DICOM PS3.17 2018d - Explanatory Information

MM.3 Frame Numbers (Current)
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## MM.3 Frame Numbers

Frame numbers are indexes, not identifiers for frames. In every object, the frame numbers always start at 1 and increment by 1, and therefore they will not be the same after extraction into a new SOP Instance.

A SOP Instance may contain internal references to its own frames such as mask frames. These may need to be corrected.

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DICOM PS3.17 2018d - Explanatory Information