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2025-11-30 08:30:10 +08:00

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Python
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#!/usr/bin/env python3
"""
Anonymize DICOM files by removing or replacing Protected Health Information (PHI).
Usage:
python anonymize_dicom.py input.dcm output.dcm
python anonymize_dicom.py input.dcm output.dcm --patient-id ANON001
"""
import argparse
import sys
from pathlib import Path
try:
import pydicom
except ImportError:
print("Error: pydicom is not installed. Install it with: pip install pydicom")
sys.exit(1)
# Tags commonly containing PHI (Protected Health Information)
PHI_TAGS = [
'PatientName', 'PatientID', 'PatientBirthDate', 'PatientBirthTime',
'PatientSex', 'PatientAge', 'PatientSize', 'PatientWeight',
'PatientAddress', 'PatientTelephoneNumbers', 'PatientMotherBirthName',
'MilitaryRank', 'EthnicGroup', 'Occupation', 'PatientComments',
'InstitutionName', 'InstitutionAddress', 'InstitutionalDepartmentName',
'ReferringPhysicianName', 'ReferringPhysicianAddress',
'ReferringPhysicianTelephoneNumbers', 'ReferringPhysicianIdentificationSequence',
'PerformingPhysicianName', 'PerformingPhysicianIdentificationSequence',
'OperatorsName', 'PhysiciansOfRecord', 'PhysiciansOfRecordIdentificationSequence',
'NameOfPhysiciansReadingStudy', 'PhysiciansReadingStudyIdentificationSequence',
'StudyDescription', 'SeriesDescription', 'AdmittingDiagnosesDescription',
'DerivationDescription', 'RequestingPhysician', 'RequestingService',
'RequestedProcedureDescription', 'ScheduledPerformingPhysicianName',
'PerformedLocation', 'PerformedStationName',
]
def anonymize_dicom(input_path, output_path, patient_id='ANONYMOUS', patient_name='ANONYMOUS'):
"""
Anonymize a DICOM file by removing or replacing PHI.
Args:
input_path: Path to input DICOM file
output_path: Path to output anonymized DICOM file
patient_id: Replacement patient ID (default: 'ANONYMOUS')
patient_name: Replacement patient name (default: 'ANONYMOUS')
"""
try:
# Read DICOM file
ds = pydicom.dcmread(input_path)
# Track what was anonymized
anonymized = []
# Remove or replace sensitive data
for tag in PHI_TAGS:
if hasattr(ds, tag):
if tag == 'PatientName':
ds.PatientName = patient_name
anonymized.append(f"{tag}: replaced with '{patient_name}'")
elif tag == 'PatientID':
ds.PatientID = patient_id
anonymized.append(f"{tag}: replaced with '{patient_id}'")
elif tag == 'PatientBirthDate':
ds.PatientBirthDate = '19000101'
anonymized.append(f"{tag}: replaced with '19000101'")
else:
delattr(ds, tag)
anonymized.append(f"{tag}: removed")
# Anonymize UIDs if present (optional - maintains referential integrity)
# Uncomment if you want to anonymize UIDs as well
# if hasattr(ds, 'StudyInstanceUID'):
# ds.StudyInstanceUID = pydicom.uid.generate_uid()
# if hasattr(ds, 'SeriesInstanceUID'):
# ds.SeriesInstanceUID = pydicom.uid.generate_uid()
# if hasattr(ds, 'SOPInstanceUID'):
# ds.SOPInstanceUID = pydicom.uid.generate_uid()
# Save anonymized file
ds.save_as(output_path)
return True, anonymized
except Exception as e:
return False, str(e)
def main():
parser = argparse.ArgumentParser(
description='Anonymize DICOM files by removing or replacing PHI',
formatter_class=argparse.RawDescriptionHelpFormatter,
epilog="""
Examples:
python anonymize_dicom.py input.dcm output.dcm
python anonymize_dicom.py input.dcm output.dcm --patient-id ANON001
python anonymize_dicom.py input.dcm output.dcm --patient-id ANON001 --patient-name "Anonymous^Patient"
"""
)
parser.add_argument('input', type=str, help='Input DICOM file')
parser.add_argument('output', type=str, help='Output anonymized DICOM file')
parser.add_argument('--patient-id', type=str, default='ANONYMOUS',
help='Replacement patient ID (default: ANONYMOUS)')
parser.add_argument('--patient-name', type=str, default='ANONYMOUS',
help='Replacement patient name (default: ANONYMOUS)')
parser.add_argument('-v', '--verbose', action='store_true',
help='Show detailed anonymization information')
args = parser.parse_args()
# Validate input file exists
input_path = Path(args.input)
if not input_path.exists():
print(f"Error: Input file '{args.input}' not found")
sys.exit(1)
# Anonymize the file
print(f"Anonymizing: {args.input}")
success, result = anonymize_dicom(args.input, args.output,
args.patient_id, args.patient_name)
if success:
print(f"✓ Successfully anonymized DICOM file: {args.output}")
if args.verbose:
print(f"\nAnonymized {len(result)} fields:")
for item in result:
print(f" - {item}")
else:
print(f"✗ Error: {result}")
sys.exit(1)
if __name__ == '__main__':
main()