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A DICOM-based standard for quantitative physical rehabilitation.
Alessandro Di Matteo1, Daniele Lozzi1, Filippo Mignosi1
1AVI-Lab, DISIM, University of L'Aquila, L'Aquila, 67100, Italy.
Computational and Structural Biotechnology Journal
|January 7, 2026
Summary
Quantitative physical rehabilitation (QPR) lacks a standard data format. This study introduces a DICOM-based standard (PR-IOD) to improve data sharing, interoperability, and analysis in QPR.
Area of Science:
- Medical Informatics
- Rehabilitation Medicine
- Biomedical Engineering
Background:
- Physical rehabilitation (PR) traditionally relies on subjective qualitative data.
- Quantitative PR (QPR) offers objective evaluation but faces challenges due to a lack of standardized data formats.
- These challenges include limited interoperability, data sharing barriers, and difficulties in temporal and comparative analyses.
Purpose of the Study:
- To propose a standardized DICOM Information Object Definition (IOD) for Quantitative Physical Rehabilitation (QPR), termed PR-IOD.
- To address the limitations of current QPR data management, including interoperability and data sharing issues.
- To facilitate structured data generation and management for improved PR analysis and clinical practice.
Main Methods:
- Development of a DICOM Information Object Definition (IOD) specifically for QPR data, named PR-IOD.
- Application of the PR-IOD architecture to manage data from a multi-source hand-tracking device (Virtual Glove) used in hand rehabilitation.
- Generation, loading, and visualization of DICOM files conforming to the PR-IOD standard using a tailored viewer dashboard.
Main Results:
- Successful implementation of the PR-IOD architecture for managing QPR data from a hand-tracking device.
- Generation of DICOM-compliant files for QPR data, enabling structured data management.
- Demonstration of data visualization capabilities through a specialized viewer dashboard.
Conclusions:
- The proposed PR-IOD provides a standardized framework for managing Quantitative Physical Rehabilitation data.
- This standardization enhances data interoperability, sharing, and analysis capabilities within PR.
- The PR-IOD facilitates objective evaluation and improves the potential for advanced statistical analysis in physical rehabilitation.

