502: 4044: 4034: 4029: 3604: 3589: 3529: 2963: 2958: 2918: 2638: 2601: 2591: 2273: 2062: 1652: 515: 324: 47: 421:
The DICOM Store service is used to send images or other persistent objects (structured reports, etc.) to a
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information. Compliance with regulations such as the Health Insurance Portability and Accountability Act (
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other explicit data elements or implicit data elements, see section 7.1 of Part 5 of the DICOM Standard.
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Flanders, A.E., Carrino, J.A., 2003. Understanding DICOM and IHE. Seminars in Roentgenology 38, 270–281.
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The DICOM standard is used in a wide variety of resources (IHE, HL7 ... a) that are related to images.
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industry, and is sometimes used in smaller-scale applications, such as dentists' and doctors' offices.
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Digital Imaging and Communications in Medicine (DICOM) – Application/dicom MIME Sub-type Registration
1089: 1041:"Evaluation of the Medical Diagnostic Imaging Support system based on 2 years of clinical experience" 270: 4840: 4579: 2268: 1656: 782: 364: 262: 258: 168: 87: 79: 2517: 4785: 4720: 3060: 2035: 1984: 1843: 1834: 1638: 1567:"Millions of patient scans and health records spilling online thanks to decades-old protocol bug" 896: 298: 266: 246: 83: 27: 2537: 1427: 442:), an archive station for instance, to make sure that it is safe to delete the images locally. 237:
There are some derivations from the DICOM standard into other application areas. These include
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In the beginning of the 1980s, it was very difficult for anyone other than manufacturers of
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DICOM is also implemented by devices associated with images or imaging workflow including,
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In the case of breast images, use is made of other types of structured files known as
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transport to make use easier within the web browser. Most recently, a family of DICOM
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Another disadvantage is that the file format admits executable code and may contain
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DICOM PS3.12 2023b - Media Formats and Physical Media for Media Interchange
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framework or architecture for achieving a useful clinical workflow. The
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The ISO12052: 2017 and CEN 12052 standards refer to the DICOM standard.
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manufacturers and users to share image data. DICONDE can be used for
1251:"http://www.nema.org: Industrial Imaging and Communications Section" 893:– commercial image processing application dedicated to DICOM images. 148: 4303: 793:) in the United States and the General Data Protection Regulation ( 152:
Front page of ACR/NEMA 300, version 1.0, which was released in 1985
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Shiroma, Jonathan T. (December 2006). "An introduction to DICOM".
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type for DICOM files is defined by RFC 3240 as application/dicom.
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In addition to a value representation, each attribute also has a
217:, over time there has been an increasing need to support port 80 4497: 4360: 4353: 4019: 3964: 3564: 3175: 2468: 2327: 2263: 2220: 1389:
Mustra, Mario; Delac, Kresimir; Grgic, Mislav (September 2008).
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Digital Imaging and Communication in Nondestructive Evaluation
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Though always Internet compatible and based on transport over
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hypertext transfer protocol. Additionally DICOM has its own
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The best known standards and protocols used by DICOM are:
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DICOM is used worldwide to store, exchange, and transmit
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American Association for Medical Systems and Informatics
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DICOM has been central to the development of 38:definition, which specifies the structure of a 16:Open standard from the medical computer science 1441:used by clinicians without arousing suspicion. 1298:http://medical.nema.org/Dicom/2011/11_14pu.pdf 1082:Medical Imaging VI: Pacs Design and Evaluation 347:to identify and otherwise describe the image. 93:The DICOM standard has been widely adopted by 20:Digital Imaging and Communications in Medicine 2750: 1880: 1623: 278:Digital Imaging and Communication in Security 162:National Electrical Manufacturers Association 106:National Electrical Manufacturers Association 8: 1480:Clunie, D.; Cordonnier, K. (February 2002). 1006:Journal of the American College of Radiology 747:that is based on medical and clinical terms. 292: 676:Integrating the Healthcare Enterprise (IHE) 204:Integrating the Healthcare Enterprise (IHE) 2757: 2743: 2735: 2653: 2442: 2111: 1969: 1960: 1953: 1887: 1873: 1865: 1630: 1616: 1608: 1275: 1273: 1271: 958:"Members of the DICOM Standards Committee" 743:DICOM makes use of a coding system called 423:picture archiving and communication system 1495: 1056: 750:DICOM uses an external alphabet known as 1774:American Medical Informatics Association 518:type for DICOM files is org.nema.dicom. 206:initiative layered on top of DICOM (and 5089:Standards for electronic health records 2709:List of biomedical cybernetics software 1809:American College of Medical Informatics 1522: 1520: 919: 34:and related information. It includes a 824:– offers a free web-based DICOM Viewer 291: 72:radiological information systems (RIS) 1662:Artificial intelligence in healthcare 682:Systematized Nomenclature of Medicine 632:Integrated Secure Communication Layer 7: 2719:List of open-source health software 851:– often used to view medical images 736:DICOM uses other protocols such as 612:Internet Assigned Numbers Authority 1910:Bar code medication administration 1116:"7 Referencing The DICOM Standard" 928:"1 Scope and Field of Application" 606:DICOM have reserved the following 325:Uniform Type Identifier (UTI) 245:) that was established in 2004 by 14: 475:Modality performed procedure step 156:DICOM is a standard developed by 5048: 5047: 2714:List of freeware health software 1359:"C.7.3 Common Series IE Modules" 1426:. 16 April 2019. Archived from 907:Studierfenster (StudierFenster) 1392:Overview of the DICOM Standard 1134:"1.4.2 Continuous Maintenance" 845:– cross-platform DICOM viewer. 570:, breast tomosynthesis, PET ( 550:(magnetic resonance imaging), 335:DICOM groups information into 32:transmission of medical images 1: 1710:Health information management 1695:health information technology 620:Transmission Control Protocol 158:American College of Radiology 68:imaging machines (modalities) 5079:Computing in medical imaging 1685:Translational bioinformatics 572:positron emission tomography 30:for the digital storage and 5074:Application layer protocols 1715:Consumer health informatics 134:modern radiological imaging 5105: 1762:Professional organizations 1045:Journal of Digital Imaging 1018:10.1016/j.jacr.2007.06.004 801:De-identification of DICOM 658:Related standards and SDOs 173:magnetic resonance imaging 138:magnetic resonance imaging 5043: 2776: 2237:NHS Connecting for Health 1804:International Association 1733:Continuity of Care Record 1705:Public health informatics 1373:"DICOM Strategy Document" 365:run-length encoding (RLE) 2724:Category:Health software 2232:NHS Care Records Service 2216:Microtest Open Evolution 1825:Electronic health record 873:– free DICOM viewer for 766:Standards that use DICOM 636:Transport Layer Security 546:(computed tomography), 313:Internet media type 2602:Psychtoolbox for MATLAB 1653:Medical image computing 1152:"ASTM DICONDE Standard" 709:Standards used by DICOM 516:Uniform Type Identifier 425:(PACS) or workstation. 42:, as well as a network 1725:Medical classification 1690:Translational medicine 624:User Datagram Protocol 251:nondestructive testing 153: 44:communication protocol 1840:Personalized medicine 1679:Computational biology 1454:"Profiles – IHE Wiki" 1333:Table 6.2-1 of PS 3.5 976:"NEMA Members – NEMA" 493:Offline media (files) 396:Value representations 151: 112:standard PS3, and as 58:entities involved in 1785:(to merge from 2020) 1783:Australasian College 1673:Behavior informatics 602:Port numbers over IP 271:Eddy-current testing 255:computed radiography 2460:Practice Management 2269:Summary Care Record 2144:Certify HealthLogix 1794:European Federation 1657:imaging informatics 1311:Veterinary Medicine 1281:"K.1.2: DICOM File" 1094:1992SPIE.1654..356B 783:Black Hat Briefings 294: 263:computed tomography 259:digital radiography 169:computed tomography 88:networking hardware 2770:by standard number 2547:Patient engagement 2415:athenaCommunicator 2227:NextGen Healthcare 1844:precision medicine 1835:Remote manipulator 1799:Indian Association 1779:Australian Society 1639:Health informatics 1058:10.1007/BF03168130 593:Fields of medicine 538:Types of equipment 429:Storage commitment 402:value multiplicity 299:Filename extension 267:ultrasonic testing 247:ASTM International 154: 28:technical standard 5061: 5060: 2784:ISO romanizations 2732: 2731: 2674: 2673: 2572: 2571: 2341: 2340: 2099: 2098: 2048: 2047: 2044: 2043: 1862: 1861: 1789:Brazilian Society 1405:978-1-4244-3364-3 704:application/dicom 529:Application areas 454:Modality worklist 333: 332: 318:application/dicom 177:radiation therapy 84:computing servers 5096: 5051: 5050: 2771: 2759: 2752: 2745: 2736: 2688:Microsoft Amalga 2654: 2443: 2112: 1970: 1961: 1954: 1889: 1882: 1875: 1866: 1667:Neuroinformatics 1632: 1625: 1618: 1609: 1589: 1588: 1581: 1575: 1574: 1563: 1557: 1556: 1550: 1542: 1536: 1535: 1524: 1515: 1514: 1512: 1511: 1499: 1497:10.17487/RFC3240 1477: 1471: 1468: 1462: 1461: 1450: 1444: 1443: 1437: 1435: 1430:on 23 April 2019 1416: 1410: 1409: 1397: 1386: 1380: 1379: 1377: 1369: 1363: 1362: 1355: 1349: 1348: 1341: 1335: 1329: 1323: 1322: 1306: 1300: 1295: 1289: 1288: 1277: 1266: 1265: 1263: 1262: 1253:. Archived from 1247: 1241: 1240: 1233: 1227: 1226: 1219: 1213: 1212: 1205: 1199: 1198: 1191: 1185: 1184: 1177: 1171: 1170: 1168: 1167: 1158:. Archived from 1148: 1142: 1141: 1130: 1124: 1123: 1112: 1106: 1105: 1102:10.1117/12.60322 1077: 1071: 1070: 1060: 1036: 1030: 1029: 1001: 995: 994: 992: 991: 982:. Archived from 971: 965: 964: 962: 954: 948: 942: 936: 935: 924: 705: 697: 693: 630:for DICOM using 608:TCP and UDP port 461:accession number 306: 295: 282:airport security 99:medical software 5104: 5103: 5099: 5098: 5097: 5095: 5094: 5093: 5064: 5063: 5062: 5057: 5039: 4963: 4689: 3841: 2790: 2772: 2769: 2763: 2733: 2728: 2697: 2670: 2645: 2634:Clinical trials 2568: 2542: 2499: 2473: 2437: 2430: 2402:Patient portals 2396: 2348: 2337: 2296: 2254:Practice Fusion 2133:athenaClinicals 2106: 2095: 2072: 2040: 2024: 1945: 1914: 1896: 1895:Health software 1893: 1863: 1858: 1813: 1757: 1719: 1641: 1636: 1598: 1593: 1592: 1583: 1582: 1578: 1565: 1564: 1560: 1548: 1544: 1543: 1539: 1526: 1525: 1518: 1509: 1507: 1479: 1478: 1474: 1469: 1465: 1452: 1451: 1447: 1433: 1431: 1418: 1417: 1413: 1406: 1395: 1388: 1387: 1383: 1375: 1371: 1370: 1366: 1357: 1356: 1352: 1343: 1342: 1338: 1330: 1326: 1308: 1307: 1303: 1296: 1292: 1279: 1278: 1269: 1260: 1258: 1249: 1248: 1244: 1235: 1234: 1230: 1221: 1220: 1216: 1207: 1206: 1202: 1193: 1192: 1188: 1179: 1178: 1174: 1165: 1163: 1150: 1149: 1145: 1132: 1131: 1127: 1114: 1113: 1109: 1079: 1078: 1074: 1038: 1037: 1033: 1003: 1002: 998: 989: 987: 973: 972: 968: 960: 956: 955: 951: 943: 939: 926: 925: 921: 916: 899:– lightweight, 812: 803: 779: 768: 711: 703: 695: 691: 660: 644: 628:registered port 618:for DICOM over 616:well-known port 610:numbers by the 604: 595: 540: 531: 495: 486: 477: 456: 448: 431: 419: 411: 398: 385: 319: 307: 290: 235: 146: 126: 60:medical imaging 17: 12: 11: 5: 5102: 5100: 5092: 5091: 5086: 5084:DICOM software 5081: 5076: 5066: 5065: 5059: 5058: 5056: 5055: 5044: 5041: 5040: 5038: 5037: 5032: 5027: 5022: 5017: 5012: 5007: 5002: 4997: 4992: 4987: 4982: 4977: 4971: 4969: 4965: 4964: 4962: 4961: 4956: 4951: 4946: 4943: 4938: 4933: 4928: 4923: 4918: 4913: 4908: 4903: 4898: 4893: 4888: 4883: 4878: 4873: 4868: 4863: 4858: 4853: 4848: 4843: 4838: 4833: 4828: 4823: 4818: 4813: 4808: 4803: 4798: 4793: 4788: 4783: 4778: 4773: 4768: 4763: 4758: 4753: 4748: 4743: 4738: 4733: 4728: 4723: 4718: 4713: 4708: 4703: 4697: 4695: 4691: 4690: 4688: 4687: 4682: 4677: 4672: 4667: 4662: 4657: 4652: 4647: 4642: 4637: 4632: 4627: 4622: 4617: 4612: 4607: 4602: 4597: 4592: 4587: 4582: 4577: 4572: 4571: 4570: 4565: 4555: 4550: 4545: 4540: 4535: 4530: 4525: 4520: 4515: 4510: 4505: 4500: 4495: 4490: 4485: 4480: 4475: 4470: 4465: 4460: 4455: 4450: 4445: 4440: 4435: 4430: 4425: 4420: 4415: 4410: 4405: 4400: 4399: 4398: 4388: 4383: 4378: 4373: 4368: 4363: 4358: 4357: 4356: 4351: 4341: 4336: 4331: 4326: 4321: 4316: 4311: 4306: 4301: 4296: 4291: 4286: 4281: 4276: 4271: 4270: 4269: 4264: 4259: 4254: 4249: 4244: 4239: 4234: 4229: 4219: 4214: 4209: 4204: 4199: 4194: 4189: 4184: 4179: 4174: 4169: 4164: 4159: 4154: 4149: 4144: 4139: 4134: 4129: 4124: 4123: 4122: 4117: 4107: 4102: 4097: 4092: 4087: 4082: 4077: 4072: 4067: 4062: 4052: 4047: 4042: 4037: 4032: 4027: 4022: 4017: 4012: 4007: 4002: 3997: 3992: 3987: 3982: 3977: 3972: 3967: 3962: 3957: 3952: 3947: 3942: 3937: 3936: 3935: 3930: 3925: 3920: 3915: 3905: 3900: 3895: 3890: 3885: 3880: 3875: 3870: 3865: 3860: 3855: 3849: 3847: 3843: 3842: 3840: 3839: 3834: 3829: 3824: 3819: 3814: 3809: 3804: 3799: 3794: 3789: 3784: 3779: 3774: 3769: 3764: 3759: 3754: 3749: 3744: 3739: 3734: 3729: 3724: 3719: 3714: 3709: 3708: 3707: 3702: 3697: 3692: 3687: 3682: 3677: 3672: 3667: 3662: 3657: 3652: 3647: 3642: 3637: 3632: 3627: 3617: 3612: 3607: 3602: 3597: 3592: 3587: 3582: 3577: 3572: 3567: 3562: 3557: 3552: 3547: 3542: 3537: 3532: 3527: 3522: 3517: 3512: 3507: 3502: 3497: 3492: 3491: 3490: 3480: 3475: 3470: 3465: 3460: 3455: 3450: 3445: 3440: 3435: 3430: 3425: 3420: 3415: 3410: 3405: 3400: 3395: 3390: 3385: 3380: 3375: 3370: 3365: 3360: 3355: 3350: 3345: 3340: 3335: 3330: 3325: 3320: 3315: 3310: 3305: 3300: 3295: 3290: 3285: 3280: 3275: 3270: 3269: 3268: 3263: 3258: 3248: 3243: 3238: 3233: 3228: 3223: 3218: 3213: 3208: 3203: 3198: 3193: 3188: 3183: 3178: 3173: 3168: 3163: 3158: 3153: 3148: 3143: 3138: 3133: 3128: 3123: 3118: 3113: 3108: 3103: 3098: 3093: 3088: 3083: 3078: 3073: 3068: 3063: 3058: 3053: 3048: 3043: 3038: 3033: 3028: 3027: 3026: 3021: 3016: 3011: 3006: 2996: 2991: 2986: 2981: 2976: 2971: 2966: 2961: 2956: 2951: 2946: 2941: 2936: 2931: 2926: 2921: 2916: 2915: 2914: 2909: 2904: 2899: 2894: 2889: 2884: 2879: 2874: 2869: 2864: 2859: 2854: 2844: 2839: 2834: 2829: 2824: 2819: 2814: 2809: 2804: 2798: 2796: 2792: 2791: 2777: 2774: 2773: 2764: 2762: 2761: 2754: 2747: 2739: 2730: 2729: 2727: 2726: 2721: 2716: 2711: 2705: 2703: 2699: 2698: 2696: 2695: 2690: 2684: 2682: 2676: 2675: 2672: 2671: 2669: 2668: 2662: 2660: 2651: 2647: 2646: 2644: 2643: 2642: 2641: 2631: 2626: 2621: 2620: 2619: 2611: 2610: 2609: 2604: 2599: 2594: 2589: 2580: 2578: 2574: 2573: 2570: 2569: 2567: 2566: 2561: 2556: 2550: 2548: 2544: 2543: 2541: 2540: 2535: 2530: 2525: 2520: 2515: 2509: 2507: 2501: 2500: 2498: 2497: 2492: 2487: 2481: 2479: 2475: 2474: 2472: 2471: 2466: 2461: 2455: 2449: 2447: 2440: 2432: 2431: 2429: 2428: 2423: 2422:Patient Portal 2417: 2412: 2406: 2404: 2398: 2397: 2395: 2394: 2392:Sapio Sciences 2389: 2384: 2379: 2374: 2369: 2364: 2359: 2353: 2351: 2343: 2342: 2339: 2338: 2336: 2335: 2330: 2325: 2320: 2315: 2310: 2304: 2302: 2298: 2297: 2295: 2294: 2289: 2284: 2279: 2271: 2266: 2261: 2256: 2251: 2246: 2244: 2239: 2234: 2229: 2224: 2218: 2213: 2207: 2202: 2197: 2192: 2187: 2182: 2177: 2172: 2167: 2162: 2157: 2152: 2146: 2141: 2135: 2130: 2125: 2118: 2116: 2109: 2107:health records 2101: 2100: 2097: 2096: 2094: 2093: 2088: 2082: 2080: 2074: 2073: 2071: 2070: 2065: 2060: 2056: 2054: 2050: 2049: 2046: 2045: 2042: 2041: 2039: 2038: 2032: 2030: 2026: 2025: 2023: 2022: 2017: 2012: 2007: 2002: 1997: 1992: 1987: 1982: 1976: 1974: 1967: 1958: 1951: 1947: 1946: 1944: 1943: 1938: 1933: 1928: 1922: 1920: 1916: 1915: 1913: 1912: 1906: 1904: 1898: 1897: 1894: 1892: 1891: 1884: 1877: 1869: 1860: 1859: 1857: 1856: 1851: 1846: 1837: 1832: 1830:Health Level 7 1827: 1821: 1819: 1818:Other concepts 1815: 1814: 1812: 1811: 1806: 1801: 1796: 1791: 1786: 1776: 1771: 1765: 1763: 1759: 1758: 1756: 1755: 1750: 1745: 1740: 1735: 1729: 1727: 1721: 1720: 1718: 1717: 1712: 1707: 1702: 1697: 1692: 1687: 1682: 1676: 1670: 1664: 1659: 1649: 1647: 1646:Subdisciplines 1643: 1642: 1637: 1635: 1634: 1627: 1620: 1612: 1606: 1605: 1602:DICOM standard 1597: 1596:External links 1594: 1591: 1590: 1576: 1571:techcrunch.com 1558: 1553:i.blackhat.com 1537: 1516: 1472: 1463: 1445: 1411: 1404: 1381: 1364: 1350: 1336: 1324: 1301: 1290: 1267: 1242: 1228: 1214: 1200: 1186: 1172: 1143: 1138:dicom.nema.org 1125: 1120:dicom.nema.org 1107: 1072: 1031: 1012:(9): 652–657. 996: 966: 949: 945:DICOM brochure 937: 932:dicom.nema.org 918: 917: 915: 912: 911: 910: 904: 894: 888: 878: 868: 863: 857: 852: 846: 840: 835: 830: 825: 819: 811: 808: 802: 799: 778: 775: 767: 764: 763: 762: 755: 748: 741: 734: 710: 707: 669:Health Level 7 659: 656: 643: 640: 603: 600: 594: 591: 539: 536: 530: 527: 525:organization. 494: 491: 485: 482: 476: 473: 455: 452: 447: 446:Query/retrieve 444: 430: 427: 418: 415: 410: 407: 397: 394: 384: 381: 343:can also have 331: 330: 329:org.nema.dicom 327: 321: 320: 317: 315: 309: 308: 303: 301: 289: 286: 234: 231: 145: 142: 130:medical images 125: 122: 15: 13: 10: 9: 6: 4: 3: 2: 5101: 5090: 5087: 5085: 5082: 5080: 5077: 5075: 5072: 5071: 5069: 5054: 5046: 5045: 5042: 5036: 5033: 5031: 5028: 5026: 5023: 5021: 5018: 5016: 5013: 5011: 5008: 5006: 5003: 5001: 4998: 4996: 4993: 4991: 4988: 4986: 4983: 4981: 4978: 4976: 4973: 4972: 4970: 4966: 4960: 4957: 4955: 4952: 4950: 4947: 4944: 4942: 4939: 4937: 4934: 4932: 4929: 4927: 4924: 4922: 4919: 4917: 4914: 4912: 4909: 4907: 4904: 4902: 4899: 4897: 4894: 4892: 4889: 4887: 4884: 4882: 4879: 4877: 4874: 4872: 4869: 4867: 4864: 4862: 4859: 4857: 4854: 4852: 4849: 4847: 4844: 4842: 4839: 4837: 4834: 4832: 4829: 4827: 4824: 4822: 4819: 4817: 4814: 4812: 4809: 4807: 4804: 4802: 4799: 4797: 4794: 4792: 4789: 4787: 4784: 4782: 4779: 4777: 4774: 4772: 4769: 4767: 4764: 4762: 4759: 4757: 4754: 4752: 4749: 4747: 4744: 4742: 4739: 4737: 4734: 4732: 4729: 4727: 4724: 4722: 4719: 4717: 4714: 4712: 4709: 4707: 4704: 4702: 4699: 4698: 4696: 4692: 4686: 4683: 4681: 4678: 4676: 4673: 4671: 4668: 4666: 4663: 4661: 4658: 4656: 4653: 4651: 4648: 4646: 4643: 4641: 4638: 4636: 4633: 4631: 4628: 4626: 4623: 4621: 4618: 4616: 4613: 4611: 4608: 4606: 4603: 4601: 4598: 4596: 4593: 4591: 4588: 4586: 4583: 4581: 4578: 4576: 4573: 4569: 4566: 4564: 4561: 4560: 4559: 4556: 4554: 4551: 4549: 4546: 4544: 4541: 4539: 4536: 4534: 4531: 4529: 4526: 4524: 4521: 4519: 4516: 4514: 4511: 4509: 4506: 4504: 4501: 4499: 4496: 4494: 4491: 4489: 4486: 4484: 4481: 4479: 4476: 4474: 4471: 4469: 4466: 4464: 4461: 4459: 4456: 4454: 4451: 4449: 4446: 4444: 4441: 4439: 4436: 4434: 4431: 4429: 4426: 4424: 4421: 4419: 4416: 4414: 4411: 4409: 4406: 4404: 4401: 4397: 4394: 4393: 4392: 4389: 4387: 4384: 4382: 4379: 4377: 4374: 4372: 4369: 4367: 4364: 4362: 4359: 4355: 4352: 4350: 4347: 4346: 4345: 4342: 4340: 4337: 4335: 4332: 4330: 4327: 4325: 4322: 4320: 4317: 4315: 4312: 4310: 4307: 4305: 4302: 4300: 4297: 4295: 4292: 4290: 4287: 4285: 4282: 4280: 4277: 4275: 4272: 4268: 4265: 4263: 4260: 4258: 4255: 4253: 4250: 4248: 4245: 4243: 4240: 4238: 4235: 4233: 4230: 4228: 4225: 4224: 4223: 4220: 4218: 4215: 4213: 4210: 4208: 4205: 4203: 4200: 4198: 4195: 4193: 4190: 4188: 4185: 4183: 4180: 4178: 4175: 4173: 4170: 4168: 4165: 4163: 4160: 4158: 4155: 4153: 4150: 4148: 4145: 4143: 4140: 4138: 4135: 4133: 4130: 4128: 4125: 4121: 4118: 4116: 4113: 4112: 4111: 4108: 4106: 4103: 4101: 4098: 4096: 4093: 4091: 4088: 4086: 4083: 4081: 4078: 4076: 4073: 4071: 4068: 4066: 4063: 4060: 4056: 4053: 4051: 4048: 4046: 4043: 4041: 4038: 4036: 4033: 4031: 4028: 4026: 4023: 4021: 4018: 4016: 4013: 4011: 4008: 4006: 4003: 4001: 3998: 3996: 3993: 3991: 3988: 3986: 3983: 3981: 3978: 3976: 3973: 3971: 3968: 3966: 3963: 3961: 3958: 3956: 3953: 3951: 3948: 3946: 3943: 3941: 3938: 3934: 3931: 3929: 3926: 3924: 3921: 3919: 3916: 3914: 3911: 3910: 3909: 3906: 3904: 3901: 3899: 3896: 3894: 3891: 3889: 3886: 3884: 3881: 3879: 3876: 3874: 3871: 3869: 3866: 3864: 3861: 3859: 3856: 3854: 3851: 3850: 3848: 3844: 3838: 3835: 3833: 3830: 3828: 3825: 3823: 3820: 3818: 3815: 3813: 3810: 3808: 3805: 3803: 3800: 3798: 3795: 3793: 3790: 3788: 3785: 3783: 3780: 3778: 3775: 3773: 3770: 3768: 3765: 3763: 3760: 3758: 3755: 3753: 3750: 3748: 3745: 3743: 3740: 3738: 3735: 3733: 3730: 3728: 3725: 3723: 3720: 3718: 3715: 3713: 3710: 3706: 3703: 3701: 3698: 3696: 3693: 3691: 3688: 3686: 3683: 3681: 3678: 3676: 3673: 3671: 3668: 3666: 3663: 3661: 3658: 3656: 3653: 3651: 3648: 3646: 3643: 3641: 3638: 3636: 3633: 3631: 3628: 3626: 3623: 3622: 3621: 3618: 3616: 3613: 3611: 3608: 3606: 3603: 3601: 3598: 3596: 3593: 3591: 3588: 3586: 3583: 3581: 3578: 3576: 3573: 3571: 3568: 3566: 3563: 3561: 3558: 3556: 3553: 3551: 3548: 3546: 3543: 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NEMA. 2023. 1286: 1282: 1276: 1274: 1272: 1268: 1257:on 2010-05-15 1256: 1252: 1246: 1243: 1238: 1232: 1229: 1224: 1218: 1215: 1210: 1204: 1201: 1196: 1190: 1187: 1182: 1176: 1173: 1162:on 2019-04-06 1161: 1157: 1153: 1147: 1144: 1139: 1135: 1129: 1126: 1121: 1117: 1111: 1108: 1103: 1099: 1095: 1091: 1087: 1083: 1076: 1073: 1068: 1064: 1059: 1054: 1050: 1046: 1042: 1035: 1032: 1027: 1023: 1019: 1015: 1011: 1007: 1000: 997: 986:on 2016-09-01 985: 981: 977: 970: 967: 959: 953: 950: 946: 941: 938: 933: 929: 923: 920: 913: 908: 905: 902: 898: 895: 892: 889: 886: 882: 879: 876: 872: 869: 867: 864: 861: 858: 856: 853: 850: 847: 844: 841: 839: 836: 834: 831: 829: 826: 823: 820: 817: 814: 813: 809: 807: 800: 798: 796: 792: 786: 784: 776: 774: 771: 765: 760: 756: 753: 749: 746: 742: 739: 735: 733:content type. 732: 728: 724: 720: 716: 715: 714: 708: 706: 701: 689: 685: 683: 679: 677: 673: 670: 666: 664: 657: 655: 653: 648: 642:Disadvantages 641: 639: 637: 633: 629: 625: 621: 617: 613: 609: 601: 599: 592: 590: 588: 584: 579: 577: 573: 569: 565: 561: 557: 553: 549: 545: 537: 535: 528: 526: 524: 519: 517: 512: 510: 505: 502: 498: 492: 490: 483: 481: 474: 472: 468: 466: 462: 453: 451: 445: 443: 441: 437: 428: 426: 424: 416: 414: 408: 406: 403: 395: 393: 391: 383:Image display 382: 380: 376: 372: 370: 366: 362: 358: 357:lossless JPEG 354: 348: 346: 345:embedded tags 342: 338: 328: 326: 322: 316: 314: 310: 302: 300: 296: 287: 285: 283: 279: 274: 272: 268: 264: 260: 256: 252: 249:as a way for 248: 244: 240: 232: 230: 228: 224: 220: 216: 211: 209: 205: 199: 195: 193: 187: 185: 180: 178: 174: 170: 165: 163: 159: 150: 143: 141: 139: 135: 131: 123: 121: 119: 115: 111: 107: 102: 100: 96: 91: 89: 85: 81: 77: 73: 69: 65: 61: 57: 53: 49: 45: 41: 37: 33: 29: 25: 21: 4906:27000 series 4084: 2680:Transmission 2639:Oracle Argus 2629:Folding@home 2592:Presentation 2518:Radix Health 2464:OpenHospital 2175:EpicCare EMR 2063:CommonGround 1964: 1700:Telemedicine 1579: 1570: 1561: 1552: 1540: 1531: 1508:. 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2000:InVesalius 1957:Bioimaging 1941:Micromedex 1510:2014-03-02 1261:2010-02-11 1166:2018-12-21 990:2016-09-15 914:References 871:MicroDicom 860:InVesalius 740:, SAML ... 725:, and the 552:ultrasound 160:(ACR) and 66:, such as 46:that uses 40:DICOM file 4428:15926 WIP 3792:9592/9593 3717:9000/9001 3605:8805/8806 2658:Assistive 2538:Dentaltap 2478:Specialty 2313:SNOMED CT 2308:Read code 2259:PrognoCIS 2223:WebEHR2.0 2115:Platforms 1926:Epocrates 1919:Databases 1902:Barcoding 1748:ISO 27799 1319:195482647 1313:: 19–20. 866:IrfanView 833:CinePaint 745:SNOMED CT 690:supports 622:(TCP) or 361:JPEG 2000 337:data sets 190:military 95:hospitals 5053:Category 2778:List of 2650:Surgical 2624:DreamLab 2607:PsyScope 2597:PsychoPy 2577:Research 2495:SoftDent 2436:Practice 2382:STARLIMS 2377:MEDITECH 2287:VITAband 2277:SystmOne 2170:EMIS Web 2086:Cybermed 2068:EuResist 2059:Bestbets 2005:ITK-SNAP 1980:3DSlicer 1936:Medscape 1931:Lexicomp 1434:23 April 1315:ProQuest 1026:17845973 816:3DSlicer 810:See also 777:Security 409:Services 227:DICOMweb 164:(NEMA). 97:and the 80:printers 76:scanners 56:hardware 52:software 4954:29199-2 4826:23094-2 4821:23094-1 4811:23090-3 4680:19794-5 4675:19775-1 4463:16612-2 4453:16355-1 4142:13406-2 4100:12234-2 3868:10118-3 2702:Related 2613:Cancer 2564:Vezeeta 2554:AbbaDox 2533:Vezeeta 2513:AbbaDox 2485:Dentrix 2426:MyChart 2410:AbbaDox 2387:webLIMS 2249:OpenMRS 2242:OpenEMR 2185:GaiaEHR 2121:Apache 2036:Orthanc 2029:Servers 1985:Drishti 1973:General 1854:openEHR 1604:, NEMA. 1528:"DICOM" 1345:"PS3.3" 1090:Bibcode 1067:7612705 901:RESTful 897:Orthanc 885:Windows 875:Windows 759:BI-RADS 652:malware 276:DICOS ( 239:DICONDE 223:RESTful 184:EIA-485 144:History 26:) is a 4968:30000+ 3807:9797-1 3615:8820-5 3560:8501-1 3116:1073-2 3111:1073-1 2795:1–9999 2666:HipNav 2617:Caisis 2528:Zocdoc 2420:Cerner 2333:RxNorm 2318:MEDCIN 2190:GNUmed 2180:EviMed 2155:COSTAR 2149:Cerner 2123:cTAKES 2020:Voreen 2010:OsiriX 1990:GIMIAS 1402:  1317:  1065:  1024:  974:NEMA. 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Index

technical standard
transmission of medical images
file format
communication protocol
TCP/IP
software
hardware
medical imaging
picture archiving and communication systems (PACS)
imaging machines (modalities)
radiological information systems (RIS)
scanners
printers
computing servers
networking hardware
hospitals
medical software
National Electrical Manufacturers Association
NEMA
ISO standard
medical images
modern radiological imaging
magnetic resonance imaging

American College of Radiology
National Electrical Manufacturers Association
computed tomography
magnetic resonance imaging
radiation therapy
EIA-485

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