Материал: part17

H

Combined tilt planes and possible labels are based on major plane directions.

Figure A-9. Planes - Double Obliquity​

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Figure A-10. Standard Anatomic Position Directions - Paired Hands​

Left Breast - Medio-Lateral Oblique Projection

[A]

Axilla

Anterior (A)

Foot and Right

[FR]

Figure A-11. Breast - MedioLateral Oblique​

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A

[F]

Figure A-12. Panoramic Zonogram Directions​

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

This Annex was formerly located in Annex G “Integration of Modality Worklist and Modality Performed Procedure Step in the Original​ DICOM Standard (Informative)” in PS3.3 in the 2003 and earlier revisions of the Standard.​

DICOM was published in 1993 and effectively addresses image communication for a number of modalities and Image Management​ functionsforasignificantpartofthefieldofmedicalimaging.Sincethen,manyadditionalmedicalimagingspecialtieshavecontributed​ totheextensionoftheDICOMStandardanddevelopedadditionalImageObjectDefinitions.Furthermore,therehavebeendiscussions​ about the harmonization of the DICOM Real-World domain model with other standardization bodies. This effort has resulted in a​ numberofextensionstotheDICOMStandard.TheintegrationoftheModalityWorklistandModalityPerformedProcedureStepaddress​ an important part of the domain area that was not included initially in the DICOM Standard. At the same time, the Modality Worklist​ and Modality Performed Procedure Step integration make steps in the direction of harmonization with other standardization bodies​ (CEN TC 251, HL7, etc.).​

The purpose of this Annex is to show how the original DICOM Standard relates to the extension for Modality Worklist Management​ and Modality Performed Procedure Step. The two included figures outline the void filled by the Modality Worklist Management and​ Modality Performed Procedure Step specification, and the relationship between the original DICOM Data Model and the extended​ model.​

time

Patient / Visit Management

Patient Arrived

Study Management

Modality Worklist Management

Image Acquisition

B

Image Acquisition Started

Mod Perf Procedure Step / Study Comp Mgmt

Patient / Procedure Info

Image Storage

Image Acquisition Completed

Results Mgmt

Study Read

Patient Discharged

Figure B-1. Functional View - Modality Worklist and Modality Performed Procedure Step Management​

in the Context of DICOM Service Classes​

The management of a patient starts when the patient enters a physical facility (e.g., a hospital, a clinic, an imaging center) or even​ beforethattime.TheDICOMPatientManagementSOPClassprovidesmanyofthefunctionsthatareofinteresttoimagingdepartments.​ Figure B-1 is an example where one presumes that an order for a procedure has been issued for a patient. The order for an imaging​ procedure results in the creation of a Study Instance within the DICOM Study Management SOP Class. At the same time (A) the​

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