E.3 STD-CTMR Profiles
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## E.3 STD-CTMR Profiles

### E.3.1 SOP Classes and Transfer Syntaxes

These Application Profiles are based on the Media Storage Service Class (see PS3.4).

SOP Classes and corresponding Transfer Syntaxes supported by these Application Profiles are specified in the Table E.3-1.

Table E.3-1. STD-CTMR SOP Classes and Transfer Syntaxes

Information Object Definition | SOP Class UID | Transfer Syntax and UID | FSC Requirement | FSR Requirement | FSU Requirement (see Note 1)
--- | --- | --- | --- | --- | ---
Basic Directory | 1.2.840.10008.1.3.10 | Explicit VR Little Endian Uncompressed 1.2.840.10008.1.2.1 | Mandatory | Mandatory | Mandatory
CT Image | 1.2.840.10008.5.1.4.1.1.2 | JPEG Lossless Process 14 (selection value 1) 1.2.840.10008.1.2.4.70 | Optional | Mandatory | Optional
CT Image | 1.2.840.10008.5.1.4.1.1.2 | Explicit VR Little Endian Uncompressed 1.2.840.10008.1.2.1 | Optional | Mandatory | Optional
MR Image | 1.2.840.10008.5.1.4.1.1.4 | JPEG Lossless Process 14 (selection value 1) 1.2.840.10008.1.2.4.70 | Optional | Mandatory | Optional
MR Image | 1.2.840.10008.5.1.4.1.1.4 | Explicit VR Little Endian Uncompressed 1.2.840.10008.1.2.1 | Optional | Mandatory | Optional
SC Image (grayscale) | 1.2.840.10008.5.1.4.1.1.7 | JPEG Lossless Process 14 (selection value 1) 1.2.840.10008.1.2.4.70 | Optional | Mandatory | Optional
SC Image (grayscale) | 1.2.840.10008.5.1.4.1.1.7 | Explicit VR Little Endian Uncompressed 1.2.840.10008.1.2.1 | Optional | Mandatory | Optional
SC Image(palette color) | 1.2.840.10008.5.1.4.1.1.7 | JPEG Lossless Process 14 (selection value 1) 1.2.840.10008.1.2.4.70 | Optional | Optional | Optional
SC Image(palette color) | 1.2.840.10008.5.1.4.1.1.7 | Explicit VR Little Endian Uncompressed 1.2.840.10008.1.2.1 | Optional | Optional | Optional
Grayscale Softcopy Presentation State | 1.2.840.10008.5.1.4.1.1.11.1 | Explicit VR Little Endian Uncompressed 1.2.840.10008.1.2.1 | Optional | Optional | Optional
X-Ray Radiation Dose SR | 1.2.840.10008.5.1.4.1.1.88.67 | Explicit VR Little Endian Uncompressed 1.2.840.10008.1.2.1 | Optional | Optional | Optional

### Note

1. The FSU requirement is not defined for STD-CTMR-DVD profile.

2. The Detached Patient management SOP Class was formerly defined in these profiles, but has been retired.

### E.3.2 Physical Medium and Medium Format

The STD-CTMR-MOD41 application profile requires the 130 mm 4.1GB R/W MOD physical medium with the PCDOS Media Format, as defined in PS3.12.

The STD-CTMR-CD application profile requires the 120 mm CD-R physical medium with the ISO 9660 Media Format, as defined in PS3.12.

The STD-CTMR-DVD-RAM application profile requires the 120 mm DVD-RAM medium, as defined in PS3.12.

The STD-CTMR-DVD application profile requires any of the 120 mm DVD media other than DVD-RAM, as defined in PS3.12.

### E.3.3 Directory Information in DICOMDIR

Conformant Application Entities shall include in the DICOMDIR File a Basic Directory IOD containing Directory Records at the Patient and subsidiary levels appropriate to the SOP Classes in the File-set. All DICOM files in the File-set incorporating SOP Instances defined for the specific Application Profile shall be referenced by Directory Records.

### Note

DICOMDIRs with no directory information are not allowed by this Application Profile.

#### E.3.3.1 Additional Keys

File Set Creators and Updaters are required to generate the mandatory elements specified in Chapter F in PS3.3 . Table E.3-2 specifies the additional associated keys. At each directory record level other additional data elements can be added, but it is not required that File Set Readers be able to use them as keys. Refer to the Basic Directory IOD in PS3.3.

#### E.3.3.2 Localizer Related Attributes

Directory Records of type IMAGE shall include the mandatory attributes from the Frame of Reference and Image Plane modules, if present in the composite image object, as specified in PS3.3 and included in Table E.3-2, in order to allow the image to be referenced to a localizer image or other orthogonal image. The Rows (0028,0010) and Columns (0028,0011) attributes are required in order to facilitate annotation of such a localizer.

### Note

The Frame of Reference module is specified in PS3.3 as mandatory for the CT and MR composite information objects, but not for Secondary Capture objects.

#### E.3.3.3 Icon Images

Directory Records of type SERIES or IMAGE may include Icon Images. The icon pixel data shall be as specified in PS3.3 Icon Image Key Definition, and restricted such that Photometric Interpretation (0028,0004) shall be MONOCHROME2 or PALETTE COLOR, Bits Allocated (0028,0100) and Bits Stored (0028,0101) shall be equal to 8, and Rows (0028,0010) and Columns (0028,0011) shall be equal to 64.

### E.3.4 Other Parameters

This section defines other parameters in the STD-CTMR profiles that need to be specified in order to ensure interoperable information interchange.

Table E.3-2. STD-CTMR Additional DICOMDIR Keys

Key Attribute | Tag | Directory Record Type | Type | Notes
--- | --- | --- | --- | ---
Referenced Image Sequence | (0008,1140) | IMAGE | 1C | Required if present in image object.
>Referenced SOP Class UID | (0008,1150) | IMAGE | 1C | Required if Referenced Image Sequence (0008,1140) is present.
>Referenced SOP Instance UID | (0008,1155) | IMAGE | 1C | Required if Referenced Image Sequence (0008,1140) is present.
>All other elements from Referenced Image Sequence (including Purpose of Reference Code Sequence and its content) | IMAGE | 3 |
Image Position (Patient) | (0020,0032) | IMAGE | 1C | Required if present in image object.
Image Orientation (Patient) | (0020,0037) | IMAGE | 1C | Required if present in image object.
Frame of Reference UID | (0020,0052) | IMAGE | 1C | Required if present in image object.
Rows | (0028,0010) | IMAGE | 1 |
Columns | (0028,0011) | IMAGE | 1 |
Pixel Spacing | (0028,0030) | IMAGE | 1C | Required if present in image object.

### Note

1. The Basic Directory Information Object definition in PS3.3 defines the following attributes as Type 1 or 2: for PATIENT directory records: (0010,0010) Patient's Name; for STUDY directory records: (0008,0050) Accession Number, (0008,0020) Study Date, (0008,1030) Study Description; for SERIES directory records: (0008,0060) Modality. Hence these are not redefined here.

2. The Basic Directory Information Object definition in PS3.3 allows for the optional inclusion of Icon Images at the IMAGE or SERIES level. These remain optional for this profile, and the choice of whether or not to include Icon Images for every image or series, or in a more selective manner, is left up to the implementer. E.3.3.3 describes restrictions that apply to Icon Images that are included in this profile.

#### E.3.4.1 Image Attribute Values

The attributes listed in Table E.3-3 used within CT Image files, those listed in Table E.3-4 used within MR Image files, those listed in Table E.3-5 used within grayscale SC Image files, and those listed in Table E.3-6 used within color SC Image files, shall take the values specified, which are more specific than, but must be consistent with, those specified in the definition of the CT, MR and SC Image Information Object Definitions in PS3.3.

Table E.3-3. STD-CTMR Required Image Attribute Values for CT Images

Attribute | Tag | Value
--- | --- | ---
Modality | (0008,0060) | CT
Photometric Interpretation | (0028,0004) | MONOCHROME2

Table E.3-4. STD-CTMR Required Image Attribute Values for MR Images

Attribute | Tag | Value
--- | --- | ---
Modality | (0008,0060) | MR
Photometric Interpretation | (0028,0004) | MONOCHROME2
Bits Stored | (0028,0101) | 8, 12 to 16
High Bit | (0028,0102) | Bits Stored (0028,0101) - 1

### Note

The definition of the MR Composite Image Object in PS3.3 does not restrict (0028,0101) Bits Stored or (0028,0102) High Bit.

Table E.3-5. STD-CTMR Required Image Attribute Values for Grayscale SC Images

Attribute | Tag | Value
--- | --- | ---
Samples Per Pixel | (0028,0002) | 1
Photometric Interpretation | (0028,0004) | MONOCHROME2
Bits Allocated | (0028,0100) | 8 or 16
Bits Stored | (0028,0101) | Bits Allocated (0028,0100)
High Bit | (0028,0102) | Bits Stored (0028,0101) - 1

Table E.3-6. STD-CTMR Required Image Attribute Values for Color SC Images

Attribute | Tag | Value
--- | --- | ---
Samples Per Pixel | (0028,0002) | 1
Photometric Interpretation | (0028,0004) | PALETTE COLOR
Bits Allocated | (0028,0100) | 8
Bits Stored | (0028,0101) | 8
High Bit | (0028,0102) | 7

##### E.3.4.1.1 Attribute Value Precedence

Retired.

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