java - 无法将 dicom 文件发送到 dcm4che PACS - 存储需要禁止强制 (0020,000E) 系列实例 UID

Question

我正在尝试将 DICOM 格式的 pdf 文件发送到 PACS，并将其附加到单独节点中已有的研究(作为不同的系列)。我得到的异常如下:

org.dcm4che.net.DcmServiceException: SOP Instance UID in Dataset [2.25.227860789054905865463149387539476701251] differs from Affected SOP Instance UID[1.3.12.2.1107.5.2.30.26419.20
15022512062559209947045]
    at org.dcm4chex.archive.dcm.storescp.StoreScp.checkSOPInstanceUID(StoreScp.java:1334)

在我发送的 dizomized pdf 中，我使用以下代码重新填充了研究所需的所有标签:

public void repopulateAnonData(String strDcmFilePath, DicomSeriesMeta dcmMeta) throws IOException {

    log.info("repopulating anonymized data for file: " + strDcmFilePath);
    CheckIfIsDicom dcmCheck = new CheckIfIsDicom();

    Path dcmFilePath = Paths.get(strDcmFilePath);

    DicomObject dcmObj6;
    DicomInputStream din6 = null;
    din6 = new DicomInputStream(dcmFilePath.toFile());
    dcmObj6 = din6.readDicomObject();

    try {

        log.info("Repopulating AccessionNumber: " + dcmMeta.getAccessionNumber());
        dcmObj6.putString(Tag.AccessionNumber, VR.SH ,dcmMeta.getAccessionNumber());

        log.info("Repopulating InstitutionAddress: " + dcmMeta.getInstitutionAddress());
        dcmObj6.putString(Tag.InstitutionAddress, VR.ST ,dcmMeta.getInstitutionAddress());

        log.info("Repopulating InstitutionName: " + dcmMeta.getInstitutionName());
        dcmObj6.putString(Tag.InstitutionName, VR.LO ,dcmMeta.getInstitutionName());

        log.info("Repopulating IssuerOfPatientID: " + dcmMeta.getIssuerOfPatientID());
        dcmObj6.putString(Tag.IssuerOfPatientID, VR.LO ,dcmMeta.getIssuerOfPatientID());

        log.info("Repopulating MediaStorageSOPInstanceUID: " + dcmMeta.getMediaStorageSOPInstanceUID());
        dcmObj6.putString(Tag.MediaStorageSOPInstanceUID, VR.UI ,dcmMeta.getMediaStorageSOPInstanceUID());

        log.info("Repopulating OperatorsName: " + dcmMeta.getOperatorsName());
        dcmObj6.putString(Tag.OperatorsName, VR.PN ,dcmMeta.getOperatorsName());

        log.info("Repopulating OtherPatientIDs: " + dcmMeta.getOtherPatientIDs());
        dcmObj6.putString(Tag.OtherPatientIDs, VR.LO ,dcmMeta.getOtherPatientIDs());

        log.info("Repopulating PatientAge: " + dcmMeta.getPatientAge());
        dcmObj6.putString(Tag.PatientAge, VR.AS ,dcmMeta.getPatientAge());

        log.info("Repopulating PatientBirthDate: " + dcmMeta.getPatientBirthDate());
        dcmObj6.putString(Tag.PatientBirthDate, VR.DA ,dcmMeta.getPatientBirthDate());

        log.info("Repopulating PatientID: " + dcmMeta.getPatientID());
        dcmObj6.putString(Tag.PatientID, VR.LO ,dcmMeta.getPatientID());

        log.info("Repopulating PatientName: " + dcmMeta.getPatientName());
        dcmObj6.putString(Tag.PatientName, VR.PN ,dcmMeta.getPatientName());

        log.info("Repopulating PatientSex: " + dcmMeta.getPatientSex());
        dcmObj6.putString(Tag.PatientSex, VR.CS ,dcmMeta.getPatientSex());

        log.info("Repopulating PhysiciansOfRecord: " + dcmMeta.getPhysiciansOfRecord());
        dcmObj6.putString(Tag.PhysiciansOfRecord,VR.PN ,dcmMeta.getPhysiciansOfRecord());

        log.info("Repopulating ReferringPhysicianName: " + dcmMeta.getReferringPhysicianName());
        dcmObj6.putString(Tag.ReferringPhysicianName, VR.PN ,dcmMeta.getReferringPhysicianName());

        log.info("Repopulating RequestingPhysician: " + dcmMeta.getRequestingPhysician());
        dcmObj6.putString(Tag.RequestingPhysician, VR.PN ,dcmMeta.getRequestingPhysician());

        //log.info("Repopulating SOPInstanceUID: " + dcmMeta.getsOPInstanceUID());
        //dcmObj6.putString(Tag.SOPInstanceUID, VR.UI ,dcmMeta.getsOPInstanceUID());

        log.info("Repopulating StudyDate: " + dcmMeta.getStudyDate());
        dcmObj6.putString(Tag.StudyDate, VR.DA ,dcmMeta.getStudyDate());

        log.info("Repopulating StudyID: " + dcmMeta.getStudyID());
        dcmObj6.putString(Tag.StudyID, VR.SH ,dcmMeta.getStudyID());

        log.info("Repopulating StudyInstanceUID: " + dcmMeta.getStudyInstanceUID());
        dcmObj6.putString(Tag.StudyInstanceUID, VR.UI,dcmMeta.getStudyInstanceUID());            

        log.info("Repopulating SeriesDescription: " + "REPORT");
        dcmObj6.putString(Tag.SeriesDescription, VR.LO,"REPORT");

        FileOutputStream fos = new FileOutputStream( new File(dcmFilePath.toString()), false);
        BufferedOutputStream bos = new BufferedOutputStream(fos);
        DicomOutputStream dos = new DicomOutputStream(bos);

        dos.writeDicomFile(dcmObj6);                

        dos.close();
        bos.close();
        fos.close();

    } catch (Exception ex) {
        log.log(Level.ERROR, null, ex);;
    } finally {
        din6.close();
        if (!dcmCheck.checkIfDicomObjectFileB(dcmFilePath.toFile())) {
                log.info("Fetched file is not a DICOM.");
        }
    }

    CheckIfIsDicom checker = new CheckIfIsDicom();
    try {
            if(checker.checkIfDicomObjectFileB(dcmFilePath.toFile())) {
                log.info("Dicomization SUCCESS!");
                ParseDicomHeader parseHeader =  new ParseDicomHeader();
                parseHeader.parseDicomHeaderFile(dcmFilePath.toFile());
            } else {
                log.info("Dicomization NOT SUCCESS!");
            }
    } catch (IOException ex) {
            log.log(Level.ERROR, null, ex);
    }            

}

但是，我没有重新填充SeriesInstanceUID和SOPInstanceUID，因为我希望将dicom文件存储在不同系列节点中的特定研究下，但studyID与我试图存储的现有研究(在pacs中)相同这个迪康。

但是 pacs 服务器似乎不接受具有不同 SOPInstanceUID 的 dicom ...

我想念什么有什么想法吗？

Answer 1

问题在于您存储的实例的实例 UID 已存在于存档中。存档拒绝它，因为存储会与该实例的现有系列实例 UID 冲突。

如果您希望将此新对象存储在不同的研究中，那么您需要不同的实例、系列和研究UID。如果您希望它位于同一研究但不同的系列中，那么您需要不同的实例和系列 UID，但需要相同的研究 UID。