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DICOM PS3.17 2020a - Explanatory Information​

Page 161​

M Vascular Ultrasound Reports (Informative)​

M.1 Vascular Report Structure​

Vascular Ultrasound Procedure

Report (CONTAINER)

 

 

 

HAS OBS CONTEXT

CONTAINS

 

CONTAINS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TID 1001

 

 

 

 

Summary

 

 

Findings

 

 

 

Observation Context

 

 

(CONTAINER)

 

 

(CONTAINER)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HAS CONCEPT

 

HAS CONCEPT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTAINS

 

CONTAINS

MODIFIER

 

 

MODIFIER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Laterality = "Left"

 

 

Finding Site =

 

Renal Artery/Aorta

 

Renal Artery

 

 

"Vascular Structure Of Kidney"

 

velocity ratio = 2.9

 

 

CODE

 

 

 

(CONTAINER)

 

 

 

CODE

 

 

 

NUM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HAS CONCEPT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTAINS

 

 

 

 

 

 

 

 

 

 

MODIFIER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Topographical Modifier =

 

 

Time Avg. Peak Velocity =

 

 

 

 

 

 

 

 

 

 

“proximal”

 

 

120 cm/s

 

 

 

 

 

 

 

 

 

 

 

CODE

 

 

NUM

Figure M.2-1. Vascular Numeric Measurement Example​

Thevascularprocedurereportpartitionsnumericmeasurementsintosectionheadingsbyanatomicregionandbylaterality.Alaterality​ concept modifier of the section heading concept name specifies whether laterality is left or right. Therefore, laterally paired anatomy​ sections may appear two times, once for each laterality. Findings of unpaired anatomy, are separately contained in a separate "uni-​ lateral" section container. Therefore, in vascular ultrasound, laterality is always expressed at the section heading level with one of​ three states: left, right, or unilateral (unpaired). There is no provision for anatomy of unknown laterality other than as a TEXT content​ item in the summary.​

Note that expressing laterality at the heading level differs from OB-GYN Pelvic and fetal vasculature, which expresses laterality as​ concept modifiers of the anatomic containers.​

Section Heading Concept Name​

Section Heading Laterality​

Cerebral Vessels​

Left, Right or Unilateral​

Artery of Neck​

Left, Right​

Artery of Lower Extremity​

Left, Right​

Vein of Lower Extremity​

Left, Right​

Artery of Upper Extremity​

Left, Right​

Vein of Upper Extremity​

Left, Right​

Vascular Structure of Kidney​

Left, Right​

Artery of Abdomen​

Left, Right or Unilateral​

Vein of Abdomen​

Left, Right or Unilateral​

The common vascular pattern is a battery of measurements and calculations repeatedly applied to various anatomic locations. The​ anatomiclocationistheacquisitioncontextofthemeasurementgroup.Forexample,ameasurementgroupmayhaveameasurement​ source of Common Iliac Artery with several measurement instances and measurement types such as mean velocity, peak systolic​ velocity, acceleration time, etc.​

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Page 162​

DICOM PS3.17 2020a - Explanatory Information​

There are distinct anatomic concepts to modify the base anatomy concept. The modification expression is a content item with a​ modifier concept name and value selected from a Context Group as the table shows below.​

Anatomic Modifier Concept Name​

Context Group​

Usage​

(272741003, SCT, "Laterality")​

CID 244 “Laterality”​

Distinguishes laterality​

(106233006,SCT,"TopographicalModifier")​CID 12116 “Vessel Segment Modifiers”​Distinguishes the location along a segment:​ prox, mid, distal, …​

(125101, DCM, "Vessel Branch")​

CID 12117 “Vessel Branch Modifiers”​Distinguishes between one of multiple​

 

branches: inferior, middle​

M.2 Vascular Examples​

The following are simple, non-comprehensive illustrations of significant report sections.​

M.2.1 Example 1: Renal Vessels​

Nest​

Code Meaning of Concept Name​

CodeMeaningorExample​

TID​

 

 

Value​

 

 

1​

Vascular Ultrasound Procedure Report​

 

TID 5100​

 

1.1​

LanguageofContentItemandDescendants​English​

TID 1204​

 

1.2​

Subject Name​

John Doe​

TID 1007​

 

1.3​

Subject ID​

123-45-9876​

TID 1007​

 

1.4​

Procedure Study Instance UID​

1.2.842.111724.7678.12.33​TID 1005​

 

1.5​

Procedure Study Component UID​

1.2.842.111724.7678.55.33​TID 1005​

 

1.6​

Procedure Accession Number​

20011007-21​

TID 1005​

 

1.7​

Patient Characteristics​

 

TID 5101​

 

1.7.n​

…​

 

TID 5101​

 

1.8​

Summary​

 

TID 5102​

 

1.8.n​

…​

 

TID 5102​

 

1.9​

Findings​

 

TID 5103​

 

1.9.1​

Finding Site​

Vascular Structure Of​

TID 5103​

 

 

 

Kidney​

 

 

1.9.2​

Laterality​

Right​

TID 5103​

 

1.9.3​

Renal Artery​

 

TID 5104​

 

1.9.3.1​

Topographical Modifier​

Origin​

TID 5104​

 

1.9.3.2​

Peak Systolic Velocity​

420 cm/s​

TID 300​

 

1.9.3.3​

End Diastolic Velocity​

120 cm/s​

TID 300​

 

1.9.3.4​

Resistive Index​

3.7​

TID 300​

 

1.9.3.5​

Pulsatility Index​

0.7​

TID 300​

 

1.9.3.6​

Systolic to Diastolic Velocity Ratio​

3.5​

TID 300​

 

1.9.4​

Renal Artery​

 

TID 5104​

 

1.9.4.1​

Topographical Modifier​

Proximal​

TID 5104​

 

1.9.4.n​

. . . other measurements​

 

TID 300​

 

1.9.5​

Renal Artery​

 

TID 5104​

 

1.9.5.1​

Topographical Modifier​

Middle​

TID 5104​

 

1.9.5.n​

. . . other measurements​

 

TID 300​

 

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DICOM PS3.17 2020a - Explanatory Information​

 

Page 163​

Nest​

Code Meaning of Concept Name​

CodeMeaningorExample​

TID​

 

 

Value​

 

 

1.9.6​

Renal Artery​

 

TID 5104​

 

1.9.6.1​

Topographical Modifier​

Distal​

TID 5104​

 

1.9.6.n​

. . . other measurements​

 

TID 300​

 

1.9.7​

Renal Vein​

 

TID 5104​

 

1.9.7.1​

Topographical Modifier​

Middle​

TID 5104​

 

1.9.7.2​

Peak Systolic Velocity​

120 cm/s​

TID 300​

 

1.9.7.n​

. . . other measurements​

 

TID 300​

 

1.9.8​

Renal Artery/Aorta Velocity Ratio​

2.9​

TID 5103​

 

1.9.n​

other renal vessels​

 

TID 5104​

 

1.10​

Findings​

 

TID 5103​

 

1.10.1​

Finding Site​

VascularStructureofKidney​TID 5103​

 

1.10.2​

Laterality​

Left​

TID 5103​

 

 

…​

 

TID 5104​

 

M.2.2 Example 2: Carotids Extracranial​

 

 

 

Nest​

Code Meaning of Concept Name​

Code Meaning or​

 

TID​

 

 

Example Value​

 

 

1​

Vascular Ultrasound Procedure Report​

 

TID 5100​

 

1.n​

….​

 

TID 5100​

 

1.10​

Findings​

 

TID 5103​

 

1.10.1​

Findings Site​

Artery of neck​

TID 5103​

 

1.10.2​

Laterality​

Right​

TID 5103​

 

1.10.3​

Common Carotid Artery​

 

TID 5104​

 

1.10.3.1​

Topographical Modifier​

Proximal​

TID 5104​

 

1.10.3.2​

Peak Systolic Velocity​

80 cm/s​

TID 300​

 

1.10.3.3​

Peak Systolic Velocity​

88 cm/s​

TID 300​

 

1.10.3.4​

Peak Systolic Velocity​

84 cm/s​

TID 300​

 

1.10.3.4.1​

Derivation​

Mean​

TID 300​

 

1.10.4​

Common Carotid Artery​

 

TID 5104​

 

1.10.4.1​

Topographical Modifier​

Middle​

TID 5104​

 

1.10.4.2​

Peak Systolic Velocity​

180 cm/s​

TID 300​

 

1.10.5​

Common Carotid Artery​

 

TID 5104​

 

1.10.5.1​

Topographical Modifier​

Distal​

TID 5104​

 

1.10.5.2​

Peak Systolic Velocity​

180 cm/s​

TID 300​

 

1.10.6​

Carotid bulb​

 

TID 5104​

 

1.10.6.1​

Peak Systolic Velocity​

190 cm/s​

TID 300​

 

1.10.7​

Internal Carotid Artery​

 

TID 5104​

 

1.10.7.1​

Topographical Modifier​

Proximal​

TID 5104​

 

1.10.7.2​

Peak Systolic Velocity​

180 cm/s​

TID 300​

 

1.10.8​

Internal Carotid Artery​

 

TID 5104​

 

1.10.8.1​

Topographical Modifier​

Distal​

TID 5104​

 

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Page 164​

DICOM PS3.17 2020a - Explanatory Information​

 

Nest​

Code Meaning of Concept Name​

Code Meaning or​

TID​

 

 

Example Value​

 

1.10.8.2​

Peak Systolic Velocity​

180 cm/s​

TID 300​

1.10.9​

ICA/CCA velocity ratio​

1.5​

TID 5103​

1.10.n​

….​

 

TID 300​

1.11​

Findings​

 

TID 5103​

1.11.1​

Finding Site​

Artery of neck​

TID 5103​

1.11.2​

Laterality​

Left​

TID 5103​

 

….​

 

 

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DICOM PS3.17 2020a - Explanatory Information​

Page 165​

N Echocardiography Procedure Reports​ (Informative)​

The templates for ultrasound reports are defined in PS3.16. Figure N.1-1 is an outline of the echocardiography report.​

ROOT

Document Title

CONTAINER

CONTAINS

CONTAINS

CONTAINS

Patient Characteristics

Findings

Image Library

CONTAINER

CONTAINER

CONTAINER

CONTAINS

HAS CONCEPT MOD

CONTAINS

CONTAINS

Observations

 

Finding Site

 

Measurement Group

 

Image Entry

NUM, TEXT

 

CODE

 

CONTAINER

 

IMAGE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTAINS

Observations

NUM, TEXT

Figure N.1-1. Top Level Structure of Content​

N.1 Echo Patterns​

The common echocardiography measurement pattern is a group of measurements obtained in the context of a protocol. Figure N.1-​ 2 shows the pattern.​

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Источник: https://studfile.net/preview/14585770/

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