適用於 AWS 的 DICOM 支援 HealthImaging - AWS HealthImaging
支援的 SOP 類別元数据规范化支援的傳輸語法DICOM 元素限制DICOM 中繼資料限制

本文為英文版的機器翻譯版本，如內容有任何歧義或不一致之處，概以英文版為準。

適用於 AWS 的 DICOM 支援 HealthImaging

AWS HealthImaging 支援特定的 DICOM 元素和傳輸語法。熟悉受支援的「患者」、「研究」和「系列」層級 DICOM 資料元素，因為 HealthImaging 中繼資料金鑰是以這些元素為基礎。開始匯入之前，請確認您的醫療影像資料符合支援 HealthImaging的傳輸語法和 DICOM 元素限制。

注意

AWS 目前 HealthImaging 不支援二進位分段影像或圖示影像序列像素資料。

支援的 SOP 類別

使用 AWS HealthImaging，您可以匯入使用任何 SOP 類別 UID 編碼的 DICOM P10 服務物件配對 (SOP) 執行個體，包括淘汰和私有。所有私有屬性也會保留下來。

元数据规范化

將 DICOM P10 資料匯入 AWS 時 HealthImaging，資料會轉換為由中繼資料和影像畫面 (像素資料) 組成的映像集。在轉換過程 HealthImaging 中，會根據特定版本的 DICOM 標準產生中繼資料金鑰。 HealthImaging 目前根據 DICOM PS3.6 2022 b 資料字典產生並支援中繼資料金鑰。

AWS 在「患者」、「研究」和「系列」層級 HealthImaging 支援下列 DICOM 資料元素。

注意

如需每個病患等級元素的詳細說明，請參閱 DICOM 資料元素登錄。

AWS HealthImaging 支援下列病患層級元素：

Patient Module Elements

  (0010,0010) - Patient's Name
  (0010,0020) - Patient ID

Issuer of Patient ID Macro Elements

  (0010,0021) - Issuer of Patient ID
  (0010,0024) - Issuer of Patient ID Qualifiers Sequence
  (0010,0022) - Type of Patient ID
  (0010,0030) - Patient's Birth Date
  (0010,0033) - Patient's Birth Date in Alternative Calendar
  (0010,0034) - Patient's Death Date in Alternative Calendar
  (0010,0035) - Patient's Alternative Calendar Attribute
  (0010,0040) - Patient's Sex
  (0010,1100) - Referenced Patient Photo Sequence
  (0010,0200) - Quality Control Subject
  (0008,1120) - Referenced Patient Sequence
  (0010,0032) - Patient's Birth Time
  (0010,1002) - Other Patient IDs Sequence
  (0010,1001) - Other Patient Names
  (0010,2160) - Ethnic Group
  (0010,4000) - Patient Comments
  (0010,2201) - Patient Species Description
  (0010,2202) - Patient Species Code Sequence Attribute
  (0010,2292) - Patient Breed Description
  (0010,2293) - Patient Breed Code Sequence
  (0010,2294) - Breed Registration Sequence Attribute
  (0010,0212) - Strain Description
  (0010,0213) - Strain Nomenclature Attribute
  (0010,0219) - Strain Code Sequence
  (0010,0218) - Strain Additional Information Attribute
  (0010,0216) - Strain Stock Sequence
  (0010,0221) - Genetic Modifications Sequence Attribute
  (0010,2297) - Responsible Person
  (0010,2298) - Responsible Person Role Attribute
  (0010,2299) - Responsible Organization
  (0012,0062) - Patient Identity Removed
  (0012,0063) - De-identification Method
  (0012,0064) - De-identification Method Code Sequence

Patient Group Macro Elements

  (0010,0026) - Source Patient Group Identification Sequence
  (0010,0027) - Group of Patients Identification Sequence

Clinical Trial Subject Module

  (0012,0010) - Clinical Trial Sponsor Name
  (0012,0020) - Clinical Trial Protocol ID
  (0012,0021) - Clinical Trial Protocol Name Attribute
  (0012,0030) - Clinical Trial Site ID
  (0012,0031) - Clinical Trial Site Name
  (0012,0040) - Clinical Trial Subject ID
  (0012,0042) - Clinical Trial Subject Reading ID
  (0012,0081) - Clinical Trial Protocol Ethics Committee Name
  (0012,0082) - Clinical Trial Protocol Ethics Committee Approval Number
注意

如需每個研究層級元素的詳細說明，請參閱 DICOM 資料元素登錄。

AWS HealthImaging 支援下列學習等級元素：

General Study Module

  (0020,000D) - Study Instance UID
  (0008,0020) - Study Date
  (0008,0030) - Study Time
  (0008,0090) - Referring Physician's Name
  (0008,0096) - Referring Physician Identification Sequence
  (0008,009C) - Consulting Physician's Name
  (0008,009D) - Consulting Physician Identification Sequence
  (0020,0010) - Study ID
  (0008,0050) - Accession Number
  (0008,0051) - Issuer of Accession Number Sequence
  (0008,1030) - Study Description
  (0008,1048) - Physician(s) of Record
  (0008,1049) - Physician(s) of Record Identification Sequence
  (0008,1060) - Name of Physician(s) Reading Study
  (0008,1062) - Physician(s) Reading Study Identification Sequence
  (0032,1033) - Requesting Service
  (0032,1034) - Requesting Service Code Sequence
  (0008,1110) - Referenced Study Sequence
  (0008,1032) - Procedure Code Sequence
  (0040,1012) - Reason For Performed Procedure Code Sequence

Patient Study Module

  (0008,1080) - Admitting Diagnoses Description
  (0008,1084) - Admitting Diagnoses Code Sequence
  (0010,1010) - Patient's Age
  (0010,1020) - Patient's Size
  (0010,1030) - Patient's Weight
  (0010,1022) - Patient's Body Mass Index
  (0010,1023) - Measured AP Dimension
  (0010,1024) - Measured Lateral Dimension
  (0010,1021) - Patient's Size Code Sequence
  (0010,2000) - Medical Alerts
  (0010,2110) - Allergies
  (0010,21A0) - Smoking Status
  (0010,21C0) - Pregnancy Status
  (0010,21D0) - Last Menstrual Date
  (0038,0500) - Patient State
  (0010,2180) - Occupation
  (0010,21B0) - Additional Patient History
  (0038,0010) - Admission ID
  (0038,0014) - Issuer of Admission ID Sequence
  (0032,1066) - Reason for Visit
  (0032,1067) - Reason for Visit Code Sequence
  (0038,0060) - Service Episode ID
  (0038,0064) - Issuer of Service Episode ID Sequence
  (0038,0062) - Service Episode Description
  (0010,2203) - Patient's Sex Neutered

Clinical Trial Study Module

  (0012,0050) - Clinical Trial Time Point ID
  (0012,0051) - Clinical Trial Time Point Description
  (0012,0052) - Longitudinal Temporal Offset from Event
  (0012,0053) - Longitudinal Temporal Event Type
  (0012,0083) - Consent for Clinical Trial Use Sequence
注意

如需每個「序列」層次元素的詳細說明，請參閱 DICOM 資料元素登錄。

AWS HealthImaging 支援下列系列層級元素：

General Series Module

  (0008,0060) - Modality
  (0020,000E) - Series Instance UID
  (0020,0011) - Series Number
  (0020,0060) - Laterality
  (0008,0021) - Series Date
  (0008,0031) - Series Time
  (0008,1050) - Performing Physician's Name
  (0008,1052) - Performing Physician Identification Sequence
  (0018,1030) - Protocol Name
  (0008,103E) - Series Description
  (0008,103F) - Series Description Code Sequence
  (0008,1070) - Operators' Name
  (0008,1072) - Operator Identification Sequence
  (0008,1111) - Referenced Performed Procedure Step Sequence
  (0008,1250) - Related Series Sequence
  (0018,0015) - Body Part Examined
  (0018,5100) - Patient Position
  (0028,0108) - Smallest Pixel Value in Series
  (0028,0109) - Largest Pixel Value in Series
  (0040,0275) - Request Attributes Sequence
  (0010,2210) - Anatomical Orientation Type
  (300A,0700) - Treatment Session UID

Clinical Trial Series Module

  (0012,0060) - Clinical Trial Coordinating Center Name
  (0012,0071) - Clinical Trial Series ID
  (0012,0072) - Clinical Trial Series Description

General Equipment Module

  (0008,0070) - Manufacturer
  (0008,0080) - Institution Name
  (0008,0081) - Institution Address
  (0008,1010) - Station Name
  (0008,1040) - Institutional Department Name
  (0008,1041) - Institutional Department Type Code Sequence
  (0008,1090) - Manufacturer's Model Name
  (0018,100B) - Manufacturer's Device Class UID
  (0018,1000) - Device Serial Number
  (0018,1020) - Software Versions
  (0018,1008) - Gantry ID
  (0018,100A) - UDI Sequence
  (0018,1002) - Device UID
  (0018,1050) - Spatial Resolution
  (0018,1200) - Date of Last Calibration
  (0018,1201) - Time of Last Calibration
  (0028,0120) - Pixel Padding Value

Frame of Reference Module

  (0020,0052) - Frame of Reference UID
  (0020,1040) - Position Reference Indicator

支援的傳輸語法

AWS HealthImaging 匯入使用下表中的傳輸語法編碼的 DICOM P10 SOP 執行個體。除了儲存 SOP 執行個體之外，針對使用下列傳輸語法編 HealthImaging 碼的 SOP 執行個體，將影像框 (像素資料) 轉碼為 HTJ2K：

轉移語法 UID 傳輸語法名稱
1.2.840.10008.1.2 隱含虛擬實境端序：DICOM 的預設傳輸語法
1.2.840.10008.1.2.1 露骨 VR 小端序
1.2.840.10008.1.1.99 放氣顯式 VR 小端序
1.2.840.10008.1.2.2 露骨 VR 大端序
1.2.840.10008.1.2.4.50 JPEG 基線（處理 1）：失真 JPEG 8 位元影像壓縮的預設傳輸語法
1.2.840.10008.1.2.4.51 JPEG 基線（程序 2 和 4）：失真 JPEG 12 位元影像壓縮的預設傳輸語法（僅限處理 4）
1.2.840.10008.1.2.4.57 JPEG 不失真非階層式 (處理 14)
1.2.840.10008.1.2.4.70 JPEG 無失真、非階層式、一階預測 (程序 14 [選取值 1])：不失真 JPEG 影像壓縮的預設傳輸語法
1.2.840.10008.1.2.4.80 JPEG-LS 無損圖像壓縮
1.2.840.10008.1.2.4.81 JPEG-LS 有損（近乎無損）圖像壓縮
1.2.840.10008.1.2.4.90 影像壓縮 (僅適用於不失真)
1.2.840.10008.1.2.4.91 影像壓縮
1.2.840.10008.1.4.201 高傳輸量的影像壓縮 (僅適用於不失真)
1.2.840.10008.1.4.202 採用 RPCL 選項影像壓縮功能的高輸送量 JPEG 2000 (僅限不失真)
1.2.840.10008.1.4.203 高通量圖像壓縮
1.2.840.10008.1.2.5 RLE 無失真保護

DICOM 元素限制

將您的醫療影像資料匯入 AWS 時 HealthImaging，下列 DICOM 元素會套用最大長度限制。若要成功匯入，請確定您的資料未超過最大長度限制。

匯入期間的 DICOM 元素限制
HealthImaging 關鍵字 關鍵字 迪克密鑰 長度限制
狄克 PatientName 病人姓名 (0010,0010) 最小值：0，最大值：256
二氧化合物 耐心病 (0010,0020) 最小值：0，最大值：256
狄克 PatientBirthDate 病人 BirthDate (0010,0030) 最小值:0, 最大:18
狄克 PatientSex PatientSex (0010,0040) 最小 0 分鐘，最大：16
二元 StudyInstance StudyInstanceUID (002 萬) 最小值：0，最大：64
狄克 StudyId 研究 (0020,0010) 最小 0 分鐘，最大：16
狄克 StudyDescription StudyDescription (0008,1030) 最小值：0，最大：64
狄克 NumberOfStudy RelatedSeries 数量相关系列 (0020,1206) 最小時間：0，最大
狄克 NumberOfStudy RelatedInstances NumberOfStudyRelated實例 (0020,1208) 最小時間：0，最大
狄克 AccessionNumber AccessionNumber (0008,0050) 最小值：0，最大值：256
狄克 StudyDate StudyDate (0008,0020) 最小值:0, 最大:18
狄克 StudyTime StudyTime (0008,0030) 最小 0 分鐘，最大：28

DICOM 中繼資料限制

當您使用UpdateImageSetMetadata更新 HealthImaging 中繼資料屬性時，會套用下列 DICOM 條件約束。

  • 無法更新或移除患者/研究/序列/執行處理層次屬性的非公開屬性，除非更新限制同時適用於和 updatableAttributes removableAttributes

  • 無法更新下列 AWS HealthImaging 產生的屬性：SchemaVersionDatastoreIDImageSetID、PixelData、、Checksum、Width、Height、、MinPixelValue、MaxPixelValue、FrameSizeInBytes

  • 無法更新下列 DICOM 屬性：Tag.PixelData、Tag.StudyInstanceUID、、Tag.SeriesInstanceUID、Tag.SOPInstanceUID Tag.StudyID

  • 無法使用 VR 類型 SQ (巢狀屬性) 更新屬性

  • 無法更新多值屬性

  • 無法使用與屬性 VR 類型不相容的值更新屬性

  • 無法根據 DICOM 標準更新不被視為有效屬性的屬性

  • 無法跨模組更新屬性。例如，如果在客戶有效負載請求中的「研究」級別給出了「患者」級別屬性，則該請求可能會失效。

  • 如果關聯的屬性模組不存在於現有模組中，則無法更新屬性ImageSetMetadata。例如，seriesInstanceUID如果具有的序列不存在於現有影像集中繼資料中，seriesInstanceUID就不允許更新的屬性。