> ## Documentation Index
> Fetch the complete documentation index at: https://docs.3dpreppro.com/llms.txt
> Use this file to discover all available pages before exploring further.

# DICOM medical scans

> Turn CT and MRI scans into printable 3D models with tissue segmentation

<Frame>
  <img src="https://mintcdn.com/alphaworks/ovWnUpkEFn4EqZKR/images/models/dicom-modal.png?fit=max&auto=format&n=ovWnUpkEFn4EqZKR&q=85&s=baa8e0bb3eb4baf8bb966c26a5f4caac" alt="DICOM Segmentation dialog with tissue-density presets and Hounsfield Unit ranges" width="1732" height="1426" data-path="images/models/dicom-modal.png" />
</Frame>

**DICOM** is the standard format for medical imaging — CT and MRI scans exported from hospital equipment. 3D Prep Pro accepts `.dcm` and `.dicom` files and turns them into printable 3D models by separating the scan into tissue types.

Unlike a normal mesh, a DICOM scan is a stack of density measurements, not a surface. Before it can be repaired you tell 3D Prep Pro **which densities to turn into solid parts** — this is called segmentation.

## Segmenting your scan

When you upload a DICOM file, the **DICOM Segmentation** dialog opens automatically. This step is **required** — a scan with no segmentation can't be repaired.

Density is measured in **Hounsfield Units (HU)**. Each segment you define becomes a separate watertight part built from everything inside its HU range.

<Info>
  You must complete segmentation before analysis runs. If you try to repair an unsegmented DICOM model, you'll be prompted to re-analyze it with a segmentation preset first.
</Info>

### Presets

Start from a preset, then adjust the ranges if you need to.

| Preset         | Segments it creates                                                                                                 |
| -------------- | ------------------------------------------------------------------------------------------------------------------- |
| **Standard**   | Hard tissue (200–3000), dense soft tissue (80–200), soft tissue (20–80), fat (−120–20), outer tissue (−500 to −120) |
| **Head**       | Skull (200–3000), brain (20–45), skin (−200–20)                                                                     |
| **Simple**     | Hard tissue (200–3000), medium tissue (15–200), outer tissue (−200–15)                                              |
| **Dense Only** | High density (700–3000), low density (200–700)                                                                      |

### Defining segments

<Steps>
  <Step title="Pick a preset">
    Choose the preset closest to what you want to print (bone, whole head, etc.).
  </Step>

  <Step title="Adjust the ranges">
    For each segment, set the **Density Min** and **Density Max** (HU). Min must be less than Max, and every segment needs a name.
  </Step>

  <Step title="Add or remove segments">
    Use **Add Segment** to isolate another tissue type, or remove segments you don't need.
  </Step>

  <Step title="Start analysis">
    Click **Start Analysis**. Each segment is reconstructed into its own 3D part.
  </Step>
</Steps>

### Hounsfield Unit reference

Common tissue densities to help you set ranges:

| Tissue               | Range           |
| -------------------- | --------------- |
| Cortical bone        | 700 to 3000 HU  |
| Cancellous bone      | 200 to 700 HU   |
| Muscle               | 10 to 40 HU     |
| Brain (gray / white) | 20 to 45 HU     |
| Blood                | 30 to 45 HU     |
| Soft tissue          | 20 to 80 HU     |
| Fat                  | −120 to −50 HU  |
| Lung                 | −700 to −500 HU |
| Air                  | −1000 HU        |
| Metal implants       | above 3000 HU   |

## Repairing a DICOM model

DICOM repair works on the segments you created:

* On the repair dialog you choose **which segments to repair** — each selected segment runs through the full repair pipeline independently, so repair time grows with the number of segments.
* DICOM models are repaired at an **optimized resolution** tuned for scan data, rather than the maximum-detail setting used for regular meshes — the scan's own slice resolution is the limiting factor anyway.
* Surface smoothing is applied automatically so the result isn't stair-stepped: if you leave [Post-construct smoothing](/repair/advanced-settings#smoothing) at 0, the engine raises it for DICOM models.

<Tip>
  Select only the segments you plan to print. Repairing five segments takes roughly five times as long as repairing one.
</Tip>

## Tips

* Bone (hard tissue) is the easiest to print — it has the clearest density boundary.
* If a part comes out with holes or gaps, widen its HU range slightly; if it merges tissues you wanted separate, narrow it.
* Use [Slice View](/editor/tools/slice-view) after repair to check the internal structure of each segment.
