DICOM File compression

Question

My line of work requires the use of DICOM files. Each DICOM file constitutes many .dcm files in a single directory. I am required to send these files over the network, a process which is somewhat so due to the massive size of the files. I am also a programmer and I was wondering what is the ideal way to compress such files? I'm talking about a compression that will be made on the local computer and later decompressed on the destination computer (namely the compression is solely for speeding up the over-the-network transfer of the file). Is there a simple way to crop the DICOM files? (the files contain imaging of an entire head, whereas I'm only interested in a small part of the head).

Thanks!

Answer 1

In medical context, lossy compression is somewhere between not encouraged and forbidden. If you'd insist on cropping existing datasets the standard demands you to form at least new image & series UIDs. The standard does allow losless compression in the form of jpeg2000, but it is quite rare - if I had to bet I'd say your dataset is uncompressed altogether.

In my experience it is significantly better to compress a medical dataset as a solid archive - that is, unify all the images into a single stream. This makes a lot of sense, as there is typically a lot of similarity between nearby images and this is the way to take advantage of that similarity (a unified compression dictionary). This is available as a command line option both to rar and gzip compressors.