前言：
  要做一个简单的开源dcm浏览器 KISS Dicom Viewer ，小型pacs服务肯定必不可少。开发中到处找现成代码，基本上找到的资源都是一个发布版，很少有可以用来研究的源码。 KISS Dicom Viewer 目前处于开发阶段，最近几篇博客就用来记录下开发一个小型pacs数据库（Qt+Dcmtk）的过程。提供服务包括：通讯测试echo、远程查询findscu、远程下载get/move、本机存储storescp。

  Dicom协议、通讯原理等等，网上有很多优秀的中文博客来说明，这里就不介绍了。

---

  Dcmtk 封装的echoscu 服务说明 https://support.dcmtk.org/docs/storescp.html
  如果你需要定义自己的 STORE 服务，可以看下我整理的：

---

如何使用

	// 初始化函数加上store_scp_ = new StoreScpThread(this);store_scp_->start();// 析构里加上store_scp_->terminate();

实现源码 调用dcmtk StoreScp接口 服务

  run就是一个死循环的线程，先打开端口让后反复开启scp服务（每次仅开启和调用一个服务，如果你要求高我这个应该不满足你）。

  StoreScpThread::AcceptAssociation ：开启StoreScp，接受远程请求。
  StoreScpThread::ProcessCommands ：处理远程命令，目前仅支持 ECHO 和 STORESCU。没有支持find、get、move因为我这个本身就是一个临时的本地存储pacs，而不是作为服务器用的。
  StoreScpThread::EchoSCP ：处理echo。
  StoreScpThread::StoreSCP ：处理storescu，并在本地数据库添加信息和存储dcm文件。
  StoreSCPCallback ：StoreSCU服务的回调函数（因为每次传输dcm文件数量不确定）。
   StoreScpThread::insertImageToDB ：是用来向数据库存储dcm文件的，我这里比较傻先把dcm文件接受到本地一个cache目录，让后再从本地拷贝到目标目录。自己开发的pacs数据库跟我肯定不一样，insertImageToDB这个函数替换成自己的。

#ifndef STORESCPTHREAD_H
#define STORESCPTHREAD_H#include <QThread>#include "dcmtk/ofstd/ofcond.h"
#include "dcmtk/dcmnet/assoc.h"
#include "dcmtk/config/osconfig.h"
#include "dcmtk/dcmnet/dimse.h"struct T_ASC_Network;
struct T_ASC_Association;
struct T_DIMSE_Message;
class DcmFileFormat;
class StudyRecord;
class DcmAssociationConfiguration;class StoreScpThread : public QThread {Q_OBJECTpublic:explicit StoreScpThread(QObject *parent = nullptr);void setAbort(const bool &yes);void run();private:OFCondition AcceptAssociation(T_ASC_Network *net,DcmAssociationConfiguration &asccfg);OFCondition ProcessCommands(T_ASC_Association *assoc);OFCondition EchoSCP( T_ASC_Association *assoc,T_DIMSE_Message *msg, T_ASC_PresentationContextID presID);OFCondition StoreSCP(T_ASC_Association *assoc,T_DIMSE_Message *msg, T_ASC_PresentationContextID presID);private:bool abort_;};#endif // STORESCPTHREAD_H

#include "storescpthread.h"#include <Db/KissDb>
#include "Global/global.h"
#include "Global/studyrecord.h"
#include "Global/KissDicomViewConfig.h"#include <QDir>
#include <QDebug>#include "dcmtk/config/osconfig.h"
/* make sure OS specific configuration is included first */#define INCLUDE_CSTDLIB
#define INCLUDE_CSTRING
#define INCLUDE_CSTDARG
#define INCLUDE_CCTYPE
#define INCLUDE_CSIGNALBEGIN_EXTERN_C
#include <sys/stat.h>
#include <fcntl.h>
#include <signal.h>
END_EXTERN_C#include "dcmtk/ofstd/ofstdinc.h"
#include "dcmtk/ofstd/ofstd.h"
#include "dcmtk/dcmnet/cond.h"
#include "dcmtk/ofstd/ofdatime.h"
#include "dcmtk/dcmnet/dicom.h"
#include "dcmtk/dcmnet/dimse.h"
#include "dcmtk/dcmnet/diutil.h"
#include "dcmtk/dcmnet/dcasccfg.h"
#include "dcmtk/dcmnet/dcasccff.h"
#include "dcmtk/dcmdata/dcfilefo.h"
#include "dcmtk/dcmdata/dcuid.h"
#include "dcmtk/dcmdata/dcdict.h"
#include "dcmtk/dcmsr/dsrdoc.h"
#include "dcmtk/dcmdata/dcmetinf.h"
#include "dcmtk/dcmdata/dcuid.h"
#include "dcmtk/dcmdata/dcdeftag.h"
#include "dcmtk/dcmdata/dcostrmz.h"static void insertImageToDB(DcmFileFormat *ff, StudyRecord *study, QString &patientName);struct StoreCallbackData {StudyRecord *study;DcmFileFormat *dcmff;T_ASC_Association *assoc;QString patientInfo;
};static void StoreSCPCallback(void *callbackData,T_DIMSE_StoreProgress *progress,T_DIMSE_C_StoreRQ *req,char * /*imageFileName*/, DcmDataset **imageDataSet,T_DIMSE_C_StoreRSP *rsp,DcmDataset **statusDetail) {DIC_UI sopClass;DIC_UI sopInstance;if (progress->state == DIMSE_StoreEnd) {*statusDetail = nullptr;StoreCallbackData *cbdata = OFstatic_cast(StoreCallbackData *, callbackData);insertImageToDB(cbdata->dcmff, cbdata->study, cbdata->patientInfo);if (rsp->DimseStatus == STATUS_Success) {if (!DU_findSOPClassAndInstanceInDataSet(*imageDataSet,sopClass, sizeof(sopClass),sopInstance, sizeof(sopInstance))) {rsp->DimseStatus = STATUS_STORE_Error_CannotUnderstand;} else if (strcmp(sopClass, req->AffectedSOPClassUID) != 0) {rsp->DimseStatus = STATUS_STORE_Error_DataSetDoesNotMatchSOPClass;} else if (strcmp(sopInstance, req->AffectedSOPInstanceUID) != 0) {rsp->DimseStatus = STATUS_STORE_Error_DataSetDoesNotMatchSOPClass;}}}
}StoreScpThread::StoreScpThread(QObject *parent) :QThread(parent),abort_(false) {
}void StoreScpThread::setAbort(const bool &yes) {abort_ = yes;
}void StoreScpThread::run() {//-----------------------------初始化端口监听----------------------------------------///* 创建T_ASC_Network*的实例。 */T_ASC_Network *net;DcmAssociationConfiguration asccfg;OFString temp_str;LocalSettings settings;int port = settings.statInfo.store_port;OFCondition cond = ASC_initializeNetwork(NET_ACCEPTOR, port, 30, &net);if (cond.bad()) {DimseCondition::dump(temp_str, cond);qDebug() << QString("无法创建网络: %1.").arg(temp_str.c_str());}//-------------------------------绑定端口提供scp服务--------------------------------------//while (cond.good() && (!abort_)) {/* 接收关联并确认或拒绝它。* 如果这个联系得到承认，* 提供相应的服务，并根据需要调用一个或多个服务。 */cond = AcceptAssociation(net, asccfg);}//--------------------------------销毁端口监听-------------------------------------///* 释放内存 T_ASC_Network*.* 此调用与上面调用的ASC_initializeNetwork（…）相对应。 */if (cond.good()) {cond = ASC_dropNetwork(&net);}if (cond.bad()) {DimseCondition::dump(temp_str, cond);qDebug() << QString(temp_str.c_str());}
}/*** @brief StoreScpThread::AcceptAssociation* @param net* @return*/
OFCondition StoreScpThread::AcceptAssociation(T_ASC_Network *net, DcmAssociationConfiguration &/*asccfg*/) {//------------------------------Initialization Work----------------------------//char buf[BUFSIZ];T_ASC_Association *assoc;OFCondition cond;OFString temp_str;const char *knownAbstractSyntaxes[] = {UID_VerificationSOPClass};const char *transferSyntaxes[] = {nullptr, nullptr, nullptr, nullptr, nullptr, nullptr, nullptr,nullptr, nullptr, nullptr, nullptr, nullptr, nullptr, nullptr};int numTransferSyntaxes = 0;// 尝试接收关联。在这里，我们要么使用阻塞，要么使用非阻塞，这取决于是否设置了选项--eostudy timeout。cond = ASC_receiveAssociation(net, &assoc, ASC_DEFAULTMAXPDU);// 如果出了什么差错，一定要处理好if (cond.bad()) {DimseCondition::dump(temp_str, cond);qDebug() << QString("接收关联失败: %1.").arg(temp_str.c_str());}if (gLocalByteOrder == EBO_LittleEndian) { /* defined in dcxfer.h */transferSyntaxes[0] = UID_LittleEndianExplicitTransferSyntax;transferSyntaxes[1] = UID_BigEndianExplicitTransferSyntax;} else {transferSyntaxes[0] = UID_BigEndianExplicitTransferSyntax;transferSyntaxes[1] = UID_LittleEndianExplicitTransferSyntax;}transferSyntaxes[2] = UID_LittleEndianImplicitTransferSyntax;numTransferSyntaxes = 3;/* 接受验证SOP类（如有） */if (cond.good()) {cond = ASC_acceptContextsWithPreferredTransferSyntaxes(assoc->params, knownAbstractSyntaxes,DIM_OF(knownAbstractSyntaxes), transferSyntaxes, numTransferSyntaxes);if (cond.bad()) {DimseCondition::dump(temp_str, cond);qDebug() << QString(temp_str.c_str());}}/* 存储SOP类uid的数组来自dcuid.h */if (cond.good()) {cond = ASC_acceptContextsWithPreferredTransferSyntaxes(assoc->params, dcmAllStorageSOPClassUIDs,numberOfDcmAllStorageSOPClassUIDs,transferSyntaxes, numTransferSyntaxes);if (cond.bad()) {DimseCondition::dump(temp_str, cond);qDebug() << QString(temp_str.c_str());}}/* 设置应用程序标题 */LocalSettings settings;QString aetitle = settings.statInfo.aetitle;if (aetitle.isEmpty()) {qDebug() << "aetitle is DEFAULT 'DRDCM' ";aetitle = "DRDCM";}ASC_setAPTitles(assoc->params, nullptr, nullptr, aetitle.toLocal8Bit().data());/* 承认或拒绝此关联 */if (cond.good()) {cond = ASC_getApplicationContextName(assoc->params, buf, sizeof(buf));if ((cond.bad()) || strcmp(buf, UID_StandardApplicationContext) != 0) {/* 拒绝：不支持应用程序上下文名称 */T_ASC_RejectParameters rej = {ASC_RESULT_REJECTEDPERMANENT,ASC_SOURCE_SERVICEUSER,ASC_REASON_SU_APPCONTEXTNAMENOTSUPPORTED};DimseCondition::dump(temp_str, cond);qDebug() << QString("关联被拒绝：应用程序上下文名称错误: %1.").arg(buf);cond = ASC_rejectAssociation(assoc, &rej);if (cond.bad()) {DimseCondition::dump(temp_str, cond);qDebug() << QString(temp_str.c_str());}} else {cond = ASC_acknowledgeAssociation(assoc);if (cond.bad()) {DimseCondition::dump(temp_str, cond);qDebug() << QString(temp_str.c_str());}}}//------------------------------Real Work----------------------------//if (cond.good()) {// 将调用和调用的 aetitle 存储在全局变量中，以启用使用它们的--exec选项。 aetitles 可能包含空格字符。DIC_AE callingTitle;DIC_AE calledTitle;ASC_getAPTitles(assoc->params, callingTitle, sizeof(callingTitle),calledTitle,  sizeof(calledTitle), nullptr, 0).good();// 现在做实际工作，即通过建立的网络连接接收DIMSE命令，并相应地处理这些命令.// 对于storscp，只能处理 C-ECHO-RQ 和 C-STORE-RQ 命令.cond = ProcessCommands(assoc);if (cond == DUL_PEERREQUESTEDRELEASE) {cond = ASC_acknowledgeRelease(assoc);} else {DimseCondition::dump(temp_str, cond);qDebug() << QString("DIMSE失败（中止关联）: %1.").arg(temp_str.c_str());/* 某种错误，所以中止了关联n */cond = ASC_abortAssociation(assoc);}}//------------------------------Cleanup Work----------------------------//cond = ASC_dropSCPAssociation(assoc);if (cond.bad()) {DimseCondition::dump(temp_str, cond);qDebug() << QString(temp_str.c_str());}cond = ASC_destroyAssociation(&assoc);if (cond.bad()) {DimseCondition::dump(temp_str, cond);qDebug() << QString(temp_str.c_str());}return cond;
}/*** @brief StoreScpThread::ProcessCommands* @param assoc* @return*/
OFCondition StoreScpThread::ProcessCommands(T_ASC_Association *assoc) {OFCondition cond = EC_Normal;T_DIMSE_Message msg;T_ASC_PresentationContextID presID = 0;DcmDataset *statusDetail = nullptr;// 启动循环以能够接收多个DIMSE命令while( cond == EC_Normal || cond == DIMSE_NODATAAVAILABLE || cond == DIMSE_OUTOFRESOURCES ) {// 通过网络接收DIMSE命令cond = DIMSE_receiveCommand(assoc, DIMSE_BLOCKING, 0, &presID, &msg, &statusDetail);// 如果收到的命令有额外的状态详细信息，则转储此信息if (statusDetail != nullptr) {delete statusDetail;}// 检查对等机是否释放或中止，或者我们是否有有效的消息if (cond == EC_Normal) { // 收到正常请求switch (msg.CommandField) {case DIMSE_C_ECHO_RQ:// 处理 C-ECHO-RequestqDebug() << QString("收到 C-ECHO-Request 服务请求，开始处理");cond = EchoSCP(assoc, &msg, presID);break;case DIMSE_C_STORE_RQ:// 处理 C-STORE-RequestqDebug() << QString("收到 C-STORE-Request 服务请求，开始处理");cond = StoreSCP(assoc, &msg, presID);break;default:// 其他服务不处理 （查询和下载 还没空开发）qDebug() << QString("无法处理命令: 0x%1.").arg(static_cast<unsigned>(msg.CommandField));cond = DIMSE_BADCOMMANDTYPE;break;}}}return cond;
}/*** @brief StoreScpThread::EchoSCP* 处理 C-ECHO-Request* @param assoc* @param msg* @param presID* @return*/
OFCondition StoreScpThread::EchoSCP(T_ASC_Association *assoc, T_DIMSE_Message *msg, T_ASC_PresentationContextID presID) {// 初始化一些变量OFString temp_str;OFCondition cond = DIMSE_sendEchoResponse(assoc, presID,&msg->msg.CEchoRQ, STATUS_Success, nullptr);if (cond.bad()) {DimseCondition::dump(temp_str, cond);qDebug() << QString("Echo SCP 服务失败: %1.").arg(temp_str.c_str());} else {qDebug() << QString("Echo SCP 测试成功: %1").arg(QTime::currentTime().toString(NORMAL_DATETIME_FORMAT));}return cond;
}/*** @brief StoreScpThread::StoreSCP* 处理 C-STORE-Request* @param assoc* @param msg* @param presID* @return*/
OFCondition StoreScpThread::StoreSCP(T_ASC_Association *assoc,T_DIMSE_Message *msg,T_ASC_PresentationContextID presID) {OFCondition cond = EC_Normal;T_DIMSE_C_StoreRQ *req;// 将C-STORE-RQ命令的实际信息分配给局部变量req = &msg->msg.CStoreRQ;// 初始化一些变量StoreCallbackData callbackData;DcmFileFormat dcmff;StudyRecord study;callbackData.assoc = assoc;callbackData.dcmff = &dcmff;callbackData.study = &study;const char *aet = nullptr;const char *aec = nullptr;// 将 SourceApplicationEntityTitle 存储在 metaheader 中if (assoc && assoc->params) {aet = assoc->params->DULparams.callingAPTitle;aec = assoc->params->DULparams.calledAPTitle;if (aet) {dcmff.getMetaInfo()->putAndInsertString(DCM_SourceApplicationEntityTitle, aet);}}LocalSettings settings;QString aetitle = settings.statInfo.aetitle;if(QString(aec) != aetitle) {qDebug() << "名称校验失败" << aet << QString(aec) << aetitle;} else {// 定义一个地址，用于存储通过网络接收的信息DcmDataset *dset = dcmff.getDataset();cond = DIMSE_storeProvider(assoc, presID, req, nullptr, OFTrue, &dset,StoreSCPCallback, &callbackData, DIMSE_BLOCKING, 0);// 如果出现错误，请转储相应的信息，必要时删除输出文件if (cond.bad()) {OFString temp_str;DimseCondition::dump(temp_str, cond);qDebug() << QString("Store SCP 失败: %1.").arg(temp_str.c_str());} else {qDebug() << QString("Store SCP 成功: %1 : %2, %3").arg(callbackData.patientInfo,QString::fromLocal8Bit(aet),QTime::currentTime().toString(NORMAL_DATETIME_FORMAT));}}// 返回返回值return cond;
}static void insertImageToDB(DcmFileFormat *ff, StudyRecord *study, QString &) {DcmDataset *dset;if (ff && (dset = ff->getDataset()) && study) {const char *value = nullptr;QString studyUid, seriesUid, instUid, sopClassUid;dset->findAndGetString(DCM_StudyInstanceUID, value);studyUid = QString::fromLatin1(value);dset->findAndGetString(DCM_SeriesInstanceUID, value);seriesUid = QString::fromLatin1(value);dset->findAndGetString(DCM_SOPInstanceUID, value);instUid = QString::fromLatin1(value);dset->findAndGetString(DCM_SOPClassUID, value);sopClassUid = QString::fromLatin1(value);if (!(studyUid.isEmpty() || seriesUid.isEmpty() ||instUid.isEmpty() || sopClassUid.isEmpty())) {if (study->study_uid_ != studyUid) {study->study_uid_ = studyUid;study = new StudyRecord(studyUid);dset->findAndGetString(DCM_AccessionNumber, value);study->acc_number_ = QString::fromLocal8Bit(value).remove(QChar(' '));dset->findAndGetString(DCM_PatientID, value);study->patient_id_ = QString::fromLocal8Bit(value);dset->findAndGetString(DCM_PatientName, value);study->patient_name_ = QString::fromLocal8Bit(value);dset->findAndGetString(DCM_PatientSex, value);study->patient_sex_ = QString::fromLocal8Bit(value).remove(QChar(' '));dset->findAndGetString(DCM_PatientBirthDate, value);study->patient_birth_ = QDate::fromString(QString::fromLatin1(value), "yyyyMMdd");dset->findAndGetString(DCM_PatientAge, value);study->patient_age_ = QString::fromLocal8Bit(value).remove(QChar(' '));dset->findAndGetString(DCM_StudyDate, value);study->study_time_.setDate(QDate::fromString(QString::fromLatin1(value), "yyyyMMdd"));dset->findAndGetString(DCM_StudyTime, value);study->study_time_.setTime(formatDicomTime(QString::fromLatin1(value)));dset->findAndGetString(DCM_StudyDescription, value);study->study_desc_ = QString::fromLocal8Bit(value);dset->findAndGetString(DCM_InstitutionName, value);study->institution_ = QString::fromLocal8Bit(value);dset->findAndGetString(DCM_Modality, value);study->modality_ = QString::fromLatin1(value);if (sopClassUid == UID_XRayAngiographicImageStorage ||// 造影血管true) {OFCondition cond =ff->saveFile(QString("./ScpCache/tmp.dcm").toLocal8Bit().data(),dset->getOriginalXfer(),EET_ExplicitLength, EGL_recalcGL,EPD_withoutPadding, 0, 0, EWM_fileformat);if (cond.bad()) {qDebug() << QString("无法写入DICOM文件: %1.").arg(cond.text());} else {ImageRecord *image = new ImageRecord(instUid);image->sop_class_uid_ = sopClassUid;image->series_uid_ = seriesUid;image->study_uid_ = studyUid;image->image_file_ = QString("./ScpCache/tmp.dcm");study->image_list_.append(image);dset->findAndGetString(DCM_ReferencedSOPInstanceUID, value, true);image->ref_image_uid_ = QString::fromLatin1(value);dset->findAndGetString(DCM_InstanceNumber, value);image->image_number_ = QString::fromLatin1(value);dset->findAndGetString(DCM_SeriesDescription, value);image->image_desc_ = QString::fromLocal8Bit(value);dset->findAndGetString(DCM_ContentDate, value);image->image_yime_.setDate(QDate::fromString(QString::fromLatin1(value), "yyyyMMdd"));dset->findAndGetString(DCM_ContentTime, value);image->image_yime_.setTime(formatDicomTime(QString::fromLatin1(value)));}}}}//StudyDao dao;int images = 0;QString study_dir_name =QString("%1/%2_%3").arg(study->study_time_.date().toString("yyyyMM"),study->study_time_.toString(DICOM_DATETIME_FORMAT),study->acc_number_);if(!dao.VerifyStudyByStuid(study->study_uid_)) {dao.InsertStudyToDb(*study, true);}FileUtil::DirMake(QString("%1/%2").arg(DICOM_SAVE_PATH, study_dir_name));foreach (ImageRecord *image, study->image_list_) {bool raw = image->sop_class_uid_ == QString(UID_XRayAngiographicImageStorage);QString src_file = image->image_file_;image->image_file_ = QString("%1/%2_%3.dcm").arg(study_dir_name,raw ? "angio" : "", image->image_uid_);QFileInfo info(QString("%1/%2").arg(DICOM_SAVE_PATH, image->image_file_));if (FileUtil::FileCopy(src_file, QString("%1/%2").arg(DICOM_SAVE_PATH, image->image_file_))) {if (!dao.VerifyImageByIMmuid(image->image_uid_)) {if (dao.InsertImageToDb(*image, true)) {images++;} else {}} else {if (dao.UpdateImageFile(image->image_uid_, image->image_file_)) {images++;} else {FileUtil::DeleteFileOrFolder(QString("%1/%2").arg(DICOM_SAVE_PATH, image->image_file_));}}}image->image_file_ = src_file;}}
}