• Journal of Korea Multimedia Society
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• v.7 no.9
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• pp.1321-1328
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• 2004

In this article, we present a new DICOM object able to create image-based annotations in DICOM image. Since the proposed image-based annotation uses images themselves of annotation, various types like character, sketch, and scanning image, etc., can be imported into annotation easily. The proposed annotation is inserted into DICOM image directly but they do not influence original DICOM image quality by using independent data channel. The proposed annotation is expected to be very useful to medium and small clinics that cannot afford picture archiving and communication systems or electronic medical record.