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        DICOMscope 3.0
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1.     general log    and contains mainly start   terminate  process and I O error messages  such as    Load failed          The messages are divided into  different log levels which can be used to filter the output  see entry    APPLICATION    LogFilter    in the config file      The other log files are created by the print spooler  filename starting with a long number  and  local print server  filename starting with    PrintSCP_      The level of verboseness can be  specified by means of the entry    PRINT   DetailedLog    in the config file  For the print server  it also possible to log the complete ACSE and DIMSE protocol in binary form  as DICOM  file      DICOMscope 3 0   47   User Manual    H Compilation    This section describes how to build DICOMscope from the source code  This might be of  interest to users who wish to modify the application to fit their needs  We recommend that  you install a binary distribution of DICOMscope first to see which files are expected   n which  sub directory     H 1 Microsoft Windows    H 1 1 Requirements    DICOMscope for Windows requires a 32 bit version of Microsoft Windows  It has been  tested successfully with Windows 95  98  NT 4 0 and Windows 2000 Professional  Other  versions might also work     Please note that the full compilation of the source code requires typ  cally more than 100 MB  of disk space  Further requirements for running the software are mentioned in chapter I     H 1 1 1 Tools    The following tools are required in
2.    Copyright 1998 2000  All nights reserved        User Manual    DICOMscope 3 0    2000 07 12    Software developed by   M  Eichelberg   J  Holstein     K  Kleber     J  Riesmeier   A  Schr  ter     A Thiel     Organisational support     H  Oosterwijk         Kuratorium OFFIS e V   Escherweg 2  26121 Oldenburg  Germany    Institute for Microtherapy  Universit  tsstra  e 142  44799 Bochum  Germany   gt  OTech Inc   2001 East Oakshores Drive  Crossroads TX 76227  USA    Contents    A  Introduction  RHEIN 4  B Installation and Getting Started    nen 5  C ROW SON an sera 6  CH SED Nee ee 7  CET Load imac ee 7   Mis OPM are 7   CES Cs asien Ha 8  CLA Rene ansehe 8   alo Deli dad 8  GTO Print stored  Print ODI CCD ea 9   Cd    ACOMODAN it 9   218 Cr ae A A Nine 9   CES EHER IOD  ee ee 10   D  Viewer A sis uielslusen elite 12  DI Toolbars lat 13  BLL Load Image Henna dd 13  921 2    Apply Presentation Stare  Files see 13  DAA SAO Database ae Ih 13  DIA Save TOT le ee ee 14  DIS Save Sereento Die ae N 14  DI AUG Prints ee see 15   Do Sal Bar nee A A eat 16  DS Naya Toolbar zes ee see Nee 16  DIL TIAA Se Sa Keen ine 16  DSZ AM ee ee ee 17  DIS APM o de O 17   D4  SOU asc 18  DAL   Reetaneular nudos 18  B42  Circular SOU 18  DAS Polvoonal  SAUS 18  DAA     Biimapped aut aaa 19  DAS Shutter Colo iaa 19   Do A a N R EAS 19  DIE Kreise een ee 20  DI  2  A E 21  DAS Deli elas 21   Do  Annotal0ns  ans id 21  D 6 1 Graphical Annotation scannen 22  D62    Textual ANNO Lat Os 5  een on 23  DS
3.    This setting is mandatory  no  default   associations          string Human readable description of the communication partner  Used in the GUI  to present the communication partner to the application user in selection  boxes    Called application entity title of the communication partner  For entries of  type LOCALPRINTER  this application entity title is used by the Print SCP  to identify itself during association negotiation        DICOMscope 3 0   42   User Manual    DICOM software which claims to support Explicit VR communication but  fails to do so  Optional setting  default 1s  false    DisableNewVRs   true or false   Do not create data types  VRs  that were defined in post 1993 editions of the  DICOM standard when converting implicit VR files to explicit VR network  transmission  Maybe necessary for old DICOM Store SCPs  Optional  setting  default 1s  false     MaxPDU 8192  65536   Maximum receive PDU  protocol data unit  size to use  Must be between  8192 and 65536  Default  16384     Supports12Bit true or false   Print SCU usage  assume that the Print SCP supports transmission of image  pixel data with 12 bits pixel in the Basic Grayscale Image Box SOP Class        ImplicitOnly true or false   Only negotiate the default Implicit VR Little Endian transfer syntax for all  abstract syntaxes  This setting is useful if we re communicating with very old    Print SCP usage  accept image pixel data with 12 bits pixel   Optional setting  default is  true        Supports tr
4.   and displays a report in a separate application  This requires the installation of the  Tcl Tk package and probably some changes to the configuration file  see G 1      The checking application supports syntax highlighting and a simple search and select function   fig  8   Besides the explicit input of a search term a sequence of characters can also be  selected by pressing the left mouse button first  while moving the mouse cursor  and then the  right mouse button to start the search  A word can be selected by clicking the left mouse  button twice  a whole line by pressing it three times     DICOMscope 3 0   10  User Manual    DICOM PState Checker   mammo_identify_calcif pres    Affected attribute  Graphiclayer  0070 0002   Type CS  Attribute value    calcifications 0   Expected format for each value   U 9FA 2 J     Affected attribute  Graphiclayer  0070 0002   Type CS  Attribute value    caleifications 0   Expected format for each value   0U 9A 2 J     Affected length   23 bytes  should be 16 bytes maximum for CS   Affected attribute   0070 0080  Ca  Indentify calcification     Affected attribute  Presentationtabel  0070 0080   Type CB  Attribute value    Indentify calcification   Expected format for each value   0 94 23 _      est failed   one or more errors        Figure 8  Check Report of a DICOM File    DICOMscope 3 0   11  User Manual    D Viewer    After successfully loading an image DICOMscope automatically switches to the    Viewer      fig  9   Of course  the vie
5.  Add Image to Print Job Fa          Reset Displayed Area to Image Size        Yes Mo         Figure 13     Add Image to Print Job    Dialog    DICOMscope 3 0   15  User Manual    D 2 Status Bar    The status bar  fig  14  at the bottom of the main window   s divided into four sections  The  first section contains some context dependent information to the user  e  g  what to do next  with the mouse   the second section contains the current values for window center   width  or  the name of the current VOI LUT  and the third one contains the coordinates of the current  displayed area  The last section 1s not used   n this release     Figure 14     Status Bar    Panel    D 3 Navigation Toolbar    The    Navigation    toolbar  fig  15  at the top of the viewing area allows to choose the  currently displayed image and frame referenced by the presentation state  Furthermore 1t can  be specified whether some image operations should be applied to all referenced images  only  the current one or only the currently displayed frame     Move in Image Stack Move in Frame Stack Apply Mode  a  o PrP da  co DP Im Frame  gt  Image   All                      Figure 15     Navigation    Toolbar    D 3 1 Image Stack    The    Move in Image Stack    Panel  see fig  16  contains the functions for the navigation  through the images referenced by the current presentation state  The first button  from left to  right  allows to move to the the first image  the second one to the previous  the third one t
6.  Dll nee tera sree ee nee 25  DOT Delta 25  D65 Movet another Bayer anne a a aenaecate 26   D7 Image Processing Funetions   en e R e Ea 27  DIL  Resale ee 27  72 Eee ee re 27    DICOMscope 3 0  2   User Manual    HO RO ae ee 27    DEBA De Tea oe ee 27   BDT  Presse NA een 21   DECO  SDE TD ee ee 28   Dir Presenta Ono  ARA 28   DS  ZOOMIN rae e O OE o A aN 28  DSL  A seele 28   DSZ  TAG IMAGE era 28   Dis Loom ima selladas 28   99 NS A era sue E EE E 29  DIL near 29   DE Dres er can 30   DAD Presentation SIZE MO een 30  DAL Presentation state Panel see 31  DIAZ Ad O Panel    eine 31   A PP UNM A     A 32  ET NADO ae 33  E2 Additonal OPIO een 33   E  COONS EE E O AE E EA O E E O O 36  Ft     onda E T O genen 36   EZ N IENE ea E O 31   ES   IBTOW Sia 38   G    onhguraiO i eesosa EE A nRa e E Ra o eE N EE TEENER E NaS 39  GR  ou o o R 39  G2    Monitor Characteristics  Pla buenas 46  G 3 Registering DICOM Instances in the Database seanina ae 47  A seein O AAAS 47   H    COMMU AON suis 48  ELE  Microso WR ee nennt 48  ELTA Reutte ida 48   ME PEDI TIONS zes ame 48   TELS  COMPRAN diia 49   H2 UR ds 50  HZL REUS MES ista na ar 50   H22 Preparalons en ee 50   H23 ae   0100  0  102115 Ca  0 ee 50   L System Requirements u a aa 52  E Aboutthe Project    in dls lio 53  Reierenees   usa aeaa a aa 55    Disclaimer  This software is made available  as is  and OFFIS  the Institute for Microtherapy  and OTech make no warranty regarding the software  its performance  its merchantability or  f
7.  Label     Creator     Displayed Area   Y  Set Displayed Area to Image Size  Transfer Syntax  o Implicit VR Little Endian    Explicit VF Little Endian    Figure 12     Save Presentation State to File    Dialog       D 1 5 Save Screen to File    P Saves the currently displayed image   frame  including applied presentation state  to  a secondary capture DICOM file  This function works like a screen capturing  program  After choosing or entering the file name  with file extension  the transfer   syntax  little endian explicit or implicit  has to be chosen        DICOMscope 3 0   14  User Manual    D 1 6 Add to Print         Creates a hardcopy grayscale image  stores it in the local database and adds it to the  E  print queue in the    Print    panel  see chapter E   The stored hardcopy grayscale  image can be loaded from the    Browser    and displayed in the    Viewer    or re added   to the print queue     There are two options to create a hardcopy grayscale image  1f the answer to the question  fig   13  1s    Yes    the current displayed area 1s reset to the original image size  1  e  the whole image  will be printed  if the answer is    No    the current displayed area  see status bar     da      will be  used instead    However  all transformations and annotations specified in the presentation state will be  burned into the hardcopy grayscale image  The reason for this is that DICOM printers do not  support presentation states but only pre formatted grayscale images     ES
8.  also be created  Just enter the  gamma value into the dialog  fig  29  and the current VOI settings are replaced by the new  LUT     f Create YOI LUT Dialog  ES    Select Gamma                Figure 29     Create VOI LUT    Dialog    The current VOI settings are permanently displayed in the second sector of the status bar      VOL     see D 2      D 10 Presentation Size Mode    The    Presentation Size Mode    panel shows and allows to change the presentation size mode  of the current image  According to the DICOM standard three different presentation size  modes are available     e Scale to fit  The specified displayed area shall be displayed as large as possible within the  available area on the window  1  e  magnified or minified if necessary to fit the window  space available    NB  Changing the presentation size mode to    Scale to fit    will not change the image on  the display  This mode is only useful for transferring presentation states to another work   station where the available space to display the image might be different     e Magnify  In this mode the factor that shall be used to spatially interpolate image pixels to  create pixels on the display is defined   NB  Changing the presentation size mode to    Magnify    will not change the image on the  display  This mode   s only useful for transferring presentation states to another work   station where the available space to display the image might be different     e True Size  The physical size of the rendere
9.  bit depth of the image pixel data   4096 entries for 12 bit pixel data  256 entries for 8 bit pixel data     Print SCU usage  If flag is true  assume that Print SCP requires match  between Presentation LUT and image data  If for a given print job this match  cannot be guaranteed  perform rendering of the Presentation LUT in the Print  SCU and use an IDENTITY Presentation LUT shape in the Print SCP    Print SCP usage  If flag is true  enforce a matching rule as described above   All Presentation LUT N CREATE or Basic Grayscale Image Box N SET  operations that would violate the rule will be refused  Optional setting   default is  true     PresentationLUT   true or false   Print SCU usage  if the printer supports 12 bit image transmission and the  PreferSCP film is to be printed with a Presentation LUT that could be rendered either in  Rendering the print client or in the printer without loss of precision  prefer rendering in       the printer   Print SCP usage  flag is ignored  Optional setting  default is  false     refuse N SET operations containing a requested image size attribute   Optional setting  default is  false        SupportsImage true or false   Some Print SCPs do not support the optional    Requested Image Size     Size attribute in Basic Grayscale Image Box N SET operations   Print SCU usage  If flag is false  assume that the printer does not support  requested image s  ze  never send this attr  bute   Print SCP usage  If flag is true  support requested image siz
10.  not stored in the database directory  are only removed from the list  the DICOM file   s  not deleted  A confirmation dialog is always displayed before deleting an entry     DICOMscope 3 0  8  User Manual    C 1 6 Print Stored Print Object             Stored print objects and the referenced hardcopy grayscale images can be printed  Z  directly from the    Browser     If a stored print object is selected it will be sent to the  current printer  Stored print objects are created and stored in the database either from   the    Print    component or by the local print server  see G 1      C 1 7 Add to Print       If a hardcopy grayscale image is selected it will be added to the current print job   E  Hardcopy grayscale images can be created from the    Viewer    by choosing    Add to  Print     see D1 6  or by the print server extracting the images from the received print   job  In both cases the hardcopy grayscale images are stored in the database     If a stored print object 1s selected and the dialog  fig  6  is confirmed with    OK    the current  print job will be deleted and replaced by the selected one  Stored print objects will be created  and inserted automatically into the database by printing the current print job  The    Print     component 1s described in chapter E        f Load Stored Print Object    A Replace current Print Job by selected Stored Print Object      Cancel         Figure 6     Load Stored Print Object    Dialog    C 1 8 Create Dump    Creates a dump  
11.  order to compile the DICOMscope source code     e Tool to unzip the source code  e  g  WinZIP  available from http   www winzip com     e C   Compiler with support for C   templates  tested successfully with MS Visual C    5 0 and 6 0   e Java 2 SDK v1 2 or newer  available from http   java sun com jdk    e Tcl Tk is not required for compiling the application  but it 1s required   f you want to use the     Create Dump    or    Check Instance    function from the user interface  It is available from    http   dev scriptics com software tcltk     H 1 1 2 Sources    The following source code packages have to be downloaded     e demtk 3 4 1  ftp   dicom offis uni oldenburg de pub dicom offis software dcmtk341  z1  e dsgui 2 0  http   www microtherapy de e imt fi medint download dsgui20 z1          NB  These packages contain the public source code for the RSNA  99 version  The latest  release for the IHE testing tools can be downloaded from the known server     H 1 2 Preparations    e Install WinZIP  Java 2 SDK and Tcl Tk if necessary    e Unpack the dsgui  Java  source code package to your local drive and make sure that the  stored directory structure is restored correctly    e Unpack the demtk  C C    source code package to the directory dsgui20 extracted from  the tkgui archive and make also sure that the stored directory structure is restored     DICOMscope 3 0   48   User Manual    H 1 3 Compilation  H 1 3 1 C   Code    When using a Microsoft Visual C    MSVC 5 0 and above  
12.  printer for the Basic Film  Box or Basic Grayscale Image Box  Multiple values can be specified  must  be separated by         characters    Print SCU usage  Optional setting  default  don t specify magnification type   use printer default    Print SCP usage  The first specified value is used as the default  This is a  mandatory entry    Smoothing Type identifiers supported by the printer for the Basic Film Box  or Image Box  Multiple values can be specified  must be separated by          characters    Print SCU usage  Optional setting  default  don t specify smoothing type  use  printer default    Print SCP usage  The first specified value is used as the default  This is an  optional entry  If omitted  the Print SCP does not support the attribute and  rejects N CREATE or N SET requests containing the attribute             44   User Manual    BorderDensity    Emptylmage  Density       SessionLabel  Annotation    Configuration N       DICOMscope 3 0    string        string        string        0  65535   string    true or false    string    Border Density identifiers supported by the printer for the Basic Film Box   Multiple values can be specified  must be separated by         characters    Print SCU usage  Optional setting  default  don t specify border density  use  printer default    Print SCP usage  If any of the identifiers is numeric  then all numbers are  accepted  The first specified value is used as the default  This is an optional  entry  If omitted  the Print SCP d
13.  the corresponding dialog  for the first  annotation if necessary     DICOMscope 3 0   20   User Manual    Es Layer Properties x   Lawer Settings    Layer Mame  new layer ol    olor 10      Decription          Figure 21     Layer Properties    Dialog    D 5 2 Modify   The properties  name  color and description  of the current layer can be modified by pressing  the    Edit    button  fig  20 and 21     D 5 3 Delete   The current layer can be deleted by pressing the    Del    button  All annotations associated    with this layer will also be deleted without any warning  Overlay planes will be moved to the  layer    deactivate     see D 5      D 6 Annotations    There are two types of annotations which can be created by the application and stored in a  presentation state  graphical and textual annotations     A new annotation is always associated with the current layer which can be changed in the       Paint    panel  fig  22  or in the    Layer Manager     see D 5   The color assigned to this layer  is used to draw the annotation     DICOMscope 3 0  21   User Manual    Annotations can be displayed    image relative     coordinates are related to the underlying  image  or    display relative     coordinates are related to the displayed area   All annotation can  be modified  moved  made image relative or display relative  etc   after they have been  created  For some types of annotations the modifications are limited  e  g  a rectangle cannot  be resized      genus  aran       
14. 142   D 44799 Bochum  Germany     http   www microtherapy de go cs     Kuratorium OFFIS e V    Healthcare Information and Communication Systems  Escherweg 2   D 26121 Oldenburg  Germany     http   www offis de        OTech Inc    2001 East Oakshores Drive Niz  mi  Crossroads 0 1 07  TX 76227  USA  zu    http   www otechimg com     DICOMscope 3 0   54   User Manual    K References    A number of documents on the new DICOM extensions and the experiences gained from the  two demonstrations at ECR    99 and RSNA    99 have been published by the project team so  far     German language     Sandra von Gehlen  J  rg Riesmeier  Marco Eichelberg  Peter Jensch  Einf  hrung in neue  DICOM Serviceklassen     Teil  Presentation States  in  3  DICOM Anwendertreffen und  Workshop  Mainz  1999     Marco Eichelberg  J  rg Riesmeier  Peter Jensch  Standardisierte Darstellung  medizinischer Bilder mit DICOM Softcopy Presentation States  in  Sechster  interdisziplin  rer Workshop KIS RIS PACS  Schlo   Rauischholzhausen  1999     Marco Eichelberg  J  rg Riesmeier  Ein Meilenstein auf dem Weg zum  filmlosen   Krankenhaus    n  OFFIS Datawork 17  Dez  1999     Marco Eichelberg  J  rg Riesmeier  Klaus Kleber  J  rg Holstein  Dietrich H  W   Gr  nemeyer  Peter Jensch  DICOM Presentation States     ein neuer Dienst f  r die digitale  Bildverteilung und Softcopy Befundung  in  Bildverarbeitung fur die Medizin 2000   Algor  thmen   Systeme   Anwendungen  Proceedings BVM 2000  Alexander Horsch   Thomas L
15. 255 0  255    Sets the background color of the study manager as RGB  0  255 color   int    FontSize Sets the size of the fonts used in all GUI components   FontName Sets the name of the fonts used in all GUI components   FontSizeText Sets the size of the fonts used for textual annotations   FontNameText Sets the name of the fonts used for textual annotations     DICOMscope 3 0  41   User Manual    TabPlacement    North     Sets the placement of the main tab in the GUI      south         East        West      FunctionPanel    North     Sets the placement of the function panel in the viewer   Placement    south         East        West         None       PaintPanelPlacement      North     Sets the placement of the paint function panel in the     south     viewer      East        West         None         Toolbar         Integrated       PSPanelOn true or false Checks if the presentation state information panel  should be visible     The second part of the configuration file for DICOMscope is identified by the main section  heading    COMMUNICATION     This part defines the communication partners to which  DICOM images and presentation states can be sent or printed to  For each communication  partner  one section needs to be defined  1  e   PEER 1    The section heading is arbitrary  but must be unique within the configuration file  It may only contain uppercase characters   numbers and underscore characters  The following table describes the entries for each  communication part
16. COMscope 3 0   17   User Manual    D 4 Shutter    The purpose of display shutters is to hide unwanted parts of an image  e  g  unexposed parts  of X ray images   The DICOM standard defines graphical shutters and bitmapped shutters   fig  19  which are mutually exclusive  Graphical shutters have the shape rectangular  circular  or polygonal  Each type of shutter may appear only once in a presentation state but the three  graphical types can be combined to create a more complex shutter shape     Shutter     e iez    Figure 19     Shutter    Panel    Bitmapped shutters cannot be created but displayed by the current release of the software  If  more than one bitmapped shutter is available in a presentation state one  or none  of them has  to be selected for display     D 4 1 Rectangular Shutter    right hand corner  BRHC  of the visible region  To do this press the left mouse   button at the TLHC  move the mouse cursor to the BRHC  without pressing the  mouse button  and press the left mouse button again to confirm the size  The order of  specifying TLHC and BRHC is not significant       Rectangular shutters are created by specifying the top left hand  TLHC  and bottom    The presence of a rectangular shutter is indicated by a dark gray background of the  corresponding icon  By clicking the icon again the shutter will be removed     D 4 2 Circular Shutter    Circular shutters are created by specifying the center and the radius of the visible  region  To do this press the left mou
17. Filled    Image Relative    Layer       Figure 22     Paint    Panel    D 6 1 Graphical Annotation   The DICOM standard only defines five types of graphical annotations  point  polyline   interpolated line  circle and ellipse  However  DICOMscope offers some additional types   line and rectangle  which are mapped to the standard types to facilitate the use of the  application    New graphical annotations are created according to the checkbox    filled    and    image    relative    in the    Paint    panel     D 6 1 1 Line    To create a line two points have to be specified  Press the left mouse button for the    first point  move the mouse cursor  without pressing the mouse button  and press the  button again for the second point     The line is stored in the presentation state as a polyline with two points     D 6 1 2 Rectangle    To create a rectangle the top left hand corner  TLHC  and the bottom right hand  corner  BRHC  have to be specified  Press the left mouse button at the TLHC  move    the mouse cursor  without pressing the mouse button  and press the left mouse button  again at the BRHC to confirm the size  The order of specifying TLHC and BRHC is not  significant     The rectangle is stored in the presentation state as a polyline with four points     DICOMscope 3 0   22   User Manual    D 6 1 3 Point    To create a point press the left mouse button at the desired position in the image     L    oO     6 1 4 Circle    To create a circle the center and the radius hav
18. Keywords are not  case sensitive  but values are  Entries in the configuration file are grouped in a section  which  is identified by a keyword in square brackets      section     Multiple sections are grouped into a main section  which is identified by a keyword in double  square brackets        main section       The first part of the configuration file for DICOMscope is identified by the main section  heading    GENERAL     This part defines the settings of the local system  e  g  database  directory and local network characteristics  The following table describes the defined sections  and entries     Application   LogDirectory directory Directory in which log files are stored  Default   application root directory  for print  same as spool  directory    an filename Name of the file where the general log messages are  stored  Default  no log file  1  e  do not write any log  messages     na identifier Filter for the general log messages   ERROR   only error messages  WARN   also warning messages  includes ERROR   INFO   also informational messages  incl  WARN   DEBUG   also debug messages  includes  INFO   Default  no general log messages at all     Monitor Characteristics filename Name ofthe monitor characteristics file  If omitted  no  grayscale correction according to DICOM Part 14   GSDF  or CIELAB is performed on consumer systems   See G 2 for further details on this file     presentation s  ze mode   s  ze    presentation size mode   interactive windowing        DICOM
19. P does not support the attribute and  rejects N CREATE or N SET requests containing the attribute    The DICOMscope application provides limited support for the Basic  Annotation Box SOP Class  When printing on printers supporting  Annotation  a single annotation can be specified for each print job  This  setting defines the annotation display format ID and annotation position that  are used when creating the annotation    Print SCU usage  Two values must be specified  First the Annotation  Position  then the Annotation Display Format ID  separated by          This is an  optional setting  default is not to use Basic Annotation Box    Print SCP usage  The Print SCP component does not support the Basic  Annotation Box SOP Class  This setting should be omitted for all entries of  type LOCALPRINTER    Some printers use the Film Session Label as a replacement for annotations   Print SCU usage  If flag is true  any annotation defined in the user interface  is replicated in the Film Session Label attribute of the Basic Film Session   This is an optional setting  default is  false    Print SCP usage  Ignored  This setting should be omitted for all entries of  type LOCALPRINTER    Configuration Information that can be sent to the printer for the Basic Film  Box or Image Box  Only a single value per entry can be specified because  values may contain backslash characters   VR ST   Keywords are     Configuration 1        Configuration 2     etc   without leading zeroes    Print SCU usag
20. Processing    SEI    Figure 25     Processing    Panel    D 7 1 Reset  Resets the current presentation state to   ts last saved state  All changes since then   lt Q will be lost   D 7 2 Flip  1 Flips the image horizontally  The current flip status is indicated by the background    color of the icon  Mid gray means off  dark gray on   D 7 3 Rotate    Rotates the image by steps of 90 degrees  The current rotation is indicated by the  arrow in the icon     e    z  a  h    Invert    Inverts all grayscale values of the image  If the background color of the icon is dark  gray the image 1s inverted          Presentation LUT    A predefined presentation LUT  for configuration see G 1  or the presentation LUT  shape    Identity    can be choosen to be applied to the image  If the background color  of the icon is dark gray a presentation LUT is currently selected     EJE    DICOMscope 3 0   27   User Manual    D 7 6 GSDF   CIE lab    Applies a correction curve to the image  Two correction curves are available  the   C Grayscale Standard Display Function  GSDF  defined in the DICOM standard and   additionally the CIELAB curve  Ifthe background color of the icon is dark gray one  of the two correction curves is applied to the image     A monitor characteristics file is required to perform the correction  see G 2   This function is  not available on high resolution systems  see G 1      D 7 7 Presentation State    Switches the presentation state on or off  If the background color of the i
21. a number of modifications are available  The text can be edited  the    orientation of the bounding box can be changed  etc   fig  24   Furthermore  an anchor point  can be moved  removed  added or made visible        Eos Edit Textual Annotation    Text          his is a textual annotation  ith more than one line    Orientation   Left C Center    3 Right    Bounding Box       Rotation  W 0 degree     90 degree      180 degree    270 degree    oe   emos      Figure 24     Edit Textual Annotation    Dialog    D 6 4 Delete    There are two ways to delete an annotation  The first one has been described in the section     Modify an Annotation     D 6 3   The second one is available via the    Layer Manager     fig   20  see D 5   Select the layer in which the annotation resides first  Then select the annotation  itself and press the    Del    button     DICOMscope 3 0   25   User Manual    D 6 5 Move to another Layer    An annotation is always bound to a specific layer which specifies the order and color in which  the annotations are drawn  To move an annotation to another layer the annotation has to be  selected in the    Layer Manager     fig  20  see D 5   Then the layer to which it should be  moved has to be selected in the combobox next to the    move to    button and finally the button  has to be pressed     DICOMscope 3 0   26   User Manual    D 7 Image Processing Functions    A number of image processing functions 1s available in the    Processing    panel  fig  25        
22. andard DICOM port number 104  should be used        DICOMscope 3 0   40   User Manual    MaxPDU 8192  65536 Maximum PDU  protocol data unit  size to use when  negotiating incoming connections  Must be between  4096 and 131072  Default  16384     AEtitle string Application entity title with which both sender and  receiver will identify themselves  Max 16 uppercase  characters     ImplicitOnly true or false Only negotiate Implicit VR Little Endian transfer syntax  on incoming connections  This is useful only for some  old and buggy DICOM Store SCUs  e  g  modalities     DisableNewVRs true or false Do not create data types  VRs  that were defined in  post 1993 editions of the DICOM standard when  converting implicit VR network data to explicit VR  files     BitPreservingMode   true or false Receive data in    bit preserving mode     In this mode   data 1s stored to file directly as read from network   Transfer syntax in file is identical to transfer syntax  used for network transmission  If this mode is switched  off  default   images are converted to explicit VR Little  Endian format before storing in file  which makes 1t  easier to burn images on CD R in    General Purpose    Image Exchange Profile    format     Query _ AutoCreateConfig true or false Specifies whether the configuration file for the  Retrieve File query retrieve server is created automatically from the  data contained in this file each time the server is started     Default 1s true    Server executable Path to 
23. ard   s available at   http   medical nema org dicom html    The demonstrations at ECR    99 and RSNA    99 were made possible by     e NEMA   National Electrical Manufacturers Association  http    www nema org    e ECR   European Congress of Radiology  http    www ecr org    e RSNA   Radiological Society of North America  http    www rsna org      The demonstrations were supported by the following companies  in alphabetical order      Agfa Gevaert N V    Aycan Digitalsysteme GmbH   Barco Display System Inc    Metheus  Cedara Software Corporation  CEMAX ICON  A Kodak Company  Clinton Electronics Corporation  Compaq Computer Corporation  DOME imaging systems Inc   Eastman Kodak Company   GE Medical Systems   Gossen Foto und Lichtmesstechnik  IMAGE Smiths Inc    Imation Enterprises Corporation   ISG technologies   Merge Technologies Inc    Philips Medical Systems   Quintiles Intelligent Images   Siemens AG   Siemens Display Technologies  Sun Microsystems Inc     IHE  Integrating the Healthcare Enterprise  1s an initiative of HIMSS  Healthcare Information  and Management Systems Society  and RSNA  Radiological Society of North America      More information is available at http   www rsna org IHE      DICOMscope 3 0   53   User Manual    Contact addresses     University of Witten Herdecke   Department of Radiology and MicroTherapy   Professor Dietrich H W  Gr  nemeyer  MD fo  Institute for MicroTherapy  uni versitat  Medical computer science Lf ten Herdeche  Universit  tsstra  e 
24. are then accessible via the    Navigation    toolbar  see  D 3      DICOMscope 3 0   7   User Manual    faq Select Presentation State     default   spinal view   sample presentation state       Figure 4     Select Presentation State    Dialog    C 1 3 Send    Transmits the selected study  series or instance to another workstation via network   2 The destination can be chosen from the displayed l  st  fig 5   The available  communication partners have to be added to the configuration file prior to the    application start  see G 1   By pressing the    Details       button some technical information  about the selected peer 1s presented     f Send IOD to     Modality   Diagnostic Workstation  Review Workstation    Review VS Sun    senato    Detansa    conca      Figure 5     Send IOD to       Dialog       C 1 4 Refresh    This function is very useful in case the automatic refresh is not working or disabled     gt  efreshes the    Browser    list after reloading all information from the local database   a Refreshes the    B     list af loadi 11 inf ion f he local datab  A   see G 1      C 1 5 Delete    Deletes the selected studies  series or instances  Multiple entries can be selected by  1 using the    shift    and or    ctrl    key  If the top element    All Studies    is selected all  studies will be deleted  For instances the DICOM file stored in the same directory as  the local database will also be deleted  Instances that are only    referenced    by the database     1  e 
25. before being  sent to a printer  The print queue consists of a number of pages  The first page 1s visualized  using the selected layout and previews of the hardcopy images  When printing a stored print  object 1s created and added to the database    The    Print    component is divided into two parts  On the left side there is a preview of the  first page 1n the print queue  New images are added to the end of the queue  On the right side  there is a tabbed panel with two entries     Main    and    Additional     allowing to modify the  print related settings     The    Print    component   s also used to display the contents of a stored print object  and the  hardcopy grayscale images referenced by 1t  loaded from the browser     ES DICOMscope 3 0 l   ES    el  2    Browser   viewer   Print   About   Main   Additional      Options  Medium       lt Defautt gt     FimBize   lt Defaute      Orientation  Landscape  Priority  Detault   Layout 213   Coples h    Presentation LUT Options  lurmination cdi   2000    Reflection  cd m 2  h D    Presentation LUT  Default        Rendering as Hardcopy         414         4       Images in Queue  4  Pages  1 from 1       Figure 32     Print    Component    DICOMscope 3 0   32   User Manual    E 1 Main Options    In this panel  fig  33  the main printer options can be set  see table 1 for a description   Most  of them are printer dependent and can be configured  see G 1       lt Default gt     means that no  value is sent to the printer     D
26. compiler the existing project  files can be used to compile the C C   part of the source code     e Open the workspace file dcmtk  dsw  stored in the demtk sub directory  and compile all  sub projects as    release    or    debug    versions  To save time and disk space it would be  sufficient to compile the following  required  sub projects only  demdata  demdump   demimele  demnet  demprtsv  dempsrev  dempssnd  dempstat  imagectn and ofstd    e Open the workspace file jInterface dsw  stored in the interfacelC  y Interface sub  directory  and compile the project as    release    or    debug    version  this requires the  corresponding compiled version of the demtk   The project file refers to the include  directory of the installed Java 2 SDK package  It might be necessary to adjust       e After a successful compilation the DLL  Dynamic Link Library  and the command line  tools should be copied to the DICOMscope application folder by starting the  copy bin bat batch file from the main directory  This only works for the    release     version but the same result can be achieved by copying the files manually     If not using a Microsoft Visual C   compiler you have to create the project make files for  your own  Be sure to compile all C C   modules in multi threaded mode  At least the  Microsoft compilers have problems when mixing multi threaded and single threaded code or  single threaded C C   code with Java     H 1 3 2 Java Code    Open a command prompt window  change the 
27. con is dark  P5 gray the presentation state is activated     D 8 Zooming  The    Zoom    panel  fig  26  provides a number of functions to zoom the image  The current  zoom factor is always indicated in the text box on the right  The zoom factor can be entered    directly into the text box or changed by using one of the following functions  The aspect ratio  of the image is always maintained     Zoom    gr Factor 1 91    Figure 26     Zoom    Panel    D 8 1 Zoom    usually does not exactly match with the selected area since the aspect ratio of the  image is preserved  However  the selected area is always contained in the zoomed  image       The image can be magnified by selecting a rectangular area  The zoomed image    D S 2 Fit Image    RA Zooms the image to fit   n the display     Scale to Fit       K    y    D S 3 Zoom Image 1 1    The image   s displayed with a zoom factor of 1  Each pixel value in the image is  1 1 displayed as one pixel on the display     1 1         DICOMscope 3 0   28   User Manual    D 9 Window Settings  Images or presentation states may conta  n VOI LUTs  VOI windows  both or none of them   Per default the first VOI LUT will be selected  If there is no VOI LUT the first VOI window    is selected if existing  Otherwise no windowing is performed on the image  1  e  the full range  of pixel values is displayed on the screen     Window Settings    EN Gi C   884 5 w  4279 0      Figure 27     Window Settings    Panel       If no VOI LUT is selected the w
28. d image pixels shall be the same on the screen  as specified in the DICOM image or presentation state   To use this mode the physical size of the screen  1  e  the active area used for display  has  to be defined in the configuration file  see G 1  or in the    Options    dialog  see F 2  and  the pixel spacing attribute has to be stored   n the DICOM file     DICOMscope 3 0   30   User Manual    D 11 Presentation State Panel    The    Presentation State     panel shows and allows to modify the    Label    and the    Creator    of  the current presentation state  fig  30   It   s important to enter at least a meaningful name   description  since this field is used to decided which presentation state should be applied to  an image when loaded from the browser  see C1 2  f  g  4      Presentation State    Label UNNAMED    Creator      Figure 30     Presentation State    Panel    D 12 Information Panel    The    Information    panel  fig  31  shows additional information about the loaded presentation  state and image  such as resolution of the image  presentation size mode  displayed area and  pixel spacing     Information   rows   1260  cols   900  mode   scale to fit   TLHG    14  BRHC    1280900  aspect ratio  1 0    Figure 31     Information    Panel    DICOMscope 3 0  31  User Manual    E Print    The    Print    component  fig  32  1s used to manage all print related tasks  Hardcopy grayscale  images added from the browser or the viewer are collected here in a print queue 
29. directory to tkgui and type  javac  d    DICOMscope DICOMscope java    If the bin directory of the Java 2 SDK 1s not part of your search path you have to use the  explicit path to the Java compiler  e  g   jdk1 3 bin javac          Change the directory to DICOMscope and type  java DICOMscope    to start the application or use the explicit path to java if necessary  Do not forget to adjust  the configuration file before starting the application for the first time  see G 1      For a description on how to create a single Java archive     jar    from the compiled     class    files  we refer to the Java documentation     DICOMscope 3 0   49   User Manual    H 2 Uni    H 2 1 Requirements  H 2 1 1 Tools    e A reasonably modern C   Compiler with support for C   templates  GNU gcc 2 95 and  egcs 1 1 2 are known to work  Earlier releases of GNU gcc are likely not to work  We  have also successfully compiled with the Sun Workshop Compilers 4 x for Solaris    e Tar and gzip  gzip  gunzip or zcat       Tar should be available on all modern Unix installations     Gzip is available from most GNU mirror sites  e  g  ftp   prep ai mit edu pub gnu gzip   e Tool to unzip the Java source code  e g  Info ZIP from http   www cdrom com pub   infozip     e Java 2 SDK v1 2 or newer  available from http   java sun com jdk    e Tcl Tk is not required for compiling the application  but it 1s required if you want to use the     Create Dump    or    Check Instance    function from the user interface  I
30. e  Otherwise    DICOMscope 3 0   43   User Manual    SupportsDecimate  Crop    SupportsTrim    DisplayFormat    FilmSizelD    MediumT ype    ResolutionID    Magnification  Type    SmoothingType    DICOMscope 3 0    true or false    true or false    int int        string        string        string        string        Some Print SCPs do not support the optional    Requested Decimate Crop  Behavior    attribute defined in Supplement 37 in Basic Grayscale Image Box  N SET operations    Print SCU usage  If flag is false  assume that the printer does not support  requested decimate crop behavior  never send this attribute    Print SCP usage  If flag is true  support requested decimate crop behavior   Otherwise refuse N SET operations containing this attribute  Optional  setting  default is  false    Some Print SCPs do not support the optional    Trim    attribute in Basic Film  Box N CREATE or N SET operations    Print SCU usage  If flag is false  assume that the printer does not support  trim  never send this attribute  Print SCP usage  If flag is true  support trim   Otherwise refuse N CREATE or N SET operations containing this attribute   Optional setting  default is  false    Print SCU usage  this entry contains a list of all STANDARD C R column   row combinations supported as Image Display Format by the Print SCP for  portrait orientation  Landscape image display formats are derived  automatically by exchanging column and row for each format    Print SCP usage  this entry sp
31. e  These are optional settings  default is not to use  configuration information    Print SCP usage  These are optional settings  If omitted  the Print SCP does  not support the attribute and rejects N CREATE or N SET requests  containing the attribute  The Print SCP default for Configuration  Information is always an empty string          45   User Manual    FilmDestination Film Destination identifiers supported by the Print SCP for the Basic Film  Session  Multiple values can be specified  must be separated by          characters    Print SCU usage  1gnored   Print SCP usage  The first specified value is used as the default  This is a  mandatory entry     OmitSOPClass true or false   The Affected SOP Class UID attribute is optional in DIMSE N CREATE   UIDFromCreate RSP messages but some clients rely on its presence  This setting can be used  Response to test client behavior   Print SCU usage  ignored   Print SCP usage  Defines whether the Print SCP should include Affected  SOP Class UID in DIMSE N CREATE RSP messages  This is an optional  setting  default is false        The third part of the configuration file is identified by the main section heading    LUT      This part defines the presentation look up tables  LUT  which can be used from the  DICOMscope application  For each LUT  one section needs to be defined  1  e   LUT _1     The section heading is arbitrary but must be unique within the configuration file  It may only  contain uppercase characters  numbers and unde
32. e purpose of supplement 33   s the consistent appearance of images across a network   particularly in order to increase the quality and efficiency of softcopy reading  This new  DICOM extension enables a workstation or modality to store any grayscale and spatial  transformation as well as textual and graphical annotations and render them in the same way  on different workstations    The Presentation LUT  supplement 22  translates pixel values into device and vendor  independent P values  which facilitates perceptual linearization of grayscale images as  specified   n the DICOM Grayscale Standard Display Function  All parameters affecting the  image rendering in a DICOM printer are transmitted as part of the DICOM print protocol     DICOMscope is a full DICOM viewer with a large number of features  It allows to process   transmit and receive DICOM studies  series  images as well as presentation states over a  DICOM network  Pre formatted grayscale images with burned in annotations can be  assembled to a print job and sent to a DICOM printer  A fully functional print server is also  included allowing to display the received print jobs on the screen    The application is divided into three main parts  a study browser  a viewing component to  display and process DICOM images  hardcopy grayscale images and presentation states as  well as a print manager  This manual describes all features of the application as demonstrated  at RSNA infoRAD 1999 and also some new features implement
33. e to be specified  Press the left mouse  button at the center  move the mouse cursor  without pressing the mouse button  to  specify the radius and press the left mouse button again to confirm the size of the     ol    circle     D 6 1 5 Ellipse    To create an ellipse the corners of the surrounding rectangle have to be specified   Press the left mouse button at the top left hand corner  move the mouse cursor   without pressing the mouse button  and press the left mouse button again to specify  the bottom right hand corner     iy    D 6 1 6 Polyline    To create a polyline the vertices have to be specified  Press the left mouse button at  a the starting point  move the mouse cursor to the next position  without pressing the  mouse button   press the left button again to confirm the position  and so on  The  polyline can be closed by choosing the corresponding entry from the context menu  press  right mouse button to display this menu   Open polylines can be created by choosing the     stop    entry from the context menu  Note that only closed polylines can be filled     i    D 6 1 7 Interpolated Line    AN To create an interpolated line the vertices have to be specified  Press the left mouse    button at the starting point  move the mouse cursor to the next position  without   pressing the mouse button   press the left button again to confirm the position  and so  on  Open interpolated lines can be created by choosing the    stop    entry from the context  menu     D 6 2 Text
34. ecifies all STANDARD C R image display  formats accepted by the Print SCP for portrait orientation  Landscape image  display formats are also derived automatically  This is a mandatory entry  no  default    Film Size ID identifiers supported by the printer for the Basic Film Box   Multiple values can be specified  must be separated by     characters    Print SCU usage  Optional setting  default  don t specify film size ID  use  printer default  Print SCP usage  The first specified value is used as the  default  This is a mandatory setting for entries of type LOCALPRINTER   Medium Type identifiers supported by the printer for the Basic Film Session   Multiple values can be specified  must be separated by         characters    Print SCU usage  Optional setting  default  don t specify medium type  use  printer default    Print SCP usage  The first specified value is used as the default  This is a  mandatory entry    Requested Resolution ID identifiers supported by the printer for the Basic  Film Box  optional attribute defined in Supplement 37   Multiple values can  be specified  must be separated by         characters    Print SCU usage  Optional setting  default  don t specify resolution ID  use  printer default    Print SCP usage  The first specified value is used as the default  This is an  optional entry  If omitted  the Print SCP does not support the attribute and  rejects N CREATE or N SET requests containing the attribute   Magnification Type identifiers supported by the
35. ed for the IHE year 2     For softcopy DICOMscope supports both high resolution  high resolution grayscale monitor  with dedicated graphics adapter  and conventional consumer systems  color monitor with  conventional VGA graphics adapter   For hardcopy it supports in principle all 8 bit and 12 bit  DICOM printers since all relevant print parameters can be configured for each device  individually     DICOMscope 3 0  4  User Manual    B Installation and Getting Started    DICOMscope is known to run on both MS Windows  32 bit  and some Unix platforms  e  g   Solaris  Linux   Since the Windows version has been tested more intensively we will restrict  the following descriptions to this version      Microsoft Windows Binary Version     DICOMscope requires a Java 2 compatible system and a 32 bit version of MS Windows   Before installing the application  Java 2 SDK or Runtime Environment should be installed  according to the setup instructions provided with the package  See http   www javasoft com   for further details     Afterwards start the setup executable to install the DICOMscope software on your local  disk  The setup application will guide you through the installation process  Do not forget to  modify the configuration file according to your system configuration  see G 1      Following a successful installation    DICOMscope 3 0    can be started from the Windows     Start    menu or directly from the    DICOMscope3    group window  fig  1   The application  will be loaded a
36. efault    Orientation  Priority    Default       Layout 213    Coples 1      Presentation LUT Options    Illumination ftdim 2   2000    Reflection feds ho      Presentation LUT  Default       Rendering as Hardcopy od            Figure 33     Main    Print Options Panel    By pressing the    Print    button the first page of the print queue will be sent to the current  printer using the currently selected options  By pressing the    Clear    button the current print  queue will be cleared     When loading a stored print object from the browser a new panel appears  fig  34   Before it  is possible to modify any setting and send the print job again a printer has to be selected     Select Ponter  Select IHE Full Print SCR  gt      Figure 34     Select Printer    Panel    E 2 Additional Options    In this panel  fig  35  additional printer options can be set  see table 1 for a description  below  the thick horizontal line   Most of them are printer dependent and can be configured  see  G 1       lt Default gt     means that no value is sent to the printer     DICOMscope 3 0   33   User Manual    The attr  butes    Magnification        Smoothing    and    Configuration    can also be changed for  each image by double clicking the corresponding preview image        Figure 35     Additional    Print Options Panel    DICOMscope 3 0   34   User Manual    Printer All available printers  local and remote ones  are listed here  The first page of the  print queue will be sent to the curren
37. ehmann  Hrsg    Informatik aktuell  Springer  Seite 223 227  2000     Marco Eichelberg  Ein neuer Dienst f  r die filmlose Befundung    n  OFFIS Jahresbericht  1999     J  rg R  esmeier  Vergleichbare Darstellung medizinischer Bilder auf Monitor und Film    n   OFFIS Jahresbericht 1999     Jorg Riesmeier  Marco Eichelberg  Klaus Kleber  Dietrich H  W  Gr  nemeyer  Peter  Jensch  Einheitliche Darstellung medizinischer Bilder auf unterschiedlichen Ausgabe   ger  ten  in  Telemedizinf  hrer 2001  to appear     J  rg Riesmeier  Marco Eichelberg  Peter Jensch  Standardisierte Darstellung medizini   scher Bilder durch Einsatz der DICOM Dienste  Grayscale Standard Display Function      Grayscale Softcopy Presentation State Storage     Presentation Look Up Table  in  DICOM   Anwendertreffen und Workshop  Mainz  23  24  Juni 2000     English language     Marco Eichelberg  J  rg Riesmeier  Peter Jensch  Grayscale Softcopy Presentation States      a new DICOM Service for Documenting Image Appearance in a Softcopy Environment  in   Proceedings EMBEC  99  Vol  37 Suppl  2  pp  1544 1545  1999     J  rg Riesmeier  Marco Eichelberg  Peter Jensch  Quality control for softcopy environments  using standardized display functions  in  Proceedings EMBEC  99  Vol  37 Suppl  2  pp   1546 1547  1999     Marco Eichelberg  J  rg Riesmeier  Klaus Kleber  J  rg Holstein  Herman Oosterwijk  Peter  Jensch  Consistency of Softcopy and Hardcopy  Preliminary Experiences with the new  DICOM Extensions for Ima
38. en dialog     Initially only the studies currently available in the database are displayed in the browser  By  clicking on the symbol left to the icon of a study or series the contents  series or instances   becomes visible  Doing this one can browse through the hierarchy of studies  series and  instances  The top element of this tree     All Studies     is always visible  even if no study is  available       DICOMscope 3 0  Silat    ceolan       Browser About       ES All Studies    MEW  Study Complex Zomkbination Test  Complex Combination Test  Sew  Study Displayed   Area Test  Displayed Area Test  NEW  Study Display Shutter Test  Display Shutter Test    Er Newt Series OT   black circular shutter   Ge Mew  Series PR  pstates for display shutter test   Ge Mew  Series OT   white circular shutter    ee mi series OT   black rectangular shutter   Ge Mew  Series OT   white rectangular shutter   E Mew  Series OT   black polygonal shutter   G Mew  Series OT   white polygonal shutter   E Mew  Series OT   black bitmap shutter   E Mew  Series OT   white bitmap shutter   Ge Meu  Series OT   black concave polygonal shutter   E Mew  Series OT   white concave polygonal shutter  Ge Mew  Study Graphic Annotation Test   Graphic Annotation Test  SEW  Study Modalit LuT Test  Modality LUT Test  SEW  Study Modalit LuT P State Test  Modality LUT Potate Test  MEW  Study Overlay Test  Overlay Test  Mew  Study Fresentation LUT PState Test  Presentation LUT PState Test  E New Study Spatial   Transfor
39. ge Display    n  PACS Design and Evaluation  Enineering and  Clinicallssues  G  James Blaine  Eliot L S  egel  Editors  Proceedings of SPIE Vol  3980   pp  57 67  2000     DICOMscope 3 0   55   User Manual    e Marco Eichelberg  J  rg Riesmeier  Klaus Kleber  J  rg Holstein  Herman Oosterwijk   Dietrich H  W  Gr  nemeyer  Peter Jensch  Softcopy display consistency by means of the  DICOM Grayscale Standard Display Function  in  Proceedings ECR 2000  Supplement 1  to Volume 10   Number 2  European Radiology  p  191  2000     e Marco Eichelberg  J  rg Riesmeier  Klaus Kleber  Herman Oosterwijk  Dietrich H  W   Gr  nemeyer  Peter Jensch  A Prototype Implementation of the new DICOM Services for  Softcopy and Hardcopy Display Consistency  in  Proceedings Computer Assisted  Radiology and Surgery  CARS 2000  Elsevier  pp  432 437  2000     e Marco Eichelberg  J  rg Riesmeier  Klaus Kleber  Dietrich H  W  Gr  nemeyer  Herman  Oosterwijk  Peter Jensch  New DICOM Extensions for Softcopy and Hardcopy Display  Consistency  in  Proceedings MIE 2000  to appear     DICOMscope 3 0   56   User Manual    
40. indow center and width can be modified by a number of  ways  First  the values can be entered directly into the text boxes    c     and    w     in the     Window Settings    panel  fig  27   Second  the window can be specified interactively by    moving the mouse cursor over the image while pressing the right mouse button     D 9 1 Interactive    might be too slow  Therefore  the windowing can be performed on a small preview   image  The    Apply    button applies the current window settings to the whole image      OK    does the same but also closes the    Preview Window     fig  28   Choosing    Cancel     aborts without changing the window center and width values of the original image     E Especially on high resolution monitors the interactive windowing on the whole image  Puy     Es Preview Window El             e  884 5   we faz790    Ok I Cancel I Apply      Figure 28     Preview Window    Dialog       DICOMscope 3 0   29   User Manual    D 9 2 Presets    be selected from this context menu  Furthermore  two automatically computed   window settings can be chosen which are always available     min   max    sets window  center and width according to the minimum and maximum pixel value actually existing in the  image     max range    sets the values according to the full pixel range  e  g  for 12 bit signed  images to c w   0   4096      Modality specific presets  see G 1   VOI windows or LUTs stored in the image can    A new VOI LUT with the shape of a gamma function can
41. itness for any particular use  freedom from any computer diseases or its conformity to any  specification  The entire risk as to quality and performance of the software is with the user   This software is intended for investigational use only  It has not been tested or approved for  clinical application or production environments     DICOMscope 3 0  3   User Manual    A Introduction    The NEMA Committee for the Advancement of DICOM and the European Congress of  Radiology  ECR  hosted a demonstration of the proposed DICOM supplement 33 Grayscale  Softcopy Presentation State Storage at the ECR 1999 in Vienna  After some minor  corrections the supplement has been approved   n September 1999 and   s part of the DICOM  standard since then     For the annual meeting of the Radiology Society of North America  RSNA  1999 in Chicago  the demonstration was extended to support the DICOM Supplement 22 Presentation Look Up  Table  LUT   By using this new service together with Grayscale Standard Display Function   part 14  the image appearance for both hardcopy  film  and softcopy  CRT  becomes  comparable     One year later    softcopy and hardcopy consistency    was added to the year 2 demonstration of  the IHE  Integrating the Healthcare Enterprise   an initiative of HIMSS  Healthcare Informa   tion and Management Systems Society  and RSNA  In this context the application described  in this manual was used as a tool to test the DICOM implementations of the participating  vendors     Th
42. luded by the shutter can be      changed in this dialog  All values between 0 0  black  and 1 0  white  are valid     D 5 Layers    Layers group together annotations which are related  Each annotation has to be assigned to  exactly one layer and is displayed in the color associated with this particular layer     The    Layer Manager     fig  20  allows to add  delete and modify layers as well as to  Lh delete or move annotations to another layer   The current layer can be changed by means of the combobox    Graphic Layer     The    associated layer description and the annotations defined in this layer are displayed in the  boxes below     DICOMscope 3 0   19   User Manual    The layer    deactivate    is used to store overlay planes which have been deleted  directly or by  deleting the associated layer   This allows to restore overlay planes  by moving the  annotation from this special layer to another layer      Eos Layer Manager E  Layer Settings    Graphic Layer   0 new layer U T      Decription       image rel  graphic polyline  image rel  graphic circle  image rel  graphiciellipse    Del   Move to  0 new layer 0          Figure 20     Layer Manager    Dialog    D 5 1 Create   The    New    button in the    Layer Manager    creates a new layer with the specified name  color  and description  fig  21      Color    is a value between 0 0  black  and 1 0  white   RGB colors  are not supported yet by this application     A layer will be created automatically  after confirming
43. mation   Test  Spatial Transformation Test  G Mew Study Text Annotatian   Test  Text Annotation Test      new  Study YOMLUT Test    Ol LUT Test  SEW  Study VOMLUT   P State Test   vol LUT PState Test  G New  Study Combined LUTTest  Combined LUT Test          Figure 2     Browser    Component    Newly received images  transmitted via network or stored from the application  are shown  immediately in the tree  these images are marked as    new with corresponding icons until      In the following the term    instance    is used when talking about images  hardcopy grayscale images  stored  print objects and presentation states     DICOMscope 3 0  6  User Manual    they have been displayed for the first time  Studies or series containing a mixture of    new     and    old    instances are indicated by a lighter    new    icon     C 1 Toolbar    At the top of the main window there is a toolbar with a number of icons representing the main  functions of the    Browser     fig  3   The toolbar is moveable and can be docked to all borders  of the main window or transformed to a    floating    window by means of    drag   n drop     click  on the left rastered part of the toolbar  move the mouse while pressing the left mouse button    and drop the toolbar at the desired position         Ela    jm    Figure 3     Browser    Toolbar    a    The toolbar icons in the    Browser    view have the following functions  Some of them are  only available   f a tree item   s selected  some of them a
44. n in the    Browser     list can be switched on and off  This allows to specify how many and which details are to be  displayed     e UID  Toggles UID on off  all layers    e Description  Toggles description  on study   instance layer  on off   e Patient Information  Toggles patient information on off  on study layer    e Modality  Toggles modality on off  on series layer    e Date  amp  Time  Toggles date and time on off  on study and series layer    e New Items  Shows new received studies  series and instances with a    new    icon  e Filename  Toggles the filename on off  on instance layer    e Label  Toggles the label on off  on instance layer     fs DICOMscope Options                 Browser   Vieweg    General      Show Dicom Atnbutes       I UID     Description   Ir  Patient Information    Modality    _  Date  amp  Time    e  New Items   _  Filename   vi Label       Figure 38     Options    Dialog        Browser       DICOMscope 3 0   38   User Manual    G Configuration    G 1 Configuration File    All information DICOMscope needs to run proper on different systems and in different  environments is stored in a single configuration file  DICOMscope cfg   This text file is  read only once during the application start up process  1  e  if you have modified anything te  application need to be restarted     The configuration file consists of a number of entries which have the form  keyword   value    It 1s important that the keyword begins in the first column of a newline  
45. nd bottom r  ght hand corner   is always displayed in the status bar  section    da          Moving the mouse cursor while pressing the right mouse button changes the grayscale  window settings  To start this interactive windowing the mouse cursor must be located inside  the image area when pressing the right mouse button  The current window center and width  values are always displayed in the status bar  section    c w          D 1 Toolbar  At the top of the main window there is a toolbar with a number of icons representing some    general functions of the    Viewer     fig  10   A detailed description on how to place the  toolbar within the application window can be found in section C 1     FLIEGE    Figure 10     Viewer    Toolbar       E    The    Viewer    toolbar icons have the following functions  Some of them are only available   f  an image is loaded     D 1 1 Load Image File       Loads a DICOM image or hardcopy grayscale image from file  In the    Open File     4 dialog a valid DICOM image file has to be chosen  After the image has been    successfully loaded it will be displayed in the    Viewer        D 1 2 Apply Presentation State File    presentation state file has to be chosen  After the presentation state has been  successfully loaded it will be applied to the current image  There is no check  whether the presentation state refers to the image or not     PG 3 Loads a presentation state from file  In the    Open File    dialog a valid DICOM    D 1 3 Save to Da
46. nd initialized and the study browser will be displayed showing the contents of  the local database     m D  WINNT   Profiles    Mel Ea    Datei Bearbeiten Ansicht 7       Uzer Manual       Figure 1  DICOMscope Group Window    Click on the register tabs at the top of the main window to toggle between the three main  components    Browser        Viewer    and    Print     fig  2   A status bar at the bottom of the main  window often displays some helpful context information while using DICOMscope     The deinstallation is very easy and works mainly automatically  Start the    Software    compo   nent from the Windows    Control Panel    and select    DICOMscope 3 0    to be removed  Of  course  files which have been created or modified after the installation have to be removed  manually     It 1s highly recommended to deinstall a previous version of DICOMscope before installing a  new one     DICOMscope 3 0  5  User Manual    C Browser    The    Browser     fig  2  lists all available images  hardcopy grayscale images  stored print  objects and presentation states  in a hierarchically tree  grouped by studies and series   An  instance can be loaded from the local database and displayed in the    Viewer     as well as  transmitted  printed  dumped  checked or deleted by selecting the corresponding entry  In  analogy complete series and studies can be transmitted or deleted in a single step  DICOM  images and presentation states can also be loaded from file via a standard file op
47. ner     Type identifier The service type defines which DICOM services are offered by the peer  described in this section  Three types of peers are supported   STORAGE   a DICOM Storage Service Class SCP  Entries of this type are  shown as    send targets    in the DICOMscope browser GUI  An entry of this  type 1s also required for each system that wants to download objects from the  DICOMscope database using Query Retrieve  The settings from this section  are used to resolve an application entity title into the target hostname and IP  port number   PRINTER   remote system is a DICOM Print Management SCP  A Print  SCU     spooler process     is started together with DICOMscope  Entries of  this type are shown as printers in the DICOMscope print preview GUI   LOCALPRINTER   a DICOM Print Management SCP that is running as part  of the DICOMscope software on the local system  For each entry of this type  a DICOM Print SCP is started together with DICOMscope  In addition  the  entry 1s also shown as a printer in the DICOMscope print preview GUI      DICOMscope allows to print    to itself      The keywords in italics below the thick horizontal line are only applicable to  entries of type PRINTER and LOCALPRINTER and have no meaning for  STORAGE   Default value for this setting is  STORAGE        Hostname string The IP number or domain name of the communication partner in  conventional TCP IP notation  For entries oftype LOCALPRINTER this  setting must have the value    localhost  
48. o  the next and the last button to the last image  The first text field always shows the number of  the currently displayed image  By entering a valid number the corresponding image will be  displayed directly  The second text field shows the number of images referenced by the  current presentation state  1t cannot be modified     aan o em    Figure 16     Move in Image Stack    Panel    DICOMscope 3 0   16  User Manual    D 3 2 Frame Stack    The    Move in Frame Stack    Panel  fig  17  contains the functions for the navigation through  all frames of the currently selected image  The first button  from left to right  allows to move  to the the first frame  the second one to the previous  the third one to the next and the last  button to the last frame  The first text field always shows the number of the currently  displayed frame  By entering a valid number the corresponding frame will be displayed  directly  The second text field shows the number of frame contained in the current image  it  cannot be modified     Move in Frame Stack    aan ot  a    Figure 17     Move in Frame Stack    Panel    D 3 3 Apply Mode    The    Apply Mode     fig  18  specifies whether the annotation related operations  the window  settings and the displayed area related operations should be performed on all images in the  presentation state  on the currently displayed image or on the currently displayed frame only     Apply Mode       Frame  Image    All    Figure 18     Apply Mode    Panel    DI
49. o value available    0006 00601  PR    0005 00701  Philips Medical Systems    0005 00901 ino value av able    0005 1115   Sec  e Sumo  me Item 1   0008 11401 50 El    fffe eDODO  na   0005 1150  UI   0008 11551 UI  iffe  e00d  na It  erage lla yell  sere  Seque   O020 000e  UI  Peer e na  tE   fffe ebdd  na  Serien i ES   0010 00101 FN DOTES AE menor a   0010 00201 LO  DSITEST    0010 005301 DA lue              5econdaryCapturelmageStoradge   l  3  46  670589  je  l  7 0  o    Metak lementGroupLength  FileMetalnfornationVversion  MediastorageSs0  PllassUIb    l HediastoragesOPInstanceUID    Transfer  fntaxUID  ImplementationClassUID  ImplementationYersionMame    ye  lejsligal o Blalshe sie lala  ene   Inst  ncelreationb  te   InstanceCreationTine  SOPCLlassuip    20  1 SOPInstancellb    Studybate  tudyTime  AccessionNumber  Modality  Mamufacturer  ReferringfhysiciansNane  Referencedieriessequence  Item  l Referencedinagesequence  Iten  26  1 Referenced 0FClassUID  26   ReterencedSo0PInstancellbD  ItenbelimitationItenm  Secmencebelimitationlten  si serilesInstancelip    Itembelimitationlten  secmencebelimitationlten  FatientsNane  FatientID  FatientsBirthbDate       Figure 7  Dump of a DICOM File    C 1 9 Check IOD       Checks the selected IOD  information object definition  called    instance    in this  document  for conformance with the DICOM standard  correct value representation   value length etc   but the presence of mandatory attributes only for presentation    states
50. oes not support the attribute and rejects N   CREATE or N SET requests containing the attribute    Empty Image Density identifiers supported by the printer for the Basic Film  Box  Multiple values can be specified  must be separated by    V characters   Print SCU usage  Optional setting  default  don t specify empty image  density  use printer default    Print SCP usage  If any of the identifiers is numeric  then all numbers are  accepted  The first specified value is used as the default  This is an optional  entry  If omitted  the Print SCP does not support the attribute and rejects N   CREATE or N SET requests containing the attribute    Print SCU usage  Max Density values supported by the printer for the Basic  Film Box  Multiple values can be specified  must be separated by          characters  Optional setting  default  don t specify max density  use printer  default    Print SCP usage  only the first value is read and defines the default max  density that is used when the Print SCU does not specify max density  This  is a mandatory entry    Print SCU usage  Min Density values supported by the printer for the Basic  Film Box  Multiple values can be specified  must be separated by          characters  Optional setting  default  don t specify min density  use printer  default    Print SCP usage  only the first value is read and defines the default min  density that is used when the Print SCU does not specify min density  This is  an optional entry  If omitted  the Print SC
51. p  demprscu  dempschk  dempsrev and dempssnd  are located in dcmpstat apps  dempschk tcl   n dempstat tests  The tool demdump 1s located  in dcmdata apps  dcmpsdmp tcl in demdata tests  The tool imagectn is located in  imagectn apps    e Warning  the database index file used by DICOMscope has a different format on different  operating systems and must not be copied e  g  from the Windows version into a Linux or  Solaris installation  See the documentation for the    dbregimg    tool in DCMTK   s  imagectn docs directory on how to rebuild an index file     H 2 3 2 Java Code    Change the directory to tkgui and type  javac  classpath    d    DICOMscope DICOMscope java    If the bin directory of the Java 2 SDK is not part of your search path you have to use the  explicit path to the Java compiler  e  g   usr javal 2 bin javac          Change the directory to DICOMscope and type   java  classpath   DICOMscope  to start the application or use the explicit path to java if necessary  Do not forget to adjust  the configuration file before starting the application for the first time  see G 1   It might also  be necessary to add the current working directory           to the library path  LD LIBRARY _  PATH      For a description on how to create a single Java archive     jar    from the compiled     class    files  we refer to the Java documentation     DICOMscope 3 0  51   User Manual    I System Requirements     Microsoft Windows Binary Version     Minimum   recommended system requi
52. printer when using the  Presentation LUT SOP Class  Default  2000    DefaultReflection Specifies the default value for the Reflected Ambient  Light  in cd m   to be transmitted to the printer when  using the Presentation LUT SOP Class  Default  10     DeletePrintJobs true or false Delete print job files from spool directory after  processing  If false  spool jobs are renamed instead   Default  false     AlwaysDelete true or false Always delete terminate job files from spool directory   TerminateJobs  these special print job files are created to inform the  spool processes that the application has been  terminated   If false  terminate jobs are handled like    normal print jobs  see DeletePrintJobs   Default  false     Database Directory Directory in which the image database resides   Dump executable Path to the dump tool used to display the contents of  DICOM files located in the database        MaxPrintResolution   width height       Check Path to the check tool used to display the contents of  DICOM files located in the database   Directory Directory in which presentation LUT files reside   Network Sender Path to the DICOM sender  Store SCU  application to  be used  Should never be changed   Receiver Path to the DICOM receiver  Store SCP  application to  be used  Should never be changed  Port 1  65535 IP Port number on which the receiver listens for new  connections  On Unix platforms  the receiver must be    started with setuid root if port numbers  lt  1024  1  e  the  st
53. r lut  which is part of this distribution manually by editing the luminance  values for each DDL  device driving level         This conversion can be done by the console application dconvlum from the DCMTK  see  dcmtk dcmimgle docs dconvlum txt for further details      DICOMscope 3 0   46   User Manual    G 3 Registering DICOM Instances in the Database    DICOM instances  images  presentation states  etc   can be registered directly in the database   Only references to the instances are stored in the database file index  dat  1  e  no Images or  other large objects are copied  For this purpose the command line tool dbregimg is  typically contained in the    tools    sub directory  If not it can be created from the dcmtk source   see chapter H      Assuming the current path 1s    DICOMscope    and the instances you want to register are stored  in the sub directory    images    just type    tools dbregimg  v database images      if you are on a Windows system  The references are then added to the database file    database index dat  If the database file has been deleted a new one is created  automatically  Please note that the format of the database files is system dependent     A detailed desciption on dbregimg can be found in dcmtk imagectn docs   dbregimg txt     G 4 Log Files    Not only for debugging purposes DICOMscope typically writes a number of log files which  can be found in the    log    sub directory  see G 1 for details      The main application log file is called
54. re only applicable to  specific   instances     C 1 1 Load Image File    Loads a DICOM image or hardcopy grayscale image from file  In the    Open File     dialog a valid DICOM image file has to be chosen  After the image has been  successfully loaded it will be displayed in the    Viewer           C 1 2 Open    If an image is selected and presentation states are available for this image  a list will   be shown to select the desired presentation state  fig 4   By selecting the      lt default gt     entry the image is displayed without any presentation state  in fact  a new  presentation state is created using the image settings as an initial state   Otherwise the  selected presentation state is applied to the image and the resulting image will be displayed in  the    Viewer        Loads the selected instance from the local database and displays it in the    Viewer      8    If a presentation state is selected from the    Browser    list the first referenced image is loaded   if available in the database  and the selected presentation state is applied to this image  The  other referenced images are accessible via the    Navigation    toolbar  see D 3      A new presentation state referencing more than one image can be created by selecting the  images in the    Browser     use    shift    and or    ctrl    key for this purpose  and pressing the     Open    button  Then a presentation state 1s derived from the first image  see above  and  applied to all referenced images which 
55. refers to a specified point in the image  In this implementation a line is draw  from the annotation to the point if the anchor point is made    visible     This point can also be  specified    image relative    or    display relative        independent from the bounding box  A  good example for this 1s a display relative bounding box  e  g  in a corner of the image  with  an image relative anchor point referring to a region of interest  ROD   When scrolling or  zooming the image the textual annotation remains in the corner while the anchor point is  moving with the image     After setting all options the dialog is closed by pressing the    OK    button and the textual  annotation can be placed in the image     DICOMscope 3 0   24   User Manual    D 6 3 Edit    pressing the icon shown on the left side the    Edit    mode is activated  This is  indicated by a    hand    cursor when moving the mouse cursor over the image   Select the annotation to be modified first  by pressing the left mouse button  and then press  the right mouse button to display a context menu  All annotations can be deleted and moved     The properties of an annotation can be still modified after 1t has been created  By    D 6 3 1 Graphical Annotation   For graphical annotations the additional options    filled    and    image relative    are available  If  the option    image relative    is switched off the annotation is drawn    display relative       D 6 3 2 Textual Annotation   For textual annotations 
56. rements for hardware and software     Consumer System     PC with Pentium 200 MHz  Pentium II  266 MHz ore more recommended    Microsoft Windows  32 bit   tested with Windows 95  98  NT 4 0 and 2000 Professional  Java 2 Runtime Environment  also known as JRE 1 3    Sun Microsystems   64 MB memory  128 MB or more recommended    VGA graphics adapter with true color support  1024x768 pixel ore more recommended   Mouse recommended   TCP IP network recommended    High Resolution System     PC with Pentium I  333 MHz or above   Microsoft Windows  32 bit   tested with Windows 95  98  NT 4 0 and 2000 Professional  Java 2 Runtime Environment  also known as JRE 1 3    Sun Microsystems   256 MB memory or more   High resolution grayscale monitor with dedicated graphics adapter    tested with Siemens Dome and Barco Metheus    Mouse recommended   e TCP IP network recommended    Disk Space     e 21 MB for Java 2 Runtime Environment  for version 1 3   e 6 MB for DICOMscope  minimum  without images and additional tools     DICOMscope 3 0   52   User Manual    J About the Project    The project team for the implementation consists of     OTech Inc   Main contractor and project management  Kuratorium OFFIS e V   Implementation of the DICOM toolkit software  Institute for Microtherapy  University of Witten Herdecke  Graphical User Interface    This software 1s available   n the public domain at     http   www  microtherapy de go dicomscope   http   www offis de projekte dicom     The DICOM stand
57. ropping If the current printer supports the Cropping attribute then this attribute can be       enabled or disabled    Border Border Density identifiers supported by the current printer      Possible values are     BLACK        WHITE        20     etc    Empty Image Empty Image Density identifiers supported by the current printer  Possible   PA   values are     BLACK        WHITE        20     etc    Min Density Min Density values supported by the current printer    A   Possible values are     330        290     etc    Max Density Max Density values supported by the current printer      Possible values are    20        40     etc     Annotation Annotations added to the print out if supported by the current printer  Add the  current date   time  the printer name and the Illumination   Reflection value by  activating the corresponding checkboxes  Additionally a free text can be entered     NB  There is a limitation of the total length of such annotations for most printers        Table 1  Printer Attributes    DICOMscope 3 0   35   User Manual    F Options    which allows to modify a number of application specific options which are divided    EJ This icon is always available in the toolbar  By pressing this button a dialog appears  into three groups     F 1 General    In this register page  fig  36  the general    Look and Feel    and the placement of the main     Tabbed    panel  with the registers    Browser        Viewer        Print    and    About     can be  modified     f
58. rscore characters  The following table  describes the entries for each LUT     Description string Description of the LUT  Used in the GUI to present the selectable LUTs to  the application user     Filename of the LUT file  should reside in LUT directory  see above         The fourth part of the configuration file is identified by the main section heading    VOI      This part defines the window level width presets which can be used from the DICOMscope  application  For each VOI  value of interest  preset  one section needs to be defined  1  e    VOI _1    The section heading is arbitrary but must be unique within the configuration file   It may only contain uppercase characters  numbers and underscore characters  The following  table describes the entries for VOI preset     Description of the preset  Used in the GUI to present the selectable VOIs     Modality string Modality to which this preset applies  Must be one of the DICOM defined    terms for element  0008 0060  Modality  see PS3 3 C 7 3 1 1 1 in DICOM  standard     Value for window center   Value for window width        G 2 Monitor Characteristics File    To perform the GSDF CIELAB transform you need a text file describing the characteristic  curve of your display device  monitor   This file can be created automatically by using a  calibration tool like Ver  LUM  from IMAGE Smiths  and converting its output to a more  common format which can be read by DICOMscope     You can also try to adapt the sample  file  monito
59. s DICOMscope Options      see eee    Figure 36     Options    Dialog        General          DICOMscope 3 0   36   User Manual    F 2 Viewer    In this register page  fig  37  the placement of the    Function    panel in the    Viewer    can be  changed  The    Image Processing     the    Navigation Panel    and the    Presentation State    panel  can be switched on and off  Furthermore  the position of the    Paint    panel can chosen   integrated into the    Function    panel or into the    Toolbar    or disabled     The    Ambient Light    value  measured in cd m   used for the correction curve  see D 7 6  can  be modified here  The default value 1s taken from the monitor characteristics file  see G 2      Finally  the physical size of a pixel as displayed on the screen can be defined  These values  are used to display an image in the    True Size    mode  The default value is computed from  the figures defined in the configuration file  see G 1      DICOMscope 3 0    Es DICOMscope Options       Function Panel Placement  Left   Right    Top    Down    Mone    Processing             Image Processing Functions   _  Presentation State Panel    Navigation Panel      Integrated e      Ambient Light  edima   O  Screen Pixel Resolution in mm    0 34722222222   W  0 347222222222      Figure 37     Options    Dialog        Viewer           Paint Functions              a       User Manual    F 3 Browser    In the upper part of this register page  fig  38  a number of attributes show
60. scope 3 0   39   User Manual    SCU  application to be used   SCP  application to be used     Directory in which spooled print jobs reside    Directory in which log files are stored  Default  same as  spool directory    Log complete DICOM protocol    dump   verbose  in  print spooler   server  Default  false     BinaryLog true or false Log complete ACSE and DIMSE protocol in binary  form  as DICOM file   This setting is independent from  the DetailedLog setting and currently only implemented    by the print server  Default  false     Sleep double word Time  in seconds  the print spooler should wait before  polling  again  the spool directory  Default  use spooler  default     MinPrintResolution   width height Minimum resolution for a print bitmap  width height in  pixel   If a bitmap to be printed is smaller than this  it is  scaled up by an appropriate integer factor before  burning in graphical annotations  This allows to have  acceptable annotation visibility on low resolution  bitmaps  Default  No lower limit for the print bitmap  resolution    Maximum resolution for a print bitmap  width height in  pixel   Ifa bitmap to be printed is larger than this  it is  scaled down by an appropriate integer factor before sent  to the printer  This allows to reduce the amount of pixel  data to be transferred  Default  No upper limit for the  print bitmap resolution     DefaultIlumination   0  65535 Specifies the default value for the Illumination  in  cd m   to be transmitted to the 
61. se button at the center  move the mouse cursor    to specify the radius  without pressing the mouse button  and press the left mouse  button again to confirm the size     The presence of a circular shutter is indicated by a dark gray background of the corresponding  icon  By clicking the icon again the shutter will be removed     D 4 3 Polygonal Shutter    this press the left mouse button at the starting point  move the mouse cursor to the   next position  without pressing the mouse button   press the left button again to  confirm the position  and so on  The polygon can be closed by choosing the corresponding  entry from the context menu  press right mouse button to display this menu      Polygonal shutters are created by specifying the vertices of the visible region  To do    DICOMscope 3 0   18   User Manual    The presence of a polygonal shutter   s indicated by a dark gray background of the  corresponding icon  By clicking the icon again the shutter will be removed     D 4 4 Bitmapped Shutter    However  bitmapped shutters stored in a presentation state can be activated as well as    The current release of this application does not support creating bitmapped shutters   overlay planes having an appropriate size  1  e  same as image      The presence of a polygonal shutter is indicated by a dark gray background of the  corresponding icon  By clicking the icon again the shutter will be removed     D 4 5 Shutter Color    The color used to replace those parts of the image occ
62. t is available from    http   dev scriptics com software tcltk     H 2 1 2 Sources    e dcmtk 3 4 1  ftp   dicom offis uni oldenburg de pub dicom offis software dcmtk34 1  tar  gz  e dsgui 2 0  http   www microtherapy de e imt fi medint download dsgui20 z1          NB  These packages contain the public source code for the RSNA  99 version  The latest  release for the IHE testing tools can be downloaded from the known server     H 2 2 Preparations    e Install infozip  gzip  Java 2 SDK and Tcl Tk if necessary    e Unpack the dsgui20 zip package    e Unpack the demtk341 tar gz package to the dsgui20 directory  e  g  by typing  zcat demtk341 tar gz   tar xvf      e You might need to consult the manual pages for tar and gz  p  or zcat    f this does not work     H 2 3 Compilation  H 2 3 1 C   Code    e Important  Read the compilation instructions for the DCMTK package  filename   INSTALL     e Run    rootconf    and    configure    according to the compilation instructions  If you don   t  want the DCMTK tools to be installed   n  usr local dicom  remember to use the   prefix  option for configure    e Before compiling the toolkit  edit the file config Makefile def  Add the compiler  flags required for multi thread support and position independent code to the CXXFLAGS  variable  For GNU gcc on most platforms  this means adding  D REENTRANT  fPIC     DICOMscope 3 0   50   User Manual    For the Sun Workshop Compilers on Solaris  add  D REENTRANT  PIC  We also  recommend that you s
63. tabase    Stores the current presentation state in the local database  If the current image 1s not   yet stored in the database  e  g  if the image was loaded from file  this image will also  be stored    In the    Save Presentation State to Database    Dialog  see fig  11  the label and the creator of   the presentation state can be entered  Furthermore  1t can be chosen whether the displayed   area of the presentation state should be set to the image size     DICOMscope 3 0   13   User Manual     63 Save Presentation State to Database x   Presentation State    Label   Creator     Displayed Area   Y  Set Displayed Area to Image Size   ok   CANCEL      Figure 11     Save Presentation State to Database    Dialog             D 1 4 Save to File    Saves the current presentation state and image to a DICOM file  The file name   m  without file extension  can be chosen or entered in the    Save File    dialog  The file     extension 1s assigned automatically      dem      s added to the image file name and     pre    to the presentation state file name     In the    Save Presentation State to File    Dialog  see fig  12  the label and the creator of the  presentation state can be entered  Furthermore    t can chosen whether the displayed area of  the presentation state should be set to the image size  The DICOM files can be stored in little  endian explicit or implicit format  big endian encoding is not supported          63 Save Presentation State to File  Presentation State      
64. textual  human readable version of the file contents  for the selected  instance and displays it in a separate application  This requires the installation of the   Tcl Tk package and probably some changes to the configuration file  see G 1    The dump application supports syntax highlighting and a simple search and select function   fig  7   Besides the explicit input of a search term a sequence of characters can also be  selected by pressing the left mouse button first  while moving the mouse cursor  and then the  right mouse button to start the search  A word can be selected by clicking the left mouse  button twice  a whole line by pressing it three times     DICOMscope 3 0  9  User Manual       DICOM File Contents   database4F5g_38d1214200261e27 dem    Find Juin      Dicom File Format      Dicom Meta Information Header     Used TransferSyntax  LittleEndianExplicit    OOO2 0000  UL 156   000z  0001  OB 000l  amp    OO02 0002  UL  GrayscalesoftcopyPresentationstatestorage     0002 0003  WI  1 2 276 0 7230010 3 4 0 199 953229634  al     0002 00101 UI  LittleEndianExplicit     OOO2 00l2  WI Ml 272 0  7230010  3 038 4  1     OOO2 0013  SH  OFFIS DCMTK_ 341       Dicom Data 5et    Used TransferSyntax  LittleEndianExplicit   00065  00051  150_1   100    0006   00121  20000316    0005   00131  190034      0005 0016   GrayscalesoftcopyFresentationstatestorage     0008 0018  Plogo dta TEAMU  3 4 0 199  953229634  N     Oo008 0020  ino Y ble    00065  00301   lable    0005   00501  n
65. the DICOM query retrieve server  Q R SCP  to  be used  The configuration filename is created from this  entry by adding the file extension     cfg     Should never       be changed   Port 1  65535 IP Port number on which the receiver listens for new  connections  On Unix platforms  the receiver must be  started with setuid root if port numbers  lt  1024  i  e  the  standard DICOM port number 104  should be used     MaxPDU 8192  65536 Maximum PDU  protocol data unit  size to use when  negotiating incoming connections  Must be between  4096 and 131072  Default  16384    AEtitle string Application entity title with which both sender and  receiver will identify themselves  Max 16 uppercase  characters        MaxAssociations 1  65535 Maximum number of associations the server can handle  at the same time  This 1s only applicable on Unix  platforms  since Windows does not support the fork    command which is used for this purpose    GUI HighResolution true or false If this setting is true  we assume a system with very high   Graphics resolution  2x2 5K  and a graphics board that performs  calibration according to the DICOM GSDF in hardware   Therefore  we display much larger icons and disable  rendering of the GSDF in software  This setting  requires that a static 256 grayscale color palette is used  by the operating system to access the graphics board        AutoUpdateStudy true or false Starts the update thread for the study browser  Defaults   Browser true     BackgroundColor 0  
66. tly selected printer when pressing the    Print     button    Medium Type identifiers supported by the current printer   Possible values are     PAPER        CLEAR FILM     etc   Film Size ID identifiers supported by the current printer   Possible values are     14INx14IN        17INx14IN     etc      LANDSCAPE    and     lt Default gt       Priority used by the printer to handle the print job  The following values are  available     HIGH        MED        LOW        Layout Layout of the current print page  Defined for portrait orientation  Possible values  are  UD ete     Number of copies to be printed    SOP Class   Presentation LUT SOP Class     Presentation LUT   Override the presentation LUT settings made for each image individually       lt Default gt     means to use the individual settings     Rendering as The interpretation of presentation look up tables is slightly different for softcopy   implicit scaling of the input width of the table  and hardcopy  no implicit    scaling   Therefore  it   s possible to choose           Magnification Magnification Type identifies supported by the current printer  Possible values  are     REPLICATE        BILINEAR        CUBIC     etc     Smoothing Type identifies supported by the current printer     Resolution Resolution identifies supported by the current printer          Possible values are     STANDARD        HIGH     etc    If the current printer supports the Trim attribute then this attribute can be enabled  or disabled    C
67. ual Annotation    The DICOM standard defines a variety of options regarding textual annotations  bounding  box and or anchor point  support for multiple lines of text  horizontal text justification  etc   The font type name and size are not defined in the DICOM standard  These properties are  implementation dependent and can be configured for this application  see G 1      Please note that international character sets are not supported by the current release of the  software     DICOMscope 3 0   23   User Manual     fig  23  will appear  Type in the text and set the options you want  Start a new line  by pressing Enter Return  The    orientation    option 1s used to horizontally justify text  of multiple lines   When the option    have bounding box    is activated the rotation of the text  in steps of 90  degrees  can be specified as well as whether the annotation should be displayed    image  relative    or    display relative     see D 6      Pressing the icon shown on the left side a dialog for creating a new textual annotation    fs Create Textual Annotation x   Text          his is a textual annotation  ith more than one line    Orientation   Left     Center     gt  Right    Bounding Box       Rotation  W 0 degree     90 degree     180 degree    270 degree     Y  Have Bounding Box  e  Image Relative    Anchor Point    Have Anchor Point  e  Image Relative  r  Anchor Point visible  JRK     Cancel      Figure 23     Create Textual Annotation    Dialog       An anchor point 
68. ue or false   Print SCU usage  assume that the Print SCP supports the Presentation LUT  Presentation LUT SOP Class  Supplement 22  and attempt to negotiate it during association  negotiation     Print SCP usage  activate support for the Presentation LUT SOP Class   Optional setting  default is  false     PresentationLUT   true or false   The 1999 edition of the DICOM standard contains an inconsistency in the   inFilmSession definition of the Presentation LUT SOP class  The attributes  Referenced  Presentation LUT    Illumination  and  Reflected Ambient Light  can either  be part of the Basic Film Session or be part of the Basic Film Box  DICOM  Correction Proposal CP 173 defines that these attributes have to be specified  on Basic Film Box level  However  not all existing Print SCPs supporting  the Presentation LUT SOP Class are implemented in accordance with CP  173  Both Print SCU and Print SCP can  therefore  be configured to use either    Film Session or Film Box  but never both     Print SCU usage  If flag is true  transmit attributes in the Basic Film session  instead of the Basic Film Box    Print SCP usage  If flag is true  attributes are accepted and returned in Basic  Film Session instead of Basic Film Box  Optional setting  default is  false   which means that behavior will be consistent with CP 173    PresentationLUT   true or false   Some Print SCPs which support Presentation LUTs require that the number  MatchRequired of entries in a Presentation LUT matches the
69. w can also be changed manually by clicking one of the four  component tabs     The    Viewer    itself is divided into different parts  On the right hand side    the    Function     panel offers the main functionality of the    Viewer     like windowing  zooming and rotating  as  well as layer  annotation  shutter and presentation state management   On the left hand side  the current image 1s displayed  The    Navigation    toolbar  see D 3  at the top of the viewing  area allows to choose the currently displayed image and frame referenced by the presentation  state       DICO Mscope 3 0 lel ES       2 eisila  e    hove in Image Stack howe in Frame Stack Apply hutode    falfalf jot elo  fafa Ja o    Frame O image    010 01 bp    TEERIE  Sean  Filed     Image Relative    Layer    T      Processing    O a e ear    Zoom    alala a    Window Settings  P  F    5000 0   w 30000 0      Presentation Size lade    Shutter                     Scale C Magnify True Size        Information       rows   1556  cols   1952   mode   scale to fit   TLHE   111  BRHC    1556 1952  aspectratio  1 0             ch  15000 0 50000 0   da  1111332212367        Figure 9     Viewer    Component      Most of the positions described in the following are not fixed but can be configured  see chapter F and G      DICOMscope 3 0   12   User Manual    The image can be scrolled by means of the scroll bars located at the right and bottom border   The current position of the displayed area  top left hand corner a
70. witch on the optimizer  e  g   02 for GNU gcc or  fast for the  Sun Workshop Compilers    e Compile and install the DCMTK package according to the installation instructions  It 1s  important that at least the DCMTK data dictionary file    dicom dic    is installed in the  default location  if you prefer to have the data dictionary built in into the applications  read  the DCMTK FAQ which is included in the package on how to achieve that     e Copy all C   class      cpp     files and header files         h     from the DSGUI package into the  dcmpstat jni sub directory of DCMTK  You will need to rename the file extension to     cc     for all class files    e Edit dcmpstat jni Makefile  Adjust the following settings      javainc must point to the include directories for your Java 2 SDK installation  e  g   javainc  I usr javal 2 include  I usr javal 2 include solaris     soflags must contain the compiler flag telling the compiler to produce a shared  object instead of a standard executable  For GNU gcc  this is  shared  for the Sun  Workshop Compilers 1t 1s  G      solibs may optionally contain additional libraries that must be linked to the shared  object  For GNU gcc  this is normally not required  For the Sun Workshop Compilers   use   LC    e Build the shared object 1ibjInterface so by running    make    in the dempstat jni  directory    e Copy the required binaries into the DICOMscope installation directory  libjInterface so is  located in dempstat jni  the tools demprsc
    
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