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DICOM PS3.17 2020a - Explanatory Information |
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Node |
Code Meaning of Concept |
Code Meaning or Example Value |
TID |
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Name |
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1.2.8.8.12.11.2 |
Algorithm Name |
"Calc Detector" |
TID 4019 |
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1.2.8.8.12.11.3 |
Algorithm Version |
"V2.4" |
TID 4019 |
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1.2.8.8.12.11.4 |
Center |
POINT |
TID 4021 |
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1.2.8.8.12.11.4.1 |
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Reference to node 1.1.1 |
TID 4021 |
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1.2.8.8.12.11.5 |
Outline |
SCOORD |
TID 4021 |
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1.2.8.8.12.11.5.1 |
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Reference to node 1.1.1 |
TID 4021 |
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1.2.8.8.12.12 |
Single Image Finding |
Individual Calcification |
TID 4006 |
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1.2.8.8.12.12.1 |
Rendering Intent |
Presentation Optional |
TID 4006 |
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1.2.8.8.12.12.2 |
Algorithm Name |
"Calc Detector" |
TID 4019 |
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1.2.8.8.12.12.3 |
Algorithm Version |
"V2.4" |
TID 4019 |
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1.2.8.8.12.12.4 |
Center |
POINT |
TID 4021 |
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1.2.8.8.12.12.4.1 |
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Reference to node 1.1.1 |
TID 4021 |
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1.2.8.8.12.12.5 |
Outline |
SCOORD |
TID 4021 |
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1.2.8.8.12.12.5.1 |
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Reference to node 1.1.1 |
TID 4021 |
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Included content from prior mammography CAD report (see Example 2, starting with node 1.2.4.2) |
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Node |
Code Meaning of Concept Code Meaning or Example Value |
TID |
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Name |
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1.2.8.8.13 |
Single Image Finding |
Calcification Cluster |
TID 4006 |
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1.2.8.8.13.1 |
Rendering Intent |
Presentation Required |
TID 4006 |
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1.2.8.8.13.2 |
Algorithm Name |
"Calc Clustering" |
TID 4019 |
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1.2.8.8.13.3 |
Algorithm Version |
"V2.4" |
TID 4019 |
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1.2.8.8.13.4 |
Center |
POINT |
TID 4021 |
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1.2.8.8.13.4.1 |
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Reference to node 1.1.5 |
TID 4021 |
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1.2.8.8.13.5 |
Outline |
SCOORD |
TID 4021 |
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1.2.8.8.13.5.1 |
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Reference to node 1.1.5 |
TID 4021 |
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1.2.8.8.13.6 |
Number of Calcifications |
2 |
TID 4010 |
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1.2.8.8.13.7 |
[Observation Context content |
TID 4022 |
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items] |
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1.2.8.8.13.8 |
Single Image Finding |
Individual Calcification |
TID 4006 |
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1.2.8.8.13.8.1 |
Rendering Intent |
Presentation Optional |
TID 4006 |
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1.2.8.8.13.8.2 |
Algorithm Name |
"Calc Detector" |
TID 4019 |
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1.2.8.8.13.8.3 |
Algorithm Version |
"V2.4" |
TID 4019 |
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1.2.8.8.13.8.4 |
Center |
POINT |
TID 4021 |
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1.2.8.8.13.8.4.1 |
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Reference to node 1.1.5 |
TID 4021 |
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1.2.8.8.13.8.5 |
Outline |
SCOORD |
TID 4021 |
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1.2.8.8.13.8.5.1 |
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Reference to node 1.1.5 |
TID 4021 |
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1.2.8.8.13.9 |
Single Image Finding |
Individual Calcification |
TID 4006 |
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1.2.8.8.13.9.1 |
Rendering Intent |
Presentation Optional |
TID 4006 |
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1.2.8.8.13.9.2 |
Algorithm Name |
"Calc Detector" |
TID 4019 |
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1.2.8.8.13.9.3 |
Algorithm Version |
"V2.4" |
TID 4019 |
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DICOM PS3.17 2020a - Explanatory Information |
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Page 107 |
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Node |
Code Meaning of Concept Code Meaning or Example Value |
TID |
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Name |
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1.2.8.8.13.9.4 |
Center |
POINT |
TID 4021 |
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1.2.8.8.13.9.4.1 |
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Reference to node 1.1.5 |
TID 4021 |
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1.2.8.8.13.9.4 |
Outline |
SCOORD |
TID 4021 |
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1.2.8.8.13.9.4.1 |
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Reference to node 1.1.5 |
TID 4021 |
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More current year content: |
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Node |
Code Meaning of Concept Code Meaning or Example Value |
TID |
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Name |
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1.3 |
Summary of Detections |
Succeeded |
TID 4000 |
1.3.1 |
Successful Detections |
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TID 4015 |
1.3.1.1 |
Detection Performed |
Mammography breast density |
TID 4017 |
1.3.1.1.1 |
Algorithm Name |
"Density Detector" |
TID 4019 |
1.3.1.1.2 |
Algorithm Version |
"V3.7" |
TID 4019 |
1.3.1.1.3 |
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Reference to node 1.1.1 |
TID 4017 |
1.3.1.1.4 |
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Reference to node 1.1.2 |
TID 4017 |
1.3.1.1.5 |
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Reference to node 1.1.3 |
TID 4017 |
1.3.1.1.6 |
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Reference to node 1.1.4 |
TID 4017 |
1.3.1.2 |
Detection Performed |
Individual Calcification |
TID 4017 |
1.3.1.2.1 |
Algorithm Name |
"Calc Detector" |
TID 4019 |
1.3.1.2.2 |
Algorithm Version |
"V2.4" |
TID 4019 |
1.3.1.2.3 |
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Reference to node 1.1.1 |
TID 4017 |
1.3.1.2.4 |
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Reference to node 1.1.2 |
TID 4017 |
1.3.1.2.5 |
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Reference to node 1.1.3 |
TID 4017 |
1.3.1.2.6 |
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Reference to node 1.1.4 |
TID 4017 |
1.3.1.3 |
Detection Performed |
Calcification Cluster |
TID 4017 |
1.3.1.3.1 |
Algorithm Name |
"Calc Clustering" |
TID 4019 |
1.3.1.3.2 |
Algorithm Version |
"V2.4" |
TID 4019 |
1.3.1.3.3 |
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Reference to node 1.1.1 |
TID 4017 |
1.3.1.4 |
Detection Performed |
Calcification Cluster |
TID 4017 |
1.3.1.4.1 |
Algorithm Name |
"Calc Cluster Detector" |
TID 4019 |
1.3.1.4.2 |
Algorithm Version |
"V2.4" |
TID 4019 |
1.3.1.4.3 |
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Reference to node 1.1.1 |
TID 4017 |
1.3.1.4.4 |
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Reference to node 1.1.2 |
TID 4017 |
1.3.1.4.5 |
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Reference to node 1.1.3 |
TID 4017 |
1.3.1.4.6 |
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Reference to node 1.1.4 |
TID 4017 |
1.4 |
Summary of Analyses |
Succeeded |
TID 4000 |
1.4.1 |
Successful Analyses |
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TID 4016 |
1.4.1.1 |
Analysis Performed |
Mass Correlation |
TID 4018 |
1.4.1.1.1 |
Algorithm Name |
"Mass Maker" |
TID 4019 |
1.4.1.1.2 |
Algorithm Version |
"V1.9" |
TID 4019 |
1.4.1.1.3 |
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Reference to node 1.1.2 |
TID 4018 |
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DICOM PS3.17 2020a - Explanatory Information |
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Node |
Code Meaning of Concept Code Meaning or Example Value |
TID |
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Name |
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1.4.1.1.4 |
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Reference to node 1.1.4 |
TID 4018 |
1.4.1.2 |
Analysis Performed |
Temporal Correlation |
TID 4018 |
1.4.1.2.1 |
Algorithm Name |
"Temporal Change" |
TID 4019 |
1.4.1.2.2 |
Algorithm Version |
"V0.1" |
TID 4019 |
1.4.1.2.3 |
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Reference to node 1.1.2 |
TID 4018 |
1.4.1.2.4 |
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Reference to node 1.1.4 |
TID 4018 |
1.4.1.2.5 |
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Reference to node 1.1.6 |
TID 4018 |
1.4.1.2.6 |
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Reference to node 1.1.8 |
TID 4018 |
1.4.1.3 |
Analysis Performed |
Individual Impression / RecommendationTID 4018 |
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Analysis |
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1.4.1.3.1 |
Algorithm Name |
"Lesion Analyzer" |
TID 4019 |
1.4.1.3.2 |
Algorithm Version |
"V1.0" |
TID 4019 |
1.4.1.3.3 |
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Reference to node 1.1.2 |
TID 4018 |
1.4.1.3.4 |
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Reference to node 1.1.4 |
TID 4018 |
1.4.1.3.5 |
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Reference to node 1.1.6 |
TID 4018 |
1.4.1.3.6 |
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Reference to node 1.1.8 |
TID 4018 |
1.4.1.4 |
Analysis Performed |
Overall Impression / Recommendation |
TID 4018 |
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Analysis |
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1.4.1.4.1 |
Algorithm Name |
"Mammogram Analyzer" |
TID 4019 |
1.4.1.4.2 |
Algorithm Version |
"V1.0" |
TID 4019 |
1.4.1.4.3 |
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Reference to node 1.1.2 |
TID 4018 |
1.4.1.4.4 |
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Reference to node 1.1.4 |
TID 4018 |
1.4.1.4.5 |
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Reference to node 1.1.6 |
TID 4018 |
1.4.1.4.6 |
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Reference to node 1.1.8 |
TID 4018 |
E.4 CAD Operating Point
Computer-aideddetectionalgorithmsoftencomputeaninternal"CADscore"foreachSingleImageFindingdetectedbythealgorithm. In some implementations the algorithms then group the findings into "bins" as a function of their CAD score. The number of bins is a function of the algorithm and the manufacturer's implementation, and must be one or more. The bins allow an application that is dis- playing CAD marks to provide a number of operating points on the Free-response Receiver-Operating Characteristic (FROC) curve for the algorithm, as illustrated in Figure E.4-1.
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SENSITIVITY
FROC Curve of
CAD ALGORITHM
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4 |
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3 |
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2 |
1 |
OPERATING POINT |
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0 |
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FALSE MARKERS /
IMAGE
Figure E.4-1. Free-response Receiver-Operating Characteristic (FROC) curve
This is accomplished by displaying all CAD marks of Rendering Intent "Presentation Required" or "Presentation Optional" according to the following rules:
•if the display application's Operating Point is 0, only marks with a Rendering Intent = "Presentation Required" are displayed
•if the display application's Operating Point is 1, then marks with a Rendering Intent = "Presentation Required" and marks with a Rendering Intent = "Presentation Optional" with a CAD Operating Point = 1 are displayed
•if the display application's Operating Point is n, then marks with a Rendering Intent = "Presentation Required" and marks with a Rendering Intent = "Presentation Optional" with a CAD Operating Point <= n are displayed
E.5 Mammography CAD SR and For Processing / For Presentation Images
IfaMammographyCADSRInstancereferencesDigitalMammographyX-rayImageStorage-ForProcessingInstances,butareview workstation has access only to Digital Mammography X-Ray Image Storage - For Presentation Instances, the following steps are re- commended in order to display such Mammography CAD SR content with Digital Mammography X-Ray Image - For Presentation Instances.
•In most scenarios, the Mammography CAD SR Instance is assigned to the same DICOM Patient and Study as the corresponding Digital Mammography "For Processing" and "For Presentation" image Instances.
•If a workstation has a Mammography CAD SR Instance, but does not have images for the same DICOM Patient and Study, the workstation may use the Patient and Study Attributes of the Mammography CAD SR Instance in order to Query/Retrieve the Digital Mammography "For Presentation" images for that Patient and Study.
•Once a workstation has the Mammography CAD SR Instance and Digital Mammography "For Presentation" image Instances for thePatientandStudy,theSourceImageSequence(0008,2112)AttributeofeachDigitalMammography"ForPresentation"Instance willreferencethecorrespondingDigitalMammography"ForProcessing"Instance.TheworkstationcanmatchthereferencedDigital Mammography "For Processing" Instance to a Digital Mammography "For Processing" Instance referenced in the Mammography CAD SR.
•TheworkstationshouldcheckforSpatialLocationsPreserved(0028,135A)intheSourceImageSequenceofeachDigitalMammo- graphy"ForPresentation"imageInstance,todeterminewhetheritisspatiallyequivalenttothecorrespondingDigitalMammography "For Processing" image Instance.
•If the value of Spatial Locations Preserved (0028,135A) is YES, then the CAD results should be displayed.
•If the value of Spatial Locations Preserved (0028,135A) is NO, then the CAD results should not be displayed.
•If Spatial Locations Preserved (0028,135A) is not present, whether or not the images are spatially equivalent is not known. If the workstationchoosestoproceedwithattemptingtodisplayCADresults,thencomparetheImageLibrary(seeTID4020“CADImage Library Entry”) content item values of the Mammography CAD SR Instance to the associated Attribute values in the corresponding
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DICOM PS3.17 2020a - Explanatory Information |
Digital Mammography "For Presentation" image Instance. The content items (111044, DCM, "Patient Orientation Row"), (111043, DCM, "Patient Orientation Column"), (111026, DCM, "Horizontal Pixel Spacing"), and (111066, DCM, "Vertical Pixel Spacing") may be used for this purpose. If the values do not match, the workstation needs to adjust the coordinates of the findings in the Mammo- graphy CAD SR content to match the spatial characteristics of the Digital Mammography "For Presentation" image Instance.
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