mkiso PHP Scripts — Analysis

File Inventory

File	Purpose	Output
`mkiso.php`	Retrieve DICOM studies by accession number from PACS, wrap in ISO with microdicom viewer, serve as download	ISO download
`mkiso2.php`	Retrieve DICOM studies from PACS, then forward to another PACS (C-STORE relay)	DICOM forwarded to `172.16.0.120:104`
`mkiso_multiple.php`	Multi-accession variant of mkiso.php, with patient-name lookup in DB, ISO download	ISO download with patient-name filename

Shared Flow (all three scripts)

1. Parse accession_number from GET parameter
2. Create temp working dir: /tmp/dicomdir_<uniqid>/
3. Copy microdicom viewer files into temp dir (bootstrap DICOM viewer ISO)
4. Fetch DICOM studies from PACS via Java dcm4che2 dcmqr (C-MOVE)
5. [PACS is: ABPACS@localhost:11112, AE CDRECORD:10104 is the local receiver]

The Java Command — Deep Dive

JAVA_HOME=/usr/lib/jvm/jdk1.8.0_144 LANG=en_US.iso-8859-1 \
  /usr/local/dcm4che/dcm4che2/bin/dcmqr \
  -L CDRECORD:10104 \
  ABPACS@localhost:11112 \
  -cmove CDRECORD \
  -qAccessionNumber=${accession_number} \
  -cstore ${cstore} \
  -cstoredest ${dicomdir}/DICOMDIR

This single Java process does FOUR things:

Role	Parameter	Description
Storage SCP	`-L CDRECORD:10104`	Listens as AE `CDRECORD` on port `10104` to receive incoming C-STORE from PACS
Query SCU	`-qAccessionNumber=X`	Queries PACS for studies matching the accession number
C-MOVE SCU	`-cmove CDRECORD`	Tells PACS to send matched studies to `CDRECORD` (itself)
File writer	`-cstoredest DICOMDIR`	Saves received DICOM files to the specified directory

The -cstore parameter specifies a DICOM SOP Class to negotiate. dcm4che2 maps the two-letter modality codes to SOP Class UIDs internally:

Code	SOP Class	UID
CR	Computed Radiography	1.2.840.10008.5.1.4.1.1.1
CT	CT Image Storage	1.2.840.10008.5.1.4.1.1.2
MR	MR Image Storage	1.2.840.10008.5.1.4.1.1.4
US	Ultrasound Image	1.2.840.10008.5.1.4.1.1.6.1
NM	Nuclear Medicine	1.2.840.10008.5.1.4.1.1.20
PET	PET Image	1.2.840.10008.5.1.4.1.1.128
SC	Secondary Capture	1.2.840.10008.5.1.4.1.1.7
XA	X-Ray Angio	1.2.840.10008.5.1.4.1.1.12.1
XRF	X-Ray Fluoroscopy	1.2.840.10008.5.1.4.1.1.12.2
DX	Digital X-Ray	1.2.840.10008.5.1.4.1.1.1.1
MG	Mammography	1.2.840.10008.5.1.4.1.1.1.2
PR	Presentation State	1.2.840.10008.5.1.4.1.1.11.1
KO	Key Object Selection	1.2.840.10008.5.1.4.1.1.88.59
SR	Structured Report	1.2.840.10008.5.1.4.1.1.88.11

The loop iterates over ALL 14 modalities for the same accession number. Most will return nothing — the script uses a brute-force "try everything" approach since it doesn't know which modality a given accession number uses.

Per-Script Differences

mkiso.php

Fetch → genisoimage → serve ISO download → cleanup

ISO filename: {accession_number}.iso
After PACS fetch: creates ISO with genisoimage, streams it as download, deletes temp files

mkiso2.php

Fetch → dcmsend to 172.16.0.120:104 → exit

No ISO creation. Instead forwards retrieved DICOM files to another PACS server (172.16.0.120:104)
Uses dcmsend +sd +rd 172.16.0.120 104 $dicomdir/DICOMDIR (dcmtk dcmsend — a C-STORE SCU)
ISO creation and download code is commented out
This script acts as a DICOM relay/proxy: PACS A → temp dir → PACS B

mkiso_multiple.php

Parse comma-separated ACC#s → DB lookup (patient name) → 
for each ACC#, for each modality: fetch from PACS → 
genisoimage → serve ISO download → cleanup

Supports comma-separated accession numbers (e.g. ?accession_number=MR.001,CT.002)
Database lookup on two DBs:
- pacsdb_his (192.168.2.7) — finds AccessionNumber → MEDRECID, RegID
- pacsdb_his — MEDRECID → Nama (patient name)
ISO filename: {PATIENT_NAME}-{ACCESSION_LIST}.iso (alphanumeric only)
Inner loop: for each accession number, try all 14 modalities

DICOM Operations Summary

Script	C-MOVE (PACS→local)	C-STORE (local→PACS2)	ISO gen	DB lookup
mkiso.php	✅ 14 modality loop	❌	✅	❌
mkiso2.php	✅ 14 modality loop	✅ (dcmsend)	❌	❌
mkiso_multiple.php	✅ 14 modality × N acc#	❌	✅	✅ (patient name)

Environment

Component	Version/Location
dcm4che2 (Java)	`/usr/local/dcm4che/dcm4che2/bin/dcmqr`
Java	JDK 1.8.0_144 (`/usr/lib/jvm/jdk1.8.0_144`)
genisoimage	`/usr/bin/genisoimage`
dcmsend	`/usr/bin/dcmsend` (dcmtk C-STORE SCU)
dcmtk (static)	`/data/dcmtk-bin/` (v3.6.6) — findscu, movescu, storescp, getscu
microdicom	`/var/www/html/microdicom/` (DICOM viewer bootstrap files)
PACS source	`ABPACS@localhost:11112`
Local AE	`CDRECORD:10104`
PACS dest (mkiso2)	`172.16.0.120:104`
DB (mkiso_multiple)	`192.168.2.7:3306` (pacsdb_his / rsabt201107)

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