- DICOMv4
- Lots of concerns about effort required - v3 took a lot of time
- still working towards a report
- Good discussion on open source and v4 -
- idea that there should be open source reference implementation of anything standard
- Undefined length sequences
- defined lengths let you do skip parsing
- undefined lengths let you handle data > 4GB (lengths are 32 bit ints)
- undefined lengths let you do stream data generation
- DICOMv4 - DIMSE deprecation??
- How many modalities have adopted STOW-RS?
- Vendor bridges could convert DIMSE to DICOMweb/V4
- managing certs for encrypted DIMSE is a bit painful
- increasing install base for DIMSE->HTTP bridges (e.g. AI vendor edge servers/gateways)
- Large Study Loading - 20,000 slice CT 5GB
- 250MB of metadata!?
- Took about 10-20 seconds to load with OHIF
- Maybe a photon counting study?
- Might prototype something here
- Apple Vision Pro
- Interest from the radiology community - sirona, radai posting things
- HTJ2K Adoption - Encord - AI
- Doing annotations of all kinds - medical images, video, etc
- Following closely medical imaging technology
- Stream entire DICOM P10 to client, can now decode HTJ2K encoded images
- https://encord.com/blog/htj2k-support-for-dicom-files-encord/
- Other HTJ2K
- fo-dicom now supports it