A dicom viewer as the name suggests are designed for viewing the DICOM (Digital Imaging and COmmunication in Medicine) file format. These scans are usually stored in Picture Archiving and Communications Systems (PACS) – a pacs server. PACS provide convenient access for data and dicom content such as CT images, MRIs, ultrasounds or Xrays. The specific pacs server is also linked to the dicom database which then can be viewed with the specific dicom viewer; 3Dicom. The medical imaging data that is stored in the pacs database typically follows this specific hierarchy.
Patient (patient id) – This is the highest level as all studies and series are linked to the unique patient ID (unless anonymised). A Patient is the person who is receiving, or has received, a medical imaging procedure – typically an MRI or CT Scan. For example, when analysing public dicom data, it is common for the dicom file to have patient anonymization so patient id may often be hidden or displayed as ‘anonymous’. Multiple studies and series can be attributed to a single patient and to help find a particular patient, most DICOM viewers allow for the ability to search by patient name, date of birth and other identifying attributes to narrow the search. In 3Dicom Lite, users are limited to 3 Patients so this functionality is available but shouldn’t be required.
Estudios – Studies relate to a particular imaging procedure, allocated by date and imaging modality (such as CT, MRI, PET, X-Ray, Ultrasound etc.). For example, if a patient had a CT scan and MRI scan on the same day, these would be stored as two separate studies and data sets. Studies may also store information about the radiology company and who performed the medical imaging procedure or the imaging equipment used .
Serie – Each study, no matter what date or imaging modality, contains at least 1 Series of images. Most Studies contain a number of series as the positioning of the patient may change, a few different scans may have been taken during the imaging session or it may contain ‘composite’ images generated from the plane of acquisition. Series may also contain the number of image files or the size of the image data.
Instance/Image – At the most basic level, each ‘slice’ of a CT/MRI/PET scan is stored as a separate DICOM image, typically in .DCM format and is normally 512×512 pixels in dimensions. Relevant information such as the space between pixels (pixel spacing) and thickness of the slice (slice thickness) are captured as meta-data for each and every image.
3Dicom proporciona a todos los usuarios un archivo DICOM local que actúa como un sistema mini-PAC en su propio dispositivo. Los datos escaneados en sí se almacenan en la carpeta de destino desde la que cargó por primera vez y los datos relevantes del paciente, el estudio y la serie se procesan de forma segura, se guardan con hash y se almacenan en caché en una base de datos local en su dispositivo. Esto permite a los usuarios volver a abrir rápidamente el programa 3Dicom y navegar / cargar escaneos en lugar de buscar manualmente escaneos en el dispositivo cada vez.
For more unique file or image types, such as NiFTi and JPEG2000 etc. which don’t always load easily or aren’t compatible with the Local DICOM Archive / Database, users have the option to “Open Other” rather than “Import DICOM” which provides more support for niche files.
Additionally, for those who use Removable Media such as CDs and USBs, the Local DICOM Archive / Database does not work as the patient metadata might be securely stored however the DICOM files themselves may be removed from the device at the end of the session. To account for this, 3Dicom has the option to “Load from CB/USB” which ensures that DICOM metadata is not stored in the Local DICOM Archive whilst in the desktop version. Furthermore, it also counters any loss of clinical data or medical data when using removable media.
Para obtener un resumen completo y ver cómo cargar archivos DICOM y NII en la versión de escritorio, vea el video a continuación:
Tenga en cuenta que este blog es puramente para fines educativos y de marketing y no pretende ser un consejo médico. 3Dicom está registrado actualmente como un dispositivo de visualización TGA Clase 1 y no está aprobado para fines de diagnóstico.