This article describes where DICOM SR (Structured Reports) are being used, such as for Key Images, Ultrasound Measurements, Computer Aided Diagnosis (CAD), Cardiology and many other implementations. A sample SR is shown as well as how it breaks down in a typical tree structure.

Image and Information Management (IIM) are addressed by DICOM, HL7 and IHE. Challenges for IIM are large, especially with regard to increase in data volume, new applications and the integration with new modalities. These are addressed in DICOM using DICOM Storage Commitment (STC), Modality Performed Procedure Step (MPPS), new SOP Class definitions, many tools for integration such as Key Images.  HL7 addresses these with new, persistent object definitions, such as CDA and IHE addresses them by specifying many profiles.

Virus protection on PACS workstations makes common sense and is a HIPAA requirement. Vendors should install them and users should maintain and support it regularly. There is a NEMA recommendation which lists responsibilities of both parties.

This white paper provides a high level overview of the DICOM standard. It explains the Information model, object definition and DICOM protocol services.  Conformance statements, image quality, workflow, exchange media such as CD’s and security are also described.

This article explains PACS migration components and why it is critical to negotiate upfront any future migration when purchasing a new PACS system.