Anonymization

PHI removal (PatientName, ID, DOB, MRN)

Remove Protected Health Information from DICOM metadata.

Problem

You need to remove Protected Health Information from a DICOM file before sharing it. The file contains patient names, medical record numbers, birth dates, and accession numbers — all of which are direct identifiers that must be stripped. You want a quick, one-click de-identification that replaces known PHI fields with safe default values while preserving clinical metadata like modality, pixel data, and non-identifying study descriptors.

Steps

  1. Open your DICOM file — click Open files… (⌘O) and select the file.

  2. Switch to Anonymization mode — click the Anon tab in the mode switcher (⌘2). You’ll see the anonymization banner with profile options.

  3. Select the Basic profile — in the profile picker, click Basic. This activates a pre-built rule set targeting common PHI fields. The rule count displayed shows how many tags will be affected.

  4. Compare with other profiles — click HIPAA and +Pixel to see how the rule count changes. The HIPAA profile adds more aggressive scrubbing; +Pixel adds pixel-data cleansing. For basic PHI removal, switch back to Basic.

  5. Apply the anonymization — click the Apply button. All changes are staged in-memory — nothing is written to disk yet.

  6. Verify the results — switch to Edit mode (⌘3). Filter for each modified tag to confirm the replacements.

Expected Result

  • Patient Name (0010,0010) → replaced with ANON
  • Patient ID (0010,0020) → replaced with ANON
  • Patient Birth Date (0010,0030) → replaced with 19000101
  • Accession Number (0008,0050) → replaced with ANON
  • Patient Sex (0010,0040) → preserved as-is (the Basic profile keeps this field because it’s clinically relevant and not a unique identifier on its own)
  • All modified rows appear with gold highlighting in the metadata panel
  • The dirty counter in the top bar shows the number of modified tags
  • Study-level metadata (Study Description, Modality, Series Number) remains untouched