Computed Radiography ImageCIOD
CT ImageCIOD
MR ImageCIOD
Nuclear Medicine ImageCIOD
Ultrasound ImageCIOD
Ultrasound Multi-frame ImageCIOD
Secondary Capture ImageCIOD
Multi-frame Single Bit Secondary Capture ImageCIOD
Multi-frame Grayscale Byte Secondary Capture ImageCIOD
Multi-frame Grayscale Word Secondary Capture ImageCIOD
Multi-frame True Color Secondary Capture ImageCIOD
X-Ray Angiographic ImageCIOD
X-Ray Radiofluoroscopic ImageCIOD
RT ImageCIOD
RT DoseCIOD
RT Structure SetCIOD
RT PlanCIOD
Positron Emission Tomography ImageCIOD
Digital X-Ray ImageCIOD
Digital Mammography X-Ray ImageCIOD
Digital Intra-Oral X-Ray ImageCIOD
RT Beams Treatment RecordCIOD
RT Brachy Treatment RecordCIOD
RT Treatment Summary RecordCIOD
VL Endoscopic ImageCIOD
VL Microscopic ImageCIOD
VL Slide-Coordinates Microscopic ImageCIOD
VL Photographic ImageCIOD
Video Endoscopic ImageCIOD
Video Microscopic ImageCIOD
Video Photographic ImageCIOD
VL Whole Slide Microscopy ImageCIOD
Real-Time Video Endoscopic ImageCIOD
Real-Time Video Photographic ImageCIOD
Dermoscopic Photography ImageCIOD
Grayscale Softcopy Presentation StateCIOD
Color Softcopy Presentation StateCIOD
Pseudo-Color Softcopy Presentation StateCIOD
Blending Softcopy Presentation StateCIOD
Basic Structured DisplayCIOD
XA/XRF Grayscale Softcopy Presentation StateCIOD
Advanced Blending Presentation StateCIOD
Variable Modality LUT Softcopy Presentation StateCIOD
Basic Voice Audio WaveformCIOD
12-Lead ECGCIOD
General ECGCIOD
Ambulatory ECGCIOD
Hemodynamic WaveformCIOD
Basic Cardiac Electrophysiology WaveformCIOD
Arterial Pulse WaveformCIOD
Respiratory WaveformCIOD
General Audio WaveformCIOD
Real-Time Audio WaveformCIOD
Routine Scalp ElectroencephalogramCIOD
ElectromyogramCIOD
ElectrooculogramCIOD
Sleep ElectroencephalogramCIOD
Multi-channel Respiratory WaveformCIOD
Body Position WaveformCIOD
General 32-bit ECGCIOD
Basic Text SRCIOD
Enhanced SRCIOD
Comprehensive SRCIOD
Key Object Selection DocumentCIOD
Mammography CAD SRCIOD
Chest CAD SRCIOD
Procedure LogCIOD
X-Ray Radiation Dose SRCIOD
Spectacle Prescription ReportCIOD
Colon CAD SRCIOD
Macular Grid Thickness and Volume ReportCIOD
Implantation Plan SR DocumentCIOD
Comprehensive 3D SRCIOD
Radiopharmaceutical Radiation Dose SRCIOD
Extensible SRCIOD
Acquisition Context SRCIOD
Simplified Adult Echo SRCIOD
Patient Radiation Dose SRCIOD
Planned Imaging Agent Administration SRCIOD
Performed Imaging Agent Administration SRCIOD
Rendition Selection DocumentCIOD
Enhanced X-Ray Radiation Dose SRCIOD
Enhanced MR ImageCIOD
MR SpectroscopyCIOD
Enhanced MR Color ImageCIOD
Raw DataCIOD
Enhanced CT ImageCIOD
Spatial RegistrationCIOD
Deformable Spatial RegistrationCIOD
Spatial FiducialsCIOD
Ophthalmic Photography 8 Bit ImageCIOD
Ophthalmic Photography 16 Bit ImageCIOD
Stereometric RelationshipCIOD
Hanging ProtocolCIOD
Encapsulated PDFCIOD
Encapsulated CDACIOD
Real World Value MappingCIOD
Enhanced XA ImageCIOD
Enhanced XRF ImageCIOD
RT Ion PlanCIOD
RT Ion Beams Treatment RecordCIOD
SegmentationCIOD
Ophthalmic Tomography ImageCIOD
X-Ray 3D Angiographic ImageCIOD
X-Ray 3D Craniofacial ImageCIOD
Breast Tomosynthesis ImageCIOD
Enhanced PET ImageCIOD
Surface SegmentationCIOD
Color PaletteCIOD
Enhanced US VolumeCIOD
Lensometry MeasurementsCIOD
Autorefraction MeasurementsCIOD
Keratometry MeasurementsCIOD
Subjective Refraction MeasurementsCIOD
Visual Acuity MeasurementsCIOD
Ophthalmic Axial MeasurementsCIOD
Intraocular Lens CalculationsCIOD
Generic Implant TemplateCIOD
Implant Assembly TemplateCIOD
Implant Template GroupCIOD
RT Beams Delivery InstructionCIOD
Ophthalmic Visual Field Static Perimetry MeasurementsCIOD
Intravascular Optical Coherence Tomography ImageCIOD
Ophthalmic Thickness MapCIOD
Surface Scan MeshCIOD
Surface Scan Point CloudCIOD
Legacy Converted Enhanced CT ImageCIOD
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Legacy Converted Enhanced PET ImageCIOD
Corneal Topography MapCIOD
Breast Projection X-Ray ImageCIOD
Parametric MapCIOD
Wide Field Ophthalmic Photography Stereographic Projection ImageCIOD
Wide Field Ophthalmic Photography 3D Coordinates ImageCIOD
Tractography ResultsCIOD
RT Brachy Application Setup Delivery InstructionCIOD
Planar MPR Volumetric Presentation StateCIOD
Volume Rendering Volumetric Presentation StateCIOD
Content Assessment ResultsCIOD
CT Performed Procedure ProtocolCIOD
CT Defined Procedure ProtocolCIOD
Protocol ApprovalCIOD
XA Performed Procedure ProtocolCIOD
XA Defined Procedure ProtocolCIOD
Ophthalmic Optical Coherence Tomography En Face ImageCIOD
Ophthalmic Optical Coherence Tomography B-scan Volume AnalysisCIOD
Encapsulated STLCIOD
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Encapsulated MTLCIOD
RT Physician IntentCIOD
RT Segment AnnotationCIOD
RT Radiation SetCIOD
C-Arm Photon-Electron RadiationCIOD
Tomotherapeutic RadiationCIOD
Robotic-Arm RadiationCIOD
RT Radiation Record SetCIOD
RT Radiation Salvage RecordCIOD
C-Arm Photon-Electron Radiation RecordCIOD
Tomotherapeutic Radiation RecordCIOD
Robotic-Arm Radiation RecordCIOD
RT Radiation Set Delivery InstructionCIOD
RT Treatment PreparationCIOD
Enhanced RT ImageCIOD
Enhanced Continuous RT ImageCIOD
RT Patient Position Acquisition InstructionCIOD
Microscopy Bulk Simple AnnotationsCIOD
InventoryCIOD
Photoacoustic ImageCIOD
Confocal Microscopy ImageCIOD
PatientMModule - Patient
Clinical Trial SubjectUModule - Patient
General StudyMModule - Study
Patient StudyUModule - Study
Clinical Trial StudyUModule - Study
General SeriesMModule - Series
Clinical Trial SeriesUModule - Series
Frame of ReferenceMModule - Frame of Reference
SynchronizationCModule - Frame of Reference
General EquipmentMModule - Equipment
Enhanced General EquipmentMModule - Equipment
General AcquisitionMModule - Acquisition
General ImageMModule - Image
General ReferenceUModule - Image
Image PixelMModule - Image
Multi-frame Functional GroupsMModule - Image
(0008,0023) Content Date1Date
(0008,0033) Content Time1Time
(0020,0013) Instance Number1Integer String
(0020,0242) SOP Instance UID of Concatenation Source1CUnique Identifier
(0020,9161) Concatenation UID1CUnique Identifier
(0020,9162) In-concatenation Number1CUnsigned Short
(0020,9163) In-concatenation Total Number3Unsigned Short
(0020,9228) Concatenation Frame Offset Number1CUnsigned Long
(0022,0028) Stereo Pairs Present3Code String
(0028,0008) Number of Frames1Integer String
(0028,6010) Representative Frame Number3Unsigned Short
(5200,9229) Shared Functional Groups Sequence1Sequence
(5200,9230) Per-Frame Functional Groups Sequence1CSequence
(0008,1140) Referenced Image Sequence2Sequence
(0008,9124) Derivation Image Sequence2Sequence
(0020,9071) Frame Anatomy Sequence1Sequence
(0020,9111) Frame Content Sequence1Sequence
(0028,9110) Pixel Measures Sequence1Sequence
(0018,0050) Slice Thickness1CDecimal String
(0018,0088) Spacing Between Slices1CDecimal String
(0028,0030) Pixel Spacing1CDecimal String
(0040,9096) Real World Value Mapping Sequence1Sequence
(0048,0116) Confocal Microscopy Image Frame Type Sequence1Sequence
(0048,0207) Optical Path Identification Sequence1Sequence
(0048,021A) Plane Position (Slide) Sequence1Sequence
(7FE0,0003) Encapsulated Pixel Data Value Total Length3UV
Multi-frame DimensionMModule - Image
SpecimenCModule - Image
Acquisition ContextMModule - Image
Confocal Microscopy ImageMModule - Image
Cutaneous Confocal Microscopy Image Acquisition ParametersCModule - Image
Optical PathMModule - Image
SOP CommonMModule - Image
Common Instance ReferenceUModule - Image
Frame ExtractionCModule - Image
Confocal Microscopy Tiled Pyramidal ImageCIOD
Basic DirectoryCIOD

Built with by Innolitics, a team of medical imaging software developers.

Data synced with official DICOM standard on 18 April 2024. The DICOM Standard is under continuous maintenance, and the current official version is available at http://www.dicomstandard.org/current/. DICOM Parts 3, 4, and 6, © NEMA. Please note that the most recent PDF version of the standard is the official reference, and should checked when making technical decisions.

Pixel Spacing Attribute

Tag(0028,0030)
TypeConditionally Required (1C)
KeywordPixelSpacing
Value Multiplicity2
Value RepresentationDecimal String (DS)
Example Values
  • [0.703125, 0.703125]
  • [1.367188, 1.367188]
  • [0.545455, 0.596847]

Physical distance in the imaging target (patient, specimen, or phantom) between the centers of each pixel, specified by a numeric pair - adjacent row spacing (delimiter) adjacent column spacing in mm. See Section 10.7.1.3 for further explanation of the value order.

Note

  1. In the case of CT images with an Acquisition Type (0018,9302) of CONSTANT_ANGLE, the pixel spacing is that in a plane normal to the central ray of the diverging X-Ray beam as it passes through the data collection center.

  2. In the case of Enhanced RT Image ("1.2.840.10008.5.1.4.1.1.481.23") or Enhanced Continuous RT Image ("1.2.840.10008.5.1.4.1.1.481.24") the pixel spacing is defined on the x/y plane at z = 0 of the Image Receptor Coordinate System.

Required if:

  • Volumetric Properties (0008,9206) is other than DISTORTED or SAMPLED, and Image Type (0008,0008) Value 3 is not LABEL or OVERVIEW, or

  • SOP Class UID is Segmentation Storage ("1.2.840.10008.5.1.4.1.1.66.4") and Frame of Reference UID (0020,0052) is present, or

  • SOP Class UID is Ophthalmic Tomography Image Storage ("1.2.840.10008.5.1.4.1.1.77.1.5.4") and Ophthalmic Volumetric Properties Flag (0022,1622) is YES, or

  • SOP Class UID is Ophthalmic Optical Coherence Tomography B-scan Volume Analysis Storage ("1.2.840.10008.5.1.4.1.1.77.1.5.8"), or

  • SOP Class UID is Enhanced RT Image ("1.2.840.10008.5.1.4.1.1.481.23"), or

  • SOP Class UID is Enhanced Continuous RT Image ("1.2.840.10008.5.1.4.1.1.481.24").

May be present otherwise.

Note

Part of the Pixel Measures Functional Group Macro with usage: M

Section 10.7.1.3

10.7.1.3 Pixel Spacing Value Order and Valid Values

All pixel spacing related Attributes are encoded as the physical distance between the centers of each two-dimensional pixel, specified by two numeric values.

The first value is the row spacing in mm, that is the spacing between the centers of adjacent rows, or vertical spacing.

The second value is the column spacing in mm, that is the spacing between the centers of adjacent columns, or horizontal spacing.

To illustrate, consider the example shown in Figure 10.7.1.3-1.

Figure 10.7.1.3-1. Example of Pixel Spacing Value Order


Pixel Spacing = Row Spacing \ Column Spacing = 0.30\0.25.

All pixel spacing related Attributes shall have positive non-zero values, except when there is only a single row or column or pixel of data present, in which case the corresponding value may be zero.

Note

A single row or column or "pixel" may occur in MR Spectroscopy Instances.

This description applies to:

  • Pixel Spacing (0028,0030)

  • Imager Pixel Spacing (0018,1164)

  • Nominal Scanned Pixel Spacing (0018,2010)

  • Image Plane Pixel Spacing (3002,0011)

  • Compensator Pixel Spacing (300A,00E9)

  • Detector Element Spacing (0018,7022)

  • Presentation Pixel Spacing (0070,0101)

  • Printer Pixel Spacing (2010,0376)

  • Object Pixel Spacing in Center of Beam (0018,9404)