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knopkem/dicom-toolkit-rs

dicom-toolkit-rs

⚠️ NOT FOR CLINICAL USE — This software is not a certified medical device. It has not been validated for diagnostic or therapeutic use under any regulatory framework (FDA 510(k), CE marking, MDR, etc.). Use at your own risk.

A pure-Rust port of DCMTK 3.7.0 — a comprehensive DICOM medical imaging toolkit. The port targets feature parity across the four core DCMTK tiers and applies idiomatic Rust patterns throughout.

This is an independent project, not affiliated with or endorsed by OFFIS e.V. See NOTICE for attribution details.

Tests


Status

Tier Scope Tests
1 — Foundation dicom-toolkit-core, dicom-toolkit-dict 43 + 38
2 — Data model & I/O dicom-toolkit-data 153
3 — Networking dicom-toolkit-net 59
4 — Imaging & codecs dicom-toolkit-image, dicom-toolkit-codec, dicom-toolkit-jpeg2000 44 + 89 + 46
Tools dicom-toolkit-tools 10 integration
Total 482 unit/integration + 6 doctests = 488 passing, 0 failed

Crates

Crate Ports from DCMTK Description
dicom-toolkit-core ofstd, oficonv, oflog Error types, UIDs, full character set support (ISO 2022 + single-byte + UTF-8), logging
dicom-toolkit-dict dcmdata (dict) 90+ tag constants, all 34 VRs, 13 transfer syntaxes, SOP class UID registry
dicom-toolkit-data dcmdata DICOM data model, Part 10 file reader/writer, DICOM JSON (PS3.18), XML, deflate
dicom-toolkit-net dcmnet, dcmtls Async DICOM networking: PDU layer, association, C-ECHO/STORE/FIND/GET/MOVE, TLS
dicom-toolkit-image dcmimgle, dcmimage Pixel pipeline, Modality/VOI LUT, window/level, overlays, color models, PNG export
dicom-toolkit-codec dcmjpeg, dcmjpls, dcmrle, dcmjp2k JPEG baseline, pure-Rust JPEG-LS, pure-Rust JPEG 2000 (lossless & lossy), RLE PackBits, codec registry
dicom-toolkit-tools dcmdump, echoscu, etc. CLI utilities: dump, network SCU/SCP including getscu, img2dcm, JPEG-LS/JPEG 2000 compress/decompress (see below)
dicom-toolkit-jpeg2000 internal/published fork Pure-Rust JPEG 2000 engine used by dicom-toolkit-codec; published fork with native-bit-depth decode plus DICOM-focused encoder

Requirements

  • Rust 1.80 or later
  • cargo

No C/C++ compiler or external native libraries are required — all dependencies are pure Rust or bundled.


Build

# Build the whole workspace
cargo build --workspace

# Build CLI tools only
cargo build --bins

# Run all tests
cargo test --workspace

Publishing crates

For crates.io releases, use the helper script from the repository root:

# Show the publish order and versions
bash scripts/publish-crates.sh --plan

# Publish all crates in dependency order
bash scripts/publish-crates.sh

# Resume after a partial publish
bash scripts/publish-crates.sh --from dicom-toolkit-net

There is also a manual GitHub Actions workflow named Publish crates which runs the same release order with a repository CARGO_REGISTRY_TOKEN secret.


Library Usage

Reading a DICOM file

use dicom_toolkit_data::FileFormat;
use dicom_toolkit_dict::tags;

let file = FileFormat::open("image.dcm")?;
let ds = file.dataset();

if let Some(name) = ds.get_string(tags::PATIENT_NAME) {
    println!("Patient: {name}");
}
let rows    = ds.get_u16(tags::ROWS).unwrap_or(0);
let columns = ds.get_u16(tags::COLUMNS).unwrap_or(0);
println!("Size: {columns}×{rows}");

Creating and writing a DICOM file

use dicom_toolkit_data::{DataSet, FileFormat};
use dicom_toolkit_dict::{tags, transfer_syntaxes as ts};
use dicom_toolkit_core::uid::Uid;

let mut ds = DataSet::new();
ds.set_string(tags::PATIENT_NAME, "Doe^John")?;
ds.set_string(tags::PATIENT_ID,   "12345")?;
ds.set_u16(tags::ROWS,    512)?;
ds.set_u16(tags::COLUMNS, 512)?;

let sop_uid = Uid::generate("2.25")?.to_string();
let file = FileFormat::new(ds, &ts::EXPLICIT_VR_LITTLE_ENDIAN);
file.save("output.dcm")?;

DICOM JSON (PS3.18)

use dicom_toolkit_data::{FileFormat, json::DicomJson};

let file  = FileFormat::open("image.dcm")?;
let json  = DicomJson::encode(file.dataset())?;
println!("{json}");

let ds2 = DicomJson::decode(&json)?;

Image rendering

use dicom_toolkit_image::DicomImage;

let image = DicomImage::from_file("ct.dcm")?;
let frame = image.render_frame(0, None)?;  // applies Modality + VOI LUT
frame.save_png("ct_frame0.png")?;

Codec registry

use dicom_toolkit_codec::registry::GLOBAL_REGISTRY;
use dicom_toolkit_dict::transfer_syntaxes as ts;

let codec = GLOBAL_REGISTRY.get(ts::RLE_LOSSLESS.uid)?;
let raw   = codec.decode(&compressed_bytes, width, height, samples)?;

Async networking (C-ECHO)

use dicom_toolkit_net::{association::Association, config::AssociationConfig};

#[tokio::main]
async fn main() -> anyhow::Result<()> {
    let cfg = AssociationConfig::default();
    let mut assoc = Association::request("pacs.example.com:11112", cfg).await?;
    assoc.c_echo().await?;
    assoc.release().await?;
    Ok(())
}

Character Set Support

DICOM strings use Specific Character Set (0008,0005) to indicate encoding. dicom-toolkit-rs handles this transparently — the reader decodes to UTF-8 on input, the writer re-encodes on output.

DICOM Term Encoding Notes
(empty) / ISO_IR 6 ASCII Default
ISO_IR 100 Latin-1 (Windows-1252 superset) Western European
ISO_IR 101 Latin-2 (ISO 8859-2) Central European
ISO_IR 109 Latin-3 (ISO 8859-3) South European
ISO_IR 110 Latin-4 (ISO 8859-4) North European
ISO_IR 144 Cyrillic (ISO 8859-5) Russian, etc.
ISO_IR 127 Arabic (ISO 8859-6)
ISO_IR 126 Greek (ISO 8859-7)
ISO_IR 138 Hebrew (ISO 8859-8)
ISO_IR 148 Latin-5 (ISO 8859-9) Turkish
ISO_IR 166 Thai (TIS 620)
ISO_IR 203 Latin-9 (ISO 8859-15) Adds €, Œ, Ÿ
ISO_IR 192 UTF-8 Recommended for new data
GB18030 Chinese (GB 18030)
GBK Chinese (GBK)

ISO 2022 extensions (multi-charset via escape sequences) are fully supported for Japanese (JIS X 0201/0208/0212), Korean (KS X 1001), and Simplified Chinese (GB 2312).

All string data is stored internally as Rust String (UTF-8), with encoding/decoding occurring at I/O time. Round-trip fidelity is tested for all supported charsets.


CLI Tools

All tools are built as part of cargo build --bins and placed in target/debug/ (or target/release/ with --release).

dcmdump — print DICOM file contents

dcmdump [OPTIONS] <FILE>...

Options:
  -M, --meta      Also print File Meta Information header
  -n, --no-limit  Do not limit string value output length
      --json      Output as DICOM JSON
      --xml       Output as DICOM XML
  -v, --verbose   Verbose output

Examples

# Human-readable dump
dcmdump image.dcm

# Include file meta group (0002,xxxx)
dcmdump --meta image.dcm

# Export as DICOM JSON
dcmdump --json image.dcm > image.json

# Dump multiple files
dcmdump *.dcm

echoscu — send C-ECHO verification

echoscu [OPTIONS] <HOST> <PORT>

Options:
  -a, --aetitle <AE>    Calling AE title [default: ECHOSCU]
  -c, --called-ae <AE>  Called AE title [default: ANY-SCP]
  -r, --repeat <N>      Number of C-ECHO requests [default: 1]
  -v, --verbose

Examples

# Verify connectivity to a PACS
echoscu pacs.example.com 11112

# Custom AE titles, send 3 pings
echoscu -a MY_SCU -c ORTHANC -r 3 localhost 4242

storescu — send DICOM files (C-STORE)

storescu [OPTIONS] <HOST> <PORT> <FILE>...

Options:
  -a, --aetitle <AE>    Calling AE title [default: STORESCU]
  -c, --called-ae <AE>  Called AE title [default: ANY-SCP]
  -v, --verbose

Examples

# Send one file
storescu pacs.example.com 11112 image.dcm

# Send a whole study directory
storescu -a MY_SCU -c ORTHANC localhost 4242 study/*.dcm

storescp — receive DICOM files (Storage SCP)

storescp [OPTIONS] <PORT>

Options:
  -a, --aetitle <AE>      Called AE title [default: STORESCP]
  -d, --output-dir <DIR>  Directory to save received files [default: .]
  -v, --verbose

Examples

# Listen on port 11112, save to /tmp/incoming
storescp -d /tmp/incoming 11112

# Run in background (receives from storescu above)
storescp -v 4242 &
storescu localhost 4242 *.dcm

findscu — query with C-FIND

findscu [OPTIONS] <HOST> <PORT>

Options:
  -a, --aetitle <AE>     Calling AE title [default: FINDSCU]
  -c, --called-ae <AE>   Called AE title [default: ANY-SCP]
  -k, --key <TAG=VALUE>  Query attribute (repeatable), e.g. "0010,0010=Smith*"
  -L, --level <LEVEL>    PATIENT | STUDY | SERIES | IMAGE [default: STUDY]
  -v, --verbose

Examples

# Find all studies for patients whose name starts with "Smith"
findscu -k "0010,0010=Smith*" pacs.example.com 11112

# Find a specific study by date, at patient level
findscu -L PATIENT -k "0010,0010=" -k "0008,0020=20240101" localhost 4242

getscu — retrieve with C-GET

getscu [OPTIONS] <HOST> <PORT>

Options:
  -a, --aetitle <AE>        Calling AE title [default: GETSCU]
  -c, --called-ae <AE>      Called AE title [default: ANY-SCP]
  -d, --output-dir <DIR>    Directory for retrieved DICOM files [default: .]
  -k, --key <TAG=VALUE>     Query key (repeatable)
  -L, --level <LEVEL>       Query/retrieve level [default: STUDY]
  -v, --verbose             Verbose output

Examples

# Retrieve all instances for a study into ./retrieved
getscu -d retrieved -L STUDY -k "0020,000D=1.2.3.4.5" pacs.example.com 11112

# Retrieve matching series from a local PACS
getscu -a MY_SCU -c ORTHANC -d out -L SERIES -k "0020,000E=1.2.3.4.5.6" localhost 4242

Retrieved objects are written as DICOM Part 10 files named after their SOP Instance UID.


img2dcm — convert PNG to DICOM

img2dcm [OPTIONS] <INPUT> [OUTPUT]

Arguments:
  <INPUT>   Input PNG file
  [OUTPUT]  Output DICOM file [default: <input>.dcm]

Options:
  -p, --patient-name <NAME>          [default: Anonymous]
  -P, --patient-id <ID>
  -s, --study-description <TEXT>
  -S, --series-description <TEXT>
      --sop-class <UID>              Override SOP Class UID
      --sop-instance <UID>           Override SOP Instance UID
  -v, --verbose

Examples

# Wrap a PNG as a Secondary Capture DICOM file
img2dcm photo.png

# With patient metadata
img2dcm -p "Doe^John" -P "12345" -s "Chest X-Ray" chest.png chest.dcm

dcmcjpls — compress DICOM to JPEG-LS

dcmcjpls [OPTIONS] <INPUT> <OUTPUT>

Arguments:
  <INPUT>   Input DICOM file (uncompressed or decompressible)
  <OUTPUT>  Output DICOM file (JPEG-LS compressed)

Options:
  -n, --max-deviation <NEAR>   Max pixel error; 0 = lossless [default: 0]
  -l, --encode-lossless         Force lossless mode (NEAR=0)
      --encode-nearlossless     Near-lossless mode (default NEAR=2)
  -v, --verbose

Examples

# Lossless JPEG-LS compression (default)
dcmcjpls image.dcm image_jls.dcm

# Near-lossless with max deviation of 3
dcmcjpls -n 3 -v image.dcm image_lossy.dcm

# Recode HTJ2K DICOM into JPEG-LS
dcmcjpls image_htj2k.dcm image_htj2k_jls.dcm

# Batch compress all files in a directory
for f in study/*.dcm; do dcmcjpls "$f" "compressed/$(basename $f)"; done

dcmdjpls — decompress JPEG-LS DICOM

dcmdjpls [OPTIONS] <INPUT> <OUTPUT>

Arguments:
  <INPUT>   Input DICOM file (JPEG-LS compressed)
  <OUTPUT>  Output DICOM file (Explicit VR Little Endian)

Options:
  -v, --verbose

Examples

# Decompress a JPEG-LS file
dcmdjpls image_jls.dcm image_raw.dcm

# Verbose — show image parameters and compression ratio
dcmdjpls -v image_jls.dcm image_raw.dcm

# Round-trip: compress then decompress
dcmcjpls -v image.dcm /tmp/compressed.dcm
dcmdjpls -v /tmp/compressed.dcm /tmp/roundtrip.dcm

dcmcjp2k — compress DICOM to JPEG 2000 / HTJ2K

dcmcjp2k [OPTIONS] <INPUT> <OUTPUT>

Arguments:
  <INPUT>   Input DICOM file (uncompressed or decompressible)
  <OUTPUT>  Output DICOM file (JPEG 2000 or HTJ2K compressed)

Options:
  -l, --encode-lossless   Force lossless JPEG 2000 (default)
      --encode-lossy      Use irreversible JPEG 2000
      --htj2k             Use High-Throughput JPEG 2000; combine with --encode-lossy for TS .203
  -v, --verbose

Examples

# Lossless JPEG 2000 compression (TS .90)
dcmcjp2k image.dcm image_j2k.dcm

# Irreversible/lossy JPEG 2000 (TS .91)
dcmcjp2k --encode-lossy -v image.dcm image_j2k_lossy.dcm

# HTJ2K lossless (TS .201)
dcmcjp2k --htj2k image.dcm image_htj2k.dcm

# HTJ2K generic transfer syntax (TS .203)
dcmcjp2k --htj2k --encode-lossy -v image.dcm image_htj2k_lossy.dcm

# Batch compress
for f in study/*.dcm; do dcmcjp2k "$f" "jp2k/$(basename "$f")"; done

HTJ2K encode currently emits TS .201 for lossless and TS .203 for --encode-lossy. RPCL HTJ2K TS .202 remains decode-only until the codestream writer supports RPCL progression order.

HTJ2K lossless output is self-validated before dcmcjp2k writes it. If the current encoder cannot produce a decodable lossless codestream for a given image, the command fails with an explicit error instead of emitting a corrupt file.

dcmdjp2k — decompress JPEG 2000 / HTJ2K DICOM

dcmdjp2k [OPTIONS] <INPUT> <OUTPUT>

Arguments:
  <INPUT>   Input DICOM file (JPEG 2000 / HTJ2K compressed)
  <OUTPUT>  Output DICOM file (Explicit VR Little Endian)

Options:
  -v, --verbose

Examples

# Decompress a JPEG 2000 file
dcmdjp2k image_j2k.dcm image_raw.dcm

# Verbose round-trip
dcmcjp2k -v image.dcm /tmp/compressed_j2k.dcm
dcmdjp2k -v /tmp/compressed_j2k.dcm /tmp/roundtrip.dcm

Example Scripts

Ready-to-run scripts live in examples/scripts/ and use the five ABDOM CT slices in examples/testfiles/.

Script What it demonstrates
01_dump All dcmdump output modes: plain, --meta, --no-limit, --json, --xml, multi-file batch
02_network Start storescp → C-ECHO verify with echoscu → send all 5 slices with storescu → inspect received files
03_query findscu and getscu command patterns; set RUN_LIVE=1 / $env:RUN_LIVE='1' to query a real PACS
04_img2dcm Generate a PNG with Python stdlib → wrap as Secondary Capture → dump + JSON export
05_jpegls JPEG-LS lossless & near-lossless round-trip, batch compress/decompress, metadata verification
06_jp2k JPEG 2000 lossless round-trip, lossy smoke test, batch compress/decompress, metadata verification
demo Master script — runs all six above in order

Two equivalent versions are provided for each script:

Linux / macOS (bash)

# Run the full demo
bash examples/scripts/demo.sh

# Or run individual scripts
bash examples/scripts/01_dump.sh
bash examples/scripts/02_network.sh
bash examples/scripts/04_img2dcm.sh
bash examples/scripts/05_jpegls.sh
bash examples/scripts/06_jp2k.sh

Windows (PowerShell)

Requires PowerShell 7+ (pwsh) or Windows PowerShell 5.1. On first run you may need to allow local scripts:

Set-ExecutionPolicy -Scope CurrentUser RemoteSigned
# Run the full demo
pwsh -File examples/scripts/demo.ps1

# Run with a pause between sections
pwsh -File examples/scripts/demo.ps1 -Pause

# Or run individual scripts
pwsh -File examples/scripts/01_dump.ps1
pwsh -File examples/scripts/02_network.ps1
pwsh -File examples/scripts/04_img2dcm.ps1
pwsh -File examples/scripts/05_jpegls.ps1
pwsh -File examples/scripts/06_jp2k.ps1

The PowerShell scripts also work on macOS and Linux with PowerShell Core.

Note: 03_query shows command-line patterns but does not execute live retrievals by default. The storescp binary now uses the DicomServer framework. C-FIND, C-GET, and C-MOVE SCP handling is available in-process via the library; see DicomServer below. Set RUN_LIVE=1 to use an external Orthanc instance with the query scripts.


Architecture

The port maps DCMTK's deep C++ class hierarchy to idiomatic Rust:

DCMTK C++ Rust equivalent
OFCondition / exception thiserror DcmError enum + DcmResult<T>
DcmObjectDcmElementDcmByteString Value enum (21 variants) + Element struct
DcmDataset (std::map) DataSet backed by IndexMap<Tag, Element>
DcmFileFormat FileFormat struct
OFString / OFList String / Vec<T>
oflog / log4cplus tracing + tracing-subscriber
oficonv encoding_rs
DcmTransportLayer (OpenSSL) rustls + tokio-rustls
Blocking socket I/O tokio async I/O
CharLS (C++ JPEG-LS) Pure Rust JPEG-LS codec (ISO 14495-1)

JPEG-LS Codec

dicom-toolkit-codec includes a pure-Rust JPEG-LS codec ported from the CharLS algorithm bundled with DCMTK. No C/C++ dependencies — works on any Rust target including WASM.

Supported features:

  • Lossless mode (DICOM TS 1.2.840.10008.1.2.4.80)
  • Near-lossless/lossy mode (DICOM TS 1.2.840.10008.1.2.4.81)
  • 2–16 bit depths (DICOM commonly uses 8, 12, 16)
  • Grayscale and multi-component images (1–4 components)
  • Interleave modes: ILV_NONE, ILV_LINE
  • HP color transforms (APP8 marker)

Architecture (10 modules, ~1,200 LOC):

Module Purpose
params.rs Parameters, threshold computation (ISO §C.2.4.1.1)
sample.rs Sample trait for u8/u16 bit-depth dispatch
bitstream.rs BitReader/BitWriter with FF-bitstuffing
context.rs Context statistics (A, B, C, N) + run-mode context
golomb.rs Golomb-Rice coding (encode/decode mapped errors)
prediction.rs Median-edge predictor, gradient quantization
marker.rs JPEG-LS marker parsing/writing (SOF-55, SOS, LSE)
scan.rs Core scan encoder/decoder (line-by-line processing)
decoder.rs Top-level decoder: markers → scan decoder → pixels
encoder.rs Top-level encoder: pixels → scan encoder → bitstream

JPEG Codec

dicom-toolkit-codec also provides classic JPEG support for DICOM transfer syntaxes used in older archives and interoperability paths.

Supported features:

  • JPEG Baseline / Extended decode and encode for 1.2.840.10008.1.2.4.50 and 1.2.840.10008.1.2.4.51
  • Classic JPEG Lossless (Process 14) decode and encode for 1.2.840.10008.1.2.4.57 and 1.2.840.10008.1.2.4.70
  • Grayscale and RGB codec coverage in the crate test suite
  • Registry-level capability reporting via supported_decode_transfer_syntaxes() and supported_encode_transfer_syntaxes()

JPEG 2000 Codec

dicom-toolkit-codec now includes pure-Rust JPEG 2000 support backed by the in-workspace dicom-toolkit-jpeg2000 fork. No C/C++ bindings are used.

Supported features:

  • DICOM transfer syntaxes 1.2.840.10008.1.2.4.90 (lossless) and 1.2.840.10008.1.2.4.91
  • Native-bit-depth encode/decode for 8-, 12-, and 16-bit medical images
  • Grayscale and RGB pixel data
  • Library-level encode/decode plus CLI tools dcmcjp2k and dcmdjp2k
  • Multi-fragment decode (one codestream per frame) in the codec/tools path
  • HTJ2K decode for transfer syntaxes .201, .202, and .203, plus encode for .201 and .203
  • Real-DICOM HTJ2K encode/decode and CLI roundtrip coverage using examples/testfiles/ABDOM_*.dcm

Current scope:

  • JPEG 2000 Part 1 codestreams aimed at common DICOM usage
  • Single quality layer in the current encoder
  • HTJ2K lossless encode/decode now routes through openjph-core for DICOM-style codestreams; the test matrix includes real DICOM registry and CLI regressions
  • Lossless and basic lossy mode; quality tuning is not yet exposed as a user-facing option

DicomServer

dicom-toolkit-net now ships a generic DicomServer for building full PACS SCPs.
It manages concurrent TCP associations, request routing, and graceful shutdown.
You plug in your own logic via provider traits; the library handles all DICOM protocol mechanics.

Quick start

use dicom_toolkit_net::server::{DicomServer, FileStoreProvider};

#[tokio::main]
async fn main() {
    let server = DicomServer::builder()
        .ae_title("MYPACS")
        .port(4242)
        .store_provider(FileStoreProvider::new("/data/dicom"))
        .build()
        .await
        .expect("bind port");

    server.run().await.expect("server error");
}

Provider traits

Implement one or more of these traits to add your own business logic:

Trait Service Callback
StoreServiceProvider C-STORE async fn on_store(&self, StoreEvent) -> StoreResult
FindServiceProvider C-FIND async fn on_find(&self, FindEvent) -> Vec<DataSet>
GetServiceProvider C-GET async fn on_get(&self, GetEvent) -> Vec<RetrieveItem>
MoveServiceProvider C-MOVE async fn on_move(&self, MoveEvent) -> Vec<RetrieveItem>

C-ECHO is always handled automatically without a trait.

DicomServerBuilder options

DicomServer::builder()
    .ae_title("MYPACS")           // AE title (default: "DICOMRS")
    .port(4242)                    // TCP port (default: 4242)
    .max_associations(100)         // Max concurrent associations
    .store_provider(my_store)      // C-STORE SCP
    .find_provider(my_query)       // C-FIND SCP
    .get_provider(my_get)          // C-GET SCP
    .move_provider(my_move)        // C-MOVE SCP
    .move_destination_lookup(      // AE→host:port for C-MOVE sub-associations
        StaticDestinationLookup::new(vec![
            ("STORESCP".into(), "10.0.0.1:4242".into()),
        ])
    )
    .build()
    .await?

Graceful shutdown

let token = server.cancellation_token();
// In another task or signal handler:
token.cancel(); // server.run() returns cleanly

Built-in provider: FileStoreProvider

Ships ready to use — receives DICOM instances and saves them as .dcm files:

.store_provider(FileStoreProvider::new("/tmp/incoming"))

Known Limitations

  • Worklist / MPPS: not yet ported.
  • JPEG-LS ILV_SAMPLE: pixel-interleaved multi-component mode not yet supported (ILV_NONE and ILV_LINE work).
  • JPEG 2000 advanced profiles: Multi-layer HT decoding and Part 2 multi-component features are not implemented yet. HTJ2K encode is supported for .201 and .203, while .202 remains decode-only because the current codestream writer emits LRCP rather than RPCL. Broader external-fixture and interoperability coverage still remains.
  • JPEG 2000 lossy tuning: current tools expose lossless vs. lossy mode, but not quality/rate controls yet.

License

Licensed under either of Apache License 2.0 or MIT License at your option.

See NOTICE for attribution of algorithmic references (DCMTK, CharLS).

Contributing

See CONTRIBUTING.md for guidelines.

Security

See SECURITY.md for vulnerability reporting and DICOM security guidance.

About

A pure-Rust port of DCMTK 3.7.0 — a comprehensive DICOM medical imaging toolkit.

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