DICOM PS3.3 2019a - Information Object Definitions

F.7 Icon Image Key Definition

An Icon Image may be used as a key representative of an Image, RT Dose, Spectroscopy, Raw Data or Series in a corresponding Directory Record to allow an application to display icons that enable a user to select one or more from amongst several of them. It is based on the general purpose Image Pixel Macro (see Annex C).

The Icon Image Key corresponds to Data Element (0088,0200). It is defined as a Sequence that contains a single Item encapsulating the Data Set made of the Data Elements of the Icon Image. The Data Elements are defined by the Image Pixel Macro (see Section C.7.6.3).

The Image Pixel Macro usage is restricted in a few areas to facilitate general use in Directory Record across various modality environments. These restrictions are:

  1. Only monochrome and palette color images shall be used. Samples per Pixel (0028,0002) shall have a Value of 1, Photometric Interpretation (0028,0004) shall have a Value of either MONOCHROME 1, MONOCHROME 2 or PALETTE COLOR, Planar Configuration (0028,0006) shall not be present.


    True color icon images are not supported. This is due to the fact that the reduced size of the Icon Image makes the quality of a palette color image (with 256 colors) sufficient in most cases. This simplifies the handling of Icon Images by File-set Readers and File-set Updaters.

  2. If an FSR/FSU supports Icons (i.e., does not ignore them) then it shall support at least a maximum size of 64 by 64 Icons. An FSC may write Icons of any size. Icons larger than 64 by 64 may be ignored by FSRs and FSUs unless specialized by Application Profiles.

  3. Pixel samples shall have a Value of either 1 or 8 for Bits Allocated (0028,0100) and Bits Stored (0028,0101). High Bit (0028,0102) shall have a Value of one less than the Value used in Bit Stored.

  4. Pixel Representation (0028,0103) shall specify an unsigned integer representation (Value 0000H).

  5. Pixel Aspect Ratio (0028,0034) shall have a Value of 1:1.

  6. If a Palette Color lookup Table is used, Bits Allocated (0028,0100) shall have a Value of 8.

DICOM PS3.3 2019a - Information Object Definitions