s5

DICOM Conformance Statement

Control #
804209-003/003

Page 1 of 30























DICOM Conformance Statement
s5 Intravascular Ultrasound System























s5
DICOM Conformance Statement
Control #
804209-003/003

Page 2 of 30
TABLE OF CONTENTS
DICOM CONFORMANCE STATEMENT..................................................................................................... 1
S5 INTRAVASCULAR ULTRASOUND SYSTEM....................................................................................... 1
1 CONFORMANCE STATEMENT OVERVIEW...................................................................................... 4
2 INTRODUCTION ................................................................................................................................... 5
2.1 DEFINITIONS ..................................................................................................................................... 5
2.2 REFERENCE DOCUMENTS .................................................................................................................. 6
3 NETWORKING...................................................................................................................................... 7
3.1 IMPLEMENTATION MODEL .................................................................................................................. 7
3.1.1 Application Data Flow Diagram............................................................................................... 7
3.1.1.1 Archive to Network Real-World Activity..............................................................................................8
3.1.1.2 Query Worklist Real-World Activity.....................................................................................................8
3.1.1.3 Check Server Real-World Activity......................................................................................................9
3.1.2 Functional Definitions of AEs ................................................................................................. 9
3.1.2.1 Storage SCU AE ................................................................................................................................9
3.1.2.2 Worklist SCU AE ................................................................................................................................9
3.1.3 Sequencing of Real-World Activities....................................................................................... 9
3.2 AE SPECIFICATIONS........................................................................................................................ 10
3.2.1 Storage AE Specification....................................................................................................... 10
3.2.1.1 Association Establishment Policies ..................................................................................................10
3.2.1.2 Association Initiation by Real-World Activity.....................................................................................11
3.2.1.3 Proposed Presentation Contexts to an Storage Server....................................................................13
3.2.1.4 Storage AE Behavior to C-Store Status ...........................................................................................16
3.2.2 Worklist AE Specification...................................................................................................... 17
3.2.2.1 Association Establishment Policies ..................................................................................................17
3.2.2.2 Association Initiation by Real-World Activity.....................................................................................17
3.2.2.3 Proposed Presentation Contexts to an Worklist Server....................................................................19
3.2.2.4 Worklist AE Behavior to C-FIND Status ...........................................................................................19
3.2.2.5 Worklist Request Attributes..............................................................................................................20
3.3 COMMUNICATION PROFILES............................................................................................................. 23
3.3.1 TCP/IP Stack Supported....................................................................................................... 23
3.3.2 Physical Network Interface.................................................................................................... 23
3.4 EXTENSIONS/SPECIALIZATIONS/PRIVATIZATIONS .............................................................................. 23
3.4.1 Standard Extended/Specialized/Private SOPs ..................................................................... 23
3.4.2 Private Transfer Syntaxes..................................................................................................... 24
3.5 CONFIGURATION............................................................................................................................. 24
3.5.1 AE Title/Presentation Address Mapping............................................................................... 24
3.5.2 Configurable Parameters for DICOM Networking................................................................. 24
3.5.2.1 Configurable Parameters for the Network Location..........................................................................24
3.5.2.2 Configurable Parameters per Defined Remote Storage Server........................................................24
3.5.2.3 Configurable Parameters per Defined Remote Worklist Server .......................................................25
4 MEDIA INTERCHANGE...................................................................................................................... 26
4.1 IMPLEMENTATION MODEL ................................................................................................................ 26
4.1.1 Application Data Flow Diagram............................................................................................. 26
4.1.2 Functional definitions of AEs................................................................................................ 26
4.1.3 Sequencing of Real World Activities ..................................................................................... 26
4.1.4 Implementation Class and Version....................................................................................... 26
4.2 AE SPECIFICATION.......................................................................................................................... 27
4.2.1 Media AE Specification......................................................................................................... 27
4.2.1.1 Application Entity Title......................................................................................................................27
4.2.1.2 DICOM File Meta Information...........................................................................................................27
4.2.1.3 DICOMDIR Information....................................................................................................................28
4.2.1.4 Real World Activities ........................................................................................................................29
4.3 AUGMENTED AND PRIVATE APPLICATION PROFILES.......................................................................... 29
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DICOM Conformance Statement
Control #
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4.3.1 Augmented Application Profiles ............................................................................................ 29
4.3.2 Private Application Profiles.................................................................................................... 29
4.4 MEDIA CONFIGURATION................................................................................................................... 29
5 SUPPORT OF EXTENDED CHARACTER SETS .............................................................................. 30


LIST OF TABLES
Table 2.1-1 Networking Services..................................................................................................................4
Table 2.1-2 UID Values.................................................................................................................................4
Table 2.1-3 Media Services ..........................................................................................................................4
Table 3.2-1 Storage AE SOP Class Support..............................................................................................10
Table 3.2-2 Storage AE Proposed Presentation Contexts to an Storage Server.......................................13
Table 3.2-3 Ultrasound Multi-frame Image SOP Class ..............................................................................13
Table 3.2-4 Storage AE Behavior to C-Store Status ..................................................................................16
Table 3.2-5 Worklist AE SOP Class Support..............................................................................................17
Table 3.2-6 Worklist AE Proposed Presentation Contexts to a Worklist Server ........................................19
Table 3.2-7 Worklist AE Behavior to C-FIND Status ..................................................................................19
Table 3.2-8 Modality Worklist Communication Failure Behavior................................................................20
Table 3.2-9 Worklist Request Identifier.......................................................................................................21
Table 3.2-10 Patient Based Query Attributes .............................................................................................22
Table 3.2-11 Broad Query Attributes..........................................................................................................22
Table 3.4-1 Volcano Extended and Private Elements................................................................................23
Table 3.5-1 Compression Settings..............................................................................................................24
Table 4.2-1 Application Profiles, Activities, and Roles................................................................................27
Table 4.2-2 Supported IODS, SOP Classes and Transfer Syntaxes .........................................................27
Table 4.2-3 DICOM Part 10 File Meta Information.....................................................................................27
Table 4.2-4 DICOMDIR Attributes ..............................................................................................................28


LIST OF FIGURES
Figure 3-1 Networking Implementation Model..............................................................................................8
Figure 3-2 Sequencing Constraints ..............................................................................................................9
Figure 3-3 Sequencing of Activity - Archive to Network .............................................................................11
Figure 3-4 Sequencing of Activity - Check Server......................................................................................12
Figure 3-5 Sequencing of Activity - Worklist Search...................................................................................18
Figure 3-6 Sequence of Activity - Check Worklist Server...........................................................................19
Figure 4-1 Media Storage Implementation Model.......................................................................................26

s5
DICOM Conformance Statement
Control #
804209-003/003

Page 4 of 30
1 CONFORMANCE STATEMENT OVERVIEW

The s5 System implements the necessary DICOM services to query a Worklist from an information
system and transfer acquired images to a Network storage server device.

Table 2.1-1 provides an overview of the network services supported by the Volcano s5 System.

Table 2.1-1 Networking Services
Networking SOP Classes User of Service (SCU) Provider of Service (SCP)
Transfer
Ultrasound Multi-frame Image Storage Yes No
Workflow Management
Modality Worklist Yes No
General
Verification Yes No



The SOP Classes supported by the Volcano s5 system are categorized in Table 2.1-2

Table 2.1-2 UID Values
UID Value UID Name Category
1.2.840.10008.5.1.4.1.1.3.1 Ultrasound Multi-frame Image Storage Transfer
1.2.840.10008.5.1.4.31 Modality Worklist Information Model FIND Workflow Management
1.2.840.10008.1.1 Verification General


The s5 System implements the necessary DICOM services to write acquired images to a DVD Exchange
Media. Table 2.1-3 provides an overview of the Media Storage Application Profiles and roles supported
by the Volcano s5 System.

Table 2.1-3 Media Services
Media Storage
Application Profile
Write Files
(FSC or FSU)
Read Files (FSR)
DVD
Ultrasound (STD-US-SC-MF-DVD) FSC No
1

Note 1: The s5 system will only read DVD media that was created by a Volcano s5 system.


s5
DICOM Conformance Statement
Control #
804209-003/003

Page 5 of 30
2 INTRODUCTION
This document describes the Volcano s5 Intravascular Ultrasound Systems conformance to the ACR-
NEMA DICOM (Digital Imaging and Communications in Medicine) standard and satisfies the DICOM
requirement for a vendor conformance specification.

The s5 system is an Intravascular Ultrasound (IVUS) imaging device. The DICOM feature of the s5
system provides a means to send images to DICOM storage servers and DVD Exchange Media

This document is written with respect to ACR-NEMA DICOM standard, version 3.0 - 2004.

DICOM Background
The DICOM information exchange specification provides a definitive structure of commands and
information that allow for the inter-communication of medical imaging devices. Developed by the
American College of Radiology (ACR) and the National Electrical Manufacturers Association (NEMA), the
DICOM standard strives to promote communication of image information through the use of a
standardized set of command classes and information semantics.

The DICOM standard defines classes of information that are common to many modalities of medical
imaging. However, to meet the specific needs of information content for such a diverse range of
information, the DICOM specification defines structures for a multitude of medical data. To alleviate the
need for applications to implement every aspect of the DICOM specification, a list of conformance tables
for every modality was created to define the minimum set of information necessary for data exchanges.
A requirement of the DICOM specification is to maintain a compliance document that outlines a subset of
DICOM services and data classes that are supported by a device. The purpose of this document is to
define a subset of DICOM for the exchange of information with the Volcano s5 via its DICOM feature.
2.1 DEFINITIONS
AE Application Entity
ANSI American National Standards Institute
CIS Cardiology Information System
DICOM Digital Imaging and Communications in Medicine
DIMSE DICOM Message Service Element
DISTA DICOM Study Transfer Agent
DVD Digital Versatile Disc
FSC File Set Creator
FSU File Set Updater
FSR File Set Reader
HIS Hospital Information System
IE Information Entity
IOD Information Object Definition
IVUS Intravascular Ultrasound
KHz Kilohertz
LUT Look Up Table
PACS Picture Archive and Communication System
PDU Protocol Data Unit
SCU Service Class User (Client)
SCP Service Class Provider (Server)
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DICOM Conformance Statement
Control #
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SOP Service Object Pair
TCP/IP Transmission Control Protocol/Internet Protocol
UID Unique Identifier
IVUS Intravascular Ultrasound
VOI Value Of Interest
VH Virtual Histology
VR Value Representation

2.2 REFERENCE DOCUMENTS
ACR-NEMA DICOM Standard Version 3.0 2004

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DICOM Conformance Statement
Control #
804209-003/003

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3 NETWORKING
3.1 IMPLEMENTATION MODEL
The s5 DICOM feature incorporates the DICOM 3.0 standard for networked image store functions.
Images are transferred from the s5 IVUS system using standard network connections to be processed on
a DICOM compatible storage device.

The s5 allows multiple remote Worklist and Storage devices to be configured. Worklist is queried from the
default Worklist server, selected in the DICOM/Network Worklist Server Configuration menu. Images are
transferred to the default remote DICOM storage server, selected in the DICOM/Network Storage Server
Configuration menu.

After a successful Archive to Network operation, the transferred cases are marked as Archived and are
subject to automatic deletion.

Verification status is obtained from storage servers using DICOM Verify (C-Echo).
3.1.1 APPLICATION DATA FLOW DIAGRAM
The diagram in Figure 3-1represents the relationship between the IVUS systems real-world activities
(circles on the left), the local AEs built into the s5 (boxes in the center), and the remote AEs built into the
devices that the s5 communicates with using DICOM (boxes on the right).
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DICOM Conformance Statement
Control #
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Figure 3-1 Networking Implementation Model
C-ECHO RQ
C-ECHO RSP
DICOM
Standard
Interface
Local
Real-World
Activity
Storage SCP
Application
Entity
C-STORE RQ
C-STORE RSP
Remote
Real-World
Activity
Local
Application
Entity
Worklist SCP
Application
Entity
C-FIND RQ
C-FIND RSP
C-ECHO RQ
C-ECHO RSP
Check
Server
Archive to
Network
Storage SCU
AE
Worklist SCU
AE
Worklist
Search


The following are the conditions that invoke real-world activities associated with AEs.

3.1.1.1 ARCHIVE TO NETWORK REAL-WORLD ACTIVITY
Archive to Network real-world activity occurs when the user selects one or more cases in the s5 Archive
dialog and then initiates the Archive to Network function. Each case is transferred to the remote storage
server in a separate DICOM Association. Cases are transferred to the default remote storage server,
which is selected through the Select Server drop down box located in the DICOM/Network configuration
menu.

3.1.1.2 QUERY WORKLIST REAL-WORLD ACTIVITY
Query Worklist real-world activity occurs when the user selects the Search button located in the Worklist
dialog. A list of matching Worklist items are returned from the current selected Worklist server.
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DICOM Conformance Statement
Control #
804209-003/003

Page 9 of 30
3.1.1.3 CHECK SERVER REAL-WORLD ACTIVITY
The Check Server real-world activity occurs when the user selects the Check button in the DICOM /
Network - Worklist Server configuration menu. A C-ECHO operation is performed on the currently
selected remote DICOM Storage Server in the Select Server drop down box.
3.1.2 FUNCTIONAL DEFINITIONS OF AES
3.1.2.1 STORAGE SCU AE
This s5 Storage SCU Application Entity handles getting status from (Check Server) and sending IVUS
images to a remote storage server (Archive to Network) using the DICOM C-STORE SCU services. An
association request is sent to the remote storage AE and upon successful negotiation of a Presentation
Context the image transfer is started. If the association cannot be opened, an error is reported to the user
and the transfer fails. The Storage AE will not try to initiate another association for this transfer
automatically.

3.1.2.2 WORKLIST SCU AE
This s5 Worklist SCU Application Entity handles getting status from (Check Server) and querying a
remote Modality Worklist server using the DICOM Worklist SCU services. Worklist Search attempts to
download a list of Scheduled Procedure Steps from a remote Worklist AE. If the Worklist AE establishes
an Association to a remote AE, it will transfer all Worklist items via the open Association. During receiving
the Worklist response items are counted and the query processing is canceled if the configurable
maximum limit of items is exceeded. The results will be displayed in a list, which will be cleared with the
next Worklist Search operation. An automatic Worklist query is initiated when the system is first powered
on. All subsequent queries must be initiated manually by the user. The current Worklist is persisted
between system power cycles to allow Worklist access in the event that a network connection is not
available.
3.1.3 SEQUENCING OF REAL-WORLD ACTIVITIES
All real world activities that initiate communication to remote AEs operate synchronously with respect to
each other and other s5 system operations.

Workflow
Department
Scheduler
Image
Manager
Storage
1. Query Worklist
2. Receive Worklist
3. Select Scheduled Procedure Step
4. Acquire Images
5. End Case
6. Store Acquired Images

Figure 3-2 Sequencing Constraints

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DICOM Conformance Statement
Control #
804209-003/003

Page 10 of 30
Under normal scheduled workflow conditions the sequencing constraints illustrated in Figure 3-2
Sequencing Constraints apply:

1. Query Worklist
2. Receive Worklist of Modality Scheduled Procedure Steps (SPS)
3. Select Work item (SPS) from Worklist
4. Acquire Images
5. Complete acquisition (End Case)
6. Store acquired images instances

If the Image Manager is configured as an archive device the Storage AE will request Storage
Other workflow situations (e.g. unscheduled procedure steps) will have other sequencing constraints.
3.2 AE SPECIFICATIONS
3.2.1 STORAGE AE SPECIFICATION
The s5 Storage AE provides conformance to the DICOM V3.0 SOP Classes listed in Table 3.2-1 as an
SCU.
Table 3.2-1 Storage AE SOP Class Support
SOP Class Name SOP CLASS UID CONFORMANCE LEVEL
Verification 1.2.840.10008.1.1 Standard
Ultrasound Multi-frame Image Storage 1.2.840.10008.5.1.4.1.1.3.1 Standard

3.2.1.1 ASSOCIATION ESTABLISHMENT POLICIES
The Storage AE will initiate an association to a device in response to the following real-world activities;
Archive to Network.

3.2.1.1.1 GENERAL
The Volcano s5 system uses TCP/IP. The Maximum Length PDU negotiation is included in all association
establishment requests. The maximum length PDU offered for an association initiated by the Volcano s5
system is:

Maximum PDU size offered to SCP 65536 bytes

The following DICOM Application Context Name UID is proposed and recognized:

DICOM Application context name: 1.2.840.10008.3.1.1.1

3.2.1.1.2 NUMBER OF ASSOCIATIONS
Number of simultaneous associations: 1

3.2.1.1.3 ASYNCHRONOUS NATURE
The Storage AE will not use asynchronous operations.

3.2.1.1.4 IMPLEMENTATION IDENTIFYING INFORMATION
Implementation Class UID: 2.16.840.1.113977.2
Implementation Version name: VOL_DISTA_2.0

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DICOM Conformance Statement
Control #
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Note: 113977 is registered by Volcano (previously registered by EndoSonics) with ANSI. Version name
will be used initially as shown, but is subject to change with new versions of the DICOM capable
application software.

3.2.1.2 ASSOCIATION INITIATION BY REAL-WORLD ACTIVITY
The Storage AE will open an association to the currently selected remote storage server device in
response to the following real-world activities; Archive To Network, and Check Status.

3.2.1.2.1 ASSOCIATION INITIATION BY: ARCHIVE TO NETWORK
The Archive to Network real-world activity will cause the Storage AE to open an association with the
current selected remote storage server. The current storage server is selected in the Select Server list
located in the DICOM/Network Configuration menu. In the s5 Archive dialog, the user can select one or
more cases (Studies) for transfer to a single DICOM Storage destination. A separate association is
opened for each Study/Series transferred. If the Study/Series contains multiple images then multiple C-
STORE requests will be issued over the same Association.

Storage
SCU AE
Storage
SCP AE
1. Open Association
C-STORE Image SOP Instance
3. Close Association
C-STORE Response Status =Success
2. For each image being transferred

Figure 3-3 Sequencing of Activity - Archive to Network
A possible sequence of interactions between the s5 Storage AE and a remote Storage AE (e.g. Image
Manager) is illustrated in Figure 3-1:

1. The Storage AE opens an association with the Image Manager
2. Acquired images are transferred, one at a time, to the Image Manager using C-STORE requests.
The Image Manager replies with a C-STORE response (Status Success) for each successful
image transfer.
3. The Storage AE closes the association with the Image Manager.

3.2.1.2.2 ASSOCIATION INITIATION BY: CHECK STATUS
The Check Status real-world activity will cause the Storage AE to open an association with the current
selected remote storage server, in the Select Server list located in the DICOM/Network Configuration
menu.

s5
DICOM Conformance Statement
Control #
804209-003/003

Page 12 of 30
Storage
SCU AE
Storage
SCP AE
1. Open Association
2. C-ECHO Request
4. Close Association
3. C-ECHO Response - Status =Success

Figure 3-4 Sequencing of Activity - Check Server
s5
DICOM Conformance Statement
Control #
804209-003/003

Page 13 of 30

3.2.1.3 PROPOSED PRESENTATION CONTEXTS TO AN STORAGE SERVER
Each time an association is initiated, the Association Initiator proposes a number of Presentation
Contexts to be used on that association. Table 3.2-2 shows the Presentation Contexts proposed by the
s5 Storage AE during an Archive to Network operation.
Table 3.2-2 Storage AE Proposed Presentation Contexts to an Storage Server
Presentation Context Table
Abstract Syntax Transfer Syntax
Name UID Name List UID List
Role Extended
Negotiatio
Verification 1.2.840.10008.1.1 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Ultrasound
Multi-frame
Image
Storage
1.2.840.10008.5.1.4.1.1.3.1
Implicit VR Little Endian
Explicit VR Little Endian
J PEG Baseline (Process 1)
1.2.840.10008.1.2
1.2.840.10008.1.2.1
1.2.840.10008.1.2.4.50
SCU None

3.2.1.3.1 VERIFICATION SOP CLASS
The Storage AE provides standard conformance to the Verification SOP Class as an SCU. The remote
SCP should be able support Verification in the same association as the Store Command (C-Store).

3.2.1.3.2 ULTRASOUND MULTI-FRAME IMAGE STORAGE SOP CLASS
The Ultrasound Image Storage SOP Class uses the Common Composite Image IOD Modules as shown
in Table 3.2-3.
Table 3.2-3 Ultrasound Multi-frame Image SOP Class
Module:
Attribute name: Tag:
T
y
p
e
:

Notes:
Patient's Name (0010,0010) 2
Copied from Worklist or entered in Patient dialog if
procedure was unscheduled.
Patient ID (0010,0020) 2
Copied from Worklist or entered in Patient dialog if
procedure was unscheduled.
Patient's Birth Date (0010,0030) 2
Copied from Worklist or entered in Patient dialog if
procedure was unscheduled.
Patient
Patient's Sex (0010,0040) 2
Copied from Worklist or entered in Patient dialog if
procedure was unscheduled.
Study Instance UID (0020,000D) 1
Copied from Worklist. Internally generated if procedure
was unscheduled.
Study Date (0008,0020) 2
Date the IVUS procedure began.
Study Time (0008,0030) 2
Time the IVUS procedure began.
Referring Physician's Name (0008,0090) 2
Copied from Worklist. Sent as zero length if procedure
was unscheduled.
Study ID (0020,0010) 2
Copied from Worklist "Requested Procedure ID" or
entered in Patient dialog.
Accession Number (0008,0050) 2
Copied from Worklist or entered in Patient dialog.
Study Description (0008,1030) 3
Copied from Worklist "Scheduled Procedure Step
Description" or set to "IVUS Procedure" if procedure
was unscheduled.
Referenced Study Sequence (0008,1110) 3
Copied from Worklist. Not sent if procedure was
unscheduled.
>Referenced SOP Class UID (0008,1150) 1C

>Referenced SOP Instance UID (0008,1155) 1C

Procedure Code Sequence (0008,1032) 3
Copied from Worklist "Requested Procedure Code
Sequence". Not sent if procedure was unscheduled.
>Code Value (0008,0100) 1C

General
Study
>Coding Scheme Designator (0008,0102) 1C

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>Code Meaning (0008,0104) 1C

Patient's Age (0010,1010) 3
Patient
Study
Additional Patients History (0010,21B0) 3
Entered in Patient dialog - History Checklist
Modality (0008,0060) 1
Set to either IVUS or US (configurable)
Series Instance UID (0020,000E) 1
s5 generated UID
Series Number (0020,0011) 2
Set to 1
Laterality (0020,0060) 2C
Zero length
Series Date (0008,0021) 3
Date the series was created
Series Time (0008,0031) 3
Time the series was created
Performing Physicians Name (0008,1050) 3
Copied from Worklist "Scheduled Performing
Physician's Name" or entered in Patient dialog.
Series Description (0008,103E) 3
Set to "IVUS"
Request Attributes Sequence (0040,0275) 3
Copied from Worklist. Not sent if procedure was
unscheduled.
>Scheduled Procedure Step Description (0040,0007) 3

>Scheduled Procedure Step ID (0040,0009) 1C

>Requested Procedure ID (0040,1001) 1C

Performed Procedure Step ID (0040,0253) 3
Copied from Worklist "Scheduled Procedure Step ID" or
set to 1 if procedure was unscheduled.
Performed Procedure Step Start Date (0040,0244) 3
Same as Study Date
Performed Procedure Step Start Time (0040,0245) 3
Same as Study Time
General
Series
Performed Procedure Step Description (0040,0254) 3
Same as Study Description
Synchronization Frame of Reference UID (0020,0200) 1
Always set to 2.16.840.1.113977.530408.
Only included if Modality (0008,0060) is IVUS.
Synchronization Trigger (0018,106A) 1
Set to "NO TRIGGER".
Only included if Modality (0008,0060) is IVUS.
Synchroniz
ation
Acquisition Time Synchronized (0018,1800) 1
Set to "N.
Only included if Modality (0008,0060) is IVUS.
Manufacturer (0008,0070) 2
Set to Volcano Corp
Institution Name (0008,0080) 3
Entered in the patient information dialog
Station Name (0008,1010) 3
The s5 computer host name
Manufacturer's Model Name (0008,1090) 3
Set to "s5"
Device Serial Number (0018,1000) 3
s5 system serial number.
General
Equipment
Software Versions (0018,1020) 3
s5 software version \ DICOM toolkit version.
Instance Number (0020,0013) 2
Set to between 1 to n images in series
Patient Orientation (0020,0020) 2C
Set to Zero length
Content Date (0008,0023) 2C
Image creation date.
Content Time (0008,0033) 2C
Image creation time.
Referenced Image Sequence (0008,1140) 3
Used by VH Images to reference related Grayscale
Video Loop Image.
>Referenced SOP Class UID (0008,1150) 1C
Always set to "1.2.840.10008.5.1.4.1.1.3.1"
>Referenced SOP Instance UID (0008,1155) 1C
UID of the reference Grayscale Video Loop Image
>Referenced Frame Number (0008,1160) 3
Matching frame numbers
Derivation Description (0008,2111) 3
Set to J PEG Lossy. Only included if J PEG Lossy
Compression is used
Source Image Sequence (0008,2112) 3
Only included with Static images from VL, to reference
the Source Video Loop image.
>Referenced SOP Class UID (0008,1150) 1C
Always set to "1.2.840.10008.5.1.4.1.1.3.1"
>Referenced SOP Instance UID (0008,1155) 1C
UID of the Source Video Loop
>Referenced Frame Number (0008,1160) 3
Source Video Loop frame number.
Image Comments (0020,4000) 3
Case Explorer - User entered image labels.
Lossy Image Compression Ratio (0028,2112) 3
Only included if J PEG Lossy Compression has been
applied to the image.
General
Image
Lossy Image Compression Method (0028,2114) 3
Set to ISO_10918_1. Only included if J PEG Lossy
Compression has been applied to the image.
Rows (0028,0010) 1
Set to 500
Columns (0028,0011) 1
Set to 500
Image Pixel
Pixel Data (7FE0,0010) 1

Cine Frame Time Vector (0018,1065) 1C
Increments (in msec) between frames. 1 for each frame
in the image.
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Start Trim (0008,2142) 3
Segment of Interest starting frame number. Only
included for Video Loop images.
Stop Trim (0008,2143) 3
Segment of Interest ending frame number. Only
included for Video Loop images
Recommended Display Frame Rate 0008,2144) 3
Recommended display rate in frames/second. Only
sent for Video Loops.
Cine Rate (0018,0040) 3
Number of frames per second. Only sent for Video
Loops.
Number of Frames (0028,0008) 1
Set to 1 for still images, or 2-n for Video Loops
Multi-frame
Frame Increment Pointer (0028,0009) 1
Set to (0018,1065) - Frame Time Vector
Frame Numbers Of Interest (0028,6020) 3
Used for Case Explorer bookmarks. Only included if
bookmarks are used.
Frame Of Interest Description (0028,6022) 3
Case Explorer - User entered bookmark text. Only
included if bookmarks are used.
Frame
Pointers
Frame of Interest Type (0028,6023) 3
Set to BOOKMARK or MLA. Only included if
bookmarks are used.
Red Palette Color Lookup Table Descriptor (0028,1101) 1C
Set to 256\0\16. Only included for PALETTE COLOR
images
Green Palette Color Lookup Table Descriptor (0028,1102) 1C
Set to 256\0\16. Only included for PALETTE COLOR
images
Blue Palette Color Lookup Table Descriptor (0028,1103) 1C
Set to 256\0\16. Only included for PALETTE COLOR
images
Red Palette Color Lookup Table Data (0028,1201) 1C
Only included for PALETTE COLOR images
Green Palette Color Lookup Table Data (0028,1202) 1C
Only included for PALETTE COLOR images
Palette
Color
Lookup
Table
Blue Palette Color Lookup Table Data (0028,1203) 1C
Only included for PALETTE COLOR images
Sequence of Ultrasound Regions (0018,6011) 1

>Region Location Min x0 (0018,6018) 1
Set to 0
>Region Location Min y0 (0018,601A) 1
Set to 0
>Region Location Max x1 (0018,601C) 1
Set to 499
>Region Location Max y1 (0018,601E) 1
Set to 499
>Physical Units X Direction (0018,6024) 1
Set to 0003H =cm
>Physical Units Y Direction (0018,6026) 1
Set to 0003H =cm
>Physical Delta X (0018,602C) 1
In centimeters per pixel
>Physical Delta Y (0018,602E) 1
In centimeters per pixel
>Region Spatial Format (0018,6012) 1
Set to 0001H - 2D (tissue or flow)
>Region Data Type (0018,6014) 1
Set to 0001H - Tissue
US Region
Calibration
>Region Flags (0018,6016) 1
Set to 0002H - High priority/Protected
Samples Per Pixel (0028,0002) 1
Set to 1 for PALETTE COLOR, 3 for RGB or
YBR_FULL_422
Photometric Interpretation (0028,0004) 1
Set to YBR_FULL_422, PALETTE COLOR, or RGB
Bits Allocated (0028,0100) 1
Set to 8
Bits Stored (0028,0101) 1
Set to 8
High Bit (0028,0102) 1
Set to 7
Planar Configuration (0028,0006) 1C
Set to 0 =color-by-pixel. Only included if Photometric
Interpretation =RGB or YBR_FULL_422
Pixel Representation (0028,0103) 1
Set to 0 =unsigned integer
Frame Increment Pointer (0028,0009) 1C
Set to (0018,1065) - Frame Time Vector
Image Type (0008,0008) 2
Set to ORIGINAL\PRIMARY\INTRAVASCULAR\nnnn.
Value 4: 0001 =Grayscale, 0101 =ChromaFlo, 0201=
VH
Lossy Image Compression (0028,2110) 1C
Set to 01. Only included if J PEG Lossy Compression
has been applied to the image.
Ultrasound Color Data Present (0028,0014) 3
Set to 1 for ChromaFlo and VH Images, otherwise 0
Acquisition Date time (0008,002A) 1C
Date and time that 1st frame of image was acquired.
IVUS Acquisition (0018,3100) 1C
Set to MOTOR_PULLBACK, MANUAL_PULLBACK for
Video Loops, or SELECTIVE for still images.
Only included if Modality (0008,0060) is IVUS.
US Image
IVUS Pullback Rate (0018,3101) 1C
Set to 0.5 or 1.0 mm per second. Only Included if IVUS
Acquisition (0018,3100) is MOTOR_PULLBACK, and
Modality (0008,0060) is IVUS.
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IVUS Pullback Start Frame Number (0018,3103) 1C
Set to 1. Only Included if IVUS Acquisition (0018,3100)
value is MOTOR_PULLBACK, and Modality
(0008,0060) is IVUS.
IVUS Pullback Stop Frame Number (0018,3104) 1C
Last frame acquired. Only Included if IVUS Acquisition
(0018,3100) is MOTOR_PULLBACK, and Modality
(0008,0060) is IVUS.
Transducer Data (0018,5010) 3
Catheter name, model and Serial number
Depth of Scan Field (0018,5050) 3
Set to 1/2 the grayscale image diameter
Transducer Type (0018,6031) 3
Set to IV_PHASED
SOP Class UID (0008,0016) 1
Always Ultrasound Multi-frame Image Storage SOP
Class 1.2.840.10008.5.1.4.1.1.3.1
SOP Instance UID (0008,0018) 1
s5 generated UID
SOP
Common
Specific Character Set (0008,0005) 1C
Always set to ISO_IR 100

3.2.1.4 STORAGE AE BEHAVIOR TO C-STORE STATUS

The s5 C-STORE response behavior to returned status codes is detail in Table 3.2-4. All errors and
warnings are logged to the system event log.

Table 3.2-4 Storage AE Behavior to C-Store Status
Service
Status
Further Meaning Status
Codes
Storage AE Behavior
Success 0000 Continue without user notification
Refused Out of Resources A7xx Association terminated. User notified.
Data Set does not match SOP Class A9xx Association terminated. User notified.
Error
Cannot understand Cxxx Association terminated. User notified.
Coercion of data elements B000 Ignored - Message logged.
Data set does not match SOP class B007 Ignored - Message logged. Warning
Elements discarded B006 Ignored - Message logged.

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3.2.2 WORKLIST AE SPECIFICATION
The s5 Worklist AE provides conformance to the DICOM V3.0 SOP Classes listed in Table 3.2-5 as an
SCU.
Table 3.2-5 Worklist AE SOP Class Support
SOP Class Name SOP CLASS UID CONFORMANCE LEVEL
Verification 1.2.840.10008.1.1 Standard
Modality Worklist Information Model FIND 1.2.840.10008.5.1.4.31 Standard

3.2.2.1 ASSOCIATION ESTABLISHMENT POLICIES
The Worklist AE will initiate an association to a device in response to the following real-world activities;
Worklist Search & Check Status.

3.2.2.1.1 GENERAL
The Volcano s5 system uses TCP/IP. The Maximum Length PDU negotiation is included in all association
establishment requests. The maximum length PDU offered for an association initiated by the Volcano s5
system is:

Maximum PDU size offered to SCP 65536 bytes

The following DICOM Application Context Name UID is proposed and recognized:

DICOM Application context name: 1.2.840.10008.3.1.1.1

3.2.2.1.2 NUMBER OF ASSOCIATIONS
Number of simultaneous associations: 1

3.2.2.1.3 ASYNCHRONOUS NATURE
The Worklist AE will not use asynchronous operations.

3.2.2.1.4 IMPLEMENTATION IDENTIFYING INFORMATION
Implementation Class UID: 2.16.840.1.113977.2
Implementation Version name: VOL_DISTA_2.0

Note: 113977 is registered by Volcano (previously registered by EndoSonics) with ANSI. Version name
will be used initially as shown, but is subject to change with new versions of the DICOM capable
application software.

3.2.2.2 ASSOCIATION INITIATION BY REAL-WORLD ACTIVITY
The Worklist AE will open an association to the currently selected remote Worklist server device in
response to the following real-world activities; Worklist - Search, and Check Status.

3.2.2.2.1 ASSOCIATION INITIATION BY: WORKLIST SEARCH
The Worklist Search real-world activity will cause the Worklist AE to open an association with the current
selected remote storage server, in the Select Server list located in the DICOM/Network Worklist Server
Configuration menu.

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Worklist
SCU AE
Worklist
SCP AE
1. Open Association
2. C-FIND Request (Worklist Query)
4. C-FIND Response - Status =Success
5. Close Association
3. C-FIND Response (Worklist Item) - Status =Pending
4. C-FIND Response (Worklist Item) - Status =Pending
6. Select Worklist Item

Figure 3-5 Sequencing of Activity - Worklist Search
A possible sequence of interactions between the Worklist AE and a Departmental Scheduler (e.g. a
device such as a CIS or HIS which supports the Modality Worklist SOP Class as an SCP) is illustrated in
the Figure 3-1 above:

1. The s5 Worklist AE opens an association with the remote Worklist AE (e.g. Departmental
Scheduler).
2. The s5 Worklist AE sends a C-FIND request to the Departmental Scheduler containing the
Worklist Query attributes.
3. The Departmental Scheduler returns a C-FIND response containing the requested attributes of
the first matching Worklist Item.
4. The Departmental Scheduler returns another C-FIND response containing the requested
attributes of the second matching Worklist Item.
5. The Departmental Scheduler returns another C-FIND response with status Success indicating
that no further matching Worklist Items exist. This example assumes that only 2 Worklist items
match the Worklist Query.
6. The s5 Worklist AE closes the association with the Departmental Scheduler.
7. The user selects a Worklist Item from the Worklist and prepares to acquire new images.

3.2.2.2.2 ASSOCIATION INITIATION BY: CHECK STATUS
The Check Status real-world activity will cause the Worklist AE to open associations with the current
selected remote Worklist server, in the Select Server list located in the DICOM/Network Worklist
Configuration menu.

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Worklist
SCU AE
Worklist
SCP AE
1. Open Association
2. C-ECHO Request
4. Close Association
3. C-ECHO Response - Status =Success

Figure 3-6 Sequence of Activity - Check Worklist Server


3.2.2.3 PROPOSED PRESENTATION CONTEXTS TO AN WORKLIST SERVER
Each time an association is initiated, the Association Initiator proposes a number of Presentation
Contexts to be used on that association. Table 3.2-6 shows the Presentation Contexts proposed by the
s5 Worklist AE during an Worklist Search operation.

Table 3.2-6 Worklist AE Proposed Presentation Contexts to a Worklist Server
Presentation Context Table
Abstract Syntax Transfer Syntax
Name UID Name List UID List
Role Extended
Negotiatio
Verification 1.2.840.10008.1.1 Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Modality Worklist
Information Model
FIND
1.2.840.10008.5.1.4.31

Implicit VR Little Endian
Explicit VR Little Endian

1.2.840.10008.1.2
1.2.840.10008.1.2.1
SCU None

3.2.2.3.1 VERIFICATION SOP CLASS
The Worklist AE provides standard conformance to the Verification SOP Class as an SCU. The remote
SCP should support Verification in the same association as the Worklist Command (C-Find).

3.2.2.4 WORKLIST AE BEHAVIOR TO C-FIND STATUS

The s5 C-FIND response behavior to returned status codes is detail in Table 3.2-7. All errors and
warnings are logged to the system event log.
Table 3.2-7 Worklist AE Behavior to C-FIND Status
Service
Status
Further Meaning Status
Codes
Worklist AE Behavior
Success Matching is complete 0000
The SCP has completed the matches. Worklist
items are available for display.
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Out of resources A700 The Association is aborted using A-ABORT and
the Worklist query is marked as incomplete. The
status meaning is logged and the error is reported
to the user.
Identifier does not match SOP class A900 The Association is aborted using A-ABORT and
the Worklist query is marked as failed. The status
meaning is logged and the error is reported to the
user.
Failure

Unable to process C001

The Association is aborted using A-ABORT and
the Worklist query is marked as incomplete. The
status meaning is logged and the error is reported
to the user.
Cancel Matching terminated due to cancel
request
FE00 The query may be cancelled by the user, or due to
the maximum number of Worklist results being
exceeded. Worklist items received prior to the
cancel are available for display and further
processing. The Association is closed and the
Worklist query is marked as incomplete. The
status is logged.
Matching is continuing FF00 The Worklist item contained in the Identifier is
collected for later display or further processing.
Pending

Matching is continuing Current match
is supplied and any optional keys were
supported in the same matter as
required keys
FF01 The Worklist item contained in the Identifier is
collected for display or further processing. The
status meaning is logged only once for each C-
FIND operation.
* * Any
other
status
code.
The Association is aborted using A-ABORT and
the Worklist is marked as incomplete. The status
meaning is logged and the error is reported to the
user.


The behavior of Worklist AE during communication failure is summarized in Table 3.2-8.

Table 3.2-8 Modality Worklist Communication Failure Behavior
Exception Behavior
Timeout The Association is aborted using A-ABORT and the Worklist query
marked as incomplete. The reason is logged and reported to the user.
Association aborted by the SCP
or network layers
Worklist query marked as incomplete. The reason is logged and
reported to the user.

3.2.2.5 WORKLIST REQUEST ATTRIBUTES
Table 2.1-2provides a description of the s5 Modality Worklist Request Identifier and specifies the
attributes that are copied into the images. Unexpected attributes returned in a C-FIND response are
ignored.

Acquired images will always use the Study Instance UID specified for the Scheduled Procedure Step (if
available). If an acquisition is unscheduled, a Study Instance UID will be generated locally.

Requested return attributes not supported by the SCP are set to have no value. Non-matching responses
returned by the SCP due to unsupported optional matching keys are ignored. No attempt is made it filter
out possible duplicate entries.

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Table 3.2-9 Worklist Request Identifier
s5
Attribute Name: Tag: VR: M
a
t
c
h
i
n
g

K
e
y

R
e
t
u
r
n

K
e
y

P
a
t
i
e
n
t

D
i
a
l
o
g

W
o
r
k
l
i
s
t

I
m
a
g
e

I
O
D

Notes:
SOP Common
Specific Character Set (0008,0005) CS X
Only the Default repertoire and ISO_IR 100
character sets are supported.
Patient Identification
Patient's Name (0010,0010) PN X X X X X Wild card matching
Patient ID (0010,0020) LO X X X X X SVM only.
Patient Demographic
Patients Birth Date (0010,0030) DA X X X
Patient's Sex (0010,0040) CS X X X
Scheduled Procedure Step
Scheduled Procedure Step Sequence (0040,0100) SQ X
>Modality (0008,0060) CS X X X
May be set to either IVUS, XA, US, CT, MR
or zero length (universal matching)
>Scheduled Station AE Title (0040,0001) AE X X X
Set to either s5 system AE Title or zero
length (universal matching)
>Scheduled Procedure Step Start Date (0040,0002) DA X X X
Set to user specified date range: Today, 3
days, or All Dates (universal matching)
>Scheduled Procedure Step Start Time (0040,0003) TM X X
>Scheduled Performing Physician's Name (0040,0006) PN X X X Copied to Performing Physician's Name.
>Scheduled Procedure Step Description (0040,0007) LO X X X
Copied to Request Attributes Code
Sequence & Study Description.
>Scheduled Procedure Step ID (0040,0009) SH X X
Copied to Request Attributes Code
Sequence.
Requested Procedure
Requested Procedure ID (0040,1001) SH X X X X X
SVM only. Copied to Request Attributes
Code Sequence & Study ID. See (IHE-5)
Requested Procedure Description (0032,1060) LO X X
Copied to Study Description if SPS
Description in not available.
Requested Procedure Code Sequence (0032,1064) SQ X X Copied to Procedure Code Sequence.
>Code Value (0008,0100) SH X X
>Coding Scheme Designator (0008,0102) SH X X
>Code Meaning (0008,0104) LO X X X
Copied to Study Description if SPS or RP
Description is not available.
Study Instance UID (0020,000D) UI X X
Referenced Study Sequence (0008,1110) SQ X X
Shall be absent when a procedure is
unscheduled (IHE-18)
>Referenced SOP Class UID (0008,1150) UI X X
>Referenced SOP Instance UID (0008,1155) UI X X
Imaging Service Request
Accession Number (0008,0050) SH X X X X X SVM only.
Referring Physician's Name (0032,1033) PN X X





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Page 22 of 30

Legend:
Matching Key X indicates that this attribute is used as a matching key for Worklist queries
Return Key X in this column indicates a Return Key attribute.
Patient Dialog X in this column indicates that this attribute is displayed in the Patient Information dialog
Worklist X in this column indicates that this attribute is displayed in the Worklist.
Image IOD X in this column indicates this attribute is returned to the PACS in the Image IODs.
See Notes
SVM Single Value Matching.

3.2.2.5.1 PATIENT BASED MODALITY WORKLIST QUERY ATTRIBUTES
The values for the attributes listed in Table 3.2-10 may be entered in the Worklist dialog to facilitate
Patient Based Modality Worklist queries. Corresponding values from the Patient Information dialog are
copied into the query fields when the Worklist dialog is entered. Valid data must be entered in at least one
Patient Based query field if universal matching is used for all Broad query parameters.
Table 3.2-10 Patient Based Query Attributes
Attribute Name: Tag: Description:
Patient's Name (0010,0010)
A wildcard * is appended to the end of each component of the structured Patient
Name to facilitate matching with both structured and unstructured Patient Names.
Patient ID (0010,0020) Single Value Matching only.
Requested Procedure ID (0040,1001) Single Value Matching only.
Accession Number (0008,0050) Single Value Matching only.

3.2.2.5.2 BROAD MODALITY WORKLIST QUERY ATTRIBUTES
The attributes listed in Table 3.2-11 may be configured in the Worklist dialog to facilitate Broad Modality
Worklist queries. Changes made to these Broad query parameters persist between power cycles.
Table 3.2-11 Broad Query Attributes
Attribute Name: Tag: Description:
Modality (0008,0060)
May be configured to use either IVUS, XA, US, CT, MR or zero
length (universal matching).
Scheduled Station AE Title (0040,0001)
May be configure to use either s5 Worklist AE Title or zero length
(universal matching). The s5 Worklist SCU AE Title is configured in
the DICOM / Networking configuration dialog.
Scheduled Procedure Step Start Date (0040,0002)
May be configure to use the following date ranges:
- Today
- 3 Days (yesterday, today and tomorrow)
- All dates (universal matching)

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3.3 COMMUNICATION PROFILES
All Volcano s5 system application entities utilize the DICOM 3.0 TCP/IP communication support as
defined in PS3.8 (Part 8) of the DICOM 3.0 Standard.
3.3.1 TCP/IP STACK SUPPORTED
The TCP/IP protocol is used. The local AE Port number is always set to 104. However, the s5-VH system
does not support any services as an SCP.
3.3.2 PHYSICAL NETWORK INTERFACE
Standard representations of IEEE 802.3 10BaseT/100BaseT (twisted pair) are supported.
3.4 EXTENSIONS/SPECIALIZATIONS/PRIVATIZATIONS
3.4.1 STANDARD EXTENDED/SPECIALIZED/PRIVATE SOPS
The s5 system Extends the Ultrasound Multi-frame Image IOD to include the attributes listed in Table
3.4-1.
Table 3.4-1 Volcano Extended and Private Elements
Type: Attribute name: Tag: VR: Notes:
Extended Pixel Spacing (0028,0030) DS In millimeters
Private Creator (0029,0010) LO Set to "VOLCANO-PCDE 1.0:
Pullback Rate (0029,1000) DS
Set to 0.5 or 1.0 mm/Second. Only Included if IVUS
Acquisition is a Motorized Pullback.
B Gain (0029,1001) FD In dB
B Persistence Index (0029,1002) US Set to 0.
B ROI Diameter (0029,1003) FD In mm.
CF Sensitivity Index (0029,1004) US Only included in ChromaFlo is on.
CF ROI Diameter (0029,1005) FD In mm. Only included in ChromaFlo is on.
Frame Capture Interleave Rate (0029,1006) US 1 - 3
Ringdown Subtraction (0029,1007) US 0 =Disabled, 1 =Manual, 2 =Adaptive
Graticule Spacing (0029,1008) US in mm.
PIM Serial Number (0029,1010) SH Set to zero length.
Color Palette (0029,1011) OB Only included for J PEG compressed images
Measurement Data (0029,1012) UT
XML encoded Measurement data. Only included if Modality
(0008,0060) is IVUS.
Annotation Data (0029,1013) UT
XML encoded Annotation data. Only included if Modality
(0008,0060) is IVUS.
Segments of Interest (0029,1014) UT
XML encoded Segments of Interest. Only included if Modality
(0008,0060) is IVUS.
Still Image Number (0029,1015) US
Still Image number, from live or VL. Not included if image is a
video loop.
Video Loop Number (0029,1016) US
VL number or source VL number for Still Images from VL.
Not included if image is a still from live.
Catheter Boot Mode (0029,0030) SS 1 4
VH Tree Version (0029,0031) LO
Only included for VH images and if Modality (0008,0060) is
IVUS.
Private
VH Graph Configuration (0029,0032) LO
Only included for VH images and if Modality (0008,0060) is
IVUS.

Pixel Spacing (0028,0030) information is included to allow measurements on DICOM review stations that
do not support Ultrasound Region of Calibration.

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Note: The Volcano Extended and Private attributes are standard extended SOP Class attributes and are
not part of the US Multi-Frame Image IOD. As such, these attributes are optional (Type 3), and their
support is not required by SCPs.
3.4.2 PRIVATE TRANSFER SYNTAXES
None
3.5 CONFIGURATION
3.5.1 AE TITLE/PRESENTATION ADDRESS MAPPING
The s5 AE Title and s5 networking parameters are configurable in DICOM/Network Configuration menu.
3.5.2 CONFIGURABLE PARAMETERS FOR DICOM NETWORKING
This section describes the configurable parameters used by the s5 Storage AE when performing an
Archive to Network operation. These parameters are intended to be configured by the site
Network/DICOM administrator or Volcano service personnel.
3.5.2.1 CONFIGURABLE PARAMETERS FOR THE NETWORK LOCATION
The s5 system can be configured to operate in a single network location. The s5 local device settings and
remote device settings can be configured through the s5 DICOM/Network Configuration menu.

CONFIGURABLE S5 NETWORKING AND DICOM PARAMETERS:
Use DHCP (default =disabled)
Host Name (Name field)
IP Address (disabled if DHCP is selected)
Subnet Mask (disabled if DHCP is selected)
Default Gateway (disabled if DHCP is selected)
Storage SCU AE Title Calling Application Entity Title used by the s5 system for all Storage C-
STORE operations
Worklist SCU AE Title Calling Application Entity Title used by the s5 system for all Worklist C-
FIND operations
Network Read/Write Timeout, in seconds
3.5.2.2 CONFIGURABLE PARAMETERS PER DEFINED REMOTE STORAGE SERVER
Every storage server device that the s5 is setup to communicate with has a set of parameters that are
configurable in s5 DICOM/Network Configuration menu.

CONFIGURABLE NETWORK PARAMETERS FOR EACH STORAGE DEVICE INSTANCE:
Server name Alias used to identify the remote server
Host Name Remote servers Computer Name
IP Address Remote servers Computer IP address

CONFIGURABLE DICOM PARAMETERS FOR EACH STORAGE DEVICE INSTANCE:
AE Title Remote Storage Servers called Application Entity Title
Port Number Listening port number used by the Remote Storage Server
Response Timeout C-STORE SCP Response timeout, in seconds
US Modality Sets Modality (0008,0060) attribute to US when checked. Otherwise set to IVUS.
Compression See Table 3.5-1 for compression setting information
Table 3.5-1 Compression Settings
Compression
Setting
Photometric
Interpretation
Transfer Syntax Compression
Ratio (approx)
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No Compression PALETTE COLOR
or RGB
ILE / ELE N/A
J PEG High Quality YBR_FULL_422 J PEG Baseline (Process 1) 9:1
J PEG Medium Quality YBR_FULL_422 J PEG Baseline (Process 1) 20:1
J PEG High Compression YBR_FULL_422 J PEG Baseline (Process 1) 30:1

3.5.2.3 CONFIGURABLE PARAMETERS PER DEFINED REMOTE WORKLIST SERVER
Every Worklist server device that the s5 is setup to communicate with has a set of parameters that are
configurable in s5 DICOM/Network Worklist Configuration menu. These parameters are intended to be
configured by a network/DICOM administrator or Volcano service personnel.

CONFIGURABLE NETWORK PARAMETERS FOR EACH WORKLIST DEVICE INSTANCE:
Server name Alias used to identify the remote server
Host Name Remote servers Computer Name
IP Address Remote servers Computer IP address

CONFIGURABLE DICOM PARAMETERS FOR EACH WORKLIST DEVICE INSTANCE:
AE Title Remote Worklist Servers called Application Entity Title
Port Number Listening port number used by the Remote Worklist Server
Response Timeout C-FIND SCP Response timeout, in seconds

CONFIGURABLE DICOM PARAMETERS FOR ALL WORKLIST DEVICE INSTANCES:
Max Results This specifies the maximum number of Worklist query C-FIND results accepted by
the s5. When this limit is exceeded, a C-CANCEL-FIND request is sent to the Worklist server and
all further C-FIND results are discarded.



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Page 26 of 30
4 MEDIA INTERCHANGE
The Volcano s5 system is a device that generates Intravascular Ultrasound images that can be saved to
DVD-R (DVD-Recordable) media using DICOM standard protocols and definitions. The applications
described refer to the s5 DICOM off-line media storage implementation acting as FSC for the specific
application profiles and the related SOP Class instances. The Volcano s5 system acts as a File Set
Reader for discs that were created on Volcano s5 system.

After a successful Archive to DVD operation, the transferred cases are marked as Archived and are
subject to automatic deletion.
4.1 IMPLEMENTATION MODEL
4.1.1 APPLICATION DATA FLOW DIAGRAM
The diagram in Figure 3-1represents the relationship between the IVUS systems real-world activities
(circles on the left), the local AEs built into s5 (boxes in the center), and the DICOM Exchange Media
that the s5 creates.
Figure 4-1 Media Storage Implementation Model
Local
Real-World
Activity
Archive
To DVD
Media
Application
Entity
DVD
Storage
Medium
Local
Application
Entity
FSC

4.1.2 FUNCTIONAL DEFINITIONS OF AES
4.1.3 SEQUENCING OF REAL WORLD ACTIVITIES
Multiple cases may be archived to DVD Exchange Media at a time. The operator must have inserted a
new (blank) DVD media before invocation of the Archive to DVD function. If no DVD media is available,
the inserted media is not DVD, or the media is not blank, the export job will be canceled.

The Archive to DVD Real-World Activity operates as a foreground task. No other s5 system functions are
available while the media is being created.

After the media has been created, a verification step may be performed to insure that data was
successfully written to the media.
4.1.4 IMPLEMENTATION CLASS AND VERSION
The s5 implementation information written to the File Meta Header in each file is:

Implementation Class UID: 2.16.840.1.113977.2
Implementation Version Name: VOL_DISTA_2.0
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4.2 AE SPECIFICATION
4.2.1 MEDIA AE SPECIFICATION
The s5 DVD Media Application Entity provides standard conformance to the DICOM Media Storage
Service and File Format Class (PS 3.10) and the Media Storage Application Profile (PS 3.11).


The s5 DVD Media Application Entity supports the Application Profiles listed in Table 4.2-1
Table 4.2-1 Application Profiles, Activities, and Roles
Application Profile Identifier Real-World Activity Role SC Option
Ultrasound STD-US-SC-MF-DVD Archive to DVD FSC Interchange


The s5 DVD Media AE supports the IODS, SOP classes and Transfer Syntaxes listed in Table 4.2-2

Table 4.2-2 Supported IODS, SOP Classes and Transfer Syntaxes
Information
Object Definition
SOP Class UID Transfer Syntax Transfer Syntax UID
DICOM Media
Storage Directory
1.2.840.10008.1.3.10 Explicit VR Little Endian 1.2.840.10008.1.2
Explicit VR Little Endian 1.2.840.10008.1.2
Ultrasound
Multi-Frame Image
Storage
1.2.840.10008.5.1.4.1.1.3.1
J PEG Baseline (Process 1) 1.2.840.10008.1.2.4.50

4.2.1.1 APPLICATION ENTITY TITLE
The Application Entity Title used is VOL_MEDIA_STORE

4.2.1.2 DICOM FILE META INFORMATION
Table 4.2-3 denotes the DICOM file meta attributes included in the DICOMDIR and Ultrasound Image
objects (DICOM Part 10 files) that are created by the Volcano s5 system. These attribute are stored in
addition to the attributes listed in Table 3.2-3 Ultrasound Multi-frame Image SOP Class and Table 3.4-1
Volcano Extended and Private Elements for US-MF SOP instances.
Table 4.2-3 DICOM Part 10 File Meta Information
Attribute Name Tag Notes
File Preamble N/A All bytes are set to 00H
DICOM Prefix N/A Set to DICOM Prefix DICM
Meta Element Group Length (0002,0000)
File Meta Information Version (0002,0001) Set to 0001H
Media Storage SOP Class UID (0002,0002) 1.2.840.10008.5.1.4.1.1.3.1
Media Storage SOP Instance UID (0002,0003) s5 generated UID
Transfer Syntax UID (0002,0010) Set to Explicit VR Little Endian
1.2.840.10008.1.2.1
Implementation Class UID (0002,0012) Set to 2.16.840.1.113977.2
Implementation Version Name (0002,0013) Set to VOL_DISTA_2.0
Source Application Entity Title (0002,0016) Set to VOL_MEDIA_STORE
s5
DICOM Conformance Statement
Control #
804209-003/003

Page 28 of 30
4.2.1.3 DICOMDIR INFORMATION
Table 4.2-4 denotes the DICOM attributes included in the DICOMDIR file that is created by the Volcano
s5 system. These attribute are stored in addition to the meta attributes listed in Table 3.2-5.
Table 4.2-4 DICOMDIR Attributes
Attribute Name Tag Type Notes
File Set ID (0004,1130) 2 s5 generated Volume label of media.
Offset Of The First Directory Record Of
The Root Directory Entity
(0004,1200)

1
Offset Of The Last Directory Record Of
The Root Directory Entity
(0004,1202) 1
File Set Consistency Flag (0004,1212) 1 Set to 000H
Directory Record Sequence (0004,1220) 2
>Offset Of The Next Directory Record (0004,1400) 1C
>Record In Use Flag (0004,1410) 1C Set to FFFFH
>Offset Of Referenced Lower Level
Directory Entity
(0004,1420) 1C
>Directory Record Type (0004,1430) 1C Set to PATIENT, STUDY, SERIES or IMAGE
>Specific Character Set (0008,0005) 1C Set to ISO_IR 100
Patient Keys Directory Record Type = PATIENT
>Patients Name (0010,0010) 2 Copied from Worklist or entered in Patient
dialog if procedure was unscheduled.
>Patient ID (0010,0020) 1 Copied from Worklist or entered in Patient
dialog if procedure was unscheduled.
>Patients Birth Date (0010,0030) 3 Copied from Worklist or entered in Patient
dialog if procedure was unscheduled.
>Patients Sex (0010,0040) 3 Copied from Worklist or entered in Patient
dialog if procedure was unscheduled.
Study Keys Directory Record Type = STUDY
>Study Date (0008,0020) 1 Date the IVUS procedure began.
>Study Time (0008,0030) 1 Time the IVUS procedure began.
>Accession Number (0008,0050) 2 Copied from Worklist or entered in Patient
dialog.
>Study Description (0008,1030) 2 Copied from Worklist "Scheduled Procedure
Step Description" or set to "IVUS Procedure" if
procedure was unscheduled.
>Study Instance UID (0020,000d) 1C Copied from Worklist. Internally generated if
procedure was unscheduled.
>Study ID (0020,0010) 1 Copied from Worklist "Requested Procedure
ID" or entered in Patient dialog.
Series Keys Directory Record Type = SERIES
>Modality (0008,0060) 1 Either IVUS or US. (configurable)
>Series Description (0008,103e) 3 Set to IVUS
>Series Instance UID (0020,000e) 1 s5 generated UID
>Series Number (0020,0011) 1 Set to 1
Image Keys Directory Record Type = IMAGE
>Referenced File ID (0004,1500) 1C Set to CASEnnnn\FILEnnnn
>Referenced SOP Class UID In File (0004,1510) 1C Set to 1.2.840.10008.5.1.4.1.1.3.1
Always Ultrasound Multi-frame Image Storage
>Referenced SOP Instance UID In File (0004,1511) 1C
>Referenced Transfer Syntax UID In (0004,1512) 1C Little Endian Explicit or J PEG Baseline
s5
DICOM Conformance Statement
Control #
804209-003/003

Page 29 of 30
File (Process 1) if compression is selected.
>Image Type (0008,0008) 3 ORIGINAL\PRIMARY\INTRAVASCULAR\nnnn.
Value 4: 0001 =Grayscale, 0101 =ChromaFlo,
0201=VH
>Content Date (0008,0023) 3 Image creation date.
>Content Time (0008,0033) 3 Image creation time.
>Instance Number (0020,0013) 1 Image number from 1-n in order of acquisition
>Image Comments (0020,4000) 3 From Case Explorer
>Number Of Frames (0028,0008) 3 1-n

4.2.1.4 REAL WORLD ACTIVITIES
4.2.1.4.1 ARCHIVE TO DVD
Archive to DVD real-world activity occurs when the user selects a case in the s5 Archive menu and then
initiates the Archive to DVD function. Multiple cases may be archived to a single DVD media at one time.
The s5 Media AE will act as a FSC using the Interchange option when storing images and data to DVD
media.
4.2.1.4.1.1 APPLICATION PROFILE SPECIFIC CONFORMANCE
There are no extensions or specializations.
4.3 AUGMENTED AND PRIVATE APPLICATION PROFILES
4.3.1 AUGMENTED APPLICATION PROFILES
none
4.3.2 PRIVATE APPLICATION PROFILES
none
4.4 MEDIA CONFIGURATION
The compression type used for DVD image storage can be configured through the DICOM/Network
Configuration menu.

US Modality Sets Modality (0008,0060) attribute to US when checked. Otherwise set to IVUS.
Compression See Table 3.5-1 for the available selections and additional information.

s5
DICOM Conformance Statement
Control #
804209-003/003

Page 30 of 30
5 SUPPORT OF EXTENDED CHARACTER SETS
The Volcano s5 system supports the ISO 8859 Latin 1 (ISO-IR 100) character set family.