DICOM PS3.3 2025b - Information Object Definitions

A.90 Confocal Microscopy Image IODs

The Confocal Microscopy Image IODs specify images that are acquired by means of a confocal microscope. The confocal microscopy may be performed in-vivo or ex-vivo in reflectance or fluorescence mode.

Confocal images may be simple (non-tiled) or tiled. Separate IODs have been defined for simple confocal microscopy images and tiled pyramidal images.

Simple confocal images may be encoded according the to the Confocal Microscopy Image IOD. A SOP Instance may contain one or more Frames (Multi-frame Image). A movie acquisition may be encoded as a Multi-frame Cine Image.

A.90.1 Confocal Microscopy Image IOD

A.90.1.1 Confocal Microscopy Image IOD Description

The Confocal Microscopy Image IOD specifies the Attributes of a simple (non-tiled) Confocal Microscopy Image.

A.90.1.2 Confocal Microscopy Image IOD Description Entity-Relationship Model

The Confocal Microscopy Image IOD uses the DICOM Composite Instance IOD Entity-Relationship Information Model defined in Section A.1.2, with only the Image IE below the Series IE.

A.90.1.3 Confocal Microscopy Image IOD Module Table

Table A.90.1.3-1 specifies the Modules of the Confocal Microscopy Image IOD.

Table A.90.1.3-1. Confocal Microscopy Image IOD Modules

IE

Module

Reference

Usage

Patient

Patient

C.7.1.1

M

Clinical Trial Subject

C.7.1.3

U

Study

General Study

C.7.2.1

M

Patient Study

C.7.2.2

U

Clinical Trial Study

C.7.2.3

U

Series

General Series

C.7.3.1

M

Clinical Trial Series

C.7.3.2

U

Frame of Reference

Frame of Reference

C.7.4.1

M

Synchronization

C.7.4.2

C - Required if time synchronization was applied

Equipment

General Equipment

C.7.5.1

M

Enhanced General Equipment

C.7.5.2

M

Acquisition

General Acquisition

C.7.10.1

M

Image

General Image

C.7.6.1

M

General Reference

C.12.4

U

Image Pixel

C.7.6.3

M

Multi-frame Functional Groups

C.7.6.16

M

Multi-frame Dimension

C.7.6.17

M

Specimen

C.7.6.22

C - Required if the Imaging Subject is a Specimen

Acquisition Context

C.7.6.14

M

Confocal Microscopy Image

C.8.35.1

M

Cutaneous Confocal Microscopy Image Acquisition Parameters

C.8.35.3

C - Required for cutaneous confocal microscopy

Optical Path

C.8.12.5

M

SOP Common

C.12.1

M

Common Instance Reference

C.12.2

U

Frame Extraction

C.12.3

C - Required if the SOP Instance was created in response to a Frame-Level retrieve request


A.90.1.4 Confocal Microscopy Image IOD Content Constraints

A.90.1.4.1 Modality

The Value of Modality (0008,0060) shall be CFM.

A.90.1.4.2 Acquisition Context Module

The Defined TID for Acquisition Context Sequence (0040,0555) is TID 8300 “Skin Imaging Acquisition Context”.

Note

Any lesion level Attributes apply to the single lesion seen in the acquired image.

A.90.1.4.3 Referenced Image Sequence

In cutaneous confocal microscopy the Referenced Image Sequence (0008,1140) may be used to identify the SOP instance of a Dermoscopic, or Visible Light image correlated to the Confocal Microscopy acquisition in which case the Value of Purpose of Reference Code Sequence (0040,A170) shall be (121311, DCM, "Localizer").

A.90.1.4.4 Anatomic Region Sequence

For dermatology applications:

A.90.1.4.5 Illumination Type

For Illumination Type Code Sequence (0022,0016) BCID 8123 “Microscopy Illumination Method” may be used.

A.90.1.5 Confocal Microscopy Image Functional Group Macros

Table A.90.1.5-1. Confocal Microscopy Image Functional Group Macros

Functional Group Macro

Section

Usage

Pixel Measures

C.7.6.16.2.1

M - Shall be used as a shared functional group

Derivation Image

C.7.6.16.2.6

C - Required if the image or Frame has been derived from another SOP Instance.

Optical Path Identification

C.8.12.6.2

C - Required if Dimension Organization Type (0020,9311) is not TILED_FULL; may be present otherwise.

Referenced Image

C.7.6.16.2.5

C - Required if the image or Frame has been planned on another image or Frame. May be present otherwise.

Frame Content

C.7.6.16.2.2

U - Shall not be used as a shared functional group

Real World Value Mapping

C.7.6.16.2.11

U - May be used only if Photometric Interpretation (0028,0004) is MONOCHROME2.

Plane Position (Slide)

C.8.12.6.1

C - Required if the Frame of Reference is defined in the Slide Coordinate System.

Confocal Microscopy Image Frame Type

C.8.35.4.1

M

Frame Anatomy

C.7.6.16.2.8

M


DICOM PS3.3 2025b - Information Object Definitions