Grassroots DICOM (GDCM) is an implementation of the DICOM standard designed to be open source so that researchers may access clinical data directly. GDCM includes a file format definition and a network communications protocol, both of which should be extended to provide a full set of tools for a researcher or small medical imaging vendor to interface with an existing medical database.
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PixelMed Java DICOM Toolkit is a stand-alone DICOM toolkit that implements code for reading and creating DICOM data, DICOM network and file support, a database of DICOM objects, support for display of directories, images, reports and spectra, and DICOM object validation.
The toolkit is a completely new implementation, which does not depend on any other DICOM tools, commercial or free. It does make use of other freely available pure Java tools for compression and XML and database support.