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Region of interest in vector images

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Issue

The CDA R2 Normative Web Edition, section 4.3.6.7 states the following:

The units of the coordinate values in RegionOfInterest.value are in pixels, expressed as a list of integers. The origin is in the upper left hand corner, with positive X values going to the right and positive Y values going down.

Using pixels works well for bitmaps, JPEG, GIF and other similar images. However, a vector based image does not use pixels and they can be scaled up an down. Pixels would not work in this case.

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