Page 116 |
DICOM PS3.17 2020a - Explanatory Information |
CAD PROCESSING AND
FINDINGS SUMMARY
CODE: All algorithms succeeded; with findings 1.2
INFERRED FROM
SINGLE IMAGE FINDING CODE: Abnormal Opacity 1.2.1
HAS CONCEPT MOD
HAS PROPERTIES |
|
HAS PROPERTIES |
HAS PROPERTIES |
HAS OBS CONTEXT |
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CENTER |
|
OUTLINE |
|
Diameter |
|
|||
SCOORD |
|
SCOORD |
|
NUM = 2 cm |
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
R-SELECTED |
R-SELECTED |
INFERRED FROM |
|
|||||||
|
|
FROM |
FROM |
|
||||||||
|
|
|
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PATH |
|
|
|
|
|
|
|
|
|
|
|
|
SCOORD |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
R-SELECTED |
|
||
|
|
|
|
|
|
|
|
|
FROM |
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Single Image Finding Modifier CODE: Nodule |
|
Reference to Image |
|
|
|
Algorithm Name TEXT: “Lung Nodule Detector” |
|
|||
|
|
|
Library IMAGE |
|
|
|
|
|||||
|
|
Rendering Intent CODE: Presentation Required |
|
content item 1.1.1 |
|
|
|
Algorithm Version TEXT: “V1.3” |
|
|||
Figure F.3-5. CAD Processing and Findings Summary Portion of Example 2 Content Tree |
||||||||||||
Node |
Code Meaning of Concept Name Code Meaning or Example Value |
TID |
||||||||||
1.2 |
CAD Processing and Findings |
All algorithms succeeded; with findingsTID 4101 |
||||||||||
|
Summary |
|
|
|
|
|
|
|
|
|
||
1.2.1 |
Single Image Finding |
Abnormal Opacity |
TID 4104 |
|||||||||
1.2.1.1 |
Single Image Finding Modifier |
Nodule |
|
|
|
|
TID 4104 |
|||||
1.2.1.2 |
Rendering Intent |
Presentation Required:… |
TID 4104 |
|||||||||
1.2.1.3 |
Algorithm Name |
"Lung Nodule Detector" |
TID 4019 |
|||||||||
1.2.1.4 |
Algorithm Version |
"V1.3" |
|
|
|
|
TID 4019 |
|||||
1.2.1.5 |
Center |
POINT |
|
|
|
|
TID 4107 |
|||||
1.2.1.5.1 |
|
|
|
Reference to Node 1.1.1 |
TID 4107 |
|||||||
1.2.1.6 |
Outline |
POLYLINE |
|
|
|
|
TID 4107 |
|||||
1.2.1.6.1 |
|
|
|
Reference to Node 1.1.1 |
TID 4107 |
|||||||
1.2.1.7 |
Diameter |
2 cm |
|
|
|
|
TID 1400 |
|||||
1.2.1.7.1 |
Path |
POLYLINE |
|
|
|
|
TID 1400 |
|||||
1.2.1.7.1.1 |
|
|
|
Reference to Node 1.1.1 |
TID 1400 |
|||||||
- Standard -
DICOM PS3.17 2020a - Explanatory Information |
Page 117 |
SUMMARY OF DETECTIONS
CODE: Succeeded 1.3
INFERRED FROM |
INFERRED FROM |
|
FAILED DETECTIONS |
SUCCESSFUL DETECTIONS |
|
CONTAINER |
||
CONTAINER |
||
Not in this example |
||
|
||
|
CONTAINS |
DETECTION PERFORMED
CODE: Nodule
HAS |
R-HAS |
|||
PROPERTIES |
PROPERTIES |
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Algorithm Name: TEXT “Lung Nodule Detector” |
|
Reference to Image |
||
|
Library IMAGE |
|||
Algorithm Version: TEXT “V1.3” |
|
|||
|
content items |
|||
|
|
|
|
|
Figure F.3-6. Summary of Detections Portion of Example 2 Content Tree
Node |
Code Meaning of Concept Name Code Meaning or Example Value |
TID |
||
1.3 |
Summary of Detections |
Succeeded |
TID 4100 |
|
1.3.1 |
Successful Detections |
|
TID 4015 |
|
1.3.1.1 |
Detection Performed |
Nodule |
TID 4017 |
|
1.3.1.1.1 |
Algorithm Name |
"Lung Nodule Detector" |
TID 4019 |
|
1.3.1.1.2 |
Algorithm Version |
"V1.3" |
TID 4019 |
|
1.3.1.1.3 |
|
Reference to node 1.1.1 |
TID 4017 |
|
F.3.3 Example 3: Lung Nodule Detection, Temporal Differencing With Findings
The patient in Example 2 returns for another chest radiograph. A more comprehensive chest CAD device processes the current chest radiograph, and analyses are performed that determine some temporally related content items for Composite Features. Portions of thepriorchestCADreport(Example2)areincorporatedintothisreport.Inthecurrentchestradiographthelungnodulehasincreased in size.
PRIOR |
CURRENT |
PROJECTION CHEST |
PROJECTION CHEST |
Figure F.3-8. Chest radiographs as Described in Example 3
Italicized entries (xxx) in the following table denote references to or by-value inclusion of content tree items reused from the prior Chest CAD SR instance (Example 2).
- Standard -
Page 118 |
DICOM PS3.17 2020a - Explanatory Information |
|
|
Node |
Code Meaning of Concept Name |
Code Meaning or Example Value |
TID |
1 |
Chest CAD Report |
|
TID 4100 |
While the Image Library contains references to content tree items reused from the prior Chest CAD SR instance, the images are ac- tually used in the chest CAD analysis and are therefore not italicized as indicated above.
Node |
CodeMeaningofConceptNameCode Meaning or Example Value |
TID |
||
1.1 |
Image Library |
|
TID 4100 |
|
1.1.1 |
|
IMAGE 1 |
TID 4020 |
|
1.1.1.1 |
Image View |
Postero-anterior |
TID 4020 |
|
1.1.1.2 |
Study Date |
20000101 |
TID 4020 |
|
1.1.2 |
|
IMAGE 2 |
TID 4020 |
|
1.1.2.1 |
Image View |
Postero-anterior |
TID 4020 |
|
1.1.2.2 |
Study Date |
19990101 |
TID 4020 |
|
The CAD processing and findings consist of one composite feature, comprised of single image findings, one from each year. The temporal relationship allows a quantitative temporal difference to be calculated:
Node |
CodeMeaningofConceptNameCode Meaning or Example Value |
TID |
||
1.2 |
CAD Processing and Findings |
All algorithms succeeded; with |
TID 4101 |
|
|
Summary |
findings |
|
|
1.2.1 |
Composite Feature |
Abnormal Opacity |
TID 4102 |
|
1.2.1.1 |
Composite Feature Modifier |
Nodule |
TID 4102 |
|
1.2.1.2 |
Rendering Intent |
Presentation Required: … |
TID 4102 |
|
1.2.1.3 |
Algorithm Name |
"Nodule Change" |
TID 4019 |
|
1.2.1.4 |
Algorithm Version |
"V2.3" |
TID 4019 |
|
1.2.1.5 |
Composite Type |
Target content items are related |
TID 4103 |
|
|
|
temporally |
|
|
1.2.1.6 |
Scope of Feature |
Feature detected on multiple imagesTID 4103 |
|
|
1.2.1.7 |
Certainty of Feature |
85% |
TID 4103 |
|
1.2.1.8 |
Difference in size |
2 cm |
TID 4103 |
|
1.2.1.8.1 |
|
Reference to Node 1.2.1.9.8 |
TID 4103 |
|
1.2.1.8.2 |
|
Reference to Node 1.2.1.10.8 |
TID 4103 |
|
1.2.1.9 |
Single Image Finding |
Abnormal Opacity |
TID 4104 |
|
1.2.1.9.1 |
Single Image Finding Modifier |
Nodule |
TID 4104 |
|
1.2.1.9.2 |
Rendering Intent |
Presentation Required: … |
TID 4104 |
|
1.2.1.9.3 |
Tracking Identifier |
"Watchlist #1" |
TID 4108 |
|
1.2.1.9.4 |
Algorithm Name |
"Lung Nodule Detector" |
TID 4019 |
|
1.2.1.9.5 |
Algorithm Version |
"V1.3" |
TID 4019 |
|
1.2.1.9.6 |
Center |
POINT |
TID 4107 |
|
1.2.1.9.6.1 |
|
Reference to Node 1.1.1 |
TID 4107 |
|
1.2.1.9.7 |
Outline |
POLYLINE |
TID 4107 |
|
1.2.1.9.7.1 |
|
Reference to Node 1.1.1 |
TID 4107 |
|
1.2.1.9.8 |
Diameter |
4 cm |
TID 1400 |
|
1.2.1.9.8.1 |
Path |
POLYLINE |
TID 1400 |
|
1.2.1.9.8.1.1 |
|
Reference to Node 1.1.1 |
TID 1400 |
|
- Standard -
|
DICOM PS3.17 2020a - Explanatory Information |
|
Page 119 |
|
Node |
CodeMeaningofConceptNameCode Meaning or Example Value |
TID |
||
1.2.1.10 |
Single Image Finding |
Abnormal Opacity |
TID 4104 |
|
1.2.1.10.1 |
Single Image Finding Modifier |
Nodule |
TID 4104 |
|
1.2.1.10.2 |
Rendering Intent |
Presentation Required: … |
TID 4104 |
|
1.2.1.10.3 |
[Observation Context content |
|
TID 4022 |
|
|
items] |
|
|
|
1.2.1.10.4 |
Algorithm Name |
"Lung Nodule Detector" |
TID 4019 |
|
1.2.1.10.5 |
Algorithm Version |
"V1.3" |
TID 4019 |
|
1.2.1.10.6 |
Center |
POINT |
TID 4107 |
|
1.2.1.10.6.1 |
|
Reference to Node 1.1.2 |
TID 4107 |
|
1.2.1.10.7 |
Outline |
POLYLINE |
TID 4107 |
|
1.2.1.10.7.1 |
|
Reference to Node 1.1.2 |
TID 4107 |
|
1.2.1.10.8 |
Diameter |
2 cm |
TID 1400 |
|
1.2.1.10.8.1 |
Path |
POLYLINE |
TID 1400 |
|
1.2.1.10.8.1.1 |
|
Reference to Node 1.1.2 |
TID 1400 |
|
1.3 |
Summary of Detections |
Succeeded |
TID 4100 |
|
1.3.1 |
Successful Detections |
|
TID 4015 |
|
1.3.1.1 |
Detection Performed |
Nodule |
TID 4017 |
|
1.3.1.1.1 |
Algorithm Name |
"Lung Nodule Detector" |
TID 4019 |
|
1.3.1.1.2 |
Algorithm Version |
"V1.3" |
TID 4019 |
|
1.3.1.1.3 |
|
Reference to node 1.1.1 |
TID 4017 |
|
1.4 |
Summary of Analyses |
Succeeded |
TID 4100 |
|
1.4.1 |
Successful Analyses |
|
TID 4016 |
|
1.4.1.1 |
Analysis Performed |
"Temporal correlation" |
TID 4018 |
|
1.4.1.1.1 |
Algorithm Name |
"Nodule Change" |
TID 4019 |
|
1.4.1.1.2 |
Algorithm Version |
"V2.3" |
TID 4019 |
|
1.4.1.1.3 |
|
Reference to node 1.1.1 |
TID 4018 |
|
1.4.1.1.4 |
|
Reference to node 1.1.2 |
TID 4018 |
|
F.3.4 Example 4: Lung Nodule Detection in Chest Radiograph, Spatially Correlated With CT
The patient in Example 3 is called back for CT to confirm the Lung Nodule found in Example 3. The patient undergoes CT of the Thorax and the initial chest radiograph and CT slices are sent to a more comprehensive CAD device for processing. Findings are detectedandanalysesareperformedthatcorrelatefindingsfromthetwocollectionsofdata.PortionsofthepriorCADreport(Example 3) are incorporated into this report.
- Standard -
Page 120 |
DICOM PS3.17 2020a - Explanatory Information |
CURRENT PROJECTION
CHEST (PRIOR to CT)
CURRENT CT SLICES
Slice 103 |
Slice 104 |
Slice 105 |
Figure F.3-9. Chest Radiograph and CT slice as described in Example 4
Italicized entries (xxx) in the following table denote references to or by-value inclusion of content tree items reused from the prior Chest CAD SR instance (Example 3).
Node |
Code Meaning of Concept Name |
CodeMeaningofExampleValue |
TID |
|
1 |
Chest CAD Report |
|
TID 4100 |
|
1.1 |
Language of Content Item and Descendants English |
TID 1204 |
|
|
1.2 |
Image Library |
|
TID 4100 |
|
1.3 |
CAD Processing and Findings Summary |
All algorithms succeeded; with |
TID 4101 |
|
|
|
findings |
|
|
1.4 |
Summary of Detections |
Succeeded |
TID 4100 |
|
1.5 |
Summary of Analyses |
Succeeded |
TID 4100 |
|
While the Image Library contains references to content tree items reused from the prior Chest CAD SR instance, the images are ac- tually used in the CAD analysis and are therefore not italicized as indicated above.
Node |
Code Meaning of Concept Name Code Meaning of Example Value |
TID |
||
1.2 |
Image Library |
|
TID 4100 |
|
1.2.1 |
|
IMAGE 1 |
TID 4020 |
|
1.2.1.1 |
Image View |
Postero-anterior |
TID 4020 |
|
1.2.1.2 |
Study Date |
20000101 |
TID 4020 |
|
Most recent examination content: |
|
|
|
|
Node |
Code Meaning of Concept Name |
Code Meaning of Example Value |
TID |
|
1.3 |
CAD Processing and Findings Summary |
All algorithms succeeded; with findings |
TID 4101 |
|
1.3.1 |
Composite Feature |
Abnormal opacity |
|
TID 4102 |
Node |
Code Meaning of Concept NameCode Meaning of Example Value |
TID |
||
1.3.1 |
Composite Feature |
Abnormal opacity |
TID 4102 |
|
1.3.1.1 |
Composite Feature Modifier |
Nodule |
TID 4102 |
|
- Standard -