diff --git a/mingw-w64-itk/PKGBUILD b/mingw-w64-itk/PKGBUILD
index c801c3be24..d079010062 100644
--- a/mingw-w64-itk/PKGBUILD
+++ b/mingw-w64-itk/PKGBUILD
@@ -3,8 +3,8 @@
 _realname=itk
 pkgbase=mingw-w64-${_realname}
 pkgname="${MINGW_PACKAGE_PREFIX}-${_realname}"
-pkgver=5.3.0
-pkgrel=8
+pkgver=5.4.0
+pkgrel=1
 pkgdesc='An open-source C++ toolkit for medical image processing (mingw-w64)'
 arch=('any')
 mingw_arch=('mingw64' 'ucrt64' 'clang64')
@@ -15,6 +15,7 @@ msys2_references=(
 )
 license=('spdx:Apache-2.0')
 depends=("${MINGW_PACKAGE_PREFIX}-gcc-libs"
+         "${MINGW_PACKAGE_PREFIX}-dcmtk"
          "${MINGW_PACKAGE_PREFIX}-double-conversion"
          "${MINGW_PACKAGE_PREFIX}-expat"
          "${MINGW_PACKAGE_PREFIX}-fftw"
@@ -23,6 +24,7 @@ depends=("${MINGW_PACKAGE_PREFIX}-gcc-libs"
          "${MINGW_PACKAGE_PREFIX}-libjpeg"
          "${MINGW_PACKAGE_PREFIX}-libpng"
          "${MINGW_PACKAGE_PREFIX}-libtiff"
+         #"${MINGW_PACKAGE_PREFIX}-opencl-icd"
          "${MINGW_PACKAGE_PREFIX}-zlib")
 makedepends=("${MINGW_PACKAGE_PREFIX}-cc"
              "${MINGW_PACKAGE_PREFIX}-cmake"
@@ -56,14 +58,11 @@ makedepends=("${MINGW_PACKAGE_PREFIX}-cc"
              "${MINGW_PACKAGE_PREFIX}-utf8cpp")
 optdepends=("${MINGW_PACKAGE_PREFIX}-opencv: ITK-OpenCV bridge"
             "${MINGW_PACKAGE_PREFIX}-vtk: ITK-VTK bridge")
-source=("https://github.com/InsightSoftwareConsortium/ITK/releases/download/v${pkgver}/InsightToolkit-${pkgver}.tar.gz"
-        "001-add-missing-header-with-gcc-13.patch::https://github.com/InsightSoftwareConsortium/ITK/commit/d3b5e8ba.patch")
-sha256sums=('57a4471133dc8f76bde3d6eb45285c440bd40d113428884a1487472b7b71e383'
-            'b14f2309056beb48ea58d6b9b3839f99f500eee01c32c3165b3d9b448b2c8e2e')
+source=("https://github.com/InsightSoftwareConsortium/ITK/archive/v${pkgver}/ITK-${pkgver}.tar.gz")
+sha256sums=('d71a36fc0aee2c9257fe128f7657feb1e671461bd48561b620619f290c71795e')
 
 prepare() {
-  cd "${srcdir}"/InsightToolkit-${pkgver}
-  patch -p1 -i "${srcdir}"/001-add-missing-header-with-gcc-13.patch
+  cd "${srcdir}"/ITK-${pkgver}
 }
 
 build() {
@@ -89,7 +88,8 @@ build() {
     -DITK_INSTALL_DOC_DIR=share/doc/ITK \
     -DITK_INSTALL_PACKAGE_DIR=lib/cmake/ITK \
     -DITK_CUSTOM_LIBRARY_SUFFIX="" \
-    -DITK_LEGACY_REMOVE=OFF \
+    -DITK_LEGACY_REMOVE=ON \
+    -DITK_FUTURE_LEGACY_REMOVE=ON \
     -DITK_BUILD_DEFAULT_MODULES=OFF \
     -DITKGroup_Core=ON \
     -DITKGroup_IO=$([[ ${MINGW_PACKAGE_PREFIX} != *-clang-* ]] && echo "ON" || echo "OFF") \
@@ -108,25 +108,27 @@ build() {
     -DUSE_FFTWD=ON \
     -DUSE_FFTWF=ON \
     -DITK_USE_SYSTEM_LIBRARIES=ON \
+    -DITK_USE_SYSTEM_DCMTK=ON \
     -DITK_USE_SYSTEM_DOUBLECONVERSION=ON \
     -DITK_USE_SYSTEM_EIGEN=ON \
     -DITK_USE_SYSTEM_EXPAT=ON \
     -DITK_USE_SYSTEM_FFTW=ON \
+    -DITK_USE_SYSTEM_GDCM=ON \
     -DITK_USE_SYSTEM_GOOGLETEST=ON \
     -DITK_USE_SYSTEM_HDF5=ON \
     -DITK_USE_SYSTEM_JPEG=ON \
+    -DITK_USE_SYSTEM_MINC=OFF \
     -DITK_USE_SYSTEM_PNG=ON \
     -DITK_USE_SYSTEM_TIFF=ON \
     -DITK_USE_SYSTEM_VXL=OFF \
     -DITK_USE_SYSTEM_ZLIB=ON \
-    -DITK_USE_SYSTEM_GDCM=ON \
     -DITK_SKIP_PATH_LENGTH_CHECKS=1 \
     -DITK_FORBID_DOWNLOADS=ON \
     -DVNL_CONFIG_THREAD_SAFE=ON \
     -DVNL_CONFIG_ENABLE_SSE2_ROUNDING=ON \
     -DPython3_EXECUTABLE=${MINGW_PREFIX}/bin/python \
     "${_extra_config[@]}" \
-    "../InsightToolkit-${pkgver}"
+    "../ITK-${pkgver}"
 
   ${MINGW_PREFIX}/bin/cmake --build .
 }
@@ -142,8 +144,8 @@ package() {
   find "lib/cmake/${_realname}" -name '*.cmake' -exec \
     sed -s "s|${PREFIX_DEPS}|\${ITK_INSTALL_PREFIX}|g" -i {} \;
 
-  install -Dm644 "${srcdir}/InsightToolkit-${pkgver}/LICENSE" "share/licenses/${_realname}/LICENSE"
-  install -Dm644 "${srcdir}/InsightToolkit-${pkgver}/NOTICE" "share/licenses/${_realname}/NOTICE"
-  install -Dm644 "${srcdir}/InsightToolkit-${pkgver}/Modules/ThirdParty/KWSys/src/KWSys/Copyright.txt" \
+  install -Dm644 "${srcdir}/ITK-${pkgver}/LICENSE" "share/licenses/${_realname}/LICENSE"
+  install -Dm644 "${srcdir}/ITK-${pkgver}/NOTICE" "share/licenses/${_realname}/NOTICE"
+  install -Dm644 "${srcdir}/ITK-${pkgver}/Modules/ThirdParty/KWSys/src/KWSys/Copyright.txt" \
     "share/licenses/${_realname}/KWSys/Copyright.txt"
 }