1.系统组成：     CT 设备 连接  pacs服务器实现数据下载功能。

2.pacs系统配置和搭建参考网站：https://support.dcmtk.org/redmine/projects/dcmtk/wiki/Howto_PACSDebuggingWithDCMTK

3.配置完成之后测了下本地与服务器连接是否正常：

jjkj@jjkj-MS-7A54-Invalid-entry-length-16-Fixed-up-to-11:~/Project$ echoscu -d 220.0.5.55 1111 -aec ACME_STORE -aet jjkj
D: $dcmtk: echoscu v3.6.4 2018-11-29 $
D:
D: DcmDataDictionary: Loading file: /usr/local/share/dcmtk/dicom.dic
D: Request Parameters:
D: ====================== BEGIN A-ASSOCIATE-RQ =====================
D: Our Implementation Class UID:      1.2.276.0.7230010.3.0.3.6.4
D: Our Implementation Version Name:   OFFIS_DCMTK_364
D: Their Implementation Class UID:    
D: Their Implementation Version Name:
D: Application Context Name:    1.2.840.10008.3.1.1.1
D: Calling Application Name:    jjkj
D: Called Application Name:     ACME_STORE
D: Responding Application Name: ACME_STORE
D: Our Max PDU Receive Size:    16384
D: Their Max PDU Receive Size:  0
D: Presentation Contexts:
D:   Context ID:        1 (Proposed)
D:     Abstract Syntax: =VerificationSOPClass
D:     Proposed SCP/SCU Role: Default
D:     Proposed Transfer Syntax(es):
D:       =LittleEndianImplicit
D: Requested Extended Negotiation: none
D: Accepted Extended Negotiation:  none
D: Requested User Identity Negotiation: none
D: User Identity Negotiation Response:  none
D: ======================= END A-ASSOCIATE-RQ ======================
I: Requesting Association
D: setting network send timeout to 60 seconds
D: setting network receive timeout to 60 seconds
D: Constructing Associate RQ PDU
F: Association Rejected:
F: Result: Rejected Permanent, Source: Service User
F: Reason: Called AE Title Not Recognized
jjkj@jjkj-MS-7A54-Invalid-entry-length-16-Fixed-up-to-11:~/Project$
jjkj@jjkj-MS-7A54-Invalid-entry-length-16-Fixed-up-to-11:~/Project$
jjkj@jjkj-MS-7A54-Invalid-entry-length-16-Fixed-up-to-11:~/Project$
jjkj@jjkj-MS-7A54-Invalid-entry-length-16-Fixed-up-to-11:~/Project$ echoscu -d 127.0.0.1 1111 -aec ACME_STORE -aet jjkj
D: $dcmtk: echoscu v3.6.4 2018-11-29 $
D:
D: DcmDataDictionary: Loading file: /usr/local/share/dcmtk/dicom.dic
D: Request Parameters:
D: ====================== BEGIN A-ASSOCIATE-RQ =====================
D: Our Implementation Class UID:      1.2.276.0.7230010.3.0.3.6.4
D: Our Implementation Version Name:   OFFIS_DCMTK_364
D: Their Implementation Class UID:    
D: Their Implementation Version Name:
D: Application Context Name:    1.2.840.10008.3.1.1.1
D: Calling Application Name:    jjkj
D: Called Application Name:     ACME_STORE
D: Responding Application Name: ACME_STORE
D: Our Max PDU Receive Size:    16384
D: Their Max PDU Receive Size:  0
D: Presentation Contexts:
D:   Context ID:        1 (Proposed)
D:     Abstract Syntax: =VerificationSOPClass
D:     Proposed SCP/SCU Role: Default
D:     Proposed Transfer Syntax(es):
D:       =LittleEndianImplicit
D: Requested Extended Negotiation: none
D: Accepted Extended Negotiation:  none
D: Requested User Identity Negotiation: none
D: User Identity Negotiation Response:  none
D: ======================= END A-ASSOCIATE-RQ ======================
I: Requesting Association
D: setting network send timeout to 60 seconds
D: setting network receive timeout to 60 seconds
D: Constructing Associate RQ PDU
D: PDU Type: Associate Accept, PDU Length: 184 + 6 bytes PDU header
D:   02  00  00  00  00  b8  00  01  00  00  41  43  4d  45  5f  53
D:   54  4f  52  45  20  20  20  20  20  20  6a  6a  6b  6a  20  20
D:   20  20  20  20  20  20  20  20  20  20  00  00  00  00  00  00
D:   00  00  00  00  00  00  00  00  00  00  00  00  00  00  00  00
D:   00  00  00  00  00  00  00  00  00  00  10  00  00  15  31  2e
D:   32  2e  38  34  30  2e  31  30  30  30  38  2e  33  2e  31  2e
D:   31  2e  31  21  00  00  19  01  00  00  00  40  00  00  11  31
D:   2e  32  2e  38  34  30  2e  31  30  30  30  38  2e  31  2e  32
D:   50  00  00  3a  51  00  00  04  00  00  40  00  52  00  00  1b
D:   31  2e  32  2e  32  37  36  2e  30  2e  37  32  33  30  30  31
D:   30  2e  33  2e  30  2e  33  2e  36  2e  34  55  00  00  0f  4f
D:   46  46  49  53  5f  44  43  4d  54  4b  5f  33  36  34
D: Parsing an A-ASSOCIATE PDU
D: Association Parameters Negotiated:
D: ====================== BEGIN A-ASSOCIATE-AC =====================
D: Our Implementation Class UID:      1.2.276.0.7230010.3.0.3.6.4
D: Our Implementation Version Name:   OFFIS_DCMTK_364
D: Their Implementation Class UID:    1.2.276.0.7230010.3.0.3.6.4
D: Their Implementation Version Name: OFFIS_DCMTK_364
D: Application Context Name:    1.2.840.10008.3.1.1.1
D: Calling Application Name:    jjkj
D: Called Application Name:     ACME_STORE
D: Responding Application Name: ACME_STORE
D: Our Max PDU Receive Size:    16384
D: Their Max PDU Receive Size:  16384
D: Presentation Contexts:
D:   Context ID:        1 (Accepted)
D:     Abstract Syntax: =VerificationSOPClass
D:     Proposed SCP/SCU Role: Default
D:     Accepted SCP/SCU Role: Default
D:     Accepted Transfer Syntax: =LittleEndianImplicit
D: Requested Extended Negotiation: none
D: Accepted Extended Negotiation:  none
D: Requested User Identity Negotiation: none
D: User Identity Negotiation Response:  none
D: ======================= END A-ASSOCIATE-AC ======================
I: Association Accepted (Max Send PDV: 16372)
I: Sending Echo Request (MsgID 1)
D: DcmDataset::read() TransferSyntax="Little Endian Implicit"
I: Received Echo Response (Success)
I: Releasing Association
jjkj@jjkj-MS-7A54-Invalid-entry-length-16-Fixed-up-to-11:~/Project$

3.回环口可以连接，但是以太网分配的IP地址链接失败

jjkj@jjkj-MS-7A54-Invalid-entry-length-16-Fixed-up-to-11:~/Project$ ifconfig
eno1      Link encap:以太网  硬件地址 4c:cc:6a:6b:1c:fa  
          inet 地址:220.0.5.55  广播:220.0.7.255  掩码:255.255.252.0
          inet6 地址: fe80::2b4f:78fd:bec0:3c0e/64 Scope:Link
          UP BROADCAST RUNNING MULTICAST  MTU:1500  跃点数:1
          接收数据包:981613 错误:0 丢弃:39637 过载:0 帧数:0
          发送数据包:17343 错误:0 丢弃:0 过载:0 载波:0
          碰撞:0 发送队列长度:1000
          接收字节:164037630 (164.0 MB)  发送字节:1505460 (1.5 MB)
          中断:20 Memory:fb300000-fb320000

lo        Link encap:本地环回  
          inet 地址:127.0.0.1  掩码:255.0.0.0
          inet6 地址: ::1/128 Scope:Host
          UP LOOPBACK RUNNING  MTU:65536  跃点数:1
          接收数据包:830050 错误:0 丢弃:0 过载:0 帧数:0
          发送数据包:830050 错误:0 丢弃:0 过载:0 载波:0
          碰撞:0 发送队列长度:1000
          接收字节:4338991742 (4.3 GB)  发送字节:4338991742 (4.3 GB)

4.查看pacs系统的配置文件：

acme1           = (jjkj, localhost, 1111)
acme2           = (jjkj, 220.0.5.55, 1111)
acmeCTcompany   = acme1, acme2
united1         = (UHICT, 220.0.4.15, 3333)
united2        = (jjkj, localhost, 1111)
united3         = (jjkj, localaddress, 1111)
unitedMRcompany = united1, united2 , united3

5.后来发现不支持ip地址的形式，配置给要用到的的IP地址配置了域名，将配置文件改成：

acme1           = (jjkj, localhost, 1111)
acme2           = (jjkj, localaddress, 1111)
#acme3           = (jjkj, localhost, 1111)
acmeCTcompany   = acme1, acme2
united1         = (UHICT, ctaddress, 3333)
united2         = (UNITED2, unitedhost2, 2222)
united3         = (jjkj, localhost, 1111)
united4         = (jjkj, localaddress, 1111)
unitedMRcompany = united1, united2 , united3, united4

6.本地测试就通过了：

jjkj@jjkj-MS-7A54-Invalid-entry-length-16-Fixed-up-to-11:~/Project$ echoscu -d 127.0.0.1 1111 -aec ACME_STORE -aet jjkj
D: $dcmtk: echoscu v3.6.4 2018-11-29 $
D:
D: DcmDataDictionary: Loading file: /usr/local/share/dcmtk/dicom.dic
D: Request Parameters:
D: ====================== BEGIN A-ASSOCIATE-RQ =====================
D: Our Implementation Class UID:      1.2.276.0.7230010.3.0.3.6.4
D: Our Implementation Version Name:   OFFIS_DCMTK_364
D: Their Implementation Class UID:    
D: Their Implementation Version Name:
D: Application Context Name:    1.2.840.10008.3.1.1.1
D: Calling Application Name:    jjkj
D: Called Application Name:     ACME_STORE
D: Responding Application Name: ACME_STORE
D: Our Max PDU Receive Size:    16384
D: Their Max PDU Receive Size:  0
D: Presentation Contexts:
D:   Context ID:        1 (Proposed)
D:     Abstract Syntax: =VerificationSOPClass
D:     Proposed SCP/SCU Role: Default
D:     Proposed Transfer Syntax(es):
D:       =LittleEndianImplicit
D: Requested Extended Negotiation: none
D: Accepted Extended Negotiation:  none
D: Requested User Identity Negotiation: none
D: User Identity Negotiation Response:  none
D: ======================= END A-ASSOCIATE-RQ ======================
I: Requesting Association
D: setting network send timeout to 60 seconds
D: setting network receive timeout to 60 seconds
D: Constructing Associate RQ PDU
D: PDU Type: Associate Accept, PDU Length: 184 + 6 bytes PDU header
D:   02  00  00  00  00  b8  00  01  00  00  41  43  4d  45  5f  53
D:   54  4f  52  45  20  20  20  20  20  20  6a  6a  6b  6a  20  20
D:   20  20  20  20  20  20  20  20  20  20  00  00  00  00  00  00
D:   00  00  00  00  00  00  00  00  00  00  00  00  00  00  00  00
D:   00  00  00  00  00  00  00  00  00  00  10  00  00  15  31  2e
D:   32  2e  38  34  30  2e  31  30  30  30  38  2e  33  2e  31  2e
D:   31  2e  31  21  00  00  19  01  00  00  00  40  00  00  11  31
D:   2e  32  2e  38  34  30  2e  31  30  30  30  38  2e  31  2e  32
D:   50  00  00  3a  51  00  00  04  00  00  40  00  52  00  00  1b
D:   31  2e  32  2e  32  37  36  2e  30  2e  37  32  33  30  30  31
D:   30  2e  33  2e  30  2e  33  2e  36  2e  34  55  00  00  0f  4f
D:   46  46  49  53  5f  44  43  4d  54  4b  5f  33  36  34
D: Parsing an A-ASSOCIATE PDU
D: Association Parameters Negotiated:
D: ====================== BEGIN A-ASSOCIATE-AC =====================
D: Our Implementation Class UID:      1.2.276.0.7230010.3.0.3.6.4
D: Our Implementation Version Name:   OFFIS_DCMTK_364
D: Their Implementation Class UID:    1.2.276.0.7230010.3.0.3.6.4
D: Their Implementation Version Name: OFFIS_DCMTK_364
D: Application Context Name:    1.2.840.10008.3.1.1.1
D: Calling Application Name:    jjkj
D: Called Application Name:     ACME_STORE
D: Responding Application Name: ACME_STORE
D: Our Max PDU Receive Size:    16384
D: Their Max PDU Receive Size:  16384
D: Presentation Contexts:
D:   Context ID:        1 (Accepted)
D:     Abstract Syntax: =VerificationSOPClass
D:     Proposed SCP/SCU Role: Default
D:     Accepted SCP/SCU Role: Default
D:     Accepted Transfer Syntax: =LittleEndianImplicit
D: Requested Extended Negotiation: none
D: Accepted Extended Negotiation:  none
D: Requested User Identity Negotiation: none
D: User Identity Negotiation Response:  none
D: ======================= END A-ASSOCIATE-AC ======================
I: Association Accepted (Max Send PDV: 16372)
I: Sending Echo Request (MsgID 1)
D: DcmDataset::read() TransferSyntax="Little Endian Implicit"
I: Received Echo Response (Success)
I: Releasing Association
jjkj@jjkj-MS-7A54-Invalid-entry-length-16-Fixed-up-to-11:~/Project$
jjkj@jjkj-MS-7A54-Invalid-entry-length-16-Fixed-up-to-11:~/Project$
jjkj@jjkj-MS-7A54-Invalid-entry-length-16-Fixed-up-to-11:~/Project$
jjkj@jjkj-MS-7A54-Invalid-entry-length-16-Fixed-up-to-11:~/Project$
jjkj@jjkj-MS-7A54-Invalid-entry-length-16-Fixed-up-to-11:~/Project$ echoscu -d localaddress 1111 -aec ACME_STORE -aet jjkj
D: $dcmtk: echoscu v3.6.4 2018-11-29 $
D:
D: DcmDataDictionary: Loading file: /usr/local/share/dcmtk/dicom.dic
D: Request Parameters:
D: ====================== BEGIN A-ASSOCIATE-RQ =====================
D: Our Implementation Class UID:      1.2.276.0.7230010.3.0.3.6.4
D: Our Implementation Version Name:   OFFIS_DCMTK_364
D: Their Implementation Class UID:    
D: Their Implementation Version Name:
D: Application Context Name:    1.2.840.10008.3.1.1.1
D: Calling Application Name:    jjkj
D: Called Application Name:     ACME_STORE
D: Responding Application Name: ACME_STORE
D: Our Max PDU Receive Size:    16384
D: Their Max PDU Receive Size:  0
D: Presentation Contexts:
D:   Context ID:        1 (Proposed)
D:     Abstract Syntax: =VerificationSOPClass
D:     Proposed SCP/SCU Role: Default
D:     Proposed Transfer Syntax(es):
D:       =LittleEndianImplicit
D: Requested Extended Negotiation: none
D: Accepted Extended Negotiation:  none
D: Requested User Identity Negotiation: none
D: User Identity Negotiation Response:  none
D: ======================= END A-ASSOCIATE-RQ ======================
I: Requesting Association
D: setting network send timeout to 60 seconds
D: setting network receive timeout to 60 seconds
D: Constructing Associate RQ PDU
D: PDU Type: Associate Accept, PDU Length: 184 + 6 bytes PDU header
D:   02  00  00  00  00  b8  00  01  00  00  41  43  4d  45  5f  53
D:   54  4f  52  45  20  20  20  20  20  20  6a  6a  6b  6a  20  20
D:   20  20  20  20  20  20  20  20  20  20  00  00  00  00  00  00
D:   00  00  00  00  00  00  00  00  00  00  00  00  00  00  00  00
D:   00  00  00  00  00  00  00  00  00  00  10  00  00  15  31  2e
D:   32  2e  38  34  30  2e  31  30  30  30  38  2e  33  2e  31  2e
D:   31  2e  31  21  00  00  19  01  00  00  00  40  00  00  11  31
D:   2e  32  2e  38  34  30  2e  31  30  30  30  38  2e  31  2e  32
D:   50  00  00  3a  51  00  00  04  00  00  40  00  52  00  00  1b
D:   31  2e  32  2e  32  37  36  2e  30  2e  37  32  33  30  30  31
D:   30  2e  33  2e  30  2e  33  2e  36  2e  34  55  00  00  0f  4f
D:   46  46  49  53  5f  44  43  4d  54  4b  5f  33  36  34
D: Parsing an A-ASSOCIATE PDU
D: Association Parameters Negotiated:
D: ====================== BEGIN A-ASSOCIATE-AC =====================
D: Our Implementation Class UID:      1.2.276.0.7230010.3.0.3.6.4
D: Our Implementation Version Name:   OFFIS_DCMTK_364
D: Their Implementation Class UID:    1.2.276.0.7230010.3.0.3.6.4
D: Their Implementation Version Name: OFFIS_DCMTK_364
D: Application Context Name:    1.2.840.10008.3.1.1.1
D: Calling Application Name:    jjkj
D: Called Application Name:     ACME_STORE
D: Responding Application Name: ACME_STORE
D: Our Max PDU Receive Size:    16384
D: Their Max PDU Receive Size:  16384
D: Presentation Contexts:
D:   Context ID:        1 (Accepted)
D:     Abstract Syntax: =VerificationSOPClass
D:     Proposed SCP/SCU Role: Default
D:     Accepted SCP/SCU Role: Default
D:     Accepted Transfer Syntax: =LittleEndianImplicit
D: Requested Extended Negotiation: none
D: Accepted Extended Negotiation:  none
D: Requested User Identity Negotiation: none
D: User Identity Negotiation Response:  none
D: ======================= END A-ASSOCIATE-AC ======================
I: Association Accepted (Max Send PDV: 16372)
I: Sending Echo Request (MsgID 1)
D: DcmDataset::read() TransferSyntax="Little Endian Implicit"
I: Received Echo Response (Success)
I: Releasing Association
jjkj@jjkj-MS-7A54-Invalid-entry-length-16-Fixed-up-to-11:~/Project$
jjkj@jjkj-MS-7A54-Invalid-entry-length-16-Fixed-up-to-11:~/Project$
jjkj@jjkj-MS-7A54-Invalid-entry-length-16-Fixed-up-to-11:~/Project$
jjkj@jjkj-MS-7A54-Invalid-entry-length-16-Fixed-up-to-11:~/Project$

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