No.

MIICT0009EA

DICOM CONFORMANCE STATEMENT

PRINT SCU
FOR
TOSHIBA WHOLE-BODY X-RAY CT SCANNER
A-SERIES
MODEL
(COT-31A)

© TOSHIBA CORPORATION 1998

ALL RIGHTS RESERVED
 No.MIICT0009EA

IMPORTANT!

1. No part of this manual may be copied or reprinted, in whole or

in part, without written permission.
2. The contents of this manual are subject to change without prior
notice and without our legal obligation.

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Table of Contents

1 INTRODUCTION .................................................................................................... 1

1.1 R EFERENCES ......................................................................................................... 1

1.2 D EFINITIONS ......................................................................................................... 1
1.3 A C R O N Y M S , A BBREVIATIONS AND S Y M B O L S ............................................................ 2

2 IMPLEMENTATION MODEL .................................................................................. 3

2.1 A PPLICATION D ATA F L O W D IAGRAM ....................................................................... 3

2.2 F UNCTIONAL D EFINITIONS OF AE' S ........................................................................ 3
2.2.1 EXPORT AE ........................................................................................................................... 3
2.3 S E Q U E N C I N G O F R EAL W O R L D A CTIVITIES ............................................................. 4
2.3.1 FEATURES ............................................................................................................................. 4
2.3.2 OPERATION ........................................................................................................................... 4

3 AE SPECIFICATIONS ............................................................................................ 5

3.1 E X P O R T S PECIFICATION ......................................................................................... 5

3.1.1 EXPORT ASSOCIATION ESTABLISHMENT POLICIES ............................................................... 5
3.1.2 EXPORT ASSOCIATION INITIATION BY REAL-WORLD ACTIVITY ............................................ 7
3.1.3 EXPORT ASSOCIATION ACCEPTANCE POLICY........................................................................ 7

4 COMMUNICATION PROFILES .............................................................................. 8

4.1 S U P P O R T E D C O M M U N I C A T I O N S T A C K S ................................................................... 8
4.2 OSI S TACK ............................................................................................................ 8
4.3 TCP/IP S TACK ...................................................................................................... 8
4.3.1 API ....................................................................................................................................... 8
4.3.2 PHYSICAL MEDIA SUPPORT .................................................................................................. 8
4.4 P O I N T - TO -P OINT S TACK ......................................................................................... 8

5 EXTENSIONS/SPECIALIZATIONS/PRIVATIZATIONS .......................................... 9

6 CONFIGURATION ................................................................................................ 10

6.1 AE T ITLE /P RESENTATION A D D R E S S M APPING ....................................................... 10

6.2 C ONFIGURABLE P ARAMETERS .............................................................................. 10
6.2.1 TIME-OUT VALUE, RETRY COUNT, RETRY INTERVAL ......................................................... 10
6.2.2 WARNING STATUS CRITERIA ............................................................................................... 12
6.3 I MPLEMENTATION I N F O R M A T I O N A N D M A X I M U M R ECEPTION PDU S IZE ................ 12
6.4 D EFAULT T RANSFER S YNTAX ............................................................................... 13

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7 SUPPORT OF EXTENDED CHARACTER SETS .................................................... 14

8 DIMSE-SERVICE AND ATTRIBUTES .................................................................. 14

8.1 DIMSE-S ERVICES ................................................................................................ 15

8.2 B ASIC F ILM S ESSION SOP C LASS ......................................................................... 16
8.2.1 N-CREATE ATTRIBUTES .................................................................................................... 16
8.3 B ASIC F ILM B O X SOP C LASS ................................................................................ 17
8.3.1 N-CREATE ATTRIBUTES .................................................................................................... 17
8.4 B ASIC G RAYSCALE I M A G E B O X SOP C LASS ........................................................... 17
8.4.1 N-SET ATTRIBUTES............................................................................................................ 18
8.5 P RINTER SOP C LASS ........................................................................................... 19
8.5.1 N-GET ATTRIBUTES ........................................................................................................... 19

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1 Introduction
This document is a DICOM Conformance Statement for Toshiba CT scanner A-series. It is intended to
provide the reader with the knowledge of how to integrate this product within a DICOM compliant
hospital network. It details the DICOM Service Classes, Information Objects, and Communication
Protocols which are supported by this product.
If the reader is unfamiliar with DICOM, it is recommended that they read the DICOM Specification
(referenced below) prior to reading this conformance statement. Also note that this document is
formatted according to the DICOM Specification, Part 2: Conformance.

1.1 References
• ACR-NEMA Digital Imaging and Communications in Medicine, DICOM V3.0.

1.2 Definitions
• Association Establishment - An Association Establishment is the first phase of communication
between two DICOM Application Entities. The AEs use the Association Establishment to negotiate
how data will be encoded and the type of data to be exchanged.
• Called Application Entity Title - The Called AE Title defines the intended receiver of an
Association.
• Calling Application Entity Title - The Calling AE Title defines the requestor of an Association.
• DICOM Message Service Element (DIMSE) - A DIMSE defines the services and protocols
utilized by an Application Entity to exchange messages.
• Information Object Definition (IOD) - An IOD is a data model which is an abstraction of real-
world information. This data model defines the nature and attributes relevant to the class of real-
world objects represented.
• Service Class Provider (SCP) - A Service Class Provider plays the "server" role to perform
operations and invoke notifications during an Association. An example of a Storage Service Class
Provider would be an image storage device. In this case, the image storage device is storing the
image that was sent by a Service Class User.
• Service Class User (SCU) - A Service Class User plays the "client" role to invoke operations and
perform notifications during an Association. An example of a Storage Service Class User would be
an image acquisition device. In this case, the image acquisition device will create and send a DICOM
image by requesting that a Service Class Provider store that image.
• Service/Object Pair (SOP) Class - A SOP Class is defined by the union of an Information Object
Definition and a set of DIMSE Services. A DICOM Application Entity may support one or more SOP
Classes. Each SOP Class is uniquely identified by a SOP Class UID.
• SOP Instance - A specific occurrence of a Information Object.
• Transfer Syntax - The Transfer Syntax is a set of encoding rules that allow DICOM Application
Entities to negotiate the encoding techniques (e.g. data element structure, byte ordering,
compression) they are able to support. The Transfer Syntax is negotiated during Association
Negotiation.
• Unique Identifier (UID) - A Unique Identifier is a globally unique, ISO compliant, ASCII-numeric
string. It guarantees uniqueness across multiple countries, sites, vendors and equipment.

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1.3 Acronyms, Abbreviations and Symbols

• ACC American College of Cardiology
• ACR American College of Radiology
• ASCII American Standard Code for Information Interchange
• AE Application Entity
• ANSI American National Standards Institute
• CEN TC251 Comite Europeen de Normalization - Technical Committee 251 - Medical Informatics
• DICOM Digital Imaging and Communications in Medicine
• DIMSE DICOM Message Service Element
• DIMSE-C DICOM Message Service Element - Composite
• DIMSE-N DICOM Message Service Element - Normalized
• HIS Hospital Information System
• HL7 Health Level 7
• IE Information Entity
• IOD Information Object Definition
• ISO International Standards Organization
• JIRA Japan Industries Association of Radiological Systems
• NEMA National Electrical Manufacturers Association
• OSI Open Systems Interconnection
• PDU Protocol Data Unit
• RIS Radiology Information System
• SCP Service Class Provider
• SCU Service Class User
• SOP Service-Object Pair
• TCP/IP Transmission Control Protocol/Internet Protocol
• UID Unique Identifier

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2 Implementation Model

2.1 Application Data Flow Diagram

Manual
print of
Image or
Remote
Series, study
Export AE Basic Print
Management
SCP

Screen DICOM
print Standard
Interface
Legend
Application Entity
Remote Real-World Activity
Local Real-World Activity
Association Negotiation
Local Relationship

Figure 1

2.2 Functional Definitions of AE's

2.2.1 Export AE
Export AE is used to transmit request for print images to a remote DICOM device. It therefore performs
the following tasks:
• Builds DICOM Basic Grayscale Print Objects
• Establishes DICOM Association with remote DICOM device
• Performs transmit of DICOM Basic Grayscale Print Objects to remote DICOM device

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2.3 Sequencing of Real World Activities

2.3.1 Features

2.3.1.1 Screen Print

• Operator requests to send images displayed on monitor.

2.3.1.2 Manual Print of Image, Series or Study

• Operator requests to send images after selecting the transferred images from the Study List, the
Series List or the Image List.
• When the image transfer fails, an error message window is displayed. The window has Cancel-
Button and Retry-Button. If Retry-Button is clicked, the A-series CT Scanner attempts to resend
the image.

2.3.2 Operation

2.3.2.1 Screen Print

The operation for screen print request:
Step-1: Display image on monitor.
Step-2: Press the key of screen-print and key of film-reset.

2.3.2.2 Manual Print of Image, Series or Study

The operation for transmitting image manually:
Step-1: Select the images, the series, or the study to be transferred.
Step-2: Set up the parameters for printing images.

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3 AE Specifications

3.1 Export Specification

Export AE provides Standard Conformance to the following DICOM SOP Classes as an SCU:
Table 1

SOP Class Name SOP Class UID

Basic Grayscale Print Management 1.2.840.10008.5.1.1.9

The SOP Classes listed in Table 2 indicate the SOP Classes regulated by the Basic Grayscale Print
Management Meta SOP Class.
Table 2

SOP Class Name SOP Class UID

Basic Film Session SOP Class 1.2.840.10008.5.1.1.1
Basic film Box SOP Class 1.2.840.10008.5.1.1.2
Basic Grayscale Image Box SOP Class 1.2.840.10008.5.1.1.4
Printer SOP Class 1.2.840.10008.5.1.1.16

3.1.1 Export Association Establishment Policies

3.1.1.1 Export General

Export AE will utilize and understand the following Application Context Name:
Table 3

DICOM V3.0 Application Context 1.2.840.10008.3.1.1.1

Export AE supports a minimum PDU size of 16 Kbytes and a maximum PDU size of 16 Kbytes. The
default value is set to 16 Kbytes.

3.1.1.2 Export Number of Associations

Export AE can only establish one association at a time, independent of the number of destinations
chosen.

3.1.1.3 Export Asynchronous Nature

Export AE allows a single outstanding operation on any association. Therefore, Export AE does not
support asynchronous operations window negotiation, other than the default as specified by the DICOM
specification.

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3.1.1.4 Export Implementation Identifying Information

Export AE will specify the following Implementation Identifying Information:

l Implementation Class UID 1.2.392.200036.9116.2.2.2.100

l Implementation Version Name TM_CT_CMW_V2.00

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3.1.2 Export Association Initiation by Real-World Activity

Export AE initiates an association when the following activity is chosen by the operator:
• “Manual print of image, series or study”
• “Screen print”
----- Print - Request print image to a remote DICOM device.

3.1.2.1 Export Real-World Activity - Print

3.1.2.1.1 Export Associated Real-World Activity - Print

Export AE performs request print images automatically or manually to destination device.

3.1.2.1.2 Export Proposed Presentation Contexts - Print

Export AE proposes the following Presentation Contexts shown below:
Table 4

Presentation Context Table

Abstract Syntax Transfer Syntax Extended

Name UID Name List UID List Role Negotiatio
n
Basic 1.2.840.10008.5.1.1.9 Implicit VR 1.2.840.10008.1.2 SCU None
Grayscale Little Endian
Print
Management
Basic 1.2.840.10008.5.1.1.9 Explicit VR Big 1.2.840.10008.1.2.2 SCU None
Grayscale Endian
Print
Management

3.1.2.1.3 Export SOP Specific Conformance - Print

Export AE operation involves the following sequence of steps for each image transfer.
(1) Association establishment (requestor only)
(2) Request print images (SCU only)
(3) Association release (requestor only)
Export AE judges that the request printing images succeeded when the result of (2) “Request printing
images” is “Success” even if the result of (3) “Association release” is “Failure”.
SOP Specific Conformance Statement is described in 8 DIMSE-Service and Attributes.
See chapter 8 DIMSE-Service and Attributes.

3.1.3 Export Association Acceptance Policy

Export AE does not accept any associations generated by remote applications.

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4 Communication Profiles

4.1 Supported Communication Stacks

This product provides DICOM TCP/IP Network Communication Support as defined in Part 8 of the
DICOM Standard.

4.2 OSI Stack

Not applicable to this product.

4.3 TCP/IP Stack

This product inherits its TCP/IP stack from the computer system upon which it executes.

4.3.1 API
Not applicable to this product.

4.3.2 Physical Media Support

This product is indifferent to the physical medium over which TCP/IP executes; it inherits the medium
from the computer system upon which it executes.

4.4 Point-to-Point Stack

Not applicable to this product.

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5 Extensions/Specializations/Privatizations
Not applicable to this product.

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6 Configuration
For A-series, the configuration can be set through interaction.
Note: Settings and changes are performed by Toshiba Service Personnel at a time of installation of the
A-series.

6.1 AE Title/Presentation Address Mapping

Mapping from the AE titles to the presentation addresses is as follows:
• One port number and one AE title can be described for one host name.
• Each AE title is mapped to one port number.

6.2 Configurable Parameters

6.2.1 Time-out Value, Retry Count, Retry Interval

The time-out value, retry count, and retry interval in each status are shown below.

SCU SCP
Association
TCP connection
Initiation of connection
Association establishment request S1
S2 Association establishment response
Service request S3
S4 Service response
Association release request S3
S5 Association release response
Disconnection

Figure 2

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Table 5

Status Item Time-out Retry Count Retry Remarks

Value Interval
S1 Association Not set Not set Not set Not applicable to
establishment request this product
waiting time
S2 Association default: default: default: Only one
establishment 30 seconds once 5 seconds parameter can be
response waiting time range: range: range: set in A-series
1 to 999999 0 to 999999 0 to 999999
S3 Service request Not set Not set Not set Not applicable to
waiting time this product
- Basic Film Session
SOP Class
- Basic Film Box
SOP Class
- Basic Grayscale
Image Box SOP
Class
S4 Service response default: Not set Not set Only one
waiting time 180 seconds parameter can be
- Basic Film Session range: set in A-series
SOP Class 1 to 999999
- Basic Film Box
SOP Class
- Basic Grayscale
Image Box SOP
Class
- Printer SOP Class
S5 Association release default: Not set Not set Only one
waiting time 5 seconds parameter can be
range: set in A-series
1 to 999999

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6.2.2 Warning Status Criteria

The warning status criteria can be set for each station and each service.
If SUCCESS is set, the A-series judges that the request printing images succeeded.
If FAIL is set, the A-series judges that the request printing images failed.

6.2.2.1 Basic Film Session SOP Class

6.2.2.1.1 N-CREATE response

Table 6

Warning response item Default Parameter setting range

Memory allocation not supported FAIL SUCCESS or FAIL

6.2.2.2 Basic Film Box SOP Class

6.2.2.2.1 N-ACTION response

Table 7

Warning response item Default Parameter setting range

Film Box SOP Instance hierarchy does not contain FAIL SUCCESS or FAIL
Image Box SOP Instance(empty page)

6.2.2.3 Printer SOP Class

6.2.2.3.1 N-GET response

Table 8

Warning response item Default Parameter setting range

One or more Attribute Value were not read because FAIL SUCCESS or FAIL
the specified Attribute was not recognized. The
Attribute Value that could be read are returned.

6.3 Implementation Information and Maximum Reception PDU Size

The default value for A-series are used for the Implementation Class UID, the Implementation Version
name, and the Maximum length received.
Table 9

Parameter Default
Implementation Class UID 1.2.392.200036.9116.2.2.2.100
Implementation Version name TM_CT_CMW_V2.00
Maximum length received(unit:byte) 16 Kbytes

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6.4 Default Transfer Syntax

In request print images, when two transfer syntax response are received, the A-series performs the
transfer using the following setting.
Default = “Explicit VR Big Endian”

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7 Support of Extended Character Sets

This product supports the following character sets:

• ISO-IR 6 (default) Basic G0 Set

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8 DIMSE-Service and Attributes

The attribute listed in the following tables represent a small set of the possible attributes which could be
supported by each services.

8.1 DIMSE-Services

Table 10

SOP Class DIMSE-Service Reference Usage SCU/SCP *1 Usage

Basic Film Session SOP N-CREATE 8.2.1 M/M Used

Class
Basic Film Box SOP N-CREATE 8.3.1 M/M Used
Class
Basic Film Box SOP N-ACTION - M/M Used
Class
Basic Film Box SOP N-DELETE - U/M Used
Class
Basic Grayscale Image N-SET 8.4.1 M/M Used
Box SOP Class
Printer SOP Class N-GET 8.5.1 U/M Used
*1 : M=Mandatory, U=User Option

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8.2 Basic Film Session SOP Class

8.2.1 N-CREATE Attributes

Table 11

Attribute name Tag Usage Attributes

SCU/SCP
Number of Copies (2000, 0010) U/M Always set. (1 to 99)
Print Priority (2000, 0020) U/M Always set. (“MED”)
Medium Type (2000, 0030) U/M Always set.
(“CLEAR FILM”, “BLUE FILM” ,
“PAPER”)
Film Destination (2000, 0040) U/M Always set.
(“MAGAZINE”, “PROCESSOR”)

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8.3 Basic Film Box SOP Class

8.3.1 N-CREATE Attributes

Table 12
Attribute name Tag Usage Attributes
SCU/SCP
Image Display Format (2010, 0010) M/M Always set.
(“STANDARD\C,R” ,
“ROW\ R1,R2” , “ROW\ R1,R2,R3” ,
“ROW\ R1,R2,R3,R4” ,
“COL\ C1,C2”)
Film Orientation (2010,0040) U/M Always set.
(“PORTRAIT”, “LANDSCAPE”)
Film Size ID (2010,0050) U/M Always set.
(“8INX10IN”, “10INX12IN”,
“10INX14IN”,“11INX14IN”,
“14INX14IN”, “14INX17IN”)
Magnification Type (2010,0060) U/M Always set.
(“REPLICATE”, “BILINEAR”,
“CUBIC”, “NONE”)
Smoothing Type (2010,0080) U/U If it defines, always set.
Border Density (2010,0100) U/U Always set. (“BLACK”, “WHITE”)
Empty Image Density (2010,0110) U/U Always set. (“BLACK”, “WHITE”)
Min Density (2010,0120) U/U 0 to 9999
Max Density (2010,0130) U/M 0 to 9999
Trim (2010,0140) U/U Always set. (“YES”, “NO”)
Configuration Information (2010,0150) U/M Always set.
Referenced Film Session Sequence (2010, 0500) M/M Always set.
>Referenced SOP Class UID (0008,1150) M/M Always set.
>Referenced SOP Instance UID (0008,1155) M/M Always set.
Referenced Image Box Sequence (2010,0510) -/M
>Referenced SOP Class UID (0008,1150) -/M
>Referenced SOP Instance UID (0008,1155) -/M

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8.4 Basic Grayscale Image Box SOP Class

8.4.1 N-SET Attributes

Table 13

Attribute name Tag Usage Attributes

SCU/SCP
Image position (2020, 0010) M/M Always set. (1 to 36)
Polarity (2020, 0020) U/M Always set.
(“NORMAL”, “REVERSE”)
Magnification Type (2010, 0060) U/U Always set.
(“REPLICATE”, “BILINEAR”
“CUBIC”, “NONE”)
Smoothing Type (2010, 0080) U/U If it defines, always set.
Preformatted Grayscale Image (2020, 0110) M/M Always set.
Sequence
>Samples Per Pixel (0028, 0002) M/M Always set. (1)
>Photometric Interpretation (0028, 0004) M/M Always set. (“MONOCHROME2”)
>Rows (0028, 0010) M/M Always set.
>Columns (0028, 0011) M/M Always set.
>Pixel Aspect Ratio (0028, 0034) M/M Always set. (1\1)
>Bits Allocated (0028, 0100) M/M Always set. (8)
>Bits Stored (0028, 0101) M/M Always set. (8)
>High Bit (0028, 0102) M/M Always set. (7)
>Pixel Representation (0028, 0103) M/M Always set. (0)
>Pixel Data (7FE0, 0010) M/M Always set.

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8.5 Printer SOP Class

8.5.1 N-GET Attributes

Table 14

Attribute name Tag Usage Attributes

SCU/SCP
Printer Status (2110,0010) U/M
Printer Status Info (2110,0020) U/M
Printer Name (2110,0030) U/M

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