CFind 在研究级别失败 - SOP Class 不受支持或找不到抽象语法的可接受表示上下文
CFind fails on Study level - SOP Class not supported or No accepted presentation context found for abstract syntax
该应用程序尝试在患者层面进行 CFind、获取研究、获取研究系列，最后获取图像。
代码在查询两个不同的 PACS 实现时有效，但在第三个研究级别上失败。
提出患者请求的代码部分
var request = DicomCFindRequest.CreatePatientQuery(patientId: _patientid, patientName: _patientname);
var client = new DicomClient();
client.AddRequest(request);
await client.SendAsync(destip, port, useTLS, callingAE, calledAE);
而对于学习水平
request = DicomCFindRequest.CreateStudyQuery(patientId: _patientid);
似乎通过检查日志并比较来自工具的日志，应该有一个抽象语法列表而不是一个？
或者是什么问题？
2019-02-24 02:32:49.1671 INFO Dicom.Log.NLogManager+NLogger.Log DICOM_STORAGE -> Association request:
Calling AE Title: TEST_01
Called AE Title: DICOM_STORAGE
Remote host: xxx.29.
51.150
Remote port: 7817
Implementation Class: Implementation Class UID [1.3.6.1.4.1.30071.8]
Implementation Version: fo-dicom 4.0.0
Maximum PDU Length: 16384
Async Ops Invoked: 1
Async Ops Performed: 1
Presentation Contexts: 1
Presentation Context: 1 [Proposed]
Abstract Syntax: Study Root Query/Retrieve Information Model - FIND
Transfer Syntax: Implicit VR Little Endian: Default Transfer Syntax for DICOM
2019-02-24 02:32:49.1671 INFO Dicom.Log.NLogManager+NLogger.Log DICOM_STORAGE <- Association accept:
Calling AE Title: TEST_01
Called AE Title: DICOM_STORAGE
Remote host: xxx.29.51.150
Remote port: 7817
Implementation Class: Unknown [1.2.752.24.3.3.25.7]
Implementation Version: WISSTOSCP_20_1
Maximum PDU Length: 28672
Async Ops Invoked: 1
Async Ops Performed: 1
Presentation Contexts: 1
Presentation Context: 1 [RejectAbstractSyntaxNotSupported]
Abstract Syntax: Study Root Query/Retrieve Information Model - FIND
Transfer Syntax: Implicit VR Little Endian: Default Transfer Syntax for DICOM
2019-02-24 02:32:49.1671 INFO DicomHandler.DicomHandler+<>c__DisplayClass8_0.<QueryRetrieveSCU>b__0 DicomCFindRequest.QueryRetrieveSCU response rp.status=Failure [0122: Refused: SOP class not supported]
2019-02-24 02:32:49.1671 INFO Dicom.Network.DicomCFindRequest.PostResponse DicomCFindRequest.QueryRetrieveSCU response return.
2019-02-24 02:32:49.1671 ERROR Dicom.Log.NLogManager+NLogger.Log No accepted presentation context found for abstract syntax: Study Root Query/Retrieve Information Model - FIND [1.2.840.10008.5.1.4.1.2.2.1]
2019-02-24 02:32:49.2288 INFO Dicom.Log.NLogManager+NLogger.Log DICOM_STORAGE -> Association release request
2019-02-24 02:32:49.2288 INFO Dicom.Log.NLogManager+NLogger.Log DICOM_STORAGE <- Association release response
来自jdicom的日志，可以执行study级别的cfind请求
jdicom: *** request ***
application context UID: null
called title: DICOM_QR_SCP
calling title: jdicom
max pdu size: 32768
max operation invoked: 1
max operation performed: 1
implementation class UID: 1.2.826.0.1.3680043.2.60.0.1
implementation version Name: softlink_jdt103
abstract syntax scu scp
1.2.840.10008.1.1 -1 -1
1.2.840.10008.5.1.4.1.2.1.1 -1 -1
1.2.840.10008.5.1.4.1.2.2.1 -1 -1
1.2.840.10008.5.1.4.1.2.3.1 -1 -1
1.2.840.10008.5.1.4.1.2.1.2 -1 -1
1.2.840.10008.5.1.4.1.2.2.2 -1 -1
1.2.840.10008.5.1.4.1.2.3.2 -1 -1
nr abstract syntax pcid description
0 1.2.840.10008.1.1 1 Verification SOP Class
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
1 1.2.840.10008.5.1.4.1.2.1.1 3 Patient Root Query/Retrieve Information Model - FIND SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
2 1.2.840.10008.5.1.4.1.2.2.1 5 Study Root Query/Retrieve Information Model - FIND SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
3 1.2.840.10008.5.1.4.1.2.3.1 7 Patient/Study Only Query/Retrieve Information Model - FIND SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
4 1.2.840.10008.5.1.4.1.2.1.2 9 Patient Root Query/Retrieve Information Model - MOVE SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
5 1.2.840.10008.5.1.4.1.2.2.2 11 Study Root Query/Retrieve Information Model - MOVE SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
6 1.2.840.10008.5.1.4.1.2.3.2 13 Patient/Study Only Query/Retrieve Information Model - MOVE SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
***************
Waiting for AssociationRsp
ASSOCIATE_ACKNOWLEDGE detected
jdicom: #17:DICOM_QR_SCP >> A-ASSOCIATE-AC PDU
jdicom: *** acknowledge ***
max pdu size: 28672
max operation invoked: 1
max operation performed: 1
implementation class UID: 1.2.752.24.3.3.25.7
implementation version name: WIQRSCP_20_1
abstract syntax scu scp
nr pcid result transfer syntax
0 1 accepted 1.2.840.10008.1.2
1 3 accepted 1.2.840.10008.1.2
2 5 accepted 1.2.840.10008.1.2
3 7 accepted 1.2.840.10008.1.2
4 9 accepted 1.2.840.10008.1.2
5 11 accepted 1.2.840.10008.1.2
6 13 accepted 1.2.840.10008.1.2
*******************
编辑，
这是一致性声明。
https://sectramedical.blob.core.windows.net/uploads/2018/04/pacs-dicom-conformance-statement-20.1.pdf
但是如果不支持CFind，要用什么方法检索studies和series呢？我在这里有点迷路，但我真的很感谢你花时间给出提示。
这是来自其他工具的日志（由于 post 的最大长度而被截断），该工具列出了患者和研究，以及一些显示这是可能的屏幕截图。还有一个来自 Radiant 的屏幕截图，它也可以连接、显示患者和显示图像。
PatientRootLog
# 14 1 PatientID
(0020,000d) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476158]# 50 1 StudyInstanceUID
(0020,000e) UI [] # 0 0 SeriesInstanceUID
(0020,0011) IS [] # 0 0 SeriesNumber
(0020,1209) IS [] # 0 0 NumberOfSeriesRelatedImages
jdicom: DICOM_QR_SCP PDU received
jdicom: #16:DICOM_QR_SCP >> C-FIND-RSP Patient Root Query/Retrieve Information Model - FIND SOP Class, status #ff00H[StatusEntry.PENDING]
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.1.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32800] # 2 1 CommandField
(0000,0120) US [1] # 2 1 MessageIDBeingRespondedTo
(0000,0800) US [258] # 2 1 DataSetType
(0000,0900) US [65280] # 2 1 Status
jdicom: #16:DICOM_QR_SCP >> Dataset
(0008,0005) CS [ISO_IR 100] # 10 1 SpecificCharacterSet
(0008,0050) SH [1912121-0034201] # 16 1 AccessionNumber
(0008,0052) CS [SERIES] # 6 1 QueryRetrieveLevel
(0008,0054) AE [DICOM_QR_SCP] # 12 1 RetrieveAETitle
(0008,0060) CS [OP] # 2 1 Modality
(0010,0020) LO [19121212-1212] # 14 1 PatientID
(0020,000d) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476158]# 50 1 StudyInstanceUID
(0020,000e) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476159]# 50 1 SeriesInstanceUID
(0020,0010) SH [1912121-0034201] # 16 1 StudyID
(0020,0011) IS [1] # 2 1 SeriesNumber
(0020,1209) IS [1] # 2 1 NumberOfSeriesRelatedImages
jdicom: DICOM_QR_SCP Waiting for PDU
jdicom: DICOM_QR_SCP PDU received
jdicom: #16:DICOM_QR_SCP >> C-FIND-RSP Patient Root Query/Retrieve Information Model - FIND SOP Class, status #0000H[Success]
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.1.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32800] # 2 1 CommandField
(0000,0120) US [1] # 2 1 MessageIDBeingRespondedTo
(0000,0800) US [257] # 2 1 DataSetType
(0000,0900) US [0] # 2 1 Status
jdicom: DICOM_QR_SCP Waiting for PDU
jdicom: Enter _dimseSCUs.waitUntilEmpty(
jdicom: Enter _as.sendReleaseRequest()
jdicom: #16:DICOM_QR_SCP << A-RELEASE-RQ PDU
jdicom: Leave DimseExchange.releaseAssoc()
jdicom: DICOM_QR_SCP PDU received
jdicom: #16:DICOM_QR_SCP >> A-RELEASE-RP PDU
jdicom: #16:DICOM_QR_SCP closing socket
jdicom: DICOM_QR_SCP Leave DimseExchange.run()
jdicom: #17:DICOM_QR_SCP << A-ASSOCIATE-RQ PDU
jdicom: *** request ***
application context UID: null
called title: DICOM_QR_SCP
calling title: jdicom
max pdu size: 32768
max operation invoked: 1
max operation performed: 1
implementation class UID: 1.2.826.0.1.3680043.2.60.0.1
implementation version Name: softlink_jdt103
abstract syntax scu scp
1.2.840.10008.1.1 -1 -1
1.2.840.10008.5.1.4.1.2.1.1 -1 -1
1.2.840.10008.5.1.4.1.2.2.1 -1 -1
1.2.840.10008.5.1.4.1.2.3.1 -1 -1
1.2.840.10008.5.1.4.1.2.1.2 -1 -1
1.2.840.10008.5.1.4.1.2.2.2 -1 -1
1.2.840.10008.5.1.4.1.2.3.2 -1 -1
nr abstract syntax pcid description
0 1.2.840.10008.1.1 1 Verification SOP Class
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
1 1.2.840.10008.5.1.4.1.2.1.1 3 Patient Root Query/Retrieve Information Model - FIND SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
2 1.2.840.10008.5.1.4.1.2.2.1 5 Study Root Query/Retrieve Information Model - FIND SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
3 1.2.840.10008.5.1.4.1.2.3.1 7 Patient/Study Only Query/Retrieve Information Model - FIND SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
4 1.2.840.10008.5.1.4.1.2.1.2 9 Patient Root Query/Retrieve Information Model - MOVE SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
5 1.2.840.10008.5.1.4.1.2.2.2 11 Study Root Query/Retrieve Information Model - MOVE SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
6 1.2.840.10008.5.1.4.1.2.3.2 13 Patient/Study Only Query/Retrieve Information Model - MOVE SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
***************
Waiting for AssociationRsp
ASSOCIATE_ACKNOWLEDGE detected
jdicom: #17:DICOM_QR_SCP >> A-ASSOCIATE-AC PDU
jdicom: *** acknowledge ***
max pdu size: 28672
max operation invoked: 1
max operation performed: 1
implementation class UID: 1.2.752.24.3.3.25.7
implementation version name: WIQRSCP_20_1
abstract syntax scu scp
nr pcid result transfer syntax
0 1 accepted 1.2.840.10008.1.2
1 3 accepted 1.2.840.10008.1.2
2 5 accepted 1.2.840.10008.1.2
3 7 accepted 1.2.840.10008.1.2
4 9 accepted 1.2.840.10008.1.2
5 11 accepted 1.2.840.10008.1.2
6 13 accepted 1.2.840.10008.1.2
*******************
jdicom: DICOM_QR_SCP Enter DimseExchange.run()
jdicom: #17:DICOM_QR_SCP << C-FIND-RQ Patient Root Query/Retrieve Information Model - FIND SOP Class
jdicom: DICOM_QR_SCP Waiting for PDU
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.1.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32] # 2 1 CommandField
(0000,0110) US [1] # 2 1 MessageID
(0000,0700) US [0] # 2 1 Priority
(0000,0800) US [65278] # 2 1 DataSetType
jdicom: #17:DICOM_QR_SCP << Dataset
(0008,0018) UI [] # 0 0 SOPInstanceUID
(0008,0052) CS [IMAGE] # 6 1 QueryRetrieveLevel
(0010,0020) LO [19121212-1212] # 14 1 PatientID
(0020,000d) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476158]# 50 1 StudyInstanceUID
(0020,000e) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476159]# 50 1 SeriesInstanceUID
(0020,0013) IS [] # 0 0 InstanceNumber
jdicom: DICOM_QR_SCP PDU received
jdicom: #17:DICOM_QR_SCP >> C-FIND-RSP Patient Root Query/Retrieve Information Model - FIND SOP Class, status #ff00H[StatusEntry.PENDING]
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.1.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32800] # 2 1 CommandField
(0000,0120) US [1] # 2 1 MessageIDBeingRespondedTo
(0000,0800) US [258] # 2 1 DataSetType
(0000,0900) US [65280] # 2 1 Status
jdicom: #17:DICOM_QR_SCP >> Dataset
(0008,0005) CS [ISO_IR 100] # 10 1 SpecificCharacterSet
(0008,0018) UI [1.3.6.1.4.1.30071.8.345050320220.6024575915205577]# 50 1 SOPInstanceUID
(0008,0050) SH [1912121-0034201] # 16 1 AccessionNumber
(0008,0052) CS [IMAGE] # 6 1 QueryRetrieveLevel
(0008,0054) AE [DICOM_QR_SCP] # 12 1 RetrieveAETitle
(0010,0020) LO [19121212-1212] # 14 1 PatientID
(0020,000d) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476158]# 50 1 StudyInstanceUID
(0020,000e) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476159]# 50 1 SeriesInstanceUID
(0020,0010) SH [1912121-0034201] # 16 1 StudyID
(0020,0013) IS [1] # 2 1 InstanceNumber
jdicom: DICOM_QR_SCP Waiting for PDU
jdicom: DICOM_QR_SCP PDU received
jdicom: #17:DICOM_QR_SCP >> C-FIND-RSP Patient Root Query/Retrieve Information Model - FIND SOP Class, status #0000H[Success]
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.1.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32800] # 2 1 CommandField
(0000,0120) US [1] # 2 1 MessageIDBeingRespondedTo
(0000,0800) US [257] # 2 1 DataSetType
(0000,0900) US [0] # 2 1 Status
jdicom: DICOM_QR_SCP Waiting for PDU
jdicom: Enter _dimseSCUs.waitUntilEmpty(
jdicom: Enter _as.sendReleaseRequest()
jdicom: #17:DICOM_QR_SCP << A-RELEASE-RQ PDU
jdicom: Leave DimseExchange.releaseAssoc()
jdicom: DICOM_QR_SCP PDU received
jdicom: #17:DICOM_QR_SCP >> A-RELEASE-RP PDU
jdicom: #17:DICOM_QR_SCP closing socket
jdicom: DICOM_QR_SCP Leave DimseExchange.run()
Studyroot LOG:
1 Priority
(0000,0800) US [65278] # 2 1 DataSetType
jdicom: #23:DICOM_QR_SCP << Dataset
(0008,0052) CS [SERIES] # 6 1 QueryRetrieveLevel
(0008,0060) CS [] # 0 0 Modality
(0020,000d) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476158]# 50 1 StudyInstanceUID
(0020,000e) UI [] # 0 0 SeriesInstanceUID
(0020,0011) IS [] # 0 0 SeriesNumber
(0020,1209) IS [] # 0 0 NumberOfSeriesRelatedImages
jdicom: DICOM_QR_SCP PDU received
jdicom: #23:DICOM_QR_SCP >> C-FIND-RSP Study Root Query/Retrieve Information Model - FIND SOP Class, status #ff00H[StatusEntry.PENDING]
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.2.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32800] # 2 1 CommandField
(0000,0120) US [1] # 2 1 MessageIDBeingRespondedTo
(0000,0800) US [258] # 2 1 DataSetType
(0000,0900) US [65280] # 2 1 Status
jdicom: #23:DICOM_QR_SCP >> Dataset
(0008,0005) CS [ISO_IR 100] # 10 1 SpecificCharacterSet
(0008,0050) SH [1912121-0034201] # 16 1 AccessionNumber
(0008,0052) CS [SERIES] # 6 1 QueryRetrieveLevel
(0008,0054) AE [DICOM_QR_SCP] # 12 1 RetrieveAETitle
(0008,0060) CS [OP] # 2 1 Modality
(0020,000d) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476158]# 50 1 StudyInstanceUID
(0020,000e) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476159]# 50 1 SeriesInstanceUID
(0020,0010) SH [1912121-0034201] # 16 1 StudyID
(0020,0011) IS [1] # 2 1 SeriesNumber
(0020,1209) IS [1] # 2 1 NumberOfSeriesRelatedImages
jdicom: DICOM_QR_SCP Waiting for PDU
jdicom: DICOM_QR_SCP PDU received
jdicom: #23:DICOM_QR_SCP >> C-FIND-RSP Study Root Query/Retrieve Information Model - FIND SOP Class, status #0000H[Success]
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.2.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32800] # 2 1 CommandField
(0000,0120) US [1] # 2 1 MessageIDBeingRespondedTo
(0000,0800) US [257] # 2 1 DataSetType
(0000,0900) US [0] # 2 1 Status
jdicom: DICOM_QR_SCP Waiting for PDU
jdicom: Enter _dimseSCUs.waitUntilEmpty(
jdicom: Enter _as.sendReleaseRequest()
jdicom: #23:DICOM_QR_SCP << A-RELEASE-RQ PDU
jdicom: Leave DimseExchange.releaseAssoc()
jdicom: DICOM_QR_SCP PDU received
jdicom: #23:DICOM_QR_SCP >> A-RELEASE-RP PDU
jdicom: #23:DICOM_QR_SCP closing socket
jdicom: DICOM_QR_SCP Leave DimseExchange.run()
jdicom: #24:DICOM_QR_SCP << A-ASSOCIATE-RQ PDU
jdicom: *** request ***
application context UID: null
called title: DICOM_QR_SCP
calling title: jdicom
max pdu size: 32768
max operation invoked: 1
max operation performed: 1
implementation class UID: 1.2.826.0.1.3680043.2.60.0.1
implementation version Name: softlink_jdt103
abstract syntax scu scp
1.2.840.10008.1.1 -1 -1
1.2.840.10008.5.1.4.1.2.1.1 -1 -1
1.2.840.10008.5.1.4.1.2.2.1 -1 -1
1.2.840.10008.5.1.4.1.2.3.1 -1 -1
1.2.840.10008.5.1.4.1.2.1.2 -1 -1
1.2.840.10008.5.1.4.1.2.2.2 -1 -1
1.2.840.10008.5.1.4.1.2.3.2 -1 -1
nr abstract syntax pcid description
0 1.2.840.10008.1.1 1 Verification SOP Class
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
1 1.2.840.10008.5.1.4.1.2.1.1 3 Patient Root Query/Retrieve Information Model - FIND SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
2 1.2.840.10008.5.1.4.1.2.2.1 5 Study Root Query/Retrieve Information Model - FIND SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
3 1.2.840.10008.5.1.4.1.2.3.1 7 Patient/Study Only Query/Retrieve Information Model - FIND SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
4 1.2.840.10008.5.1.4.1.2.1.2 9 Patient Root Query/Retrieve Information Model - MOVE SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
5 1.2.840.10008.5.1.4.1.2.2.2 11 Study Root Query/Retrieve Information Model - MOVE SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
6 1.2.840.10008.5.1.4.1.2.3.2 13 Patient/Study Only Query/Retrieve Information Model - MOVE SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
***************
Waiting for AssociationRsp
ASSOCIATE_ACKNOWLEDGE detected
jdicom: #24:DICOM_QR_SCP >> A-ASSOCIATE-AC PDU
jdicom: *** acknowledge ***
max pdu size: 28672
max operation invoked: 1
max operation performed: 1
implementation class UID: 1.2.752.24.3.3.25.7
implementation version name: WIQRSCP_20_1
abstract syntax scu scp
nr pcid result transfer syntax
0 1 accepted 1.2.840.10008.1.2
1 3 accepted 1.2.840.10008.1.2
2 5 accepted 1.2.840.10008.1.2
3 7 accepted 1.2.840.10008.1.2
4 9 accepted 1.2.840.10008.1.2
5 11 accepted 1.2.840.10008.1.2
6 13 accepted 1.2.840.10008.1.2
*******************
jdicom: DICOM_QR_SCP Enter DimseExchange.run()
jdicom: #24:DICOM_QR_SCP << C-FIND-RQ Study Root Query/Retrieve Information Model - FIND SOP Class
jdicom: DICOM_QR_SCP Waiting for PDU
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.2.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32] # 2 1 CommandField
(0000,0110) US [1] # 2 1 MessageID
(0000,0700) US [0] # 2 1 Priority
(0000,0800) US [65278] # 2 1 DataSetType
jdicom: #24:DICOM_QR_SCP << Dataset
(0008,0018) UI [] # 0 0 SOPInstanceUID
(0008,0052) CS [IMAGE] # 6 1 QueryRetrieveLevel
(0020,000d) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476158]# 50 1 StudyInstanceUID
(0020,000e) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476159]# 50 1 SeriesInstanceUID
(0020,0013) IS [] # 0 0 InstanceNumber
jdicom: DICOM_QR_SCP PDU received
jdicom: #24:DICOM_QR_SCP >> C-FIND-RSP Study Root Query/Retrieve Information Model - FIND SOP Class, status #ff00H[StatusEntry.PENDING]
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.2.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32800] # 2 1 CommandField
(0000,0120) US [1] # 2 1 MessageIDBeingRespondedTo
(0000,0800) US [258] # 2 1 DataSetType
(0000,0900) US [65280] # 2 1 Status
jdicom: #24:DICOM_QR_SCP >> Dataset
(0008,0005) CS [ISO_IR 100] # 10 1 SpecificCharacterSet
(0008,0018) UI [1.3.6.1.4.1.30071.8.345050320220.6024575915205577]# 50 1 SOPInstanceUID
(0008,0050) SH [1912121-0034201] # 16 1 AccessionNumber
(0008,0052) CS [IMAGE] # 6 1 QueryRetrieveLevel
(0008,0054) AE [DICOM_QR_SCP] # 12 1 RetrieveAETitle
(0020,000d) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476158]# 50 1 StudyInstanceUID
(0020,000e) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476159]# 50 1 SeriesInstanceUID
(0020,0010) SH [1912121-0034201] # 16 1 StudyID
(0020,0013) IS [1] # 2 1 InstanceNumber
jdicom: DICOM_QR_SCP Waiting for PDU
jdicom: DICOM_QR_SCP PDU received
jdicom: #24:DICOM_QR_SCP >> C-FIND-RSP Study Root Query/Retrieve Information Model - FIND SOP Class, status #0000H[Success]
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.2.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32800] # 2 1 CommandField
(0000,0120) US [1] # 2 1 MessageIDBeingRespondedTo
(0000,0800) US [257] # 2 1 DataSetType
(0000,0900) US [0] # 2 1 Status
jdicom: DICOM_QR_SCP Waiting for PDU
jdicom: Enter _dimseSCUs.waitUntilEmpty(
jdicom: Enter _as.sendReleaseRequest()
jdicom: #24:DICOM_QR_SCP << A-RELEASE-RQ PDU
jdicom: Leave DimseExchange.releaseAssoc()
jdicom: DICOM_QR_SCP PDU received
jdicom: #24:DICOM_QR_SCP >> A-RELEASE-RP PDU
jdicom: #24:DICOM_QR_SCP closing socket
jdicom: DICOM_QR_SCP Leave DimseExchange.run()
PatientStudyOnly
OM_QR_SCP << C-FIND-RQ Patient/Study Only Query/Retrieve Information Model - FIND SOP Class
jdicom: DICOM_QR_SCP Waiting for PDU
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.3.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32] # 2 1 CommandField
(0000,0110) US [1] # 2 1 MessageID
]
日志被截断，达到 post 最大长度。
从你出色的问题描述来看，对我来说似乎很明显，你正在测试的第三个 PACS 显然不支持 Study Root Query Retrieve。
您的关联请求已正确形成，除了每个演示文稿上下文恰好一个抽象语法之外，不可能提出其他建议。然而 PACS 然后回答：
Presentation Contexts: 1
Presentation Context: 1 [RejectAbstractSyntaxNotSupported]
Abstract Syntax: Study Root Query/Retrieve Information Model - FIND
Transfer Syntax: Implicit VR Little Endian: Default Transfer Syntax for DICOM
这告诉您根本不支持此服务。
通信失败的日志似乎被缩短了。从 dcm4chee 日志中，您可以得到 Q/R 的其他信息模型也被提出。这是患者根模型：
1 1.2.840.10008.5.1.4.1.2.1.1 3 Patient Root Query/Retrieve Information Model - FIND SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
很想知道这是否受支持。因为如果不是，你正在与之通话的系统很难被称为 "PACS"。我建议查看相关系统的 DICOM 一致性声明。它应该表明您是否正在与正确的应用程序实体（标题）对话，以及支持 Query/Retrieve 服务 class 的哪些特定信息模型。
如果您发布了完整的日志文件，则表示上下文可能由您提出查询的方式决定：
var request = DicomCFindRequest.CreatePatientQuery(patientId: _patientid, patientName: _patientname);
在这种情况下，您可能想尝试 CreateStudyQuery()，它也允许指定患者参数。
DICOM 信息模型简述：
- Patient Root：Patient ID 唯一标识患者。
- Study Root：患者信息在 Study Level 中被视为次要信息
[编辑]
查看 Sectra PACS 的 DICOM 一致性声明后：也许您连接到错误的应用程序实体。似乎 Sectra PACS 具有不同的应用程序实体（即相同的 IP，可能 same/different 端口但不同的 AET）来处理存储和 Query/Retrieve 服务。您正在处理的 AET 看起来很可疑：
Calling AE Title: TEST_01
Called AE Title: DICOM_STORAGE
Remote host: xxx.29.51.150
Remote port: 7817
Implementation Class: Unknown [1.2.752.24.3.3.25.7]
Implementation Version: WISSTOSCP_20_1
记下调用的 AE 标题和实现版本。两者似乎都属于存储 SCP，根据 DCS，它根本不支持任何 query/retrieve 服务。
所以我认为您需要更改您要查询的 AE 的配置。
该应用程序尝试在患者层面进行 CFind、获取研究、获取研究系列，最后获取图像。
代码在查询两个不同的 PACS 实现时有效，但在第三个研究级别上失败。
提出患者请求的代码部分
var request = DicomCFindRequest.CreatePatientQuery(patientId: _patientid, patientName: _patientname);
var client = new DicomClient();
client.AddRequest(request);
await client.SendAsync(destip, port, useTLS, callingAE, calledAE);
而对于学习水平
request = DicomCFindRequest.CreateStudyQuery(patientId: _patientid);
似乎通过检查日志并比较来自工具的日志，应该有一个抽象语法列表而不是一个？ 或者是什么问题？
2019-02-24 02:32:49.1671 INFO Dicom.Log.NLogManager+NLogger.Log DICOM_STORAGE -> Association request:
Calling AE Title: TEST_01
Called AE Title: DICOM_STORAGE
Remote host: xxx.29.
51.150
Remote port: 7817
Implementation Class: Implementation Class UID [1.3.6.1.4.1.30071.8]
Implementation Version: fo-dicom 4.0.0
Maximum PDU Length: 16384
Async Ops Invoked: 1
Async Ops Performed: 1
Presentation Contexts: 1
Presentation Context: 1 [Proposed]
Abstract Syntax: Study Root Query/Retrieve Information Model - FIND
Transfer Syntax: Implicit VR Little Endian: Default Transfer Syntax for DICOM
2019-02-24 02:32:49.1671 INFO Dicom.Log.NLogManager+NLogger.Log DICOM_STORAGE <- Association accept:
Calling AE Title: TEST_01
Called AE Title: DICOM_STORAGE
Remote host: xxx.29.51.150
Remote port: 7817
Implementation Class: Unknown [1.2.752.24.3.3.25.7]
Implementation Version: WISSTOSCP_20_1
Maximum PDU Length: 28672
Async Ops Invoked: 1
Async Ops Performed: 1
Presentation Contexts: 1
Presentation Context: 1 [RejectAbstractSyntaxNotSupported]
Abstract Syntax: Study Root Query/Retrieve Information Model - FIND
Transfer Syntax: Implicit VR Little Endian: Default Transfer Syntax for DICOM
2019-02-24 02:32:49.1671 INFO DicomHandler.DicomHandler+<>c__DisplayClass8_0.<QueryRetrieveSCU>b__0 DicomCFindRequest.QueryRetrieveSCU response rp.status=Failure [0122: Refused: SOP class not supported]
2019-02-24 02:32:49.1671 INFO Dicom.Network.DicomCFindRequest.PostResponse DicomCFindRequest.QueryRetrieveSCU response return.
2019-02-24 02:32:49.1671 ERROR Dicom.Log.NLogManager+NLogger.Log No accepted presentation context found for abstract syntax: Study Root Query/Retrieve Information Model - FIND [1.2.840.10008.5.1.4.1.2.2.1]
2019-02-24 02:32:49.2288 INFO Dicom.Log.NLogManager+NLogger.Log DICOM_STORAGE -> Association release request
2019-02-24 02:32:49.2288 INFO Dicom.Log.NLogManager+NLogger.Log DICOM_STORAGE <- Association release response
来自jdicom的日志，可以执行study级别的cfind请求
jdicom: *** request ***
application context UID: null
called title: DICOM_QR_SCP
calling title: jdicom
max pdu size: 32768
max operation invoked: 1
max operation performed: 1
implementation class UID: 1.2.826.0.1.3680043.2.60.0.1
implementation version Name: softlink_jdt103
abstract syntax scu scp
1.2.840.10008.1.1 -1 -1
1.2.840.10008.5.1.4.1.2.1.1 -1 -1
1.2.840.10008.5.1.4.1.2.2.1 -1 -1
1.2.840.10008.5.1.4.1.2.3.1 -1 -1
1.2.840.10008.5.1.4.1.2.1.2 -1 -1
1.2.840.10008.5.1.4.1.2.2.2 -1 -1
1.2.840.10008.5.1.4.1.2.3.2 -1 -1
nr abstract syntax pcid description
0 1.2.840.10008.1.1 1 Verification SOP Class
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
1 1.2.840.10008.5.1.4.1.2.1.1 3 Patient Root Query/Retrieve Information Model - FIND SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
2 1.2.840.10008.5.1.4.1.2.2.1 5 Study Root Query/Retrieve Information Model - FIND SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
3 1.2.840.10008.5.1.4.1.2.3.1 7 Patient/Study Only Query/Retrieve Information Model - FIND SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
4 1.2.840.10008.5.1.4.1.2.1.2 9 Patient Root Query/Retrieve Information Model - MOVE SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
5 1.2.840.10008.5.1.4.1.2.2.2 11 Study Root Query/Retrieve Information Model - MOVE SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
6 1.2.840.10008.5.1.4.1.2.3.2 13 Patient/Study Only Query/Retrieve Information Model - MOVE SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
***************
Waiting for AssociationRsp
ASSOCIATE_ACKNOWLEDGE detected
jdicom: #17:DICOM_QR_SCP >> A-ASSOCIATE-AC PDU
jdicom: *** acknowledge ***
max pdu size: 28672
max operation invoked: 1
max operation performed: 1
implementation class UID: 1.2.752.24.3.3.25.7
implementation version name: WIQRSCP_20_1
abstract syntax scu scp
nr pcid result transfer syntax
0 1 accepted 1.2.840.10008.1.2
1 3 accepted 1.2.840.10008.1.2
2 5 accepted 1.2.840.10008.1.2
3 7 accepted 1.2.840.10008.1.2
4 9 accepted 1.2.840.10008.1.2
5 11 accepted 1.2.840.10008.1.2
6 13 accepted 1.2.840.10008.1.2
*******************
编辑，
这是一致性声明。
https://sectramedical.blob.core.windows.net/uploads/2018/04/pacs-dicom-conformance-statement-20.1.pdf
但是如果不支持CFind，要用什么方法检索studies和series呢？我在这里有点迷路，但我真的很感谢你花时间给出提示。
这是来自其他工具的日志（由于 post 的最大长度而被截断），该工具列出了患者和研究，以及一些显示这是可能的屏幕截图。还有一个来自 Radiant 的屏幕截图，它也可以连接、显示患者和显示图像。
PatientRootLog
# 14 1 PatientID
(0020,000d) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476158]# 50 1 StudyInstanceUID
(0020,000e) UI [] # 0 0 SeriesInstanceUID
(0020,0011) IS [] # 0 0 SeriesNumber
(0020,1209) IS [] # 0 0 NumberOfSeriesRelatedImages
jdicom: DICOM_QR_SCP PDU received
jdicom: #16:DICOM_QR_SCP >> C-FIND-RSP Patient Root Query/Retrieve Information Model - FIND SOP Class, status #ff00H[StatusEntry.PENDING]
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.1.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32800] # 2 1 CommandField
(0000,0120) US [1] # 2 1 MessageIDBeingRespondedTo
(0000,0800) US [258] # 2 1 DataSetType
(0000,0900) US [65280] # 2 1 Status
jdicom: #16:DICOM_QR_SCP >> Dataset
(0008,0005) CS [ISO_IR 100] # 10 1 SpecificCharacterSet
(0008,0050) SH [1912121-0034201] # 16 1 AccessionNumber
(0008,0052) CS [SERIES] # 6 1 QueryRetrieveLevel
(0008,0054) AE [DICOM_QR_SCP] # 12 1 RetrieveAETitle
(0008,0060) CS [OP] # 2 1 Modality
(0010,0020) LO [19121212-1212] # 14 1 PatientID
(0020,000d) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476158]# 50 1 StudyInstanceUID
(0020,000e) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476159]# 50 1 SeriesInstanceUID
(0020,0010) SH [1912121-0034201] # 16 1 StudyID
(0020,0011) IS [1] # 2 1 SeriesNumber
(0020,1209) IS [1] # 2 1 NumberOfSeriesRelatedImages
jdicom: DICOM_QR_SCP Waiting for PDU
jdicom: DICOM_QR_SCP PDU received
jdicom: #16:DICOM_QR_SCP >> C-FIND-RSP Patient Root Query/Retrieve Information Model - FIND SOP Class, status #0000H[Success]
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.1.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32800] # 2 1 CommandField
(0000,0120) US [1] # 2 1 MessageIDBeingRespondedTo
(0000,0800) US [257] # 2 1 DataSetType
(0000,0900) US [0] # 2 1 Status
jdicom: DICOM_QR_SCP Waiting for PDU
jdicom: Enter _dimseSCUs.waitUntilEmpty(
jdicom: Enter _as.sendReleaseRequest()
jdicom: #16:DICOM_QR_SCP << A-RELEASE-RQ PDU
jdicom: Leave DimseExchange.releaseAssoc()
jdicom: DICOM_QR_SCP PDU received
jdicom: #16:DICOM_QR_SCP >> A-RELEASE-RP PDU
jdicom: #16:DICOM_QR_SCP closing socket
jdicom: DICOM_QR_SCP Leave DimseExchange.run()
jdicom: #17:DICOM_QR_SCP << A-ASSOCIATE-RQ PDU
jdicom: *** request ***
application context UID: null
called title: DICOM_QR_SCP
calling title: jdicom
max pdu size: 32768
max operation invoked: 1
max operation performed: 1
implementation class UID: 1.2.826.0.1.3680043.2.60.0.1
implementation version Name: softlink_jdt103
abstract syntax scu scp
1.2.840.10008.1.1 -1 -1
1.2.840.10008.5.1.4.1.2.1.1 -1 -1
1.2.840.10008.5.1.4.1.2.2.1 -1 -1
1.2.840.10008.5.1.4.1.2.3.1 -1 -1
1.2.840.10008.5.1.4.1.2.1.2 -1 -1
1.2.840.10008.5.1.4.1.2.2.2 -1 -1
1.2.840.10008.5.1.4.1.2.3.2 -1 -1
nr abstract syntax pcid description
0 1.2.840.10008.1.1 1 Verification SOP Class
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
1 1.2.840.10008.5.1.4.1.2.1.1 3 Patient Root Query/Retrieve Information Model - FIND SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
2 1.2.840.10008.5.1.4.1.2.2.1 5 Study Root Query/Retrieve Information Model - FIND SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
3 1.2.840.10008.5.1.4.1.2.3.1 7 Patient/Study Only Query/Retrieve Information Model - FIND SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
4 1.2.840.10008.5.1.4.1.2.1.2 9 Patient Root Query/Retrieve Information Model - MOVE SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
5 1.2.840.10008.5.1.4.1.2.2.2 11 Study Root Query/Retrieve Information Model - MOVE SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
6 1.2.840.10008.5.1.4.1.2.3.2 13 Patient/Study Only Query/Retrieve Information Model - MOVE SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
***************
Waiting for AssociationRsp
ASSOCIATE_ACKNOWLEDGE detected
jdicom: #17:DICOM_QR_SCP >> A-ASSOCIATE-AC PDU
jdicom: *** acknowledge ***
max pdu size: 28672
max operation invoked: 1
max operation performed: 1
implementation class UID: 1.2.752.24.3.3.25.7
implementation version name: WIQRSCP_20_1
abstract syntax scu scp
nr pcid result transfer syntax
0 1 accepted 1.2.840.10008.1.2
1 3 accepted 1.2.840.10008.1.2
2 5 accepted 1.2.840.10008.1.2
3 7 accepted 1.2.840.10008.1.2
4 9 accepted 1.2.840.10008.1.2
5 11 accepted 1.2.840.10008.1.2
6 13 accepted 1.2.840.10008.1.2
*******************
jdicom: DICOM_QR_SCP Enter DimseExchange.run()
jdicom: #17:DICOM_QR_SCP << C-FIND-RQ Patient Root Query/Retrieve Information Model - FIND SOP Class
jdicom: DICOM_QR_SCP Waiting for PDU
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.1.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32] # 2 1 CommandField
(0000,0110) US [1] # 2 1 MessageID
(0000,0700) US [0] # 2 1 Priority
(0000,0800) US [65278] # 2 1 DataSetType
jdicom: #17:DICOM_QR_SCP << Dataset
(0008,0018) UI [] # 0 0 SOPInstanceUID
(0008,0052) CS [IMAGE] # 6 1 QueryRetrieveLevel
(0010,0020) LO [19121212-1212] # 14 1 PatientID
(0020,000d) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476158]# 50 1 StudyInstanceUID
(0020,000e) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476159]# 50 1 SeriesInstanceUID
(0020,0013) IS [] # 0 0 InstanceNumber
jdicom: DICOM_QR_SCP PDU received
jdicom: #17:DICOM_QR_SCP >> C-FIND-RSP Patient Root Query/Retrieve Information Model - FIND SOP Class, status #ff00H[StatusEntry.PENDING]
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.1.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32800] # 2 1 CommandField
(0000,0120) US [1] # 2 1 MessageIDBeingRespondedTo
(0000,0800) US [258] # 2 1 DataSetType
(0000,0900) US [65280] # 2 1 Status
jdicom: #17:DICOM_QR_SCP >> Dataset
(0008,0005) CS [ISO_IR 100] # 10 1 SpecificCharacterSet
(0008,0018) UI [1.3.6.1.4.1.30071.8.345050320220.6024575915205577]# 50 1 SOPInstanceUID
(0008,0050) SH [1912121-0034201] # 16 1 AccessionNumber
(0008,0052) CS [IMAGE] # 6 1 QueryRetrieveLevel
(0008,0054) AE [DICOM_QR_SCP] # 12 1 RetrieveAETitle
(0010,0020) LO [19121212-1212] # 14 1 PatientID
(0020,000d) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476158]# 50 1 StudyInstanceUID
(0020,000e) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476159]# 50 1 SeriesInstanceUID
(0020,0010) SH [1912121-0034201] # 16 1 StudyID
(0020,0013) IS [1] # 2 1 InstanceNumber
jdicom: DICOM_QR_SCP Waiting for PDU
jdicom: DICOM_QR_SCP PDU received
jdicom: #17:DICOM_QR_SCP >> C-FIND-RSP Patient Root Query/Retrieve Information Model - FIND SOP Class, status #0000H[Success]
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.1.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32800] # 2 1 CommandField
(0000,0120) US [1] # 2 1 MessageIDBeingRespondedTo
(0000,0800) US [257] # 2 1 DataSetType
(0000,0900) US [0] # 2 1 Status
jdicom: DICOM_QR_SCP Waiting for PDU
jdicom: Enter _dimseSCUs.waitUntilEmpty(
jdicom: Enter _as.sendReleaseRequest()
jdicom: #17:DICOM_QR_SCP << A-RELEASE-RQ PDU
jdicom: Leave DimseExchange.releaseAssoc()
jdicom: DICOM_QR_SCP PDU received
jdicom: #17:DICOM_QR_SCP >> A-RELEASE-RP PDU
jdicom: #17:DICOM_QR_SCP closing socket
jdicom: DICOM_QR_SCP Leave DimseExchange.run()
Studyroot LOG:
1 Priority
(0000,0800) US [65278] # 2 1 DataSetType
jdicom: #23:DICOM_QR_SCP << Dataset
(0008,0052) CS [SERIES] # 6 1 QueryRetrieveLevel
(0008,0060) CS [] # 0 0 Modality
(0020,000d) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476158]# 50 1 StudyInstanceUID
(0020,000e) UI [] # 0 0 SeriesInstanceUID
(0020,0011) IS [] # 0 0 SeriesNumber
(0020,1209) IS [] # 0 0 NumberOfSeriesRelatedImages
jdicom: DICOM_QR_SCP PDU received
jdicom: #23:DICOM_QR_SCP >> C-FIND-RSP Study Root Query/Retrieve Information Model - FIND SOP Class, status #ff00H[StatusEntry.PENDING]
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.2.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32800] # 2 1 CommandField
(0000,0120) US [1] # 2 1 MessageIDBeingRespondedTo
(0000,0800) US [258] # 2 1 DataSetType
(0000,0900) US [65280] # 2 1 Status
jdicom: #23:DICOM_QR_SCP >> Dataset
(0008,0005) CS [ISO_IR 100] # 10 1 SpecificCharacterSet
(0008,0050) SH [1912121-0034201] # 16 1 AccessionNumber
(0008,0052) CS [SERIES] # 6 1 QueryRetrieveLevel
(0008,0054) AE [DICOM_QR_SCP] # 12 1 RetrieveAETitle
(0008,0060) CS [OP] # 2 1 Modality
(0020,000d) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476158]# 50 1 StudyInstanceUID
(0020,000e) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476159]# 50 1 SeriesInstanceUID
(0020,0010) SH [1912121-0034201] # 16 1 StudyID
(0020,0011) IS [1] # 2 1 SeriesNumber
(0020,1209) IS [1] # 2 1 NumberOfSeriesRelatedImages
jdicom: DICOM_QR_SCP Waiting for PDU
jdicom: DICOM_QR_SCP PDU received
jdicom: #23:DICOM_QR_SCP >> C-FIND-RSP Study Root Query/Retrieve Information Model - FIND SOP Class, status #0000H[Success]
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.2.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32800] # 2 1 CommandField
(0000,0120) US [1] # 2 1 MessageIDBeingRespondedTo
(0000,0800) US [257] # 2 1 DataSetType
(0000,0900) US [0] # 2 1 Status
jdicom: DICOM_QR_SCP Waiting for PDU
jdicom: Enter _dimseSCUs.waitUntilEmpty(
jdicom: Enter _as.sendReleaseRequest()
jdicom: #23:DICOM_QR_SCP << A-RELEASE-RQ PDU
jdicom: Leave DimseExchange.releaseAssoc()
jdicom: DICOM_QR_SCP PDU received
jdicom: #23:DICOM_QR_SCP >> A-RELEASE-RP PDU
jdicom: #23:DICOM_QR_SCP closing socket
jdicom: DICOM_QR_SCP Leave DimseExchange.run()
jdicom: #24:DICOM_QR_SCP << A-ASSOCIATE-RQ PDU
jdicom: *** request ***
application context UID: null
called title: DICOM_QR_SCP
calling title: jdicom
max pdu size: 32768
max operation invoked: 1
max operation performed: 1
implementation class UID: 1.2.826.0.1.3680043.2.60.0.1
implementation version Name: softlink_jdt103
abstract syntax scu scp
1.2.840.10008.1.1 -1 -1
1.2.840.10008.5.1.4.1.2.1.1 -1 -1
1.2.840.10008.5.1.4.1.2.2.1 -1 -1
1.2.840.10008.5.1.4.1.2.3.1 -1 -1
1.2.840.10008.5.1.4.1.2.1.2 -1 -1
1.2.840.10008.5.1.4.1.2.2.2 -1 -1
1.2.840.10008.5.1.4.1.2.3.2 -1 -1
nr abstract syntax pcid description
0 1.2.840.10008.1.1 1 Verification SOP Class
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
1 1.2.840.10008.5.1.4.1.2.1.1 3 Patient Root Query/Retrieve Information Model - FIND SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
2 1.2.840.10008.5.1.4.1.2.2.1 5 Study Root Query/Retrieve Information Model - FIND SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
3 1.2.840.10008.5.1.4.1.2.3.1 7 Patient/Study Only Query/Retrieve Information Model - FIND SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
4 1.2.840.10008.5.1.4.1.2.1.2 9 Patient Root Query/Retrieve Information Model - MOVE SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
5 1.2.840.10008.5.1.4.1.2.2.2 11 Study Root Query/Retrieve Information Model - MOVE SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
6 1.2.840.10008.5.1.4.1.2.3.2 13 Patient/Study Only Query/Retrieve Information Model - MOVE SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
***************
Waiting for AssociationRsp
ASSOCIATE_ACKNOWLEDGE detected
jdicom: #24:DICOM_QR_SCP >> A-ASSOCIATE-AC PDU
jdicom: *** acknowledge ***
max pdu size: 28672
max operation invoked: 1
max operation performed: 1
implementation class UID: 1.2.752.24.3.3.25.7
implementation version name: WIQRSCP_20_1
abstract syntax scu scp
nr pcid result transfer syntax
0 1 accepted 1.2.840.10008.1.2
1 3 accepted 1.2.840.10008.1.2
2 5 accepted 1.2.840.10008.1.2
3 7 accepted 1.2.840.10008.1.2
4 9 accepted 1.2.840.10008.1.2
5 11 accepted 1.2.840.10008.1.2
6 13 accepted 1.2.840.10008.1.2
*******************
jdicom: DICOM_QR_SCP Enter DimseExchange.run()
jdicom: #24:DICOM_QR_SCP << C-FIND-RQ Study Root Query/Retrieve Information Model - FIND SOP Class
jdicom: DICOM_QR_SCP Waiting for PDU
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.2.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32] # 2 1 CommandField
(0000,0110) US [1] # 2 1 MessageID
(0000,0700) US [0] # 2 1 Priority
(0000,0800) US [65278] # 2 1 DataSetType
jdicom: #24:DICOM_QR_SCP << Dataset
(0008,0018) UI [] # 0 0 SOPInstanceUID
(0008,0052) CS [IMAGE] # 6 1 QueryRetrieveLevel
(0020,000d) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476158]# 50 1 StudyInstanceUID
(0020,000e) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476159]# 50 1 SeriesInstanceUID
(0020,0013) IS [] # 0 0 InstanceNumber
jdicom: DICOM_QR_SCP PDU received
jdicom: #24:DICOM_QR_SCP >> C-FIND-RSP Study Root Query/Retrieve Information Model - FIND SOP Class, status #ff00H[StatusEntry.PENDING]
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.2.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32800] # 2 1 CommandField
(0000,0120) US [1] # 2 1 MessageIDBeingRespondedTo
(0000,0800) US [258] # 2 1 DataSetType
(0000,0900) US [65280] # 2 1 Status
jdicom: #24:DICOM_QR_SCP >> Dataset
(0008,0005) CS [ISO_IR 100] # 10 1 SpecificCharacterSet
(0008,0018) UI [1.3.6.1.4.1.30071.8.345050320220.6024575915205577]# 50 1 SOPInstanceUID
(0008,0050) SH [1912121-0034201] # 16 1 AccessionNumber
(0008,0052) CS [IMAGE] # 6 1 QueryRetrieveLevel
(0008,0054) AE [DICOM_QR_SCP] # 12 1 RetrieveAETitle
(0020,000d) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476158]# 50 1 StudyInstanceUID
(0020,000e) UI [1.3.6.1.4.1.30071.8.345050320220.6024574499476159]# 50 1 SeriesInstanceUID
(0020,0010) SH [1912121-0034201] # 16 1 StudyID
(0020,0013) IS [1] # 2 1 InstanceNumber
jdicom: DICOM_QR_SCP Waiting for PDU
jdicom: DICOM_QR_SCP PDU received
jdicom: #24:DICOM_QR_SCP >> C-FIND-RSP Study Root Query/Retrieve Information Model - FIND SOP Class, status #0000H[Success]
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.2.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32800] # 2 1 CommandField
(0000,0120) US [1] # 2 1 MessageIDBeingRespondedTo
(0000,0800) US [257] # 2 1 DataSetType
(0000,0900) US [0] # 2 1 Status
jdicom: DICOM_QR_SCP Waiting for PDU
jdicom: Enter _dimseSCUs.waitUntilEmpty(
jdicom: Enter _as.sendReleaseRequest()
jdicom: #24:DICOM_QR_SCP << A-RELEASE-RQ PDU
jdicom: Leave DimseExchange.releaseAssoc()
jdicom: DICOM_QR_SCP PDU received
jdicom: #24:DICOM_QR_SCP >> A-RELEASE-RP PDU
jdicom: #24:DICOM_QR_SCP closing socket
jdicom: DICOM_QR_SCP Leave DimseExchange.run()
PatientStudyOnly
OM_QR_SCP << C-FIND-RQ Patient/Study Only Query/Retrieve Information Model - FIND SOP Class
jdicom: DICOM_QR_SCP Waiting for PDU
(0000,0002) UI [1.2.840.10008.5.1.4.1.2.3.1] # 28 1 AffectedSOPClassUID
(0000,0100) US [32] # 2 1 CommandField
(0000,0110) US [1] # 2 1 MessageID
]
日志被截断，达到 post 最大长度。
从你出色的问题描述来看，对我来说似乎很明显，你正在测试的第三个 PACS 显然不支持 Study Root Query Retrieve。
您的关联请求已正确形成，除了每个演示文稿上下文恰好一个抽象语法之外，不可能提出其他建议。然而 PACS 然后回答：
Presentation Contexts: 1
Presentation Context: 1 [RejectAbstractSyntaxNotSupported]
Abstract Syntax: Study Root Query/Retrieve Information Model - FIND
Transfer Syntax: Implicit VR Little Endian: Default Transfer Syntax for DICOM
这告诉您根本不支持此服务。
通信失败的日志似乎被缩短了。从 dcm4chee 日志中，您可以得到 Q/R 的其他信息模型也被提出。这是患者根模型：
1 1.2.840.10008.5.1.4.1.2.1.1 3 Patient Root Query/Retrieve Information Model - FIND SOP Cl...
ts-0 1.2.840.10008.1.2 Implicit VR Little Endian Transfer Syntax
很想知道这是否受支持。因为如果不是，你正在与之通话的系统很难被称为 "PACS"。我建议查看相关系统的 DICOM 一致性声明。它应该表明您是否正在与正确的应用程序实体（标题）对话，以及支持 Query/Retrieve 服务 class 的哪些特定信息模型。
如果您发布了完整的日志文件，则表示上下文可能由您提出查询的方式决定：
var request = DicomCFindRequest.CreatePatientQuery(patientId: _patientid, patientName: _patientname);
在这种情况下，您可能想尝试 CreateStudyQuery()，它也允许指定患者参数。
DICOM 信息模型简述：
- Patient Root：Patient ID 唯一标识患者。
- Study Root：患者信息在 Study Level 中被视为次要信息
[编辑] 查看 Sectra PACS 的 DICOM 一致性声明后：也许您连接到错误的应用程序实体。似乎 Sectra PACS 具有不同的应用程序实体（即相同的 IP，可能 same/different 端口但不同的 AET）来处理存储和 Query/Retrieve 服务。您正在处理的 AET 看起来很可疑：
Calling AE Title: TEST_01
Called AE Title: DICOM_STORAGE
Remote host: xxx.29.51.150
Remote port: 7817
Implementation Class: Unknown [1.2.752.24.3.3.25.7]
Implementation Version: WISSTOSCP_20_1
记下调用的 AE 标题和实现版本。两者似乎都属于存储 SCP，根据 DCS，它根本不支持任何 query/retrieve 服务。
所以我认为您需要更改您要查询的 AE 的配置。