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
PatientMModule - Patient
Clinical Trial SubjectUModule - Patient
General StudyMModule - Study
Patient StudyUModule - Study
Clinical Trial StudyUModule - Study
General SeriesMModule - Series
Clinical Trial SeriesUModule - Series
General EquipmentUModule - Equipment
SC EquipmentMModule - Equipment
Frame of ReferenceCModule - Frame of Reference
SynchronizationUModule - Frame of Reference
General AcquisitionMModule - Acquisition
General ImageMModule - Image
General ReferenceUModule - Image
Image PixelMModule - Image
CineCModule - Image
Multi-frameMModule - Image
Frame PointersUModule - Image
DeviceUModule - Image
Multi-frame Functional GroupsUModule - Image
Multi-frame DimensionUModule - Image
SpecimenUModule - Image
SC ImageUModule - Image
SC Multi-frame ImageMModule - Image
(0018,2010) Nominal Scanned Pixel Spacing1CDecimal String
(0018,2020) Digitizing Device Transport Direction3Code String
(0018,2030) Rotation of Scanned Film3Decimal String
(0028,0009) Frame Increment Pointer1CAttribute Tag
(0028,0030) Pixel Spacing1CDecimal String
(0028,0301) Burned In Annotation1Code String
(0028,0302) Recognizable Visual Features3Code String
(0028,0A02) Pixel Spacing Calibration Type3Code String
(0028,0A04) Pixel Spacing Calibration Description1CLong String
(0028,1052) Rescale Intercept1CDecimal String
(0028,1053) Rescale Slope1CDecimal String
(0028,1054) Rescale Type1CLong String
(2010,015E) Illumination3Unsigned Short
(2010,0160) Reflected Ambient Light3Unsigned Short
(2050,0020) Presentation LUT Shape1CCode String
SC Multi-frame VectorCModule - Image
VOI LUTCModule - Image
SOP CommonMModule - Image
Common Instance ReferenceUModule - Image
Frame ExtractionCModule - Image
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
Legacy Converted Enhanced MR ImageCIOD
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
Encapsulated OBJCIOD
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
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.

Presentation LUT Shape Attribute

Tag(2050,0020)
TypeConditionally Required (1C)
KeywordPresentationLUTShape
Value Multiplicity1
Value RepresentationCode String (CS)
Example Values
  • IDENTITY

Specifies an identity transformation for the Presentation LUT, such that the output of all grayscale transformations defined in the IOD containing this Module are defined to be P-Values.

Enumerated Values:

IDENTITY

Output is in P-Values.

Required if Photometric Interpretation (0028,0004) is MONOCHROME2, and Bits Stored (0028,0101) is greater than 1.

Note

If the VOI LUT Module is required by the IOD but no VOI LUT Sequence (0028,3010) or Window Center (0028,1050) is present, then the VOI LUT stage is an identity transformation.

VOI LUT Module

C.11.2 VOI LUT Module

Table C.11-2 specifies the Attributes of the VOI LUT Module, which describe the VOI LUT.

Table C.11-2. VOI LUT Module Attributes

Attribute Name

Tag

Type

Attribute Description

Include Table C.11-2b “VOI LUT Macro Attributes”


Table C.11-2b. VOI LUT Macro Attributes

Attribute Name

Tag

Type

Attribute Description

VOI LUT Sequence

(0028,3010)

1C

Defines a Sequence of VOI LUTs.

One or more Items shall be included in this Sequence.

Required if Window Center (0028,1050) is not present. May be present otherwise.

>LUT Descriptor

(0028,3002)

1

Specifies the format of the LUT Data in this Sequence.

See Section C.11.2.1.1 for further explanation.

>LUT Explanation

(0028,3003)

3

Free form text explanation of the meaning of the LUT.

>LUT Data

(0028,3006)

1

LUT Data in this Sequence.

Window Center

(0028,1050)

1C

Window Center for display.

See Section C.11.2.1.2 for further explanation.

Required if VOI LUT Sequence (0028,3010) is not present. May be present otherwise.

Window Width

(0028,1051)

1C

Window Width for display. See Section C.11.2.1.2 for further explanation.

Required if Window Center (0028,1050) is present.

Window Center & Width Explanation

(0028,1055)

3

Free form explanation of the meaning of the Window Center and Width. Multiple values correspond to multiple Window Center and Width values.

VOI LUT Function

(0028,1056)

3

Describes a VOI LUT function to apply to the values of Window Center (0028,1050) and Window Width (0028,1051).

See Section C.11.2.1.3 for further explanation.

Defined Terms:

LINEAR

LINEAR_EXACT

SIGMOID

When this Attribute is not present, the interpretation of the values of Window Center (0028,1050) and Window Width (0028,1051) is linear as in Section C.11.2.1.2.


C.11.2.1 VOI LUT Module Attribute Descriptions

C.11.2.1.1 LUT Descriptor

The three values of LUT Descriptor (0028,3002) describe the format of the LUT Data in the corresponding LUT Data (0028,3006) Attribute.

The first value is the number of entries in the lookup table. When the number of table entries is equal to 216 then this value shall be 0.

The second value is the first input value mapped. The Value Representation of the second value (US or SS) depends on the source of the input to the VOI LUT, and shall be:

  • the same as specified by Pixel Representation (0028,0103), if there is no Modality LUT or Rescale Slope and Intercept specified;

  • SS if the possible output range after application of the Rescale Slope and Intercept may be signed;

    Note

    This is always the case for the CT Image IOD in which the Rescale Type is specified to be Hounsfield Units, which are always signed.

  • US otherwise.

This input value is mapped to the first entry in the LUT. All input values less than the first value mapped are also mapped to the first entry in the LUT Data. An input value one greater than the first value mapped is mapped to the second entry in the LUT Data. Subsequent input values are mapped to the subsequent entries in the LUT Data up to an input value equal to number of entries + first value mapped - 1 that is mapped to the last entry in the LUT Data. Input values greater than or equal to number of entries + first value mapped are also mapped to the last entry in the LUT Data.

The third value specifies the number of bits for each entry in the LUT Data. If the VOI LUT is included in an Image IOD, the third value of LUT Descriptor (0028,3002) shall be 8 or 16 bits, unless otherwise specialized. If the VOI LUT is included in a Presentation State IOD, the third value of LUT Descriptor (0028,3002) shall be between 8 and 16 inclusive. The LUT Data shall be stored in a format equivalent to 8 bits allocated when the number of bits for each entry is 8, and 16 bits allocated when the number of bits for each entry is 16, where in both cases the high bit is equal to bits stored - 1, and where bits stored is the third value.

Note

  1. Since LUT Descriptor (0028,3002) is multi-valued, in an Explicit VR Transfer Syntax, only one value representation (US or SS) may be specified, even though the first and third values are always by definition interpreted as unsigned. The explicit VR actually used is dictated by the VR needed to represent the second value.

  2. Some implementations have encoded 8 bit entries with 16 bits allocated, padding the high bits; this can be detected by comparing the number of entries specified in the LUT Descriptor with the actual value length of the LUT Data entry. The value length in bytes should equal the number of entries if bits allocated is 8, and be twice as long if bits allocated is 16.

The LUT Data contains the LUT entry values.

The output range is from 0 to 2n-1 where n is the third value of LUT Descriptor. This range is always unsigned.

C.11.2.1.2 Window Center and Window Width
C.11.2.1.2.1 Default LINEAR Function

If VOI LUT Function (0028,1056) is absent or has a value of LINEAR, Window Center (0028,1050) and Window Width (0028,1051) specify a linear conversion from stored pixel values (after any Modality LUT or Rescale Slope and Intercept specified in the IOD have been applied) to values to be displayed. Window Center contains the input value that is the center of the window. Window Width contains the width of the window.

Note

The terms "window center" and "window width" are not consistently used in practice, nor were they defined in previous releases of the Standard. The definitions here are presented for the purpose of defining consistent meanings for identity and threshold transformations while preserving the common practice of using integer values for center and width.

Window Width (0028,1051) shall always be greater than or equal to 1.

When Window Width (0028,1051) is greater than 1, these Attributes select the range of input values that are to be mapped to the full range of the displayed output.

When Window Width (0028,1051) is equal to 1, they specify a threshold below which input values will be displayed as the minimum output value.

Note

Whether the minimum output value is rendered as black or white may depend on the value of Photometric Interpretation (0028,0004) or the presence of a Presentation LUT Module.

These Attributes are applied according to the following pseudo-code, where x is the input value, y is an output value with a range from ymin to ymax, c is Window Center (0028,1050) and w is Window Width (0028,1051):

  • if (x <= c - 0.5 - (w-1) /2), then y = ymin

  • else if (x > c - 0.5 + (w-1) /2), then y = ymax

  • else y = ((x - (c - 0.5)) / (w-1) + 0.5) * (ymax- ymin) + ymin

Note

  1. For the purpose of this definition, a floating point calculation without integer truncation is assumed, though the manner of implementation may vary as long as the result is the same.

  2. The pseudo-code function computes a continuous value over the output range without any discontinuity at the boundaries. The value of 0 for w is expressly forbidden, and the value of 1 for w does not cause division by zero, since the continuous segment of the function will never be reached for that case.

  3. For example, for an output range 0 to 255:

    • c=2048, w=4096 becomes:

      • if (x <= 0) then y = 0

      • else if (x > 4095) then y = 255

      • else y = ((x - 2047.5) / 4095 + 0.5) * (255-0) + 0

    • c=2048, w=1 becomes:

      • if (x <= 2047.5) then y = 0

      • else if (x > 2047.5) then y = 255

      • else /* not reached */

    • c=0, w=100 becomes:

      • if (x <= -50) then y = 0

      • else if (x > 49) then y = 255

      • else y = ((x + 0.5) / 99 + 0.5) * (255-0) + 0

    • c=0, w=1 becomes:

      • if (x <= -0.5) then y = 0

      • else if (x > -0.5) then y = 255

      • else /* not reached */

  4. A Window Center of 2n-1 and a Window Width of 2n selects the range of input values from 0 to 2n-1. This represents a mathematical identity VOI LUT transformation over the possible input values (whether used or not) in the case where no Modality LUT is specified and the stored pixel data are n bit unsigned integers.

    In the case where x1 is the lowest input value actually used in the Pixel Data and x2 is the highest, a Window Center of (x1+x2+1)/2 and a Window Width of (x2-x1+1) selects the range of input values from x1 to x2, which represents the full range of input values present as opposed to possible. This is distinct from the mathematical identity VOI LUT transformation, which instead selects the full range of input values possible as opposed to those actually used. The mathematical identity and full input range transformations are the same when x1 = 0 and x2 is 2n-1 and the input values are n bit unsigned integers. See also Note 7.

  5. A Window Width of 1 is typically used to represent a "threshold" operation in which those integer input values less than the Window Center are represented as the minimum displayed value and those greater than or equal to the Window Center are represented as the maximum displayed value. A Window Width of 2 will have the same result for integral input values.

  6. The application of Window Center (0028,1050) and Window Width (0028,1051) may select a signed input range. There is no implication that this signed input range is clipped to zero.

  7. The selected input range may exceed the actual range of the input values, thus effectively "compressing" the contrast range of the displayed data into a narrower band of the available contrast range, and "flattening" the appearance. There are no limits to the maximum value of the window width, or to the minimum or maximum value of window level, both of which may exceed the actual or possible range of input values.

  8. Input values "below" the window are displayed as the minimum output value and input values "above" the window are displayed as the maximum output value. This is the common usage of the window operation in medical imaging. There is no provision for an alternative approach in which all values "outside" the window are displayed as the minimum output value.

  9. The output of the Window Center/Width or VOI LUT transformation is either implicitly scaled to the full range of the display device if there is no succeeding transformation defined, or implicitly scaled to the full input range of the succeeding transformation step (such as the Presentation LUT), if present. See Section C.11.6.1.

  10. Fractional values of Window Center and Window Width are permitted (since the VR of these Attributes is Decimal String), and though they are not often encountered, applications should be prepared to accept them.

C.11.2.1.2.2 General Requirements for Window Center and Window Width

The Window Center (0028,1050), Window Width (0028,1051) and VOI LUT Function (0028,1056) Attributes shall be used only for Images with Photometric Interpretation (0028,0004) values of MONOCHROME1 and MONOCHROME2. They have no meaning for other Images.

If multiple values are present, both Attributes shall have the same number of values and shall be considered as pairs. Multiple values indicate that multiple alternative views may be presented.

If any VOI LUT Table is included by an Image, a Window Width and Window Center or the VOI LUT Table, but not both, may be applied to the Image for display. Inclusion of both indicates that multiple alternative views may be presented.

If multiple Items are present in VOI LUT Sequence (0028,3010), only one may be applied to the Image for display. Multiple Items indicate that multiple alternative views may be presented.

If the VOI LUT Module is defined in an IOD and if neither a VOI LUT Sequence nor a Window Width and Window Center are present, then the VOI LUT stage of the grayscale pipeline is defined to be an identity transformation.

Note

  1. This requirement is specified so that IODs that define a particular output space for the grayscale pipeline, such as P-Values, are not in an undefined state when no VOI LUT Sequence or Window Width and Window Center are present.

  2. Despite the Type 3 requirement for VOI LUT Sequence and Window Center, implementations that render images are expected to implement and apply these transformations when they are present in the image, unless overridden by the user, a presentation state, or a hanging protocol, and to allow the user to select which transformation to apply when multiple transformations are present.

C.11.2.1.3 VOI LUT Function

The VOI LUT Function (0028,1056) specifies a potentially non-linear conversion for the output of the (conceptual) Modality LUT values to the input of the (conceptual) Presentation LUT.

The behavior for the value LINEAR is defined in Section C.11.2.1.2.1. For all other values, the VOI LUT Function (0028,1056) shall include a unique descriptor of the LUT function to be used. Each descriptor is associated with a bivariate function of Window Center (0028,1050) and Window Width (0028,1051).

If the VOI LUT Function (0028,1056) is present with a value other than LINEAR, the values provided in Window Center (0028,1050) and Window Width (0028,1051) shall not be interpreted as a linear conversion of the (conceptual) Modality LUT values to the input to the (conceptual) Presentation LUT - but as parameters for the function defined by the VOI LUT Function descriptor in (0028,1056).

When defined, each descriptor must provide the functional relationship between the output of the (conceptual) Modality LUT values to the input of the (conceptual) Presentation LUT.

C.11.2.1.3.1 SIGMOID Function

If the value of VOI LUT Function (0028,1056) is SIGMOID, the function to be used to convert the output of the (conceptual) Modality LUT values to the input of the (conceptual) Presentation LUT is given by

Equation C.11-1. 


where

x

is the input value of the LUT (i.e., the output of the (conceptual) Modality LUT).

c

is the Window Center defined interactively by the user or by using the values provided in Window Center (0028,1050).

w

is the Window Width defined interactively by the user or by using the values provided in Window Width (0028,1051).

y

is the output value

ymin

is the minimum output value

ymax

is the maximum output value

Window Width (0028,1051) shall always be greater than 0.

Note

Window Width (0028,1051) is required to be greater than zero to prevent division by zero (quite apart from being meaningless).

C.11.2.1.3.2 LINEAR_EXACT Function

If the value of VOI LUT Function (0028,1056) is LINEAR_EXACT, the function to be used to convert the output of the (conceptual) Modality LUT values to the input of the (conceptual) Presentation LUT is given by the following pseudo-code, where x is the input value, y is an output value with a range from ymin to ymax, c is Window Center (0028,1050) and w is Window Width (0028,1051):

  • if (x <= c - w/2), then y = ymin

  • else if (x > c + w/2), then y = ymax

  • else y = ((x - c) / w + 0.5) * (ymax- ymin) + ymin

Window Width (0028,1051) shall always be greater than 0.

Note

  1. For example, given stored unsigned pixel values from 0 to 65535, a Rescale Intercept (0028,1052) of 0 and a Rescale Slope (0028,1053) of 1.0/65535, a Window Width (0028,1051) of 1.0 and a Window Center (0028,1050) of 0.5 would specify the entire range of values (the identity transformation for those rescale values).

  2. Window Width (0028,1051) is required to be greater than zero to prevent division by zero (quite apart from being meaningless).