Anonymization

Clean Pixel Data option

Optionally strip or clean pixel data during anonymization.

Problem

Beyond metadata scrubbing, DICOM pixel data can contain embedded PHI — burned-in annotations, overlay planes, and private pixel data blocks. The +Pixel anonymization profile extends the standard metadata scrub with pixel-level cleansing: stripping overlay planes, removing burned-in annotation data, and optionally cleaning the pixel data itself. You want to apply this deeper level of de-identification when metadata-only scrubbing is insufficient.

Steps

  1. Open your DICOM file (⌘O) and switch to Anon mode (⌘2).

  2. Select the +Pixel profile — click the +Pixel button in the profile picker. Note that the rule count differs from Basic and HIPAA, reflecting the additional pixel-level rules.

  3. Verify the pixel rule — confirm that the rule list includes (60XX,XXXX), indicating that overlay plane groups are targeted for removal.

  4. Apply the anonymization.

  5. Switch to Edit mode (⌘3) to verify metadata changes, and review the viewport to confirm pixel-level cleansing (overlay planes removed, burned-in annotations stripped).

Expected Result

  • The +Pixel profile includes all rules from the Basic/HIPAA profiles plus overlay and pixel data cleansing rules.
  • (60XX,XXXX) overlay plane groups are stripped.
  • The rule count is higher than Basic and different from HIPAA, confirming the additional pixel-level operations.