DICOM News

An overview of the latest progress of the DICOM standard from the recent base standard meeting

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Sup246
DICOMweb Modality Procedure Step Services



This supplement adds the Modality Scheduled Procedure Step Service and the Modality Performed Procedure Step Service to DICOMweb to mirror the Modality Worklist (MWL) and Modality Performed Procedure Step (MPPS) services that are already available in DIMSE respectively.

The modality procedure step services have been designed with the intention of facilitating proxies from/to DIMSE.

This supplement was voted ready as Final Text and to be incorporated into the next publication of the standard (2025d).

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Sup249
Ultrasound Fetal Anatomy Survey SR Extensions



This supplement to the DICOM Standard introduces new SR template content to address fetal anatomy survey assessments in ultrasound reports.

Specifically, a sub-template is added to TID 5000 along with corresponding CIDs to address the anatomy of interest and assessments for each.

Clinical guidelines from the International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) call for a survey of fetal anatomy in the first, second, and third trimesters to identify structural anomalies.

In Japan, JSUM guidelines call for first and second trimester anatomical surveys

The guidelines identify specific lists of anatomy to consider.

This supplement was voted ready to go out for Letter Ballot.

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Sup248
DICOMWeb Send



This supplement adds the Send in DICOMweb to mirror the Move Service that is already available in DIMSE.

The DICOMWeb Send services have been designed with the intention of facilitating proxies from/to DIMSE.

This supplement will be further presented and discussed in the base standard group before going out for Public Comments.

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Sup245
RDSR Informative Annex



This Supplement provides explanatory information on the creation and usage of RDSR (traditional and enhanced) within Angiography, Mammography, Radiography, CT, Dentistry modalities etc.

This supplement excludes Radiopharmaceutical and Patient Radiation Dose SR.

Given the modality-specific content definition of the RDSR, and the many different types of system configurations existing in the field, it becomes challenging for the manufacturers to have a clear understanding of the precise requirements for each type of device.

The purpose of this supplement can be summarized as follows:

- Give more information beyond the definitions in PS 3.16: describe real-world scenarios of typical equipment configurations, provide examples and encoding guidelines;

- Indicate restrictions on the applicable scenarios (defined terms recommended, values ranges, recommended presence of Content Items);

- Promote usage of optional Content Items under particular scenarios;

- Assess the applicability for some conditional Content Items under particular scenarios;

The scope of the proposed Supplement includes:

- An overview of the landscape of different modalities and types of equipment configuration, from simple legacy CR to modern integrated Angio equipment.

- Guidance on how to use the different TIDs and Content Items depending on the modality, equipment types and configurations.

This supplement will be further presented and discussed in the base standard group before going out for Public Comments.

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Sup251
Application Request



This Supplement adds an updated Application Program Interface (API) to DICOM PS3.19 and retires the previous SOAP API.

The use of this API will allow a client to request an Application to perform work on given data.

This API was first proposed by the American College of Radiology’s Data Science Institute (ACR DSI) and has since been extended by the MONAI Deploy Informatics Gateway (MIG) for inference requests.

This API fills the gap in IHE’s AI Workflow for Imaging (AIW-I) profile where a Task Performer (Proxy) communicates and exchanges input data to perform inference and exchange results.

In the profile there are no defined transactions between the Task Performer (Proxy) to request services from an AI Model (Proxied).

For the purposes of this supplement the Task Performer (Proxy) would be considered a client and the AI Model (Proxied) would be an Application.

Out of scope are all DICOM UPS-RS transactions as well as any exchange of capabilities between a client and the Application.

Also there is no restriction on what role a client plays in the overall workflow when using this API for requesting services of an Application.

This supplement will be further presented and discussed in the base standard group before going out for Public Comments.

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CPack 132
Incorporated in the September 2025d publication

CP2428
Add Dose Reporting Mode and Dose Calculation Model to RT Dose
CP2444
Add code for Main Pulmonary Artery Vmax
CP2449
Add Description to TID 10002 Row 18
CP2452
Add Estimated Delivery Date to TID 5003
CP2461
Add rows to intended use of dose calibration in RDSR
CP2464
Clarify empty Value in multi-valued Data Element
CP2467
Add sub-template for UL Attenuation Imaging (ATI) measurements
CP2469
Salvage Details in RT Treatment Record and RT Ion Treatment Record
CP2470
Add organ dose ref authorities and attenuator categories, materials
CP2471
Correct Shared FG SQ description and inconsistencies
CP2472
Add Related Fields column to C-FIND SCP Status Codes in PS3.2
CP2474
Add more standard color spaces
CP2475
Add Indications to additional Ultrasound SR Templates
CP2478
Clarify when what Coded Entry Macro columns are relevant
CP2480
Clarify application/octet-stream can only contain uncompressed data
CP2481
Clarify odd number of 8-bit palette color LUT entries
CP2482
Correct inclusion of TID 300 with additional rows
CP2483
Correct duplicate rows in TID 3913 Aneurysm Properties
CP2484
Analysis Performed content item in TID 3905 should have HAS CONCEPT MOD relationship with Finding parent
CP2485
Finding Site content item in TID 3925 should have HAS CONCEPT MOD relationship with Finding parent
CP2486
Children of CODE Late Contrast Enhancement in TID 3926 Myocardial Perfusion Analysis have illegal HAS ACQ CONTEXT Relationship
CP2487
Clarify de-identification of Requesting Service
CP2488
Replace DCM code for Margin with SCT code
CP2489
Add anatomic concepts for middle and inner ear
CP2491
Clarification of inconsistent values of Pixel Presentation
CP2492
PS3.3 10.40.1 correct reference to non-existing TID 175001
CP2493
Add missing abbreviation "RDSR" to various Parts
CP2495
Add missing references to retired definitions
CP2496
Clarify Concatenation Shared Functional Groups and Instance Creation Date
CP2501
Add More Fetal Cardiac Codes
CP2502
Add Clinical Fraction Number to RT Treatment Summary Record Module
CP2503
Add Dose Value to Dose Calibration Conditions
CP2504
Add Scan Spot Gantry and Patient Support Angle to Ion Beam Record
CP2505
Machine Verification Services Clarifications

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