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DICOM PS3.3 2020a - Information Object Definitions |
Value 2 shall identify the Patient Examination Characteristics in accordance with Section C.7.6.1.1.2 where the Enumerated Values are defined to be PRIMARY or SECONDARY.
Note
DX images generally use PRIMARY value for images captured from patient exposure.
If images from the same exposure exist with different Values of Image Type, then they shall have different SOP Instance UIDs.
Note
Source Image Sequence (0008,2112) may be used to relate these images.
Value 3 (which is specific to the IOD) shall be present and have zero length (null value).
Other Values (4 and beyond) are optional and implementation specific.
C.8.11.3.1.2 Pixel Intensity Relationship and Grayscale Transformations
Pixel Intensity Relationship (0028,1040) and Pixel Intensity Relationship Sign (0028,1041) describe how the stored pixel values in Pixel Data (7FE0,0010) are related to the X-Ray beam intensity incident on the detector.
They do not define a transformation intended to be applied to the pixel data for presentation.
Note
For example, if Pixel Intensity Relationship (0028,1040) is LIN and Pixel Intensity Relationship Sign (0028,1041) is -1, then lower values of Pixel Data (7FE0,0010) indicate higher X-Ray beam intensities corresponding to less radiographically dense regions projected on the image such as through air, and higher values of Pixel Data (7FE0,0010) indicate lower X-Ray beam intensities corresponding to more radiographically dense regions projected on the image such as through bone and radio- opaque contrast agents.
The transformation to be applied to the pixel data for presentation is defined by the successive application of the conceptual Modality LUT, the VOI Attributes and the conceptual Presentation LUT. This shall result in the output of P-Values.
Rescale Slope (0028,1053) and Rescale Intercept (0028,1052) define a linear subset of a conceptual Modality LUT transformation. For IODs that include this Module, these Attributes define an identity transformation. IODs that include the DX Image Module shall not include the Modality LUT Module.
The Presentation LUT Shape (2050,0020) defines a subset of a conceptual Presentation LUT. For IODs that include this Module, this
Attributedefinesanidentitytransformationorinverseidentitytransformation.IODsthatincludetheDXImageModuleshallnotinclude
the Presentation LUT Module.
Photometric Interpretation (0028,0004) indicates whether lower values that are the output of the VOI Attributes should be displayed as darker or lighter. Since the output of the equivalent of a conceptual Presentation LUT is in P-Values, which are defined in PS3.14 suchthatlowervaluescorrespondtolowerluminancelevels,thenthedefinitionofthePresentationLUTShape(2050,0020),otherwise intended to be an identity transformation, must take into account the effect of the value specified for Photometric Interpretation (0028,0004).
Note
Regardless of the values of Pixel Intensity Relationship (0028,1040) and Pixel Intensity Relationship Sign (0028,1041), the grayscaletransformationstobeappliedtoPixelData(7FE0,0010)aredefinedbytheequivalentoftheModalityLUT(Rescale Slope (0028,1053) and Rescale Intercept (0028,1052)), Value of Interest Attributes, Photometric Interpretation (0028,0004) andtheequivalentofthePresentationLUT(PresentationLUTShape(2050,0020)).However,thecombinationofthegrayscale transformations and the description of the pixel intensity relationship, together define whether, for example, air is expected to be displayed as black or white.
C.8.11.3.1.3 Acquisition Device Processing Description
Acquisition Device Processing Description (0018,1400) provides some indication in human readable text of the digital processing on theimagesbeforeexchange.Examplesofthisprocessingare:edgeenhanced,subtracted,timefiltered,gammacorrected,convolved (spatially filtered).