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搭建Orthanc服务器-DICOM服务器

作者：从前慢现在也慢 | 2024-06-08 12:10:54

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orthanc

之前一直在研究本地的dicom文件，虽然暂时还没什么明显的成果，但是从别的软件了解到PACS工作站都需要与DICOM服务器之间进行传输，目前对传输协议还不了解，本着边做边学的思路，先把DICOM服务器先搭建起来，主机使用的是公司内部的虚拟化主机，操作系统为Windows Server 2012 R2。

1-服务器软件的选择

通过搜索得知dicom服务器有很多种

Microsoft Azure提供的DICOM服务 DICOM 服务概述 - Azure Health Data Services | Microsoft Docs

阿里云提供的DICOM服务

https://help.aliyun.com/document_detail/383453.html

Orthanc DICOM服务器 开源 轻量化 一键安装 配置起来也比较简单，作者选择这个作为入门学习，等到实际需求再考虑上线系统的稳定选择

Orthanc - DICOM Server

 2-安装

点击 download now 进入下载页面

Orthanc - DICOM Server

 

当前最新版本为 1.11.1 下载Windows版本

双击启动安装包，按照提示进行一步步操作，这就不进行演示了。

安装完成后，在浏览器中输入 http://IP地址:8042,即可显示Orthanc的web操作界面。

 到这里Orthanic的安装就完成了。

3-配置

在安装目录的文件夹下（我当前目录为C:\Program Files\Orthanc Server\Configuration），存放orthanc使用的配置文件

 其中orthanc.json文件是orthanc的主配置文件，重要的配置都在其中，以下是我的配置内容，仅供参考

  1. {
  2.   /**
  3.    * General configuration of Orthanc
  4.    **/
  5.  
  6.   // The logical name of this instance of Orthanc. This one is
  7.   // displayed in Orthanc Explorer and at the URI "/system".
  8.   "Name" : "MyOrthanc",
  9.  
  10.   // Path to the directory that holds the heavyweight files (i.e. the
  11.   // raw DICOM instances). Backslashes must be either escaped by
  12.   // doubling them, or replaced by forward slashes "/".
  13.   "StorageDirectory" : "C:\\Orthanc",
  14.  
  15.   // Path to the directory that holds the SQLite index (if unset, the
  16.   // value of StorageDirectory is used). This index could be stored on
  17.   // a RAM-drive or a SSD device for performance reasons.
  18.   "IndexDirectory" : "C:\\Orthanc",
  19.  
  20.   // Path to the directory where Orthanc stores its large temporary
  21.   // files. The content of this folder can be safely deleted once
  22.   // Orthanc is stopped. The folder must exist. The corresponding
  23.   // filesystem must be properly sized, given that for instance a ZIP
  24.   // archive of DICOM images created by a job can weight several GBs,
  25.   // and that there might be up to "min(JobsHistorySize,
  26.   // MediaArchiveSize)" archives to be stored simultaneously. If not
  27.   // set, Orthanc will use the default temporary folder of the
  28.   // operating system (such as "/tmp/" on UNIX-like systems, or
  29.   // "C:/Temp" on Microsoft Windows).
  30.   // "TemporaryDirectory" : "/tmp/Orthanc/",
  31.  
  32.   // Enable the transparent compression of the DICOM instances
  33.   "StorageCompression" : false,
  34.  
  35.   // Maximum size of the storage in MB (a value of "0" indicates no
  36.   // limit on the storage size)
  37.   "MaximumStorageSize" : 0,
  38.  
  39.   // Maximum number of patients that can be stored at a given time
  40.   // in the storage (a value of "0" indicates no limit on the number
  41.   // of patients)
  42.   "MaximumPatientCount" : 0,
  43.   
  44.   // List of paths to the custom Lua scripts that are to be loaded
  45.   // into this instance of Orthanc
  46.   "LuaScripts" : [
  47.   ],
  48.  
  49.   // List of paths to the plugins that are to be loaded into this
  50.   // instance of Orthanc (e.g. "./libPluginTest.so" for Linux, or
  51.   // "./PluginTest.dll" for Windows). These paths can refer to
  52.   // folders, in which case they will be scanned non-recursively to
  53.   // find shared libraries. Backslashes must be either escaped by
  54.   // doubling them, or replaced by forward slashes "/".
  55.   "Plugins" : [ "C:\\Program Files\\Orthanc Server\\Plugins" ],
  56.  
  57.   // Maximum number of processing jobs that are simultaneously running
  58.   // at any given time. A value of "0" indicates to use all the
  59.   // available CPU logical cores. To emulate Orthanc <= 1.3.2, set
  60.   // this value to "1".
  61.   "ConcurrentJobs" : 10,
  62.  
  63.  
  64.   /**
  65.    * Configuration of the HTTP server
  66.    **/
  67.  
  68.   // Enable the HTTP server. If this parameter is set to "false",
  69.   // Orthanc acts as a pure DICOM server. The REST API and Orthanc
  70.   // Explorer will not be available.
  71.   "HttpServerEnabled" : true,
  72.  
  73.   // Enable/disable the Orthanc Explorer Web user interface. This
  74.   // option is only meaningful if the "HttpServerEnabled" option is
  75.   // set to "true" (new in Orthanc 1.8.2).
  76.   "OrthancExplorerEnabled" : true,
  77.  
  78.   // HTTP port for the REST services and for the GUI
  79.   "HttpPort" : 8042,
  80.  
  81.   // When the following option is "true", if an error is encountered
  82.   // while calling the REST API, a JSON message describing the error
  83.   // is put in the HTTP answer. This feature can be disabled if the
  84.   // HTTP client does not properly handles such answers.
  85.   "HttpDescribeErrors" : true,
  86.  
  87.   // Enable HTTP compression to improve network bandwidth utilization,
  88.   // at the expense of more computations on the server. Orthanc
  89.   // supports the "gzip" and "deflate" HTTP encodings.
  90.   "HttpCompressionEnabled" : true,
  91.  
  92.   // Enable the publication of the content of the Orthanc server as a
  93.   // WebDAV share (new in Orthanc 1.8.0). On the localhost, the WebDAV
  94.   // share is mapped as "http://localhost:8042/webdav/".
  95.   "WebDavEnabled" : true,
  96.  
  97.   // Whether to allow deletions through the WebDAV share. This is
  98.   // disabled by default to avoid accidental loss of DICOM instances.
  99.   "WebDavDeleteAllowed" : false,
  100.  
  101.   // Whether to allow uploads through the WebDAV share.
  102.   "WebDavUploadAllowed" : true,
  103.  
  104.  
  105.  
  106.   /**
  107.    * Configuration of the DICOM server
  108.    **/
  109.  
  110.   // Enable the DICOM server. If this parameter is set to "false",
  111.   // Orthanc acts as a pure REST server. It will not be possible to
  112.   // receive files or to do query/retrieve through the DICOM protocol.
  113.   "DicomServerEnabled" : true,
  114.  
  115.   // The DICOM Application Entity Title (cannot be longer than 16
  116.   // characters)
  117.   "DicomAet" : "ORTHANC",
  118.  
  119.  
  120.   // Check whether the called AET corresponds to the AET of Orthanc
  121.   // during an incoming DICOM SCU request
  122.   "DicomCheckCalledAet" : false,
  123.  
  124.   // The DICOM port
  125.   "DicomPort" : 4242,
  126.  
  127.   // The default encoding that is assumed for DICOM files without
  128.   // "SpecificCharacterSet" DICOM tag, and that is used when answering
  129.   // C-FIND requests (including worklists). The allowed values are
  130.   // "Ascii", "Utf8", "Latin1", "Latin2", "Latin3", "Latin4",
  131.   // "Latin5", "Cyrillic", "Windows1251", "Arabic", "Greek", "Hebrew",
  132.   // "Thai", "Japanese", "Chinese", "JapaneseKanji", "Korean", and
  133.   // "SimplifiedChinese".
  134.   "DefaultEncoding" : "Latin1",
  135.  
  136.   // The transfer syntaxes that are accepted by Orthanc C-STORE SCP.
  137.   // This is an array listing the accepted transfer syntax UIDs. Each
  138.   // entry can contain wildcards ("?" or "*"). By default, all the
  139.   // known transfer syntaxes are accepted. (new in Orthanc 1.9.0)
  140.   "AcceptedTransferSyntaxes" : [ "1.2.840.10008.1.*" ],
  141.  
  142.   // User-friendly groups of transfer syntaxes that can be enabled or
  143.   // disabled at once. These options are applied after the main
  144.   // "AcceptedTransferSyntaxes" option has been applied (if present).
  145.   /**
  146.      "DeflatedTransferSyntaxAccepted"     : true,
  147.      "JpegTransferSyntaxAccepted"         : true,
  148.      "Jpeg2000TransferSyntaxAccepted"     : true,
  149.      "JpegLosslessTransferSyntaxAccepted" : true,
  150.      "JpipTransferSyntaxAccepted"         : true,
  151.      "Mpeg2TransferSyntaxAccepted"        : true,
  152.      "RleTransferSyntaxAccepted"          : true,
  153.      "Mpeg4TransferSyntaxAccepted"        : true,  // New in Orthanc 1.6.0
  154.      "H265TransferSyntaxAccepted"         : true,  // New in Orthanc 1.9.0
  155.   **/
  156.   
  157.   // Whether Orthanc accepts to act as C-STORE SCP for unknown storage
  158.   // SOP classes (aka. "promiscuous mode")
  159.   "UnknownSopClassAccepted" : true,
  160.  
  161.   // Set the timeout (in seconds) after which the DICOM associations
  162.   // are closed by the Orthanc SCP (server) if no further DIMSE
  163.   // command is received from the SCU (client).
  164.   "DicomScpTimeout" : 30,
  165.  
  166.  
  167.  
  168.   /**
  169.    * Security-related options for the HTTP server
  170.    **/
  171.  
  172.   // Whether remote hosts can connect to the HTTP server
  173.   "RemoteAccessAllowed" : true,
  174.  
  175.   // Whether or not SSL is enabled
  176.   "SslEnabled" : false,
  177.  
  178.   // Path to the SSL certificate used by the HTTP server. The file
  179.   // must be stored in the PEM format, and must contain both the
  180.   // certificate and the private key. This option is only meaningful
  181.   // if "SslEnabled" is true.
  182.   "SslCertificate" : "certificate.pem",
  183.  
  184.   // Sets the minimum accepted SSL protocol version
  185.   // (cf. "ssl_protocol_version" option of civetweb). By default,
  186.   // require SSL 1.2. This option is only meaningful if "SslEnabled"
  187.   // is true. (new in Orthanc 1.8.2)
  188.   //
  189.   // Value => Protocols
  190.   //   0      SSL2+SSL3+TLS1.0+TLS1.1+TLS1.2
  191.   //   1      SSL3+TLS1.0+TLS1.1+TLS1.2
  192.   //   2      TLS1.0+TLS1.1+TLS1.2
  193.   //   3      TLS1.1+TLS1.2
  194.   //   4      TLS1.2
  195.   "SslMinimumProtocolVersion" : 4,
  196.  
  197.   // Set the accepted ciphers for SSL connections. The ciphers must be
  198.   // provided as a list of strings. If not set, this will default to
  199.   // FIPS 140-2 ciphers. This option is only meaningful if
  200.   // "SslEnabled" is true. (new in Orthanc 1.8.2)
  201.   /**
  202.     "SslCiphersAccepted" : [ "AES128-GCM-SHA256" ],
  203.   **/
  204.  
  205.   // Whether or not peer client certificates shall be checked. This
  206.   // option is only meaningful if "SslEnabled" is true.
  207.   "SslVerifyPeers" : false,
  208.  
  209.   // Path to a file containing the concatenation of the client SSL
  210.   // certificate(s) that are trusted to verify the identify of remote
  211.   // HTTP clients. The individual certificate(s) must be stored in the
  212.   // PEM format. This option is only meaningful if "SslVerifyPeers"
  213.   // is true.
  214.   "SslTrustedClientCertificates" : "trustedClientCertificates.pem",
  215.   
  216.   // Whether or not the password protection is enabled (using HTTP
  217.   // basic access authentication). Starting with Orthanc 1.5.8, if
  218.   // "AuthenticationEnabled" is not explicitly set, authentication is
  219.   // enabled iff. remote access is allowed (i.e. the default value of
  220.   // "AuthenticationEnabled" equals that of "RemoteAccessAllowed").
  221.   /**
  222.      "AuthenticationEnabled" : false,
  223.    **/
  224.  
  225.   // The list of the registered users. Because Orthanc uses HTTP
  226.   // Basic Authentication, the passwords are stored as plain text.
  227.   "RegisteredUsers" : {
  228.     // "alice" : "alicePassword"
  229. 	"admin":"123456"
  230.   },
  231.  
  232.  
  233.  
  234.   /**
  235.    * Security-related options for the DICOM connections (SCU/SCP)
  236.    **/
  237.  
  238.   // Whether DICOM TLS is enabled in the Orthanc SCP (new in Orthanc 1.9.0)
  239.   "DicomTlsEnabled" : false,
  240.  
  241.   // Path to the TLS certificate file (in PEM format) to be used for
  242.   // both Orthanc SCP (incoming DICOM connections) and Orthanc SCU
  243.   // (outgoing DICOM connections). Note that contrarily to the
  244.   // "SslCertificate" option, the certificate and its private key must
  245.   // be split into two separate files. (new in Orthanc 1.9.0)
  246.   /**
  247.      "DicomTlsCertificate" : "orthanc.crt",
  248.   **/
  249.  
  250.   // Path to the file containing the private key (in PEM format) that
  251.   // corresponds to the TLS certificate specified in option
  252.   // "DicomTlsCertificate". (new in Orthanc 1.9.0)
  253.   /**
  254.      "DicomTlsPrivateKey" : "orthanc.key",
  255.   **/
  256.  
  257.   // Path to a file containing all the TLS certificates that Orthanc
  258.   // can trust, both for its SCP (incoming DICOM connections) and SCU
  259.   // (outgoing DICOM connections). This file must contain a sequence
  260.   // of PEM certificates. (new in Orthanc 1.9.0)
  261.   /**
  262.      "DicomTlsTrustedCertificates" : "trusted.crt",
  263.   **/
  264.   
  265.   // Whether the Orthanc SCP allows incoming C-ECHO requests, even
  266.   // from SCU modalities it does not know about (i.e. that are not
  267.   // listed in the "DicomModalities" option above). Orthanc 1.3.0
  268.   // is the only version to behave as if this argument were set to "false".
  269.   "DicomAlwaysAllowEcho" : true,
  270.  
  271.   // Whether the Orthanc SCP allows incoming C-STORE requests, even
  272.   // from SCU modalities it does not know about (i.e. that are not
  273.   // listed in the "DicomModalities" option above)
  274.   "DicomAlwaysAllowStore" : true,
  275.  
  276.   // Whether the Orthanc SCP allows incoming C-FIND requests, even
  277.   // from SCU modalities it does not know about (i.e. that are not
  278.   // listed in the "DicomModalities" option above). Setting this
  279.   // option to "true" implies security risks. (new in Orthanc 1.9.0)
  280.   "DicomAlwaysAllowFind" : true,
  281.  
  282.   // Whether the Orthanc SCP allows incoming C-GET requests, even
  283.   // from SCU modalities it does not know about (i.e. that are not
  284.   // listed in the "DicomModalities" option above). Setting this
  285.   // option to "true" implies security risks. (new in Orthanc 1.9.0)
  286.   "DicomAlwaysAllowGet" : true,
  287.  
  288.   // Whether Orthanc checks the IP/hostname address of the remote
  289.   // modality initiating a DICOM connection (as listed in the
  290.   // "DicomModalities" option above). If this option is set to
  291.   // "false", Orthanc only checks the AET of the remote modality.
  292.   "DicomCheckModalityHost" : true,
  293.  
  294.  
  295.  
  296.   /**
  297.    * Network topology
  298.    **/
  299.  
  300.   // The list of the known DICOM modalities. This option is ignored if
  301.   // "DicomModalitiesInDatabase" is set to "true", in which case you
  302.   // must use the REST API to define modalities.
  303.   "DicomModalities" : {
  304.     /**
  305.      * Uncommenting the following line would enable Orthanc to
  306.      * connect to an instance of the "storescp" open-source DICOM
  307.      * store (shipped in the DCMTK distribution), as started by the
  308.      * command line "storescp 2000". The first parameter is the
  309.      * AET of the remote modality (cannot be longer than 16 
  310.      * characters), the second one is the remote network address,
  311.      * and the third one is the TCP port number corresponding
  312.      * to the DICOM protocol on the remote modality (usually 104).
  313.      **/
  314.     // "sample" : [ "STORESCP", "127.0.0.1", 2000 ]
  315. 	"sample" : [ "STORESCP", "127.0.0.1", 4242 ]
  316.  
  317.     /**
  318.      * A fourth parameter is available to enable patches for
  319.      * specific PACS manufacturers. The allowed values are currently:
  320.      * - "Generic" (default value),
  321.      * - "GenericNoWildcardInDates" (to replace "*" by "" in date fields 
  322.      *   in outgoing C-FIND requests originating from Orthanc),
  323.      * - "GenericNoUniversalWildcard" (to replace "*" by "" in all fields
  324.      *   in outgoing C-FIND SCU requests originating from Orthanc),
  325.      * - "Vitrea",
  326.      * - "GE" (Enterprise Archive, MRI consoles and Advantage Workstation
  327.      *   from GE Healthcare).
  328.      *
  329.      * This parameter is case-sensitive.
  330.      **/
  331.     // "vitrea" : [ "VITREA", "192.168.1.1", 104, "Vitrea" ]
  332.  
  333.     /**
  334.      * By default, the Orthanc SCP accepts all DICOM commands (C-ECHO,
  335.      * C-STORE, C-FIND, C-MOVE, C-GET and storage commitment) issued by the
  336.      * registered remote SCU modalities. Starting with Orthanc 1.5.0,
  337.      * it is possible to specify which DICOM commands are allowed,
  338.      * separately for each remote modality, using the syntax
  339.      * below.
  340.      *
  341.      * The "AllowEcho" (resp.  "AllowStore") option only has an effect
  342.      * respectively if global option "DicomAlwaysAllowEcho"
  343.      * (resp. "DicomAlwaysAllowStore") is set to "false".
  344.      *
  345.      * Starting with Orthanc 1.7.0, "AllowTranscoding" can be used to
  346.      * disable the transcoding to uncompressed transfer syntaxes if
  347.      * this remote modality doesn't support compressed transfer
  348.      * syntaxes. This option currently applies to Orthanc C-GET SCP
  349.      * and to Orthanc C-STORE SCU. This option only has an effect if
  350.      * the global option "EnableTranscoding" is set to "true".
  351.      *
  352.      * By default, all "Allow*" options are true.
  353.      * "AllowStorageCommitment" is actually an alias for 
  354.      * "AllowNAction" & "AllowEventReport".
  355.      * 
  356.      * The "UseDicomTls" option specifies whether DICOM TLS should be
  357.      * used when opening a SCU connection from Orthanc to this remote
  358.      * modality. By default, DICOM TLS is not enabled.
  359.      *
  360.      * The "LocalAet" option allows one to overwrite the global
  361.      * "DicomAet" configuration option in order to specify another AET
  362.      * for Orthanc when initiating an SCU to this very specific
  363.      * modality. Similarly, "Timeout" allows one to overwrite the
  364.      * global value "DicomScuTimeout" on a per-modality basis.
  365.      **/
  366.     //"untrusted" : {
  367.     //  "AET" : "ORTHANC",
  368.     //  "Port" : 104,
  369.     //  "Host" : "127.0.0.1",
  370.     //  "Manufacturer" : "Generic",
  371.     //  "AllowEcho" : false,
  372.     //  "AllowFind" : false,
  373.     //  "AllowGet"  : false,
  374.     //  "AllowMove" : false,
  375.     //  "AllowStore" : true,
  376.     //  "AllowStorageCommitment" : false,  // new in 1.6.0
  377.     //  "AllowTranscoding" : true,         // new in 1.7.0
  378.     //  "UseDicomTls" : false              // new in 1.9.0
  379.     //  "LocalAet" : "HELLO"               // new in 1.9.0
  380.     //  "Timeout" : 60                     // new in 1.9.1
  381.     //}
  382.   },
  383.  
  384.   // Whether to store the DICOM modalities in the Orthanc database
  385.   // instead of in this configuration file (new in Orthanc 1.5.0)
  386.   "DicomModalitiesInDatabase" : true,
  387.  
  388.   // Whether the C-ECHO SCU is automatically followed by a C-FIND SCU,
  389.   // while testing the connectivity from Orthanc to a remote DICOM
  390.   // modality. This allows one to check that the remote modality does
  391.   // accept C-FIND requests from Orthanc (new in Orthanc 1.8.1).
  392.   "DicomEchoChecksFind" : true,
  393.  
  394.   // The timeout (in seconds) after which the DICOM associations are
  395.   // considered as closed by the Orthanc SCU (client) if the remote
  396.   // DICOM SCP (server) does not answer.
  397.   "DicomScuTimeout" : 10,
  398.  
  399.   // During a C-STORE SCU request initiated by Orthanc, if the remote
  400.   // modality doesn't support the original transfer syntax of some
  401.   // DICOM instance, specify which transfer syntax should be preferred
  402.   // to transcode this instance (provided the remote modality accepts
  403.   // this syntax). In Orthanc between 1.7.0 and 1.8.2, this parameter
  404.   // was implicitly set to "Little Endian Implicit"
  405.   // (1.2.840.10008.1.2). In Orthanc <= 1.6.1 and in Orthanc >= 1.9.0,
  406.   // this parameter is by default set to "Little Endian Explicit"
  407.   // (1.2.840.10008.1.2.1). This parameter can possibly correspond to
  408.   // a compressed transfer syntax. (new in Orthanc 1.9.0)
  409.   "DicomScuPreferredTransferSyntax" : "1.2.840.10008.1.2.1",
  410.   
  411.   // The list of the known Orthanc peers. This option is ignored if
  412.   // "OrthancPeersInDatabase" is set to "true", in which case you must
  413.   // use the REST API to define Orthanc peers.
  414.   "OrthancPeers" : {
  415.     /**
  416.      * Each line gives the base URL of an Orthanc peer, possibly
  417.      * followed by the username/password pair (if the password
  418.      * protection is enabled on the peer).
  419.      **/
  420.     // "peer"  : [ "http://127.0.0.1:8043/", "alice", "alicePassword" ]
  421.     // "peer2" : [ "http://127.0.0.1:8044/" ]
  422.  
  423.     /**
  424.      * This is another, more advanced format to define Orthanc
  425.      * peers. It notably allows one to specify HTTP headers, a HTTPS
  426.      * client certificate in the PEM format (as in the "--cert" option
  427.      * of curl), or to enable PKCS#11 authentication for smart cards.
  428.      *
  429.      * The "Timeout" option allows one to overwrite the global value
  430.      * "HttpTimeout" on a per-peer basis.
  431.      **/
  432.     // "peer" : {
  433.     //   "Url" : "http://127.0.0.1:8043/",
  434.     //   "Username" : "alice",
  435.     //   "Password" : "alicePassword",
  436.     //   "HttpHeaders" : { "Token" : "Hello world" },
  437.     //   "CertificateFile" : "client.crt",
  438.     //   "CertificateKeyFile" : "client.key",
  439.     //   "CertificateKeyPassword" : "certpass",
  440.     //   "Pkcs11" : false,
  441.     //   "Timeout" : 42            // New in Orthanc 1.9.1
  442.     // }
  443.   },
  444.  
  445.   // Whether to store the Orthanc peers in the Orthanc database
  446.   // instead of in this configuration file (new in Orthanc 1.5.0)
  447.   "OrthancPeersInDatabase" : true,
  448.  
  449.   // Parameters of the HTTP proxy to be used by Orthanc. If set to the
  450.   // empty string, no HTTP proxy is used. For instance:
  451.   //   "HttpProxy" : "192.168.0.1:3128"
  452.   //   "HttpProxy" : "proxyUser:proxyPassword@192.168.0.1:3128"
  453.   "HttpProxy" : "",
  454.  
  455.   // If set to "true", debug messages from libcurl will be issued
  456.   // whenever Orthanc makes an outgoing HTTP request. This is notably
  457.   // useful to debug HTTPS-related problems.
  458.   "HttpVerbose" : false,
  459.  
  460.   // Set the timeout for HTTP requests issued by Orthanc (in seconds).
  461.   "HttpTimeout" : 60,
  462.  
  463.   // Enable the verification of the peers during HTTPS requests. This
  464.   // option must be set to "false" if using self-signed certificates.
  465.   // Pay attention that setting this option to "false" results in
  466.   // security risks!
  467.   // Reference: http://curl.haxx.se/docs/sslcerts.html
  468.   "HttpsVerifyPeers" : true,
  469.  
  470.   // Path to the CA (certification authority) certificates to validate
  471.   // peers in HTTPS requests. From curl documentation ("--cacert"
  472.   // option): "Tells curl to use the specified certificate file to
  473.   // verify the peers. The file may contain multiple CA
  474.   // certificates. The certificate(s) must be in PEM format." On
  475.   // Debian-based systems, this option can be set to
  476.   // "/etc/ssl/certs/ca-certificates.crt"
  477.   "HttpsCACertificates" : "C:\\Program Files\\Orthanc Server\\Configuration\\ca-certificates.crt",
  478.  
  479.  
  480.  
  481.   /**
  482.    * Advanced options
  483.    **/
  484.  
  485.   // Dictionary of symbolic names for the user-defined metadata. Each
  486.   // entry must map an unique string to an unique number between 1024
  487.   // and 65535. Reserved values:
  488.   //  - The Orthanc whole-slide imaging plugin uses metadata 4200
  489.   "UserMetadata" : {
  490.     // "Sample" : 1024
  491.   },
  492.  
  493.   // Dictionary of symbolic names for the user-defined types of
  494.   // attached files. Each entry must map an unique string to an unique
  495.   // number between 1024 and 65535. Optionally, a second argument can
  496.   // provided to specify a MIME content type for the attachment.
  497.   "UserContentType" : {
  498.     // "sample" : 1024
  499.     // "sample2" : [ 1025, "application/pdf" ]
  500.   },
  501.  
  502.   // Number of seconds without receiving any instance before a
  503.   // patient, a study or a series is considered as stable.
  504.   "StableAge" : 60,
  505.  
  506.   // By default, Orthanc compares AET (Application Entity Titles) in a
  507.   // case-insensitive way. Setting this option to "true" will enable
  508.   // case-sensitive matching.
  509.   "StrictAetComparison" : false,
  510.  
  511.   // When the following option is "true", the MD5 of the DICOM files
  512.   // will be computed and stored in the Orthanc database. This
  513.   // information can be used to detect disk corruption, at the price
  514.   // of a small performance overhead.
  515.   "StoreMD5ForAttachments" : true,
  516.  
  517.   // The maximum number of results for a single C-FIND request at the
  518.   // Patient, Study or Series level. Setting this option to "0" means
  519.   // no limit.
  520.   "LimitFindResults" : 0,
  521.  
  522.   // The maximum number of results for a single C-FIND request at the
  523.   // Instance level. Setting this option to "0" means no limit.
  524.   "LimitFindInstances" : 0,
  525.  
  526.   // The maximum number of active jobs in the Orthanc scheduler. When
  527.   // this limit is reached, the addition of new jobs is blocked until
  528.   // some job finishes.
  529.   "LimitJobs" : 10,
  530.  
  531.   // If this option is set to "true" (default behavior until Orthanc
  532.   // 1.3.2), Orthanc will log the resources that are exported to other
  533.   // DICOM modalities or Orthanc peers, inside the URI
  534.   // "/exports". Setting this option to "false" is useful to prevent
  535.   // the index to grow indefinitely in auto-routing tasks (this is the
  536.   // default behavior since Orthanc 1.4.0).
  537.   "LogExportedResources" : false,
  538.  
  539.   // Enable or disable HTTP Keep-Alive (persistent HTTP
  540.   // connections). Setting this option to "true" prevents Orthanc
  541.   // issue #32 ("HttpServer does not support multiple HTTP requests in
  542.   // the same TCP stream"), but can possibly slow down HTTP clients
  543.   // that do not support persistent connections. The default behavior
  544.   // used to be "false" in Orthanc <= 1.5.1. Setting this option to
  545.   // "false" is also recommended if Orthanc is compiled against
  546.   // Mongoose.
  547.   "KeepAlive" : true,
  548.  
  549.   // Enable or disable Nagle's algorithm. Only taken into
  550.   // consideration if Orthanc is compiled to use CivetWeb. Experiments
  551.   // show that best performance can be obtained by setting both
  552.   // "KeepAlive" and "TcpNoDelay" to "true". Beware however of
  553.   // caveats: https://eklitzke.org/the-caveats-of-tcp-nodelay
  554.   "TcpNoDelay" : true,
  555.  
  556.   // Number of threads that are used by the embedded HTTP server.
  557.   "HttpThreadsCount" : 50,
  558.  
  559.   // If this option is set to "false", Orthanc will run in index-only
  560.   // mode. The DICOM files will not be stored on the drive. Note that
  561.   // this option might prevent the upgrade to newer versions of Orthanc.
  562.   "StoreDicom" : true,
  563.  
  564.   // DICOM associations initiated by Lua scripts are kept open as long
  565.   // as new DICOM commands are issued. This option sets the number of
  566.   // seconds of inactivity to wait before automatically closing a
  567.   // DICOM association used by Lua. If set to 0, the connection is
  568.   // closed immediately. This option is only used in Lua scripts.
  569.   "DicomAssociationCloseDelay" : 5,
  570.  
  571.   // Maximum number of query/retrieve DICOM requests that are
  572.   // maintained by Orthanc. The least recently used requests get
  573.   // deleted as new requests are issued.
  574.   "QueryRetrieveSize" : 100,
  575.  
  576.   // When handling a C-FIND SCP request, setting this flag to "true"
  577.   // will enable case-sensitive match for PN value representation
  578.   // (such as PatientName). By default, the search is
  579.   // case-insensitive, which does not follow the DICOM standard.
  580.   "CaseSensitivePN" : false,
  581.  
  582.   // Configure PKCS#11 to use hardware security modules (HSM) and
  583.   // smart cards when carrying on HTTPS client authentication.
  584.   /**
  585.      "Pkcs11" : {
  586.        "Module" : "/usr/local/lib/libbeidpkcs11.so",
  587.        "Module" : "C:/Windows/System32/beidpkcs11.dll",
  588.        "Pin" : "1234",
  589.        "Verbose" : true
  590.      }
  591.    **/
  592.   
  593.   // If set to "false", Orthanc will not load its default dictionary
  594.   // of private tags. This might be necessary if you cannot import a
  595.   // DICOM file encoded using the Implicit VR Endian transfer syntax,
  596.   // and containing private tags: Such an import error might stem from
  597.   // a bad dictionary. You can still list your private tags of
  598.   // interest in the "Dictionary" configuration option below.
  599.   "LoadPrivateDictionary" : true,
  600.  
  601.   // Locale to be used by Orthanc. Currently, only used if comparing
  602.   // strings in a case-insensitive way. It should be safe to keep this
  603.   // value undefined, which lets Orthanc autodetect the suitable locale.
  604.   // "Locale" : "en_US.UTF-8",
  605.  
  606.   // Register a new tag in the dictionary of DICOM tags that are known
  607.   // to Orthanc. Each line must contain the tag (formatted as 2
  608.   // hexadecimal numbers), the value representation (2 upcase
  609.   // characters), a nickname for the tag, possibly the minimum
  610.   // multiplicity (> 0 with defaults to 1), possibly the maximum
  611.   // multiplicity (0 means arbitrary multiplicity, defaults to 1), and
  612.   // possibly the Private Creator (for private tags).
  613.   "Dictionary" : {
  614.     // "0014,1020" : [ "DA", "ValidationExpiryDate", 1, 1 ]
  615.     // "00e1,10c2" : [ "UI", "PET-CT Multi Modality Name", 1, 1, "ELSCINT1" ]
  616.     // "7053,1003" : [ "ST", "Original Image Filename", 1, 1, "Philips PET Private Group" ]
  617.     // "2001,5f" : [ "SQ", "StackSequence", 1, 1, "Philips Imaging DD 001" ]
  618.   },
  619.  
  620.   // Whether to run DICOM C-MOVE operations synchronously. If set to
  621.   // "false" (asynchronous mode), each incoming C-MOVE request results
  622.   // in the creation of a new background job. Up to Orthanc 1.3.2, the
  623.   // implicit behavior was to use synchronous C-MOVE ("true"). Between
  624.   // Orthanc 1.4.0 and 1.4.2, the default behavior was set to
  625.   // asynchronous C-MOVE ("false"). Since Orthanc 1.5.0, the default
  626.   // behavior is back to synchronous C-MOVE ("true", which ensures
  627.   // backward compatibility with Orthanc <= 1.3.2).
  628.   "SynchronousCMove" : true,
  629.  
  630.   // Maximum number of completed jobs that are kept in memory. A
  631.   // processing job is considered as complete once it is tagged as
  632.   // "Success" or "Failure". Since Orthanc 1.5.0, a value of "0"
  633.   // indicates to keep no job in memory (i.e. jobs are removed from
  634.   // the history as soon as they are completed), which prevents the
  635.   // use of some features of Orthanc (typically, synchronous mode in
  636.   // REST API) and should be avoided for non-developers.
  637.   "JobsHistorySize" : 10,
  638.  
  639.   // Whether to save the jobs into the Orthanc database. If this
  640.   // option is set to "true", the pending/running/completed jobs are
  641.   // automatically reloaded from the database if Orthanc is stopped
  642.   // then restarted (except if the "--no-jobs" command-line argument
  643.   // is specified). This option should be set to "false" if multiple
  644.   // Orthanc servers are using the same database (e.g. if PostgreSQL
  645.   // or MariaDB/MySQL is used).
  646.   "SaveJobs" : true,
  647.  
  648.   // Specifies how Orthanc reacts when it receives a DICOM instance
  649.   // whose SOPInstanceUID is already stored. If set to "true", the new
  650.   // instance replaces the old one. If set to "false", the new
  651.   // instance is discarded and the old one is kept. Up to Orthanc
  652.   // 1.4.1, the implicit behavior corresponded to "false".
  653.   "OverwriteInstances" : false,
  654.  
  655.   // Maximum number of ZIP/media archives that are maintained by
  656.   // Orthanc, as a response to the asynchronous creation of archives.
  657.   // The least recently used archives get deleted as new archives are
  658.   // generated. This option was introduced in Orthanc 1.5.0, and has
  659.   // no effect on the synchronous generation of archives.
  660.   "MediaArchiveSize" : 1,
  661.  
  662.   // Performance setting to specify how Orthanc accesses the storage
  663.   // area during C-FIND. Three modes are available: (1) "Always"
  664.   // allows Orthanc to read the storage area as soon as it needs an
  665.   // information that is not present in its database (slowest mode),
  666.   // (2) "Never" prevents Orthanc from accessing the storage area, and
  667.   // makes it uses exclusively its database (fastest mode), and (3)
  668.   // "Answers" allows Orthanc to read the storage area to generate its
  669.   // answers, but not to filter the DICOM resources (balance between
  670.   // the two modes). By default, the mode is "Always", which
  671.   // corresponds to the behavior of Orthanc <= 1.5.0.
  672.   "StorageAccessOnFind" : "Always",
  673.  
  674.   // Whether Orthanc monitors its metrics (new in Orthanc 1.5.4). If
  675.   // set to "true", the metrics can be retrieved at
  676.   // "/tools/metrics-prometheus" formetted using the Prometheus
  677.   // text-based exposition format.
  678.   "MetricsEnabled" : true,
  679.  
  680.   // Whether calls to URI "/tools/execute-script" is enabled. Starting
  681.   // with Orthanc 1.5.8, this URI is disabled by default for security.
  682.   "ExecuteLuaEnabled" : false,
  683.  
  684.   // Set the timeout while serving HTTP requests by the embedded Web
  685.   // server, in seconds. This corresponds to option
  686.   // "request_timeout_ms" of Mongoose/Civetweb. It will set the socket
  687.   // options "SO_RCVTIMEO" and "SO_SNDTIMEO" to the specified value.
  688.   "HttpRequestTimeout" : 30,
  689.  
  690.   // Set the default private creator that is used by Orthanc when it
  691.   // looks for a private tag in its dictionary (cf. "Dictionary"
  692.   // option), or when it creates/modifies a DICOM file (new in Orthanc 1.6.0).
  693.   "DefaultPrivateCreator" : "",
  694.  
  695.   // Maximum number of storage commitment reports (i.e. received from
  696.   // remote modalities) to be kept in memory (new in Orthanc 1.6.0).
  697.   "StorageCommitmentReportsSize" : 100,
  698.  
  699.   // Whether Orthanc transcodes DICOM files to an uncompressed
  700.   // transfer syntax over the DICOM protocol, if the remote modality
  701.   // does not support compressed transfer syntaxes (new in Orthanc 1.7.0).
  702.   "TranscodeDicomProtocol" : true,
  703.  
  704.   // If some plugin to decode/transcode DICOM instances is installed,
  705.   // this option specifies whether the built-in decoder/transcoder of
  706.   // Orthanc (that uses DCMTK) is applied before or after the plugins,
  707.   // or is not applied at all (new in Orthanc 1.7.0). The allowed
  708.   // values for this option are "After" (default value, corresponding
  709.   // to the behavior of Orthanc <= 1.6.1), "Before", or "Disabled".
  710.   "BuiltinDecoderTranscoderOrder" : "After",
  711.  
  712.   // If this option is set, Orthanc will transparently transcode any
  713.   // incoming DICOM instance to the given transfer syntax before
  714.   // storing it into its database. Beware that this might result in
  715.   // high CPU usage (if transcoding to some compressed transfer
  716.   // syntax), or in higher disk consumption (if transcoding to an
  717.   // uncompressed syntax). Also, beware that transcoding to a transfer
  718.   // syntax with lossy compression (notably JPEG) will change the
  719.   // "SOPInstanceUID" DICOM tag, and thus the Orthanc identifier at
  720.   // the instance level, which might break external workflow.
  721.   /**
  722.      "IngestTranscoding" : "1.2.840.10008.1.2",
  723.   **/
  724.  
  725.   // Whether ingest transcoding is applied to incoming DICOM instances
  726.   // that have an uncompressed transfer syntax, i.e. Little Endian
  727.   // Implicit, Little Endian Explicit or Big Endian Explicit (new in
  728.   // Orthanc 1.8.2).
  729.   "IngestTranscodingOfUncompressed" : true,
  730.   
  731.   // Whether ingest transcoding is applied to incoming DICOM instances
  732.   // that have a compressed transfer syntax (new in Orthanc 1.8.2).
  733.   "IngestTranscodingOfCompressed" : true,
  734.   
  735.   // The compression level that is used when transcoding to one of the
  736.   // lossy/JPEG transfer syntaxes (integer between 1 and 100).
  737.   "DicomLossyTranscodingQuality" : 90,
  738.  
  739.   // Whether "fsync()" is called after each write to the storage area
  740.   // (new in Orthanc 1.7.4). If this option is set to "true", Orthanc
  741.   // will run more slowly, but the DICOM are guaranteed to be
  742.   // immediately written to the disk. This option only makes sense if
  743.   // the builtin filesystem storage area is used. It defaults to
  744.   // "false" in Orthanc <= 1.7.3, and to "true" in Orthanc >= 1.7.4.
  745.   "SyncStorageArea" : true,
  746.  
  747.   // If specified, on compatible systems, call "mallopt(M_ARENA_MAX,
  748.   // ...)" while starting Orthanc. This has the same effect at setting
  749.   // the environment variable "MALLOC_ARENA_MAX". This avoids large
  750.   // growth in RES memory if the threads of the embedded HTTP server
  751.   // have to allocate large chunks of memory (typically the case with
  752.   // large DICOM files). By setting "MallocArenaMax" to "N", these
  753.   // threads share "N" memory pools (known as "arenas"). Setting this
  754.   // option to "0" doesn't call mallopt()", which was the behavior of
  755.   // Orthanc <= 1.8.1.
  756.   "MallocArenaMax" : 5,
  757.  
  758.   // Deidentify/anonymize the contents of the logs (notably C-FIND,
  759.   // C-GET, and C-MOVE queries submitted to Orthanc) according to
  760.   // Table E.1-1 of the DICOM standard (new in Orthanc 1.8.2)
  761.   "DeidentifyLogs" : true,
  762.  
  763.   // If "DeidentifyLogs" is true, this sets the DICOM standard to
  764.   // follow for the deidentification/anonymization of the query
  765.   // contents. Possible values are "2008" and "2017c" (new in Orthanc
  766.   // 1.8.2)
  767.   "DeidentifyLogsDicomVersion" : "2017c",
  768.  
  769.   // Maximum length of the PDU (Protocol Data Unit) in the DICOM
  770.   // network protocol, expressed in bytes. This value affects both
  771.   // Orthanc SCU and Orthanc SCP. It defaults to 16KB. The allowed
  772.   // range is [4096,131072]. (new in Orthanc 1.9.0)
  773.   "MaximumPduLength" : 16384
  774. }

 修改配置文件保存后，在服务中找到Orthanc，右击重新启动，修改的配置项才能生效。

 到这里，Orthanc服务器的安装配置就完成了，下面将开始学习DICOM传输的相关知识。

 路漫漫其修远兮，吾将上下而求索。

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