non-DICOM to DICOM

Dear all, :waving_hand:

Our hospital currently has a significant volume of non-DICOM exams, such as ECGs (EKG), Holter monitors, and others.
The accumulation of paper records and the manual management of these documents has become unfeasible — not to mention the limitation of being unable to perform retrospective studies efficiently.

I would like to know if anyone has successfully converted non-DICOM exams to DICOM format in a way that allows them to be imported into Orthanc as new studies, rather than as attachments to existing ones.

If you have experience with this process, could you please share the steps you followed, the tools used, or any challenges you encountered? This would greatly help me evaluate the feasibility of implementing a similar solution in our institution. :crossed_fingers:

Thank you in advance for your attention and collaboration! :heart_hands:

Regards,
Lucas Weber

1 Like

Dear brother, how about using img2dcm by using dcmtk in linux?
Maybe you can customize some script using python, php, or any other script to feed the required field and choose the file

Of course you must scan/export to jpg or bmp/ take picture of your paper based result using camera

Hello! @Rhesa_p

The exams are generated in PDF format directly from the monitoring software, so I don’t have image files like JPG or BMP. Is there another way to perform this conversion or integration from PDFs?
If you know of any alternative solutions, please share them.

Thank you for your attention!

Regards,
Lucas Weber

I summarize the solutions for dicomization pdf

Many thanks,

Kyriakos

Hello @dkortho and @Rhesa_p

​Based on the resources below, I’m working on a PowerShell script to validate the functionalities and integration.

  • ​Official Orthanc Book
  • ​Relevant RFCs (Base64, HTTP, JSON)
  • ​IHE Integration Profiles
  • ​Community-provided sources

​Once I finish the tests, I’ll write the documentation to share.

​Thank you for all the guidance. :hand_with_index_finger_and_thumb_crossed:

Regards,
Lucas Weber

Hi Weber..
I know a solution for this, however is there a video signal for these devices or are they just files?

hello @lucianogavaz

Thanks for your message. These devices only handle PDF documents — there’s no video signal involved.
A simple Windows-based application is already being developed. For now, it runs manually and is currently in the final stages of lab testing. We expect to begin production testing very soon.

Execution

Result

Prewiew

Regards,
Lucas Weber

Ola tudo bem

 Pelo seu print reparei que vc é do Brasil certo?

 Esta usando o orthanc dicom dicom server e o Ohif correto?

 O Orthanc até onde eu sei não tem suporte a dicom pdf...ja tentei fazer isso também tanto em Python ou Node.js para o backend

   Caso precise algo , pode  chamar o whats: 41996001664

Abracos

Boa noite @lucianogavaz

Sim, falo de Joinville, o script em laboratório funcionou muito bem. Ainda esta em modo manual a execução, afim de validar o fluxo, mas em breve pretendo trabalhar em algo para deixar automatizado, rodando com um cron em um CT Ubuntu.

Esse que estou rodando, é um PowerShell com GUI.

O intuito e lançar no Orthanc os exames de ECG (inicialmente) como um DOC, para que possamos iniciar a eliminacao do papel. Posteriormente, devo testar com Doppler (DTC), que também consigo gerar uma extração em PDF, pelo software.

Amanhã entro em contato pra trocar uma ideia…

Abraço
Lucas Weber

Hello everyone!

After a period of development, I’m very happy to share the PDFtoDICOM tool.

This tool was designed to make it easier to include PDF documents in PACS/DICOM systems, specifically tailored for Orthanc.

For those interested in testing it, the tool is available in this TOPIC.

I’m available for any feedback, suggestions, or questions about the project.

Thank you, and I hope the tool proves useful!

Regards

Lucas weber