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DOC: Transfer the wiki DICOM page to Markdown documentation
Transfer the wiki DICOM page to Markdown documentation: https://itk.org/Wiki/ITK/DICOM.
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# DICOM | ||
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## Rescale Slope/Intercept | ||
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A question that is often asked is: I am trying to read/write a DICOM image, | ||
but the pixel data has changed (the scalar range has changed from input file). | ||
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This surely comes from the fact that you did not used the proper | ||
pixel type to instanciate your reader. You have to consider: | ||
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- `Bits Allocated` | ||
- `Bits Stored` | ||
- `Pixel Representation` | ||
- `Samples per Pixel` | ||
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and: | ||
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- `Rescale Intercept` | ||
- `Rescale Slope` | ||
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For instance you can use the `DicomImageReadPrintTags` example in the | ||
ITK Software Guide, or even [gdcminfo](https://manpages.ubuntu.com/manpages/jammy/man1/gdcminfo.1.html). | ||
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```bash | ||
$ DicomImageReadPrintTags image.dcm | grep "Slope\|Intercept\|Bits\|Pixel Rep" | ||
(0028|0100) Bits Allocated = 16 | ||
(0028|0101) Bits Stored = 12 | ||
(0028|0103) Pixel Representation = 0 | ||
(0028|1052) Rescale Intercept = -1000 | ||
(0028|1053) Rescale Slope = 1 | ||
``` | ||
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In this case, when you look only at how the pixel are stored on disk: | ||
`Bits Allocated`, `Bits Stored` and `Pixel Representation`, you clearly | ||
see that they are stored as unsigned short. However looking now at how | ||
the pixel are mapped to real world value you need to apply an affine | ||
transform: | ||
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$$RWV = slope * SP + intercept$$ | ||
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where $RWV$ is the real world value, and $SP$ means `Samples per Pixel`. | ||
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In which case you'll get signed value. Therefore you will need a signed | ||
short pixel to display the pixel value. | ||
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One might ask, how can I be sure that signed short will be enough for | ||
loading the stored pixel value ? You have two clues: either look at | ||
pixel stored: 12bits, therefore you know that signed short will be | ||
enough. Or you can have a look sometimes at Smallest Image Pixel Value / | ||
Largest Image Pixel Value. It will tell you what are the min/max in your | ||
stored image: | ||
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```bash | ||
$ DicomImageReadPrintTags image.dcm | grep "Image Pixel Value" | ||
(0028|0106) Smallest Image Pixel Value = 0 | ||
(0028|0107) Largest Image Pixel Value = 4095 | ||
``` | ||
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## Why did the header of my DICOM file change? | ||
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A common question that frequently arises after using | ||
[`itk::GDCMImageIO`](https://itk.org/Doxygen/html/classitk_1_1GDCMImageIO.html) | ||
to read, update and write out a DICOM file is: why did my header file | ||
change during the update mechanism? | ||
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DICOM has a specific section on what a `DERIVED` image is (PS | ||
3.3-2008, C.7.6.1.1.2 Image Type): | ||
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> If the pixel data of the derived Image is different from the pixel | ||
> data of the source images and this difference is expected to affect | ||
> professional interpretation of the image, the Derived Image shall have | ||
> a UID different than all the source images. | ||
Further, in the definition of Derivation Description there is a note | ||
which says (PS 3.3-2008, C.7.6.1.1.3 Derivation Description): | ||
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> Examples of Derived Images which would normally be expected to affect | ||
> professional interpretation and would thus have a new UID include: | ||
> | ||
> 1. Examples of Derived Images that would normally be expected to | ||
> affect professional interpretation and would thus have a new UID | ||
> include: | ||
> | ||
> a. images resulting from image processing of another image (e.g. unsharp | ||
> masking), | ||
> | ||
> b. a multiplanar reformatted CT image, | ||
> | ||
> c. a DSA image derived by subtracting pixel values of one image from | ||
> another, | ||
> | ||
> d. an image that has been decompressed after having been compressed with | ||
> a lossy compression algorithm. To ensure that the user has the | ||
> necessary information about the lossy compression, the approximate | ||
> compression ratio may be included in Derivation Description | ||
> (0008,2111). | ||
> | ||
> An example of a Derived Image that would normally not be expected to affect | ||
> professional interpretation and thus would not require a new UID is an image | ||
> that has been padded with additional rows and columns for more display | ||
> purposes. | ||
At a minimum you should expect the minimal set of changes: | ||
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- Assign a new `SOP Instance UID`. | ||
- Reference the `SOP Instance UID` of the original in | ||
`Source Image Sequence`. | ||
- Set the `Image Type` value 1 to `DERIVED` rather than `ORIGINAL` | ||
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The identical `SOP Instance UID` of two files mean that both files are | ||
representations of the same objects and thus have identical content. It | ||
is however allowed that both files uses different transfer syntax uid | ||
(i.e. they have a different binary representation on disk) | ||
(implicit/explicit, little/big endian). When a DICOM file is sent to a | ||
PACS, it is up to the implementor to decide what to do in case of | ||
duplicate `SOP Instance UID`. In most case you should expect that the | ||
image is not resent, as standard garantee this is already the same | ||
object. | ||
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> ⚠️ **Warning** | ||
> | ||
> Adding an overlay is considered to *affect professional | ||
> interpretation* of the images. Thus new UIDs are required ! |