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MEDCON(1)							     MEDCON(1)

NAME
       medcon - MedCon conversion of medical image formats

SYNOPSIS
       medcon [options] -f files ...

DESCRIPTION
  MedCon  is  a	 conversion utility intended for reconstructed nuclear medical
  images.

  The supported formats are:

  Format		      Explanation			  Notation
  ------		      -----------			  --------
 Ascii	     Raw ascii	image arrays without header	      'ascii'
 Binary	     Raw binary image arrays without header	      'bin'
 Gif89a	     annimated GIF with colormap		      'gif'
 Acr/Nema    Papyrus, Siemens	 (vers 2.0)		      'acr'
 INW	     RUG local format (vers 1.0)		      'inw'
 ECAT	     Siemens CTI ECAT 6				      'ecat6' or 'ecat'
 ECAT	     Siemens CTI ECAT 7				      'ecat7'
 InterFile   version 3.3				      'intf'
 Analyze     with consideration to SPM software		      'anlz'
 DICOM	     uses the VT-DICOM library			      'dicom'
 PNG	     Portable Network Graphics			      'png'
 Concorde    Concorde/microPET				      'conc'
 NIfTI	     Neuroimaging Informatics Technology Initiative   'nifti'

FLAGS
       -f, --file, --files <files> ...
	      Read a list of files.

OPTIONS
       -8, --indexed-color
	      This color mode forces 24-bit RGB color images being reduced  to
	      an  8-bit	 indexed  colormap. For color reduction in combination
	      with dithering see the -dith option.

       -24, --true-color
	      This color mode keeps a 24-bit image as is.

       -alias, --alias-naming
	      Generate filenames based on patient and study  information.  The
	      syntax of the resulting basename is:

	      <patient_name>+<study_id>+<study_date>+<study_time>
			    and
		<series>+<acquisition>+<instance>

	      with  the latter three id's applied in case the originating for‐
	      mat is DICOM or Acr/Nema. See also -noprefix. Since Analyze does
	      not have a patient_name, patient_id is used instead.

       -anon, --anonymous
	      Make  patient  and  study related entries anonymous (filled with
	      'X'). This option can not be used with option -ident.

       -b8, --unsigned-char

       -b16, --signed-short

       -b16.12
	      Force writing of Uint8  or  Int16	 pixels.  The  special	option
	      -b16.12  only  uses  12  bits,  as  unsigned however. With these
	      options one can lose the quantified float values	when  the  new
	      format  doesn't  support a global rescale factor or slope/inter‐
	      cept.

       -big, --big-endian
	      Force writing of big endian files when supported by the format.

       -byframe, --sort-by-frame
	      Set sort order in ECAT by frames, instead of the default anatom‐
	      ical  sort  (based  on slice location). Identical planes in each
	      frame will be grouped together. You don't want this.

       -c, --convert <format> ...
	      Convert with a list of formats to convert to. Use	 the  notation
	      without  quotes as specified in the above table. You can not use
	      this option with -p.

       -contrast, --enable-contrast
	      Apply (DICOM) window centre/width contrast  remapping.  Although
	      this  may	 improve the display of images, any manufacturer inde‐
	      pendent pixel values (like HU, SUV)  with	 quantitation  options
	      -qc or -qs will be lost.

       -cor, --coronal
	      Reslice  the  images of a volume into a coronal projection while
	      preserving the real world dimensions.

       -crop=<X>:<Y>:<W>:<H>, --crop-images=<X>:<Y>:<W>:<H>
	      This option allows to crop an equal frame	 from  all  images  at
	      <X>:<Y>  where width and height are <W>:<H>. The upper-left cor‐
	      ner of an image is at 0:0.

       -cs, --cine-sorting
	      Apply cine sorting, 1st image of each time frame, 2nd  image  of
	      each  time  frame, 3rd image of each time frame, ... (applicable
	      on gated SPECT). Reapplying does NOT undo this sorting. For this
	      you need option -cu.

       -cu, --cine-undo
	      Undo the cine sorting (as a result of the option -cs).

       -cw=<centre>:<width>
	      Remap  contrast using specified centre/width pair. No spaces are
	      allowed within this option. See also -contrast options.

       -d, --debug
	      Show debug info. After reading a file, the program will  display
	      the contents of the internal FILEINFO structure.

       -db    Only print main header of CTI ECAT files to standard output.

       -dith, --dither-color
	      Use dithering to improve quality of color reduction (from RGB to
	      8-bit indexed).

       -e, --extract [image ranges ...]
	      A routine to extract images interactively,  unless  you  specify
	      normal style image ranges directly on the command-line separated
	      by spaces. In normal style it is also possible  to  reorder  the
	      sequence	of  images.  You  need to specify an output conversion
	      format (see option -c). Note that the extraction does NOT addapt
	      the centre-centre slice separations. In other words, proper vol‐
	      ume measurements could be lost.

		   Selection Type?  1=normal	2=ecat

		 Normal Style
		 ------------

	  - Any number must be one-based (0 = All reversed)
	  - Syntax of range   : X...Y or X-Y
	  - Syntax of interval: X:S:Y	 (S = step)
	  - The list is sequence sensitive!

		 Give a list of images to extract?

		 Ecat Style
		 ----------

	  - Any number must be one-based (0 = All)
	  - Syntax of range   : X...Y or X-Y
	  - Syntax of interval: X:S:Y	 (S = step)

		 Give planes list?
		 Give frames list?
		 Give gates  list?
		 Give beds   list?

       -ean, --echo-alias-name
	      A convenience function which quickly echoes the alias  or	 human
	      readable filename on screen, without any delay of image process‐
	      ing. For the syntax of this alias filename, see  option  -alias.
	      The  output  could then be used in a script, for example to make
	      interpretable links towards  cryptic  numbered  files  resulting
	      from a DICOM series.

       -fb-none, --without-fallback

       -fb-anlz, --fallback-analyze

       -fb-conc, --fallback-concorde

       -fb-dicom, --fallback-dicom

       -fb-ecat, --fallback-ecat
	      Disable  or  specify  a  fallback read format in case autodetect
	      failed.

       -fh, --flip-horizontal

       -fv, --flip-vertical
	      Flip images horizontal (-fh) along the  X-axis,  vertical	 (-fv)
	      along the Y-axis respectively. Parameters such as slice orienta‐
	      tion are NOT changed. See also the -rs option.

       -fmosaic=<W>x<H>x<N>, --force-mosaic=<W>x<H>x<N>
	      Enforce the mosaic file support for DICOM or  Acr/Nema  formats.
	      The  *stamps* will be splitted into separate slices according to
	      the values supplied on the command-line. See also extra  options
	      -interl and -mfixv. The preset arguments are:

		   <W> = pixel width  of image stamps (X)

		   <H> = pixel height of image stamps (Y)

		   <N> = total number of image stamps (Z)

		   medcon -f imagefile -fmosaic=64x64x30

       -g, --make-gray
	      Remap  coloured  images to gray. This is necessary when you con‐
	      vert to formats which only support a grayscale colormap!

       -gap, --spacing-true-gap
	      The spacing between slices is the true gap/overlap between adja‐
	      cent  slices.  In	 contrary  to  the default behaviour where the
	      spacing between slices is measured from the centre to centre  of
	      two  adjacent slices (including gap/overlap). Applied in DICOM &
	      Acr/Nema.

       -hackacr, --hack-acrtags
	      Enables you to hack a file that contains	Acr/Nema  tags	hidden
	      somewhere.   Some	 proprietary image formats do contain tags but
	      are placed after some  unknown  headerinformation.  This	option
	      will  try	 to  find  some	 readable tags in the first 2048 bytes
	      after which it will give some possible hints to get  the	images
	      out  of  the file with the use of the interactive reading proce‐
	      dure (see option `-i'). This  experimental  procedure  can  fail
	      badly ...

       -i, --interactive
	      Selects  the interactive reading procedure. Normally the program
	      automatically detects the format or uses 'ecat' (or 'dicom')  as
	      default.	With the interactive procedure it could be possible to
	      read an uncompressed, unsupported format by answering  the  fol‐
	      lowing questions:

	  Number of images?
	  General header offset to binary data?
	  Image	  header offset to binary data?
	  Image	  header repeated before each image?
	  Swap the pixel bytes?
	  Same characteristics for all images?
	  Absolute offset in bytes? (overrides above, 0 = unused)
	  Image columns?
	  Image rows?
	  Pixel data type?
	  Redo input?

       The  GUI	 allows to save such raw predef input (RPI) files, that can be
       used in a redirect statement:

	  medcon -f unsupported.img -c intf -i < predef.rpi

       Doing so you can create small scripts that will read and	 convert  your
       unsupported images at once.

       -ident, --identify
	      An  interactive routine to specify the patient and study related
	      information.  This option can not be used with the option -anon.
	      The questions asked are:

	  Give patient name?
	  Give patient id?
	  Select patient sex?
	  Give study description?
	  Give study id/name/p-number?
	  Give series description?

       -implicit, --write-implicit
	      Another  DICOM  related option to enforce the implicit VR little
	      transfer syntax as  output,  instead  of	the  default  explicit
	      transfer syntax.

       -interl, --mosaic-interlaced
	      An  extra	 option	 used in combination with forced mosaic (-fmo‐
	      saic). The option indicates that	the  slices  in	 the  original
	      mosaic  are  in  fact interlaced.	 See also options -fmosaic and
	      -mfixv.

       -little, --little-endian
	      Force writing of little endian files when supported by the  for‐
	      mat.

       -lut, --load-lut <filename>
	      Load an external LUT color scheme.

       -mh, --map-hotmetal
	      Selects the hotmetal colormap. This is only usefull to GIF89a or
	      PNG.

       -mr, --map-rainbow
	      Selects the rainbow  colormap. This is only usefull to GIF89a or
	      PNG.

       -mc, --map-combined
	      Selects the combined colormap. This is only usefull to GIF89a or
	      PNG.

       -mi, --map-inverted
	      Selects the invers   colormap. This is only usefull to GIF89a or
	      PNG

       -mfixv, --mosaic-fix-voxel
	      Another  extra  option  used  in	combination with forced mosaic
	      (-fmosaic). Choosing this options will rescale  the  real	 world
	      voxel  dimensions	 by  the mosaic factor.	 See also -fmosaic and
	      -interl.

       -mosaic, --enable-mosaic
	      Enable mosaic file support in  DICOM  or	Acr/Nema  format.  The
	      *stamps* will be splitted into separate slices according to val‐
	      ues found in the file. This autodetect routine will  always  fix
	      the  voxel  sizes.  To  support  other type of mosaic files, see
	      option -fmosaic.

       -n, --negatives
	      Preserve negative values. When not selected, all negative values
	      are  put	to  zero. In combination with quantitation (see -qs or
	      -qc) the requested format must support pixels of type  float,  a
	      global  rescale  factor or the more generic slope/intercept con‐
	      cept in order to preserve the (negative and positive) quantified
	      values.

       -nf, --norm-over-frames
	      Normalize	 with  minimum/maximum	values	found over images in a
	      frame group (in case the original format has different  frames).
	      The default behaviour is normalization with minimum/maximum val‐
	      ues found over all images.   This	 can  be  important  when  the
	      requested	 format	 requires  a rescaling to a new pixeltype. The
	      original pixel values then need to be rescaled to the new pixel‐
	      type boundaries based on the minimum/maximum values.

       -nometa, --write-without-meta
	      Write  DICOM  files  without  the	 part  10  meta	 header (group
	      0x0002).

       -nopath, --ignore-path
	      Ignore absolute path mentioned in the "name of data file" key of
	      an  interfile  header.  Do  make	sure  then  that the data file
	      resides in the same directory as the header file.

       -noprefix, --without-prefix
	      This option disables the numbered prefix in the output filename.
	      In  combination  with  the -alias option, one could create human
	      readable and alphabetical sorted files from  DICOM  or  Acr/Name
	      multiple file volumes.

       -o, --output-name <filename>
	      Changes  output  filename	 for  ALL  files  to be created. It is
	      allowed to specify a full directory path	as  well.  However,  a
	      full path disables unique filename prefixing.

       -one, --single-file
	      Write header and image to same file; as allowed for InterFile.

       -optgif, --options-gif
	      Define some GIF options when converting to the GIF format. With‐
	      out this option a loop  and  background  color  are  defined  by
	      default. This interactive routine asks the following questions:

	  Select color map?
	  Insert a display loop?
	  Delay 1/100ths of a second?
	  Insert a transparent color?
	  Transparent color?
	  Background  color?

       -optspm, --options-spm
	      Define some SPM options (origins) when converting to the Analyze
	      format. The quantification is not set. See also '-spm' &	'-ar'.
	      The interactive routine asks the following questions:

	  Origin X?
	  Origin Y?
	  Origin Z?

       -p, --print-values
	      Show  some  specified  pixel values. This is an interactive rou‐
	      tine. Calibration and negative pixels  are  preserved  automati‐
	      cally.  You  need to specify the -qs to preserve the quantifica‐
	      tion instead of the calibration. You can	not  use  this	option
	      with -c. See also -pa option for a non-interactive routine.

	  - Any number must be one-based (0 = All)
	  - Syntax of range   : X...Y or X-Y
	  - Syntax of interval: X:S:Y	 (S = step)

		   Selection Type?  1=normal	2=ecat

		 Normal Style
		 ------------

		   Give a list of image numbers?
		   Give a list of pixels x,y ?

		 Ecat Style
		 ----------

		   Give planes list?
		   Give frames list?
		   Give gates  list?
		   Give beds   list?
		   Give a list of pixels x,y ?

       -pa, --print-all-values
	      Show  all	 pixel	values.	 This  option  is identical to -p, but
	      doesn't require user input.

       -pad, --pad-around

       -padtl, --pad-top-left

       -padbr, --pad-bottom-right
	      Increasing the slice matrix is done by padding an image with the
	      lowest  pixel  value. The options above enable different padding
	      modes.

       -preacq, --prefix-acquisition

       -preser, --prefix-series
	      Respectivily use acquisition or series  value  in	 the  numbered
	      prefix of the new filename. This is useful for alphabetical file
	      ordering, where leading zeros in DICOM elements are missing. See
	      also -alias.

       -q, --quantitation
	      Enable  quantitation  using all scale factors (for now alias for
	      -qc option).

       -qs, --quantification
	      A first scaling option to preserve the (ECAT) quantification (a)
	      or to consider a first linear scaling slope with intercept (b).

	  qpv = ppv * quant_scale   [counts/second/pixel] (a)
	  qpv = ppv * slope + intercept (b)

	  qpv = quantified pixel value
	  ppv = plain pixel value

       The  "quant_scale"  factor  normalizes  all  images  in the file; quite
       important for merging purposes. When the corresponding format  can  not
       hold  a	rescale factor for each image, the quantified values are saved
       as floats. Therefore, the highest pixel precision for correct quantita‐
       tion is float, not double!

       If  the format does not support floats, the quantified pixel values get
       rescaled to an integer. Then only formats that support a global scaling
       factor or slope/intercept pair will preserve those quantified values.

       Note that this option can not be used with -qc.

       -qc, --calibration
	      A	 second quantitation option to preserve the (ECAT) quantifica‐
	      tion as well as the (ECAT) calibration (a) or in general,	 using
	      two  rescale slopes with an intercept (b). These should normally
	      transform pixels into manufacturer independent  values.  So  one
	      can  assume that after a calibration, the new pixels will repre‐
	      sent  a  real  world  unit  (like	 concentration	values	(SUV),
	      hounsfield units (HU) and alike).

	  cpv = ppv * quant_scale * calibr_fctr	 [uCi/ml] (a)
	  cpv = ppv * slope1 * slope2 + intercept (b)

	  cpv = calibrated pixel value
	  ppv = plain pixel value
	  qpv = quantified pixel value = ppv * quant_scale

       The  "quant_scale"  factor  normalizes  all  images  in the file; quite
       important for merging purposes. The "calibr_fctr" rescales the qpv-val‐
       ues  to	a  new unit. When the corresponding format can not hold a com‐
       pound factor for each image, the quantified values  will	 be  saved  as
       floats. Therefore, the highest pixel precision for correct quantitation
       is float and not double!

       If the format does not support floats, the calibrated pixel values  are
       rescaled to an integer type. Only formats that support a global scaling
       factor or slope/intercept pair preserve those calibrated values.

       Note that this option can not be used with -qs.

       -r, --rename-file
	      Rename the file basename. This option is only useful in case  of
	      conversion.

       -rs, --reverse-slices
	      Reverse  all  the	 slices	 along	the Z-axis. Parameters such as
	      slice orientation are NOT changed. See  also  the	 -fh  and  -fv
	      options.

       -s, --silent
	      Suppress all message, warning and error dialogs.

       -sag, --sagittal
	      Reslice  the images of a volume into a sagittal projection while
	      preserving the real world dimensions.

       -si=<slope>:<intercept>
	      Force remap of pixel values using specified slope/intercept (y =
	      s*x  + i). The quantitation option -qc is enabled by default. No
	      spaces are allowed within this option.

       -skip1, --skip-preview-slice
	      Skip the first image in an InterFile. In other words, the	 first
	      image  in	 the  array will simply be ignored. Use this only when
	      you are sure that the InterFile does contain an annoying/confus‐
	      ing preview slice.

       -split4d, -splitf, --split-frames

       -split3d, -splits, --split-slices
	      Write  out a study into separate files, one for each volume in a
	      time frame (--split-frames) or each image slice (--split-slices)
	      individually.  The names of the files created will have an extra
	      index  number.  See  also	 -stack3d  and	-stack4d  as  opposite
	      options.

       -spm, --analyze-spm
	      Considering  Analyze files for/from SPM. In this case the global
	      scaling factor hidden in imd.funused[1] will be used, as well as
	      the hidden offset value in imd.funused[0].

       In  case	 of quantitation, the default output pixel type is float. This
       option allows to write integers combined with a global scale factor. To
       actually use this scaling factor, you must select a quantitation option
       like -qs or -qc as well.

       See also -ar & -optspm.

       -sqr, --make-square
	      Make all image matrices square,  using  the  largest  dimension.
	      Images  are  padded  with	 the lowest pixel value. See also -pad
	      related options.

       -sqr2, --make-square-two
	      Make all image matrices square, using the nearest power  of  two
	      (between 64, 128, 256, 512 and 1024). Images are padded with the
	      lowest pixel value. See also -pad related options.

       -stack4d, -stackf, --stack-frames

       -stack3d, -stacks, --stack-slices
	      Write separate studies into one file. The --stack-slices	option
	      allows  to  write	 single	 image slice files into one 3D volume,
	      while the --stack-frames option allows volumes of different time
	      frames  being written into one 4D file. The sequence of stacking
	      is based on the file sequence given at the  argument  line.  See
	      also -split3d and -split4d as the opposite options.

       -tra, --transverse
	      Reslice  the  images  of	a  volume into a transverse projection
	      while preserving the real world dimensions.

       -uin, --use-institution-name <namestring>
	      Change the program's default institution name which  is  applied
	      on studies without one. However, this does not override existing
	      values. For a  namestring	 with  spaces,	group  between	double
	      quotes.

       -v, --verbose
	      Verbose  mode.  Show some explaining messages during the reading
	      and writing of files.

       -vifi, --edit-fileinfo
	      An interactive routine for editing voxel,array,slice and	orient
	      related entries in the FILEINFO struct.

       -w, --overwrite-files
	      Allow overwrite of existing files, without warning.

NOTES
  When no conversion was specified, the program will display the header infor‐
  mation of each image.

  When conversion was specified, the program  will  automatically  create  new
  filenames in the current directory with the following syntax:

			       mXXX-filename.ext

	       `XXX-' a number representing the XXX-th conversion
	       `ext' a corresponding extension of the new format

			 Binary raw   ->   .bin
			 Ascii	raw   ->   .asc
			 Gif89a	      ->   .gif
			 Acr/Nema     ->   .ima
			 INW	      ->   .im
			 ECAT	      ->   .img
			 Interfile    ->   .h33 + .i33
			 Analyze      ->   .hdr + .img
			 DICOM	      ->   .dcm
			 PNG	      ->   .png
			 CONC	      ->   .hdr + .dat

  Some special remarks related to reading from stdin or writing to stdout.

     a) reading from stdin:

       Enable this by using an "-" mark instead of the list of input files.

	  1. redirect: medcon -f - < inputfile

       This  is	 supported  for all formats and shouldn't cause any particular
       problems. Interactive routines are disabled because stdin is now in use
       by the image input.

	  2. pipes   : cat inputfile | medcon -f - format

       Actually,  this	way only one or two formats are supported since seek()
       calls are not possible during pipes. The fact is that most of our  for‐
       mats  are read using those seek() calls. In normal operation we already
       need a quick sneak in the file to determine the	format.	 Because  this
       fseek() isn't allowed, you must supply at least the input format too.

     b) writing to stdout:

       Enabled by using an extra "-" mark on the conversion list.

	  medcon -f inputfile -c - format

       Only  one  inputfile  is	 allowed. The converted output will be send to
       stdout.

       In case of dual file formats such as Analyze or InterFile,  the	header
       information  will be send to stderr. The reference to the image file in
       the header of an InterFile will ofcourse be wrong (since the program is
       not capable of knowing the resulting filename).

       In  case	 of RAW or ASCII output, the program will print the content of
       the internal FILEINFO struct to stderr as well. Please  note  that  the
       (t)csh  shells  do  not	allow to catch stderr or stdout separately. In
       case of the bash shell, it is possible to say:

       medcon -f inputfile -c - intf -b16.12 -qc 1>image 2>header

EXAMPLES
  1.  To display the image headers:
	    medcon -f filename1 filename2

  2.  To convert the images:
	    medcon -f filename1 filename2 -c gif acr intf

  3.  To read interactively
	    medcon -i -f filename -c ecat

  4.  To extract alternate images:
	    medcon -e 1:2:20 -f filename -c gif

  5.  To print out pixel values
	    medcon -p -f filename

  6.  Convert to raw binary images, send to standard output:
	    medcon -f filename -c - bin

FILES
  /usr/local/xmedcon/include/	Directory with header files.
  /usr/local/xmedcon/lib/	Directory with libraries.
  /usr/local/xmedcon/bin/	Directory with executables.
  /usr/local/xmedcon/man/	Directory with man-pages.
  /usr/local/xmedcon/etc/	Directory with rcfiles.

SEE ALSO
  xmedcon(1), xmedcon-config(1)

  m-acr(4), m-anlz(4), m-gif(4), m-inw(4), m-intf(4), m-ecat(4)

  medcon(3)

AUTHOR
  (X)MedCon project was originally written by Erik Nolf (eNlf) for the	former
  PET-Centre at Ghent University (Belgium).

  e-mail:   enlf-at-users.sourceforge.net   www:   http://xmedcon.sourceforge.net

								     MEDCON(1)
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