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Digital Imaging and Communications in Medicine (DICOM)
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Supplement 180:
MPEG-4 AVC/H.264 Transfer Syntax
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DICOM Standards Committee, Working Group 13 Visible Light
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1300 N. 17th Street Suite 1752
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Rosslyn, Virginia 22209 USA
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VERSION:
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Developed in accordance with work item 2014-04-A.
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05, Draft for Letter Ballot
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Table of Contents
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Scope and Field of Application ....................................................................................................................... 3
Changes to NEMA Standards Publication PS 3.5 .......................................................................................... 4
Section 2
Normative references ............................................................................................................... 5
8.2.X
MPEG-4 AVC/H.264 High Profile / Level 4.2 Video Compression ................................. 6
8.2.Y
MPEG-4 AVC/H.264 Stereo High Profile / Level 4.2 Video Compression ..................... 7
10.X
TRANSFER SYNTAX FOR MPEG-4 AVC/H.264 HIP@LEVEL4.2 IMAGE COMPRESSION 8
10.Y
TRANSFER SYNTAX FOR MPEG-4 AVC/H.264 STEREO HIGH PROFILE / LEVEL 4.2
IMAGE COMPRESSION .......................................................................................................................... 8
Annex A (Normative) Transfer Syntax Specifications .................................................................................... 8
A.4.X
MPEG-4 AVC/H.264 HIP@LEVEL4.2 VIDEO COMPRESSION ............................................. 8
Annex A (Normative) Transfer Syntax Specifications .................................................................................... 9
A.4.Y
MPEG-4 AVC/H.264 STEREO HIGH PROFILE /LEVEL 4.2 VIDEO COMPRESSION .......... 9
Changes to NEMA Standards Publication PS 3.6 ........................................................................................ 10
Changes to NEMA Standards Publication PS 3.11 ...................................................................................... 12
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Scope and Field of Application
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This supplement describes two new Transfer Syntaxes to embed MPEG-4 Advanced Video Coding (AVC)
/ H.264 High Profile / Level 4.2 (HiP@Level4.2) and H.264 Stereo High Profile /Level 4.2 encoded pixel
data in DICOM. It does not introduce any new SOP Classes or IODs.
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Transfer Syntax MPEG-4 AVC/H.264 High Profile / Level 4.2 (HiP@Level4.2) will perform consistent with
the ITU-T H.264 HiP@Level4.2. This will enable the storage of video files with a resolution of 1920x1080
at 50Hz/60Hz.
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This proposed supplement includes Addenda to existing Parts of DICOM:
Transfer Syntax MPEG-4 AVC/H.264 Stereo High Profile /Level 4.2 will perform consistent with the ITU-T
H.264 Stereo High Profile at Level 4.2. This will enable the storage of video files where higher
compression can be achieved due to inter-view prediction. An example of the use would be in binocular
operational microscopy.
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- PS 3.5 Addendum: Data Structures and Encoding
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- PS 3.6 Addendum: Data Dictionary
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- PS 3.11 Addendum Media Storage Application Profiles
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In the years since the DICOM Committee WG13 approved the new MPEG-4 AVC/H.264 Transfer Syntax
with supplement 149, the capabilities of video recorders and video players have advanced considerably.
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Support is required in DICOM for 1080P 50/60 Hz as defined by MPEG-4 AVC / H.264 Level 4.2.
Considerable space savings can be achieved when storing stereo recordings in Stereo High Profile format.
These two new transfer syntax will help to support advance technologies with an updated set of higher
resolution, frame rates and compression capabilities.
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Changes to NEMA Standards Publication PS 3.5
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Digital Imaging and Communications in Medicine (DICOM)
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Part 5: Data Structures and Encoding
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Add references to section 2:
Section 2
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Normative references
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ISO/IS 14495-1
Lossless and near-lossless coding of continuous tone still images (JPEG-LS)
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ISO/IEC 14496-10:2012
Information technology – Coding of audio-visual objects – Part 10:
Advanced Video Coding
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ISO/IEC 15444-1
JPEG 2000 Image Coding System
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Add MPEG-4 AVC/H.264 High Profile / Level 4.2 video compression to Section 8.
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8.2.X
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DICOM provides a mechanism for supporting the use of MPEG-4 AVC/H.264 Image Compression through
the Encapsulated Format (see PS 3.3). Annex A defines a Transfer Syntax that references the MPEG-4
AVC/H.264 Standard.
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Note:
MPEG-4 AVC/H.264 High Profile / Level 4.2 Video Compression
MPEG-4 AVC/H.264 compression @ High Profile compression is inherently lossy. The context where the
usage of lossy compression of medical images is clinically acceptable is beyond the scope of the DICOM
Standard. The policies associated with the selection of appropriate compression parameters (e.g.
compression ratio) for MPEG-4 AVC/H.264 HiP@Level4.2 are also beyond the scope of this standard.
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The use of the DICOM Encapsulated Format to support MPEG-4 AVC/H.264 compressed pixel data
requires that the Data Elements which are related to the Pixel Data encoding (e.g. Photometric
Interpretation, Samples per Pixel, Planar Configuration, Bits Allocated, Bits Stored, High Bit, Pixel
Representation, Rows, Columns, etc.) shall contain values that are consistent with the characteristics of
the compressed data stream, with some specific exceptions noted here. The Pixel Data characteristics
included in the MPEG-4 AVC/H.264 bit stream shall be used to decode the compressed data stream.
Notes:
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1. These requirements are specified in terms of consistency with what is encapsulated, rather than in
terms of the uncompressed pixel data from which the compressed data stream may have been derived.
2. When decompressing, should the characteristics explicitly specified in the compressed data stream be
inconsistent with those specified in the DICOM Data Elements, those explicitly specified in the
compressed data stream should be used to control the decompression. The DICOM data elements, if
inconsistent, can be regarded as suggestions as to the form in which an uncompressed data set might
be encoded.
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The requirements are:
Planar Configuration (0028,0006) shall be 0
Samples per Pixel (0028,0002) shall be 3
Photometric Interpretation (0028,0004) shall be YBR_PARTIAL_420
Bits Allocated (0028,0100) shall be 8
Bits Stored (0028,0101) shall be 8
High Bit (0028,0102) shall be 7
Pixel Representation (0028,0103) shall be 0
The value of MPEG-4 AVC/H.264 sample aspect_ratio_idc shall be 1 in the encapsulated MPEG-4
AVC/H.264 bit stream if aspect_ratio_info_present_flag is 1.
Pixel Aspect Ratio (0028,0034) shall be absent. This corresponds to a 'Sampling Aspect Ratio' (SAR)
of 1:1.
The possible values for Rows (0028,0010), Columns (0028,0011), Cine Rate (0018,0040) , and Frame
Time (0018,1063) or Frame Time Vector (0018,1065) depend on the used transfer syntax.
o For MPEG-4 AVC/H.264 High Profile / Level 4.2 transfer syntax, the values for these data
elements shall be compliant with the High Profile / Level 4.2 of the MPEG-4 AVC/H.264
standard (ISO/IEC 14496-10:2012) and restricted to a square pixel aspect ratio.
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Notes:
1. The value of Planar Configuration (0028,0006) is irrelevant since the manner of encoding components
is specified in the MPEG-4 AVC/H.264 standard, hence it is set to 0.
2. The frame rate of the acquiring camera for ’30 Hz HD’ MPEG-4 AVC/H.264 may be either 30 or
30/1.001 (approximately 29.97) frames/sec. Similarly, the frame rate in the case of 60 Hz may be either
60 or 60/1.001 (approximately 59.94) frames/sec. This may lead to small inconsistencies between the
video timebase and real time. The relationship between frame rate and frame time is shown in Table 8-x.
3. The Frame Time (0018,1063) may be calculated from the frame rate of the acquiring camera. A frame
rate of 29.97 frames per second corresponds to a frame time of 33.367 ms.
4. The value of chroma_format for this profile and level is defined by MPEG as 4:2:0.
5. SEI (Supplemental Enhancement Information) elements called frame packing arrangement are used
to indicate stereo formats within the video data.
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Table 8-x
MPEG-4 AVC/H.264 High Profile / Level 4.2 IMAGE TRANSFER SYNTAX FRAME RATE ATTRIBUTES
Video Type
Frame Rate
(see Note 2)
Frame Time
(see Note 3)
30 Hz HD
30
33.33 ms
25 Hz HD
25
40.0 ms
60 Hz HD
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16.17 ms
50 Hz HD
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20.00 ms
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One fragment shall contain the whole MPEG-4 AVC/H.264 bit stream.
Note:
If a video stream exceeds the maximum length of one fragment (approximately 4 GB), it may be sent as
multiple SOP Instances, but each SOP Instance will contain an independent and playable bit stream, and
not depend on the encoded bit stream in other (previous) instances. The manner in which such separate
instances are related is not specified in the standard, but mechanisms such as grouping into the same
Series, and references to earlier instances using Referenced Image Sequence may be used.
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The container format for the video bitstream shall be MPEG-2 Transport Stream, a.k.a. MPEG-TS (see
[ISO/IEC 13818-1]) or ISO base media file format / MP4 (see [ISO/IEC 14496-12] and [ISO/IEC 1449614]). The allowed audio formats are as defined for MPEG-4 AVC/H.264 High Profile Level 4.1. (see
Section 8.2.7).
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Add MPEG-4 AVC/H.264 Stereo High Profile / Level 4.2 video compression to Section 8.
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8.2.Y
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DICOM provides a mechanism for supporting the use of MPEG-4 AVC/H.264 Image Compression through
the Encapsulated Format (see PS 3.3). Annex A defines a Transfer Syntax that references the MPEG-4
AVC/H.264 Standard.
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MPEG-4 AVC/H.264 Stereo High Profile makes use of the Level table A-1 of the MPEG-4 specification to
set through-put limits. The properties required by the MPEG-4 AVC/H.264 Stereo High Profile
Compression are identical to the properties defined in chapter 8.2.X MPEG-4 AVC/H.264 High Profile /
Level 4.2.
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The container format for the video bitstream shall be MPEG-2 Transport Stream, a.k.a. MPEG-TS (see
[ISO/IEC 13818-1]) or ISO base media file format / MP4 (see [ISO/IEC 14496-12] and [ISO/IEC 1449614]). The allowed audio formats are as defined for MPEG-4 AVC/H.264 High Profile Level 4.1. (see
Section 8.2.7).
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MPEG-4 AVC/H.264 Stereo High Profile / Level 4.2 Video Compression
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Add TRANSFER SYNTAX FOR MPEG-4 AVC/H.264 High Profile / Level 4.2 COMPRESSION to
Section 10.
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10.X
TRANSFER SYNTAX FOR MPEG-4 AVC/H.264 HIP@LEVEL4.2 IMAGE
COMPRESSION
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One Transfer Syntax is specified for MPEG-4 AVC/H.264 High Profile / Level 4.2 Image Compression.
Transfer Syntax MPEG-4 AVC/H.264 High Profile / Level 4.2 corresponds to the ITU-T H.264 standard’s
profile and level specifications.
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Add TRANSFER SYNTAX FOR MPEG-4 AVC/H.264 Stereo High Profile / Level 4.2 COMPRESSION to
Section 10.
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10.Y
TRANSFER SYNTAX FOR MPEG-4 AVC/H.264 STEREO HIGH PROFILE / LEVEL 4.2
IMAGE COMPRESSION
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One Transfer Syntax is specified for MPEG-4 AVC/H.264 Stereo High Profile up to Level 4.2 Image
Compression. Transfer Syntax MPEG-4 AVC/H.264 Stereo High Profile corresponds to the ITU-T H.264
standard’s profile and level specifications.
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Add MPEG-4 AVC/H.264 High Profile / Level 4.2 requirements to Annex A.
Annex A
(Normative)
Transfer Syntax Specifications
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A.4.X
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The International Standards Organization ISO/IEC MPEG4 has developed an International Standard,
ISO/IEC 14496-10 (MPEG-4 Part 10), for the video compression of generic coding of moving pictures and
associated audio information. This standard is jointly maintained and has identical technical content as the
ITU-T H.264 standard.
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A DICOM Transfer Syntax for MPEG-4 AVC/H.264 Image Compression shall be identified by a UID value
of either:
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MPEG-4 AVC/H.264 HIP@LEVEL4.2 VIDEO COMPRESSION
1.2.840.10008.1.2.4.XXX corresponding to the MPEG-4 AVC/H.264 High Profile / Level 4.2 of the ITUT H.264 Video standard
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Add MPEG-4 AVC/H.264 Stereo High Profile / Level 4.2 requirements to Annex A.
Annex A
(Normative)
Transfer Syntax Specifications
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A.4.Y
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The International Standards Organization ISO/IEC MPEG4 has developed an International Standard,
ISO/IEC 14496-10 (MPEG-4 Part 10), for the video compression of generic coding of moving pictures and
associated audio information. This standard is jointly maintained and has identical technical content as the
ITU-T H.264 standard.
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A DICOM Transfer Syntax for MPEG-4 AVC/H.264 Image Compression shall be identified by a UID value
of either:
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MPEG-4 AVC/H.264 STEREO HIGH PROFILE /LEVEL 4.2 VIDEO COMPRESSION
1.2.840.10008.1.2.4.YYY corresponding to the MPEG-4 AVC/H.264 Stereo High Profile up to Level
4.2 of the ITU-T H.264 Video standard
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Changes to NEMA Standards Publication PS 3.6
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Digital Imaging and Communications in Medicine (DICOM)
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Part 6: Data Dictionary
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Add new UID to Annex A.
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UID Value
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UID Name
UID Type
Part
1.2.840.10008.1.2.4.XXX MPEG-4 AVC/H.264 High Profile /
Level 4.2
Transfer Syntax
PS 3.5
1.2.840.10008.1.2.4.YYY
Transfer Syntax
PS 3.5
MPEG-4 AVC/H.264 Stereo High
Profile / Level 4.2
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Changes to NEMA Standards Publication PS 3.11
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Digital Imaging and Communications in Medicine (DICOM)
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Part 11: Media Storage Application Profiles
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PS 3.11: Update Blu-ray media profiles to include MPEG-4 AVC/H.264 Level 4.2. transfer syntaxes
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M General Purpose BD With
Compression Interchange Profiles
(Normative)
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M.1 Profile Identification
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This Annex defines an Application Profile Class potentially inclusive of all defined Media Storage SOP Classes. This
class is intended to be used for the interchange of Composite SOP Instances via BD media for general-purpose
applications. Objects from multiple modalities may be included on the same media. Images may be compressed with
or without loss using either JPEG or JPEG 2000. And multi-frame images and video may be compressed with MPEG2
Main Profile / Main Level or MPEG2 Main Profile / High Level or MPEG-4 AVC/H.264 High Profile / Level 4.1 or
MPEG-4 AVC/H.264 BD-compatible High Profile / Level 4.1 or MPEG-4 AVC/H.264 High Profile / Level 4.2 or
MPEG-4 AVC/H.264 Stereo High Profile / Level 4.2:all readers shall support compression.
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A detailed list of the Media Storage SOP Classes that may be supported is defined in PS3.4.
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Table M.1-1. STD-GEN-BD and STD-GEN-SEC-BD Profiles
Application Profile
Identifier
Description
General Purpose BD Interchange with
JPEG
STD-GEN-BD-JPEG
Handles interchange of Composite SOP
Instances such as Images (optionally
compressed with either lossless or lossy
JPEG), Structured Reports, Presentation
States and Waveforms.
General Purpose BD Interchange with
JPEG 2000
STD-GEN-BD-J2K
Handles interchange of Composite SOP
Instances such as Images (optionally
compressed with either lossless or lossy
JPEG 2000), Structured Reports,
Presentation States and Waveforms.
General Purpose BD Interchange with
MPEG2 MP@ML
STD-GEN-BD-MPEG2-MPML
Handles interchange of multi-frame images
and video using MPEG2 MP@ML
compression.
General Purpose BD Interchange with
MPEG2 MP@HL
STD-GEN-BD-MPEG2-MPHL
Handles interchange of multi-frame images
and video using MPEG2 MP@HL
compression.
General Purpose BD Interchange with
MPEG-4 AVC/H.264 HiP@Level4.1
STD-GEN-BD-MPEG4-HPLV41
Handles interchange of multi-frame images
and video using MPEG-4 AVC/H.264
HiP@Level4.1 compression.
General Purpose BD Interchange with
MPEG-4 AVC/H.264 BD-Compatible
STD-GEN-BD-MPEG4-HPLV41BD
Handles interchange of multi-frame images
and video using MPEG-4 AVC/H.264 BD-
Application Profile
Identifier
HiP@Level4.1
Description
compatible HiP@Level4.1 compression.
General Purpose BD Interchange with
MPEG-4 AVC/H.264 HiP@Level4.2
STD-GEN-BD-MPEG4-HPLV42
Handles interchange of multi-frame
images and video using MPEG-4
AVC/H.264 HiP@Level4.2 compression.
General Purpose BD Interchange with
MPEG-4 AVC/H.264 Stereo
HiP@Level4.2
STD-GEN-BD-MPEG4-SHPLV42
Handles interchange of multi-frame
images and video using MPEG-4
AVC/H.264 Stereo High Profile / Level4.2
compression.
General Purpose Secure BD Interchange
with JPEG
STD-GEN-SEC-BD-JPEG
Handles interchange of Composite SOP
Instances such as Images (optionally
compressed with either lossless or lossy
JPEG), Structured Reports, Presentation
States and Waveforms. Offers
confidentiality, integrity and, depending on
the File-set creator's choice, data origin
authentication.
General Purpose Secure BD Interchange
with JPEG 2000
STD-GEN-SEC-BD-J2K
Handles interchange of Composite SOP
Instances such as Images (optionally
compressed with either lossless or lossy
JPEG 2000), Structured Reports,
Presentation States and Waveforms.
Offers confidentiality, integrity and,
depending on the File-set creator's choice,
data origin authentication.
General Purpose Secure BD Interchange
with MPEG2 MP@ML
STD-GEN-SEC-BD-MPEG2-MPML
Handles interchange of multi-frame images
and video using MPEG2 MP@ML
compression. Offers confidentiality,
integrity and, depending on the File-set
creator's choice, data origin authentication.
General Purpose Secure BD Interchange
with MPEG2 MP@HL
STD-GEN-SEC-BD-MPEG2-MPHL
Handles interchange of multi-frame images
and video using MPEG2 MP@HL
compression. Offers confidentiality,
integrity and, depending on the File-set
creator's choice, data origin authentication.
General Purpose Secure BD Interchange
with MPEG-4 AVC/H.264 HiP@Level4.1
STD-GEN-SEC-BD-MPEG4-HPLV41
Handles interchange of multi-frame images
and video using MPEG-4 AVC/H.264
HiP@Level4.1 compression. Offers
confidentiality, integrity and, depending on
the File-set creator's choice, data origin
authentication.
General Purpose Secure BD Interchange
with MPEG-4 AVC/H.264 BD-compatible
HiP@Level4.1
STD-GEN-SEC-BD-MPEG4-HPLV41BD Handles interchange of multi-frame images
and video using MPEG-4 AVC/H.264 BDcompatible HiP@Level4.1 compression.
Offers confidentiality, integrity and,
depending on the File-set creator's choice,
data origin authentication.
General Purpose Secure BD Interchange STD-GEN-SEC-BD-MPEG4-HPLV42
Handles interchange of multi-frame
Application Profile
Identifier
Description
with MPEG-4 AVC/H.264 HiP@Level4.2
images and video using MPEG-4
AVC/H.264 HiP@Level4.2 compression.
Offers confidentiality, integrity and,
depending on the File-set creator's
choice, data origin authentication.
General Purpose Secure BD Interchange STD-GEN-SEC-BD-MPEG4-SHPLV42
with MPEG-4 AVC/H.264 BD-compatible
High Profile / Level4.12
Handles interchange of multi-frame
images and video using MPEG-4
AVC/H.264 High Profile / Level4.2
compression. Offers confidentiality,
integrity and, depending on the File-set
creator's choice, data origin
authentication.
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Table M.3-1. STD-GEN-BD and STD-GEN-SEC-BD SOP Classes and Transfer Syntaxes
Information
Object
Definition
Basic Directory
SOP Class UID
Transfer Syntax and UID
1.2.840.10008.1.3.10 Explicit VR Little Endian
Uncompressed
FSC
Requirement
FSR
Requirement
FSU
Requirement
Mandatory
Mandatory
Mandatory
Defined in
Conformance
Statement
Mandatory for all
SOP Classes
defined in
Conformance
Statement
Defined in
Conformance
Statement
Defined in
Conformance
Statement
Mandatory for
JPEG profiles for
all SOP Classes
defined in
Conformance
Statement
Defined in
Conformance
Statement
Defined in
Conformance
Statement
Mandatory for
JPEG profiles for
all SOP Classes
defined in
Conformance
Statement
Defined in
Conformance
Statement
Defined in
Conformance
Statement
Mandatory for
JPEG profiles for
all SOP Classes
defined in
Conformance
Defined in
Conformance
Statement
1.2.840.10008.1.2.1
Composite IODs See PS3.4
for which a
Media Storage
SOP Class is
defined in PS3.4
Explicit VR Little Endian
Uncompressed
Composite IODs See PS3.4
for which a
Media Storage
SOP Class is
defined in PS3.4
JPEG Lossless Process 14
(selection value 1)
Composite IODs See PS3.4
for which a
Media Storage
SOP Class is
defined in PS3.4
JPEG Lossy, Baseline
Sequential with Huffman
Coding (Process 1)
Composite IODs See PS3.4
for which a
Media Storage
SOP Class is
defined in PS3.4
JPEG Extended (Process 2
& 4):
1.2.840.10008.1.2.1
1.2.840.10008.1.2.4.70
1.2.840.10008.1.2.4.50
Default Transfer Syntax for
Lossy JPEG 12 Bit Image
Information
Object
Definition
SOP Class UID
Transfer Syntax and UID
FSC
Requirement
Compression (Process 4
only)
FSR
Requirement
FSU
Requirement
Statement
1.2.840.10008.1.2.4.51
Composite IODs See PS3.4
for which a
Media Storage
SOP Class is
defined in PS3.4
JPEG 2000 Image
Compression (Lossless
Only)
Composite IODs See PS3.4
for which a
Media Storage
SOP Class is
defined in PS3.4
JPEG 2000 Image
Compression
See PS3.4
Multi-frame
Composite IODs
for which a
Media Storage
SOP Class is
defined in PS3.4
MPEG2 Main Profile @ Main Defined in
Level
Conformance
Statement
1.2.840.10008.1.2.4.100
Mandatory for all
SOP Classes
defined in
Conformance
Statement
Defined in
Conformance
Statement
See PS3.4
Multi-frame
Composite IODs
for which a
Media Storage
SOP Class is
defined in PS3.4
MPEG2 Main Profile @ High Defined in
Level
Conformance
Statement
1.2.840.10008.1.2.4.101
Mandatory for all
SOP Classes
defined in
Conformance
Statement
Defined in
Conformance
Statement
See PS3.4
Multi-frame
Composite IODs
for which a
Media Storage
SOP Class is
defined in PS3.4
MPEG-4 AVC/H.264 High
Profile / Level 4.1
Defined in
Conformance
Statement
Mandatory for all
SOP Classes
defined in
Conformance
Statement
Defined in
Conformance
Statement
See PS3.4
Multi-frame
Composite IODs
for which a
Media Storage
SOP Class is
defined in PS3.4
MPEG-4 AVC/H.264 BDcompatible High Profile /
Level 4.1
Defined in
Conformance
Statement
Mandatory for all
SOP Classes
defined in
Conformance
Statement
Defined in
Conformance
Statement
Multi-frame
See PS3.4
Composite
IODs for which
a Media Storage
SOP Class is
defined in
PS3.4
MPEG-4 AVC/H.264 High
Profile / Level 4.2
Defined in
Conformance
Statement
Mandatory for all Defined in
SOP Classes
Conformance
defined in
Statement
Conformance
Statement
Defined in
Conformance
Statement
Mandatory for J2K Defined in
profiles for all
Conformance
SOP Classes
Statement
defined in
Conformance
Statement
Defined in
Conformance
Statement
Mandatory for J2K Defined in
profiles for all
Conformance
SOP Classes
Statement
defined in
Conformance
Statement
1.2.840.10008.1.2.4.90
1.2.840.10008.1.2.4.91
1.2.840.10008.1.2.4.102
1.2.840.10008.1.2.4.103
1.2.840.10008.1.2.4.XXX
Information
Object
Definition
SOP Class UID
Multi-frame
See PS3.4
Composite
IODs for which
a Media Storage
SOP Class is
defined in
PS3.4
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Transfer Syntax and UID
FSC
Requirement
MPEG-4 AVC/H.264 Stereo Defined in
High Profile / Level 4.2
Conformance
Statement
1.2.840.10008.1.2.4.YYY
FSR
Requirement
FSU
Requirement
Mandatory for all Defined in
SOP Classes
Conformance
defined in
Statement
Conformance
Statement