Материал: part17

Notice and Disclaimer ...........................................................................................................................................

39​

Foreword ............................................................................................................................................................

41​

1. Scope and Field of Application .............................................................................................................................

43​

2. Normative References .......................................................................................................................................

45​

3. Definitions .......................................................................................................................................................

47​

4. Symbols and Abbreviations .................................................................................................................................

49​

5. Conventions .....................................................................................................................................................

51​

A. Explanation of Patient Orientation (Normative) ........................................................................................................

53​

B. Integration of Modality Worklist and Modality Performed Procedure Step in The Original DICOM Standard (Informative) ........

65​

C. Waveforms (Informative) ....................................................................................................................................

69​

C.1. Domain of Application .................................................................................................................................

69​

C.2. Use Cases ................................................................................................................................................

69​

C.3. Time Synchronization Frame of Reference ......................................................................................................

70​

C.4. Waveform Acquisition Model ........................................................................................................................

70​

C.5. Waveform Information Model ........................................................................................................................

71​

C.6. Harmonization With HL7 ..............................................................................................................................

71​

C.6.1. HL7 Waveform Observation ...................................................................................................................

71​

C.6.2. Channel Definition ...............................................................................................................................

72​

C.6.3. Timing ...............................................................................................................................................

72​

C.6.4. Waveform Data ...................................................................................................................................

73​

C.6.5. Annotation .........................................................................................................................................

73​

C.7. Harmonization With SCP-ECG ......................................................................................................................

73​

D. SR Encoding Example (Informative) .....................................................................................................................

75​

E. Mammography CAD (Informative) ........................................................................................................................

85​

E.1. Mammography CAD SR Content Tree Structure ...............................................................................................

85​

E.2. Mammography CAD SR Observation Context Encoding .....................................................................................

87​

E.3. Mammography CAD SR Examples ................................................................................................................

88​

E.3.1. Example 1: Calcification and Mass Detection With No Findings .....................................................................

88​

E.3.2. Example 2: Calcification and Mass Detection With Findings ..........................................................................

89​

E.3.3. Example 3: Calcification and Mass Detection, Temporal Differencing With Findings ..........................................

99​

E.4. CAD Operating Point .................................................................................................................................

108​

E.5. Mammography CAD SR and For Processing / For Presentation Images ..............................................................

109​

F. Chest CAD (Informative) ...................................................................................................................................

111​

F.1. Chest CAD SR Content Tree Structure ..........................................................................................................

111​

F.2. Chest CAD SR Observation Context Encoding ...............................................................................................

112​

F.3. Chest CAD SR Examples ...........................................................................................................................

113​

F.3.1. Example 1: Lung Nodule Detection With No Findings ................................................................................

113​

F.3.2. Example 2: Lung Nodule Detection With Findings and Anatomy/pathology Interpretation ..................................

114​

F.3.3. Example 3: Lung Nodule Detection, Temporal Differencing With Findings ......................................................

117​

F.3.4. Example 4: Lung Nodule Detection in Chest Radiograph, Spatially Correlated With CT ....................................

119​

G. Explanation of Grouping Criteria For Multi-frame Functional Group IODs (Informative) ..................................................

125​

H. Clinical Trial Identification Workflow Examples (Informative) ....................................................................................

127​

H.1. Example Use-case ...................................................................................................................................

127​

I. Ultrasound Templates (Informative) .....................................................................................................................

129​

I.1. SR Content Tree Structure ..........................................................................................................................

129​

I.2. Procedure Summary ..................................................................................................................................

129​

I.3. Multiple Fetuses ........................................................................................................................................

129​

I.4. Explicitly Specifying Calculation Dependencies ................................................................................................

130​

I.5. Linking Measurements to Images, Coordinates ................................................................................................

130​

I.6. Ob Patterns ..............................................................................................................................................

131​

I.7. Selected Value ..........................................................................................................................................

132​

I.8. OB-GYN Examples ....................................................................................................................................

133​

I.8.1. Example 1: OB-GYN Root with Observation Context ..................................................................................

133​

I.8.2. Example 2: OB-GYN Patient Characteristics and Procedure Summary ...........................................................

135​

I.8.3. Example 3: OB-GYN Multiple Fetus ........................................................................................................

135​

I.8.4. Example 4: Biophysical Profile ...............................................................................................................

136​

I.8.5. Example 5: Biometry Ratios ..................................................................................................................

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DICOM PS3.17 2020a - Explanatory Information​

I.8.6. Example 6: Biometry ............................................................................................................................

137​

I.8.7. Example 7: Amniotic Sac ......................................................................................................................

138​

I.8.8. Example 8: OB-GYN Ovaries

.................................................................................................................

138​

I.8.9. Example 9: OB-GYN Follicles ................................................................................................................

140​

I.8.10. Example 10: Pelvis and Uterus .............................................................................................................

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J. Handling of Identifying Parameters (Informative) ....................................................................................................

143​

J.1. Purpose of This Annex ...............................................................................................................................

143​

J.2. Integrated Environment ..............................................................................................................................

143​

J.2.1. Modality Conforms to Modality Worklist and MPPS SOP Classes .................................................................

143​

J.2.2. Modality Conforms Only to The Modality Worklist SOP Class ......................................................................

144​

J.2.3. Modality Conforms Only to The MPPS SOP Class .....................................................................................

145​

J.3. Non-integrated Environment ........................................................................................................................

145​

J.4. One MPPS Is Created in Response to Two Or More Requested Procedures .........................................................

146​

J.4.1. Choose Or Create A Value For Study Instance UID and Accession Number ...................................................

146​

J.4.2. Replicate The Image IOD .....................................................................................................................

147​

J.5. MPPS SOP Instance Created by Another System (not the Modality) ....................................................................

148​

J.6. Mapping of Study Instance UIDs to the Study SOP Instance UID ........................................................................

149​

K. Ultrasound Staged Protocol Data Management (Informative) ...................................................................................

151​

K.1. Purpose of this Annex ...............................................................................................................................

151​

K.2. Prerequisites For Support ...........................................................................................................................

151​

K.3. Definition of a Staged Protocol Exam ............................................................................................................

151​

K.4. Attributes Used in Staged Protocol Exams .....................................................................................................

152​

K.5. Guidelines ...............................................................................................................................................

153​

K.5.1. Staged Protocol Exam Identification .......................................................................................................

153​

K.5.2. Stage and View Identification ................................................................................................................

153​

K.5.3. Extra-protocol Image Identification .........................................................................................................

155​

K.5.4. Multiple Images of A Stage-view ...........................................................................................................

156​

K.5.5. Workflow Management of Staged Protocol Images ...................................................................................

156​

K.5.5.1. Uninterrupted Exams - Single MPPS ...............................................................................................

156​

K.5.5.2. Interrupted Exams - Multiple MPPS .................................................................................................

157​

K.5.5.2.2. Scheduled Follow-up Stages ...................................................................................................

158​

L. Hemodynamics Report Structure (Informative) ......................................................................................................

159​

M. Vascular Ultrasound Reports (Informative) ...........................................................................................................

161​

M.1. Vascular Report Structure ..........................................................................................................................

161​

M.2. Vascular Examples ...................................................................................................................................

162​

M.2.1. Example 1: Renal Vessels ...................................................................................................................

162​

M.2.2. Example 2: Carotids Extracranial ..........................................................................................................

163​

N. Echocardiography Procedure Reports (Informative) ...............................................................................................

165​

N.1. Echo Patterns ..........................................................................................................................................

165​

N.2. Measurement Terminology Composition .......................................................................................................

166​

N.3. Illustrative Mapping to ASE Concepts ...........................................................................................................

167​

N.3.1. Aorta ...............................................................................................................................................

167​

N.3.2. Aortic Valve ......................................................................................................................................

167​

N.3.3. Left Ventricle - Linear ..........................................................................................................................

168​

N.3.4. Left Ventricle Volumes and Ejection Fraction ...........................................................................................

170​

N.3.5. Left Ventricle Output ...........................................................................................................................

170​

N.3.6. Left Ventricular Outflow Tract ...............................................................................................................

171​

N.3.7. Left Ventricle Mass .............................................................................................................................

172​

N.3.8. Left Ventricle Miscellaneous

.................................................................................................................

172​

N.3.9. Mitral Valve ......................................................................................................................................

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N.3.10. Pulmonary Vein ...............................................................................................................................

174​

N.3.11. Left Atrium / Appendage ....................................................................................................................

175​

N.3.12. Right Ventricle .................................................................................................................................

175​

N.3.13. Pulmonic Valve / Pulmonic Artery ........................................................................................................

176​

N.3.14. Tricuspid Valve ................................................................................................................................

176​

N.3.15. Right Atrium / Inferior Vena Cava ........................................................................................................

177​

N.3.16. Congenital/Pediatric ..........................................................................................................................

178​

N.4. Encoding Examples ..................................................................................................................................

178​

N.4.1. Example 1: Patient Characteristics ........................................................................................................

178​

N.4.2. Example 2: LV Dimensions and Fractional Shortening ...............................................................................

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DICOM PS3.17 2020a - Explanatory Information​

Page 5​

N.4.3. Example 3: Left Atrium / Aortic Root Ratio ...............................................................................................

180​

N.4.4. Example 4: Pressures .........................................................................................................................

180​

N.4.5. Example 5: Cardiac Output ..................................................................................................................

180​

N.4.6. Example 6: Wall Scoring .....................................................................................................................

181​

N.5. IVUS Report ............................................................................................................................................

182​

O. Registration (Informative) .................................................................................................................................

183​

O.1. Spatial Registration and Spatial Fiducials SOP Classes ...................................................................................

183​

O.2. Functional Use Cases ...............................................................................................................................

183​

O.3. System Interaction ....................................................................................................................................

184​

O.4. Overview of Encoding ...............................................................................................................................

185​

O.5. Matrix Registration ...................................................................................................................................

187​

O.6. Spatial Fiducials .......................................................................................................................................

187​

P. Transforms and Mappings (Informative) ...............................................................................................................

189​

Q. Breast Imaging Report (Informative) ...................................................................................................................

193​

Q.1. Breast Imaging Report Content Tree Structure ...............................................................................................

193​

Q.2. Breast Imaging Report Examples ................................................................................................................

195​

Q.2.1. Example 1: Screening Mammogram With Negative Findings ......................................................................

195​

Q.2.2. Example 2: Screening Mammogram With Negative Findings ......................................................................

196​

Q.2.3. Example 3: Diagnostic Mammogram - Unilateral ......................................................................................

198​

Q.2.4. Example 4: Diagnostic Mammogram and Ultrasound - Unilateral .................................................................

201​

R. Configuration Use Cases (Informative) ................................................................................................................

205​

R.1. Install A New Machine ...............................................................................................................................

205​

R.1.1. Configure DHCP ................................................................................................................................

205​

R.1.2. Configure LDAP ................................................................................................................................

206​

R.1.2.1. Pre-configure ..............................................................................................................................

206​

R.1.2.2. Updating Configuration During Installation ........................................................................................

207​

R.1.2.3. Configure Client Then Update Server ..............................................................................................

208​

R.1.3. Distributed Update Propagation ............................................................................................................

209​

R.2. Legacy Compatibility .................................................................................................................................

209​

R.3. Obtain Configuration of Other Devices ..........................................................................................................

210​

R.3.1. Find AE When Given Device Type .........................................................................................................

210​

R.4. Device Start up ........................................................................................................................................

210​

R.5. Shutdown ...............................................................................................................................................

212​

R.5.1. Shutdown .........................................................................................................................................

212​

R.5.2. Online/offline .....................................................................................................................................

212​

R.6. Time Synchronization ................................................................................................................................

212​

R.6.1. High Accuracy Time Synchronization .....................................................................................................

212​

R.6.2. Ordinary Time Synchronization .............................................................................................................

213​

R.6.3. Background ......................................................................................................................................

213​

R.6.3.1. Unsynchronized Time ...................................................................................................................

213​

R.6.3.2. Network Synchronized Time ..........................................................................................................

213​

R.6.3.3. External Clocks ...........................................................................................................................

214​

R.6.4. SNTP Restrictions ..............................................................................................................................

214​

R.6.5. Implementation Considerations .............................................................................................................

215​

S. Legacy Transition For Configuration Management (Informative) ................................................................................

217​

S.1. Legacy Association Requester, Configuration Managed Association Acceptor .......................................................

217​

S.1.1. DHCP Server ....................................................................................................................................

217​

S.1.2. DNS Server ......................................................................................................................................

217​

S.1.3. LDAP Server .....................................................................................................................................

217​

S.2. Managed Association Requester, Legacy Association Acceptor .........................................................................

217​

S.2.1. DHCP Server ....................................................................................................................................

217​

S.2.2. DNS Server ......................................................................................................................................

217​

S.2.3. LDAP Server .....................................................................................................................................

218​

S.3. No DDNS Support ....................................................................................................................................

218​

S.4. Partially Managed Devices .........................................................................................................................

218​

S.5. Adding The First Managed Device to A Legacy Network ...................................................................................

218​

S.5.1. New Servers Required ........................................................................................................................

218​

S.5.2. NTP ................................................................................................................................................

218​

S.5.3. Documenting Managed and Unmanaged Nodes (DHCP, DNS, and LDAP) ....................................................

219​

S.5.3.1. DHCP Documentation ..................................................................................................................

219​