Directory Records of type IMAGE shall include Icon Images. The icon pixel data shall be supported with Bits Allocated (0028,0100) equal to 8 and Row (0028,0010) and Column (0028,0011) attribute values of 128.
Notes: 1. This icon size is larger than that recommended in PS 3.10 because the 64x64 icon would not be clinically useful for identifying and selecting x-ray angiographic images.
2. For multi-frame images, it is recommended that the icon image be derived from the frame identified in the Representative Frame Number attribute (0028,6010), if defined for the image SOP Instance. If the Representative Frame Number is not present, a frame approximately one-third of the way through the multi-frame image should be selected. The process to reduce a 512x512 image to a 128x128 image is beyond the scope of this standard.