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DICOM PS3.3 2020a - Information Object Definitions​

Page 511​

Pixel Padding Value (0028,0120) and Pixel Padding Range Limit (0028,0121) are also used to identify pixels to be excluded from the​ normalgrayscalerenderingpipelineforotherreasons,suchassuppressionofbackgroundair.PixelPaddingRangeLimit(0028,0121)​ is defined in the Image Pixel Module.​

Note​

1.​The "native image" is that which is being padded to the required rectangular format, e.g., the area within the circular​ reconstruction perimeter of a CT image, or the subset of the rectangular area that contains useful image information.​

2.​The pixel padding value is explicitly described in order to prevent display applications from taking it into account when​ determining the dynamic range of an image, since the Pixel Padding Value will be outside the range between the min-​ imum and maximum values of the pixels in the native image​

3.​No pixels in the native image will have a value equal to Pixel Padding Value.​

Pixel Padding Value (0028,0120) specifies either a single value of this padding value, or when combined with Pixel Padding Range​ Limit (0028,0121), a range of values (inclusive) that are padding.​

ThevaluesofPixelPaddingValue(0028,0120)andPixelPaddingRangeLimit(0028,0121)shallbevalidvalueswithintheconstraints​ defined by Bits Allocated (0028,0100), Bits Stored (0028,0101), and High Bit (0028,0102).​

The padding value shall correspond to a value in the original stored pixel data, before the Modality LUT Transformation or any other​ transformations are applied.​

Pixel Padding Value (0028,0120) and Pixel Padding Range Limit (0028,0121) shall not be present when padding is performed but​ the pixel value used for padding does occur in the native image.​

If Photometric Interpretation (0028,0004) is MONOCHROME2, Pixel Padding Value (0028,0120) shall be less than (closer to or equal​ to the minimum possible pixel value) or equal to Pixel Padding Range Limit (0028,0121). If Photometric Interpretation (0028,0004) is​ MONOCHROME1, Pixel Padding Value (0028,0120) shall be greater than (closer to or equal to the maximum possible pixel value)​ or equal to Pixel Padding Range Limit (0028,0121).​

Note​

1.​When the relationship between pixel value and X-Ray Intensity is unknown, it is recommended that the following values​ be used to pad with black when the image is unsigned:​

•​0 if Photometric Interpretation (0028,0004) is MONOCHROME2.​

•​2Bits Stored - 1 if Photometric Interpretation (0028,0004) is MONOCHROME1.​

and when the image is signed:​

•​-2Bits Stored-1 if Photometric Interpretation (0028,0004) is MONOCHROME2.​

•​2Bits Stored-1 - 1 if Photometric Interpretation (0028,0004) is MONOCHROME1.​

2.​For projection radiography, when the relationship between pixel value and X-Ray Intensity is known (for example as​ definedbyPixelIntensityRelationship(0028,1040)andPixelIntensityRelationshipSign(0028,1041)),itisrecommended​ that a pixel value equivalent to, or rendered similarly to, air (least X-Ray absorbance) be used for padding. However, if​ such a value may occur in the native image, the Pixel Padding Value (0028,0120) Attribute itself should not be present.​

E.g., for an XRF image obtained with an image intensifier, if air is black then a padded perimeter, if any, should also​ appear black. Typically though, if unpadded, this area would be collimated with a circular collimator, in which case the​ pixels would appear natively as white (greatest X-Ray absorbance) and a circular shutter would be necessary to neut-​ ralize them as black. Whether collimated areas are detected and treated as padded, or neutralized with shutters is at​ the discretion of the application. See also the Display Shutter Module Section C.7.6.11.​

3.​The conditional requirement for the Pixel Padding Value Range Limit (0028,0121) in the Image Pixel Module means​ that it shall not be present unless Pixel Padding Value (0028,0120) is also present.​

4.​The range of values to be suppressed between Pixel Padding Value (0028,0120) and Pixel Padding Value Range Limit​ (0028,0121) is specified as being inclusive, that is the values themselves as well as all values between are suppressed.​

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DICOM PS3.3 2020a - Information Object Definitions​

5.​WhenPixelPaddingValueRangeLimit(0028,0121)ispresent,butnotsupportedbyarenderingapplication,theconstraint​ that Pixel Padding Value (0028,0120) is closest to the "blackest" value, which is typically the most frequently occurring​ background pixel, will most often result in an acceptable display, permitting "backward compatibility" in the majority of​ cases.​

Whenmodifyingequipmentchangesthepixelpaddingvalueintheimage,itshallchangethevaluesofPixelPaddingValue(0028,0120)​ and Pixel Padding Range Limit (0028,0121), if present. If modifying equipment changes the pixel padding values in the image to​ values present in the native image, the Attribute Pixel Padding Value (0028,0120) and Pixel Padding Range Limit (0028,0121) shall​ be removed.​

Note​

1.​For example, if a CT image containing signed values from -1024 to 3191 and a Pixel Padding Value of -2000 and a​ Rescale Intercept of 0 is converted to an unsigned image with a Rescale Intercept of -1024 by adding 1024 to all pixels​ and clipping all more negative pixels to 0, then the padding pixels will be indistinguishable from some of the modified​ native image pixels, and hence Pixel Padding Value (0028,0120) needs to be removed.​

2.​If the modification involves lossy compression, which may result in changes to the pixel values, then the application of​ Pixel Padding Value and Pixel Padding Range Limit may result in a different appearance, and hence these Attributes​ may need different values also.​

C.7.5.1.1.3 Software Versions​

Software Versions (0018,1020) is a multi-valued Attribute. For equipment that is composed of several components, it may be used​ to identify the name and version for each of those components. This may also include the identifier and version of libraries or config-​ uration files that significantly affect the production of the SOP Instance.​

C.7.5.2 Enhanced General Equipment Module​

TableC.7-8bspecifiestheAttributesthatidentifyanddescribethepieceofequipmentthatproducedaSeriesofCompositeInstances.​

Note​

1.​This table contains a subset of the Attributes of General Equipment Module (Table C.7-8) but the Type Designation is​ changedintoType1.IncludingthisModuleinanIODoverwritestheTypeDesignationoftheGeneralEquipmentModule.​

2.​The Attributes are intended to be a primary identification of the system that produces the data (e.g., modality or work-​ station application providing the content of the SOP Instance) and not the identification of the component that encodes​ the SOP Instance (e.g., a commonly used DICOM encoding toolkit).​

Table C.7-8b. Enhanced General Equipment Module Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Manufacturer​

(0008,0070)​

1​

Manufacturer of the equipment that produced the Composite​

 

 

 

Instances.​

Manufacturer's Model Name​

(0008,1090)​

1​

Manufacturer's model name of the equipment that produced​

 

 

 

the Composite Instances.​

Device Serial Number​

(0018,1000)​

1​

Manufacturer's serial number of the equipment that produced​

 

 

 

the Composite Instances.​

Software Versions​

(0018,1020)​

1​

Manufacturer'sdesignationofsoftwareversionoftheequipment​

 

 

 

that produced the Composite Instances. See​

 

 

 

Section C.7.5.1.1.3.​

C.7.6 Common Image IE Modules​

The following Image IE Modules are common to all Composite Image IODs that reference the Image IE.​

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DICOM PS3.3 2020a - Information Object Definitions​

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C.7.6.1 General Image Module​

Table C.7-9 specifies the Attributes that identify and describe an image within a particular Series.​

Table C.7-9. General Image Module Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Instance Number​

(0020,0013)​

2​

A number that identifies this image.​

 

 

 

Note​

 

 

 

This Attribute was named Image Number in earlier versions of​

 

 

 

this Standard.​

Patient Orientation​

(0020,0020)​

2C​

Patientdirectionoftherowsandcolumnsoftheimage.Requiredifimage​

 

 

 

does not require Image Orientation (Patient) (0020,0037) and Image​

 

 

 

Position (Patient) (0020,0032) or if image does not require Image​

 

 

 

Orientation (Slide) (0048,0102). May be present otherwise. See​

 

 

 

Section C.7.6.1.1.1 for further explanation.​

 

 

 

Note​

 

 

 

IODs may have Attributes other than Patient Orientation, Image​

 

 

 

Orientation, or Image Position (Patient) to describe orientation​

 

 

 

in which case this Attribute will be zero length.​

Content Date​

(0008,0023)​

2C​

The date the image pixel data creation started.​

 

 

 

Required if image is part of a Series in which the images are temporally​

 

 

 

related. May be present otherwise.​

 

 

 

Note​

 

 

 

This Attribute was formerly known as Image Date.​

Content Time​

(0008,0033)​

2C​

The time the image pixel data creation started.​

 

 

 

Required if image is part of a Series in which the images are temporally​

 

 

 

related. May be present otherwise.​

Image Type​

(0008,0008)​

3​

Image identification characteristics. See Section C.7.6.1.1.2 for Defined​

 

 

 

Terms and further explanation.​

Acquisition Number​

(0020,0012)​

3​

Anumberidentifyingthesinglecontinuousgatheringofdataoveraperiod​

 

 

 

of time that resulted in this image.​

Acquisition Date​

(0008,0022)​

3​

The date the acquisition of data that resulted in this image started​

Acquisition Time​

(0008,0032)​

3​

The time the acquisition of data that resulted in this image started​

Acquisition DateTime​

(0008,002A)​

3​

The date and time that the acquisition of data that resulted in this image​

 

 

 

started.​

 

 

 

Note​

 

 

 

The synchronization of this time with an external clock is​

 

 

 

specified in the Synchronization Module in Acquisition Time​

 

 

 

Synchronized (0018,1800).​

Images in Acquisition​

(0020,1002)​

3​

Number of images that resulted from this acquisition of data​

Image Comments​

(0020,4000)​

3​

User-defined comments about the image​

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DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

Attribute Description​

Quality Control Image​

(0028,0300)​

3​ Indicateswhetherornotthisimageisaqualitycontrolorphantomimage.​

 

 

 

Enumerated Values:​

 

 

 

YES​

 

 

 

NO​

 

 

 

If this Attribute is absent, then the image may or may not be a quality​

 

 

 

control or phantom image. The phantom device in the image can be​

 

 

 

described using the Device Module. See Section C.7.6.12​

Burned In Annotation​

(0028,0301)​

3​ Indicates whether or not image contains sufficient burned in annotation​

 

 

 

to identify the patient and date the image was acquired.​

 

 

 

Enumerated Values:​

 

 

 

YES​

 

 

 

NO​

 

 

 

If this Attribute is absent, then the image may or may not contain burned​

 

 

 

in annotation.​

Recognizable Visual​

(0028,0302)​

3​ Indicates whether or not the image contains sufficiently recognizable​

Features​

 

 

visualfeaturestoallowtheimageorareconstructionfromasetofimages​

 

 

 

to identify the Patient.​

 

 

 

Enumerated Values:​

 

 

 

YES​

 

 

 

NO​

 

 

 

If this Attribute is absent, then the image may or may not contain​

 

 

 

recognizable visual features.​

Lossy Image​

(0028,2110)​

3​ SpecifieswhetheranImagehasundergonelossycompression(atapoint​

Compression​

 

 

in its lifetime).​

 

 

 

Enumerated Values:​

 

 

 

00​Image has NOT been subjected to lossy compression.​

 

 

 

01​Image has been subjected to lossy compression.​

 

 

 

Once this value has been set to 01 it shall not be reset.​

 

 

 

See Section C.7.6.1.1.5.​

Lossy Image​

(0028,2112)​

3​ Describes the approximate lossy compression ratio(s) that have been​

Compression Ratio​

 

 

applied to this image.​

 

 

 

See Section C.7.6.1.1.5.2.​

Lossy Image​

(0028,2114)​

3​ A label for the lossy compression method(s) that have been applied to​

Compression Method​

 

 

this image.​

 

 

 

See Section C.7.6.1.1.5.1.​

Icon Image Sequence​

(0088,0200)​

3​ This icon image is representative of the Image.​

 

 

 

Only a single Item is permitted in this Sequence.​

>Include Table C.7-11b “Image Pixel Macro Attributes”​ See Section C.7.6.1.1.6 for further explanation.​

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DICOM PS3.3 2020a - Information Object Definitions​

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Attribute Name​

Tag​

Type​

Attribute Description​

 

Presentation LUT Shape​

(2050,0020)​

3​ When present, specifies an identity transformation for the Presentation​

 

 

 

LUT such that the output of all grayscale transformations, if any, are​

 

 

 

defined to be in P-Values.​

 

 

 

 

Enumerated Values:​

 

 

 

 

IDENTITY​ output is in P-Values - shall be used if Photometric​

 

 

 

Interpretation(0028,0004)isMONOCHROME2oranycolor​

 

 

 

photometric interpretation.​

 

 

 

 

INVERSE​ output after inversion is in P-Values - shall be used if​

 

 

 

PhotometricInterpretation(0028,0004)isMONOCHROME1.​

 

 

 

When this Attribute is used with a color photometric interpretation then​

 

 

 

the luminance component is in P-Values.​

 

Irradiation Event UID​

(0008,3010)​

3​ Unique identification of the irradiation event(s) associated with the​

 

 

 

acquisition of this image. See Section C.7.6.1.1.7.​

 

Real World Value​

(0040,9096)​

3​ The mapping of stored values to associated Real World values.​

Mapping Sequence​

 

 

One or more Items are permitted in this Sequence.​

 

 

 

 

 

>Include Table C.7.6.16-12b “Real World Value Mapping​

 

Item Macro Attributes”​

 

 

 

 

Image Laterality​

(0020,0062)​

3​ Lateralityof(possiblypaired)bodypart(asdescribedinAnatomicRegion​

 

 

 

Sequence (0008,2218)) examined.​

 

Enumerated Values:​

R​right​

L​left​

U​unpaired​

B​both left and right​

Shall be consistent with any laterality information contained in Primary​ Anatomic Structure Modifier Sequence (0008,2230) and/or Laterality​ (0020,0060), if present.​

 

Note​

 

Laterality (0020,0060) is a Series level Attribute and must be​

 

the same for all Images in the Series, hence it must be absent​

 

if Image Laterality (0020,0062) has different values for Images​

 

in the same Series.​

Include Table 10-7 “General Anatomy Optional Macro​

Baseline CID for the Anatomic Region Sequence is CID 4031 “Common​

Attributes”​

AnatomicRegions”forhumansandCID7483“CommonAnatomicRegions​

 

for Animals” for animals.​

Note​

 

Previous editions of this Standard specified use of the Referenced Waveform Sequence (0008,113A), but that use has been​ superseded by Referenced Instance Sequence (0008,114A). See PS3.3-2004.​

C.7.6.1.1 General Image Attribute Descriptions​

C.7.6.1.1.1 Patient Orientation​

Patient Orientation (0020,0020) relative to the image plane shall be specified by two values that designate the anatomical direction​ of the positive row axis (left to right) and the positive column axis (top to bottom). The first entry is the direction of the rows, given by​ the direction of the last pixel in the first row from the first pixel in that row. The second entry is the direction of the columns, given by​ the direction of the last pixel in the first column from the first pixel in that column. Shall be consistent with Image Orientation (Patient)​ (0020,0037), if both Attributes are present and Patient Orientation (0020,0020) is not zero length.​

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