There are many tools around to perform anonimization. We are doing an inventory to find out what is available and how well it performs. Let me know your favourite anonymization tool for DICOM files and tell me why you feel it is the best.
DicomBrowser does good job at modifying DICOM tags. Recently used it to anonymize set of DICOM images that came from different x-ray machines, and to modify the tags so they appeared as being a part of one study.
I second for DicomBrowser. It also has its own simple language (much simpler than MIRC anonymizer) in which you can write instructions for conditional anonymization and execute in batches.
I was disappointed about the free offerings, since the ones I looked at really did not perform a good anonymization "out of the box". Some of them were very configurable, but then you had to be very knowledgeable about what is actually considered identifiable personal information.
The configuration for anonymization is a big effort to take on, and a big responsibility to use a freeware without doing a thorough validation of all your possible DICOM attributes. For instance, many manufacturers have dangerous private elements, some which are necessary to keep for different modalities. Some modalities have sequences (tree structures of DICOM elements) which are not anonymized.
Because of this I have spend 3 years developing a networked hardware device (it is a DICOM reciever), to which you can transfer images and let it perform a full anonymization. The good thing is that you do an export and anonymization from any work station within a few seconds, instead of the normally time consuming methods. It also sorts images in a folder structure which is easy to understand (which is not what you get from typical DICOM exports). It also has a web-interface for relaxing anonymization, and for validating with clear indications if there are any dangerous elements remaining (this is really only happening if you modify default settings).
Sorry, but here comes a section you may skip if your are sensitive to non-free software: I am now trying to sell this commercially under the name Dicom2usb (www.dicom-port.com). I believe the cost is a lot less than putting in the effort to develop from scratch, especially when considering that Dicom2usb has rules (keep/modify/remove etc) for 3000 DICOM elements and a large number of private elements.
So I guess, apart from advertising my venture, I really want to tell you that it is a big effort to do anonymization thoroughly and that you may very well use free software. But you should be very, very sure about what you are doing, and take a good anonymization for granted without validating it to the DICOM standard.
Recommended reading is the DICOM standard, especially the chapters about de-identification.
This can be used in conjunction with other tool and has the unique feature to blackout images and series of them.
Actually the blackout is a feature that permits to really anonymize images, not only the contents of DICOM fields.
"Some types of images, particularly ultrasound, screen shots of analysis panels and 3D rendering, digitized film or paper documents, and some nuclear medicine images, contain identifying information not just in the DICOM "header", but also burned in to the pixel data, which needs to be "blacked out" (redacted) by replacing the pixel values using an image editor."
You have to do this anonymization, for example in Dose CT report, Ultrasound images, Angiography Secondary capture, and other types.
Also it has a the possibility to receive images from DICOM nodes and to send images to other DICOM Storage SCP.
It is very reliable and stable, and if you choose to go with webstart installation, it updates automatically itself every time there is a new release.
If you are looking for a free tool to guarantee patient safety and privacy in your DICOM data records, I recommend the modiCAS||anonymizer.
Due to high flexibility, you can determine the degree of anonymization yourself, from the patient´s name to all essential data containing information about the patient and your institution.
The modiCAS||anonymizer is available free of charge.
Isn’t it impossible to anonymize radiological images? I thought it’s like with a finger print. Pseudonymization might be possible after stripping off the meta data from the DICOM file. But I’m not sure, maybe there are body parts of which the images truly can be anonymized. I’d be very interested if there are.
@LeonieLampe The inherent uniqueness of a person's anatomy doesn't preclude successful anonymization of their radiological images. For example, given a chest x-ray without any accompanying metadata, it would not be possible for a third party who does not already possess a fully identified copy of the exam to infer the identity of the patient from the image pixels of that chest x-ray. See https://www.hhs.gov/hipaa/for-professionals/privacy/special-topics/de-identification/index.html?language=es for HHS's guidance on the topic.
Just load the scan, then on the Export tab choose the method of anonymization. A statement indicating how it is anonymizing the scan is also shown so you'll know what's happening.
Margarethus M Paulides this platform doesn't provide features to have a proper discussion of the different answers. But I'm glad to have these suggestions compiled here for people to discover and try out for themselves.
We have listed a number of DICOM anonymization tools on 'imaging QA' our free medical imaging Question and Answer site. They can easily be listed using our search tool :