如何使用 DCMTK 命令区分来自两个不同制造商的 CT 图像？
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【中文标题】如何使用 DCMTK 命令区分来自两个不同制造商的 CT 图像？【英文标题】：How to differentiate CT images from two different manufacturers using DCMTK commands? 【发布时间】：2018-11-26 22:50:15 【问题描述】：我正在尝试从服务器中提取图像。我有兴趣为特定患者提取 CT 图像。我正在从命令提示符（windows）执行以下 DCMTK 命令：
1) 我获得了我的患者 ID (0020,000D) 的研究实例 UID
findscu -v -aet DCMTK -aec VMSDBD 10.196.XX.XXX 51XXX -S -k PatientID=303XXXXX -k QueryRetrieveLevel=STUDY -k 0020,000D
输出：
....
我：(0010,0020) LO [303XXXXX] # 8, 1 患者 ID
I: (0020,000d) UI [1.2.840.113619.2.278.3.346865037.482.15052672XX.XXX] # 52, 1 StudyInstanceUID
....
2) 我得到了研究中存在的 CT 模态的系列实例 UID (0020,000E)：
findscu -aet DCMTK -aec VMSDBD 10.196.XX.XXX 51XXX -S -k PatientID=3038XXXX -k QueryRetrieveLevel=SERIES -k "0020,000D=1.2.840.113619.2.278.3.346865037.482.1505267XXXX.XXX" -k "0008,0060=CT" -k 0020,000E
输出：
...
系列 1：制造商 1
I: (0008,0060) CS [CT] # 2, 1 模态
我：(0010,0020) LO [3038XXXX] # 8, 1 患者 ID
I: (0020,000d) UI [1.2.840.113619.2.278.3.346865037.388.15390421XX.XXX] # 52, 1 StudyInstanceUID
I: (0020,000e) UI [1.2.246.352.62.2.4715824891563742196.178434434465388XXXX] # 56, 1 SeriesInstanceUID
I: (0020,0011) IS [2 ] # 2, 1 SeriesNumber
...
系列 2：制造商 2
I: (0008,0060) CS [CT] # 2, 1 模态
我：(0010,0020) LO [3038XXXX] # 8, 1 患者 ID
I: (0020,000d) UI [1.2.840.113619.2.278.3.346865037.388.15390421XX.XXX] # 52, 1 StudyInstanceUID
I: (0020,000e) UI [1.2.840.113619.2.278.3.346865037.388.15390421XX.XXX] # 56, 1 SeriesInstanceUID
I: (0020,0011) IS [3 ] # 2, 1 SeriesNumber
...
3) 我现在可以使用系列实例 UID 从服务器中提取 CT 图像：
movescu –aet DCMTK –aec VMSDBD -aem VMSFSD-OUT –S -k 0008,0052=SERIES -k 0020,000E=1.2.840.113619.2.278.3.346865037.388.15390421XX.XXX 10.196.XX.XXX 51XXX
输出
...
I: (0020,000e) UI [1.2.840.113619.2.278.3.346865037.388.15390421XX.XXX] # 54, 1 SeriesInstanceUID
I：收到移动响应 1（待处理）
...
问题是患者有两种类型的CT系列：“ConeBeam CT”和“CT：”
但两种类型的 CT 系列的模态标签 (0008,0060) 都是“CT”。我只想拉“ConeBeam”CT系列。使用前面的命令，我正在拉动所有东西（两者）。即我无法区分“ConeBeam CT”和“CT”。
那么，有什么方法可以使用 DCMTK 命令区分“ConeBeam CT”系列和“CT”系列吗？
以下是“ConeBeam CT”标头的转储：
(0002,0000) Group Length VR: UL Length: 4 Value: 188
(0002,0001) File Meta Information Version VR: OB Length: 2 Value: 0
(0002,0002) Media Storage SOP Class UID VR: UI Length: 26 Value:
(0002,0003) Media Storage SOP Instance UID VR: UI Length: 58 Value:
(0002,0010) Transfer Syntax UID VR: UI Length: 18 Value:
(0002,0012) Implementation Class UID VR: UI Length: 24 Value:
(0002,0013) Implementation Version Name VR: SH Length: 8 Value: DCIE 2.2
(0008,0005) Specific Character Set VR: CS Length: 10 Value: ISO_IR 192
(0008,0008) Image Type VR: CS Length: 22 Value: ORIGINAL\PRIMARY\AXIAL
(0008,0012) Instance Creation Date VR: DA Length: 8 Value: 20181115
(0008,0013) Instance Creation Time VR: TM Length: 6 Value: 150640
(0008,0016) SOP Class UID VR: UI Length: 26 Value:
(0008,0018) SOP Instance UID VR: UI Length: 58 Value: 1.2.246.352.62.1.4658378903620750311.171271252736726XXXXX
(0008,0020) Study Date VR: DA Length: 8 Value: 20181009
(0008,0021) Series Date VR: DA Length: 8 Value: 20181101
(0008,0022) Acquisition Date VR: DA Length: 8 Value: 20181101
(0008,0023) Image Date VR: DA Length: 8 Value: 20181101
(0008,0030) Study Time VR: TM Length: 6 Value: 111141
(0008,0031) Series Time VR: TM Length: 10 Value: 114125.627
(0008,0032) Acquisition Time VR: TM Length: 10 Value: 114048.727
(0008,0033) Image Time VR: TM Length: 10 Value: 114048.727
(0008,0050) Accession Number VR: SH Length: 0
(0008,0060) Modality VR: CS Length: 2 Value: CT
(0008,0070) Manufacturer VR: LO Length: 22 Value: Varian Medical Systems
(0008,0090) Referring Physician's Name VR: PN Length: 8 Value:
(0008,1010) Station Name VR: SH Length: 10 Value:
(0008,1030) Study Description VR: LO Length: 2 Value: HN
(0008,1048) Physician(s) of Record VR: PN Length: 14 Value:
(0008,1070) Operators' Name VR: PN Length: 14 Value: DICOM Service
(0008,1090) Manufacturer's Model Name VR: LO Length: 10 Value: RDS - PVA
(0008,114A) Referenced Instance Sequence VR: SQ Length: 222
(FFFE,E000)
(0008,1150) Referenced SOP Class UID VR: UI Length: 20 Value:
(0008,1155) Referenced SOP Instance UID VR: UI Length: 52 Value:
(0040,A170) Purpose of Reference Code Sequence VR: SQ Length: 118
(FFFE,E000)
(0008,0100) Code Value VR: SH Length: 4 Value: 1000
(0008,0102) Coding Scheme Designator VR: SH Length: 16 Value: 99VMS_PURPREFOBJ
(0008,0103) Coding Scheme Version VR: SH Length: 4 Value: 1.0
(0008,0104) Code Meaning VR: LO Length: 54 Value: RT Plan or RT Ion Plan or Radiation Set to be verified
(0008,3010) Irradiation Event UID VR: UI Length: 56 Value:
(0010,0010) Patient's Name VR: PN Length: 14 Value:
(0010,0020) Patient ID VR: LO Length: 8 Value: XXXXX
(0010,0030) Patient's Birth Date VR: DA Length: 8 Value:
(0010,0032) Patient's Birth Time VR: TM Length: 6 Value:
(0010,0040) Patient's Sex VR: CS Length: 2 Value:
(0018,0022) Scan Options VR: CS Length: 8 Value: STANDARD
(0018,0050) Slice Thickness VR: DS Length: 16 Value: 1.99621475530568
(0018,0060) KVP VR: DS Length: 4 Value: 100
(0018,0090) Data Collection Diameter VR: DS Length: 16 Value: 492.365501391455
(0018,1000) Device Serial Number VR: LO Length: 4 Value:
(0018,1020) Software Version(s) VR: LO Length: 8 Value:
(0018,1100) Reconstruction Diameter VR: DS Length: 6 Value: 281.6
(0018,1110) Distance Source to Detector VR: DS Length: 4 Value: 1540
(0018,1111) Distance Source to Patient VR: DS Length: 4 Value: 1000
(0018,1120) Gantry/Detector Tilt VR: DS Length: 2 Value: 0
(0018,1130) Table Height VR: DS Length: 6 Value: 166.51
(0018,1140) Rotation Direction VR: CS Length: 2 Value: CC
(0018,1150) Exposure Time VR: IS Length: 4 Value: 4630
(0018,1151) X-Ray Tube Current VR: IS Length: 2 Value: 30
(0018,1152) Exposure VR: IS Length: 4 Value: 138
(0018,1160) Filter Type VR: SH Length: 12 Value: Tit V2,HF V2
(0018,1190) Focal Spot(s) VR: DS Length: 2 Value: 1
(0018,1210) Convolution Kernel VR: SH Length: 4 Value: None
(0018,5100) Patient Position VR: CS Length: 4 Value: HFS
(0018,9345) CTDIvol VR: FD Length: 8 Value: 3.666960
(0018,9346) CTDI Phantom Type Code Sequence VR: SQ Length: 84
(FFFE,E000)
(0008,0100) Code Value VR: SH Length: 6 Value: 113690
(0008,0102) Coding Scheme Designator VR: SH Length: 4 Value: DCM
(0008,0103) Coding Scheme Version VR: SH Length: 8 Value: 20061023
(0008,0104) Code Meaning VR: LO Length: 26 Value: IEC Head Dosimetry Phantom
(0020,000D) Study Instance UID VR: UI Length: 52 Value: 1.2.840.113619.2.278.3.346865037.388.15390421XX.XXX
(0020,000E) Series Instance UID VR: UI Length: 58 Value: 1.2.246.352.62.2.4715824891563742196.178434434465388XXXXX
(0020,0010) Study ID VR: SH Length: 6 Value: XXXXX
(0020,0011) Series Number VR: IS Length: 2 Value: 2
(0020,0012) Acquisition Number VR: IS Length: 2 Value: 1
(0020,0013) Image Number VR: IS Length: 2 Value: 19
(0020,0032) Image Position (Patient) VR: DS Length: 34 Value: -140.525\-140.525\-61.882657414476
(0020,0037) Image Orientation (Patient) VR: DS Length: 12 Value: 1\0\0\0\1\0
(0020,0052) Frame of Reference UID VR: UI Length: 58 Value:
(0020,1040) Position Reference Indicator VR: LO Length: 0
(0020,4000) Image Comments VR: LT Length: 72 Value: Reconstruction Mode THREE_D
Filter STANDARD
Ring Suppression MEDIUM
(0028,0002) Samples per Pixel VR: US Length: 2 Value: 1
(0028,0004) Photometric Interpretation VR: CS Length: 12 Value: MONOCHROME2
(0028,0010) Rows VR: US Length: 2 Value: 512
(0028,0011) Columns VR: US Length: 2 Value: 512
(0028,0030) Pixel Spacing VR: DS Length: 10 Value: 0.55\0.55
(0028,0100) Bits Allocated VR: US Length: 2 Value: 16
(0028,0101) Bits Stored VR: US Length: 2 Value: 16
(0028,0102) High Bit VR: US Length: 2 Value: 15
(0028,0103) Pixel Representation VR: US Length: 2 Value: 0
(0028,1050) Window Center VR: DS Length: 4 Value: -50
(0028,1051) Window Width VR: DS Length: 4 Value: 670
(0028,1052) Rescale Intercept VR: DS Length: 6 Value: -1000
(0028,1053) Rescale Slope VR: DS Length: 2 Value: 1
(0028,1054) Rescale Type VR: LO Length: 2 Value: HU
(300A,0122) Patient Support Angle VR: DS Length: 2 Value: 0
(300A,0129) Table Top Longitudinal Position VR: DS Length: 16 Value: 1518.00350447863
(300A,012A) Table Top Lateral Position VR: DS Length: 16 Value: 9.67474747474753
(3253,0010) VR: LO Length: 34 Value: Varian Medical Systems VISION 3253
(3253,1000) VR: ST Length: 484 Value: (Long Size Data)
(3253,1001) VR: IS Length: 2 Value: 0
(3253,1002) VR: CS Length: 16 Value: ImageProcessing
以下是 CT 标头的转储：
(0002,0000) Group Length VR: UL Length: 4 Value: 184
(0002,0001) File Meta Information Version VR: OB Length: 2 Value: 0
(0002,0002) Media Storage SOP Class UID VR: UI Length: 26 Value:
(0002,0003) Media Storage SOP Instance UID VR: UI Length: 54 Value:
(0002,0010) Transfer Syntax UID VR: UI Length: 18 Value:
(0002,0012) Implementation Class UID VR: UI Length: 24 Value:
(0002,0013) Implementation Version Name VR: SH Length: 8 Value: DCIE 2.2
(0008,0005) Specific Character Set VR: CS Length: 10 Value: ISO_IR 192
(0008,0008) Image Type VR: CS Length: 22 Value: ORIGINAL\PRIMARY\AXIAL
(0008,0012) Instance Creation Date VR: DA Length: 8 Value: 20181115
(0008,0013) Instance Creation Time VR: TM Length: 6 Value: 151330
(0008,0016) SOP Class UID VR: UI Length: 26 Value:
(0008,0018) SOP Instance UID VR: UI Length: 54 Value: 1.2.840.113619.2.278.3.346865037.388.1539042181.XXX.XX
(0008,0020) Study Date VR: DA Length: 8 Value: 20181009
(0008,0021) Series Date VR: DA Length: 8 Value: 20181009
(0008,0022) Acquisition Date VR: DA Length: 8 Value: 20181009
(0008,0023) Image Date VR: DA Length: 8 Value: 20181009
(0008,0030) Study Time VR: TM Length: 6 Value: 111141
(0008,0031) Series Time VR: TM Length: 6 Value: 111308
(0008,0032) Acquisition Time VR: TM Length: 10 Value: 111515.407
(0008,0033) Image Time VR: TM Length: 6 Value: 111520
(0008,0050) Accession Number VR: SH Length: 0
(0008,0060) Modality VR: CS Length: 2 Value: CT
(0008,0070) Manufacturer VR: LO Length: 18 Value: GE MEDICAL SYSTEMS
(0008,0080) Institution Name VR: LO Length: 26 Value:
(0008,0090) Referring Physician's Name VR: PN Length: 8 Value:
(0008,1010) Station Name VR: SH Length: 4 Value: rtct
(0008,1030) Study Description VR: LO Length: 2 Value: HN
(0008,103E) Series Description VR: LO Length: 12 Value: CHEST 2.5 MM
(0008,1048) Physician(s) of Record VR: PN Length: 14 Value:
(0008,1070) Operators' Name VR: PN Length: 14 Value:
(0008,1090) Manufacturer's Model Name VR: LO Length: 18 Value: Discovery CT590 RT
(0008,1140) Referenced Image Sequence VR: SQ Length: 104
(FFFE,E000)
(0008,1150) Referenced SOP Class UID VR: UI Length: 26 Value:
(0008,1155) Referenced SOP Instance UID VR: UI Length: 54 Value:
(0008,3010) Irradiation Event UID VR: UI Length: 52 Value:
(0010,0010) Patient's Name VR: PN Length: 14 Value:
(0010,0020) Patient ID VR: LO Length: 8 Value: XXXXX
(0010,0030) Patient's Birth Date VR: DA Length: 8 Value:
(0010,0032) Patient's Birth Time VR: TM Length: 6 Value:
(0010,0040) Patient's Sex VR: CS Length: 2 Value:
(0018,0022) Scan Options VR: CS Length: 12 Value: HELICAL MODE
(0018,0050) Slice Thickness VR: DS Length: 4 Value: 2.5
(0018,0060) KVP VR: DS Length: 4 Value: 120
(0018,0090) Data Collection Diameter VR: DS Length: 4 Value: 500
(0018,1000) Device Serial Number VR: LO Length: 2 Value: *
(0018,1020) Software Version(s) VR: LO Length: 10 Value: rt_bjcl.35
(0018,1100) Reconstruction Diameter VR: DS Length: 4 Value: 650
(0018,1110) Distance Source to Detector VR: DS Length: 8 Value: 1062.55
(0018,1111) Distance Source to Patient VR: DS Length: 8 Value: 605.945
(0018,1120) Gantry/Detector Tilt VR: DS Length: 2 Value: 0
(0018,1130) Table Height VR: DS Length: 4 Value: 174
(0018,1140) Rotation Direction VR: CS Length: 2 Value: CW
(0018,1150) Exposure Time VR: IS Length: 4 Value: 856
(0018,1151) X-Ray Tube Current VR: IS Length: 2 Value: 99
(0018,1152) Exposure VR: IS Length: 2 Value: 13
(0018,1160) Filter Type VR: SH Length: 12 Value: BODY FILTER
(0018,1170) Generator Power VR: IS Length: 6 Value: 84000
(0018,1190) Focal Spot(s) VR: DS Length: 4 Value: 1.2
(0018,1210) Convolution Kernel VR: SH Length: 8 Value: STANDARD
(0018,5100) Patient Position VR: CS Length: 4 Value: HFS
(0020,000D) Study Instance UID VR: UI Length: 52 Value: 1.2.840.113619.2.278.3.346865037.388.15390421XX.XXX
(0020,000E) Series Instance UID VR: UI Length: 52 Value: 1.2.840.113619.2.278.3.346865037.388.15390421XX.XXX
(0020,0010) Study ID VR: SH Length: 6 Value: XXXXX
(0020,0011) Series Number VR: IS Length: 2 Value: 2
(0020,0012) Acquisition Number VR: IS Length: 2 Value: 1
(0020,0013) Image Number VR: IS Length: 2 Value: 19
(0020,0032) Image Position (Patient) VR: DS Length: 16 Value: -325\-325\157.5
(0020,0037) Image Orientation (Patient) VR: DS Length: 12 Value: 1\0\0\0\1\0
(0020,0052) Frame of Reference UID VR: UI Length: 60 Value:
(0020,1040) Position Reference Indicator VR: LO Length: 0
(0020,1041) Slice Location VR: DS Length: 6 Value: 157.5
(0028,0002) Samples per Pixel VR: US Length: 2 Value: 1
(0028,0004) Photometric Interpretation VR: CS Length: 12 Value: MONOCHROME2
(0028,0010) Rows VR: US Length: 2 Value: 512
(0028,0011) Columns VR: US Length: 2 Value: 512
(0028,0030) Pixel Spacing VR: DS Length: 18 Value: 1.269531\1.269531
(0028,0100) Bits Allocated VR: US Length: 2 Value: 16
(0028,0101) Bits Stored VR: US Length: 2 Value: 16
(0028,0102) High Bit VR: US Length: 2 Value: 15
(0028,0103) Pixel Representation VR: US Length: 2 Value: 1
(0028,1050) Window Center VR: DS Length: 2 Value: 40
(0028,1051) Window Width VR: DS Length: 4 Value: 400
(0028,1052) Rescale Intercept VR: DS Length: 6 Value: -1000
(0028,1053) Rescale Slope VR: DS Length: 2 Value: 1
(0028,1054) Rescale Type VR: LO Length: 2 Value: HU
【问题讨论】：
【参考方案1】：实现此目的的一个明显方法是在区分实例的标记上过滤（当 C-FIND 时）。这就是您要实现的目标。问题是，常用的过滤器不包含这样的标签。 当您在系列级别上工作时，C-FIND 响应中也没有这样的标签。我不确定图像级别 C-FIND 响应中是否有这样的标签；但即使是这样，它也不是可靠的方法，因为许多 PACS 实现可能不会返回它。 所以这通过 C-FIND 是不可能的/可靠的。
你必须领先一步。
您应该检索实例 (C-MOVE/C-GET) 并在您的 C-STORE SCP 上过滤这些实例。
在这种情况下，您还需要找到区分实例的标签。在您的特定情况下，可以考虑 (0008,0070) Manufacturer 和/或 (0008,1090) Manufacturer's Model Name。
当然，这不是通用或标准的解决方案。
【讨论】：
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