SecretariatMedical Imaging & Technology Alliance (MITA)
Lisa Spellman,
ChairsHideto Yokoi, Kagawa University
Emmanuel Cordonnier, b<>com
Last strategy update2017-01-24
MinutesWG-13 minutes


To accompany the adoption of DICOM standards for still and motion Visible Light color images, produced by endoscopes, microscopes, or photographic cameras, and propose new DICOM standards if required, for creation and use.


  • To contribute to accelerate the adoption of the DICOM by Visible Light Users and Vendors.
  • To enlarge (number of modalities) and enrich (quantity of information) the DICOM VL standard.
  • To see if other topics must be specifically addressed around the existing standards (either in the Composite Information Objects – e.g. video compression, or in the Normalized Objects – e.g. Workflow management).
  • To accompany the adoption of HD video by the medical arena, and its acceptation by the PACS community.

Short-Term Objectives

  • To develop the recently approved NWIP on Real Time Video
  • To ascertain the need for the New Work Item on color management in VL applications by focusing on one such application first: endoscopy
  • To continue to advise new IHE-Endoscopy domain.

Current Status

  • The NWIP on Real Time Video is at its initial stage.

Future Work Items

  • No new approved work item for the moment.


  • To develop a Real Time Video supplement which is not deployed by stakeholders, because too early and/or too difficult to implement.

Challenges and Opportunities

  • The emergence of a new approach enabling a better integration among equipment, based on IP in the professional video domain, driven by Video Service Forum in liaison which other SDOs (e.g. SMPTE).
  • The need for a standard enabling communication of real time medical imaging information (e.g. fluoroscopy, ultrasound).
  • The use of VL images is rapidly growing (non/less invasive surgery, advanced diagnosis, surgery monitoring…). All equipment is migrating from analog to digital technology, thanks to consumer multimedia technologies. Targeted modalities are Gastro-Enterology, Laparoscopy, Orthopedics, Ophthalmology, Ear Nose Throat, Gynecology, Bronchoscopes.
  • The manufacturers and users are facing to the necessary integration with other equipment and information system, for quality, safety and efficiency objectives.
  • The development of HD video contributes to generalize the digitization of the VL images and to make new requirements appearing in the use of images (e.g. creation and integration of small video clips integrated in the patient record), which imply connection of VL equipment to the computerized environment, enabled by DICOM.
  • However, for multiple reasons including the patient safety, the nature of application is very different than the radiology one, requiring new architecture and design, having significant impact on the use of DICOM.

Relationships to Other Standards

  • MPEG-2, ISO/IEC 13818, 1996
  • MPEG-4 AVC, ISO/IEC 14496-10, H.264 ITU
  • Blu-ray Disc Association (BDA)