DICOM PS3.5 2020c - Data Structures and Encoding

8.5 Security Considerations for Encoding of Pixel, Overlay, and Waveform Data (Informative)

The encapsulated formats conform to other standards, e.g., JPEG. Many of these formats have had their own security issues, both with the format itself and with common implementations for processing the format.

Implementations that support encapsulated format encoding may need to:

Tracking, notification, and remediation of these security problems will normally be in the context of the encapsulated format and not in the context of DICOM. This means those implementing and deploying the encapsulated format must consider security issues from those other contexts.

DICOM PS3.5 2020c - Data Structures and Encoding