Материал: part17
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DICOM PS3.17 2020a - Explanatory Information |
Measurement Group
CONTAINER
CONTAINS
CONTAINS
CONTAINS
CONTAINS
CONTAINS
CONTAINS
CONTAINS
CONTAINS
CONTAINS
CONTAINS
CONTAINS
CONTAINS
Image Mode = 2D
CODE
LVDd
NUM
LVDd
NUM
LVDd
NUM
LVDs
NUM
LVDs
NUM
LVDs
NUM
LV Vol (d) |
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HAS CONCEPT MOD |
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Method = Teichholz |
NUM |
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CODE |
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LV Vol (s) |
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HAS CONCEPT MOD |
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Method = Teichholz |
NUM |
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CODE |
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Stroke Volume
NUM
Fract. Shortening
NUM
Cardiac Output
NUM
Figure N.1-2. Echocardiography Measurement Group Example
N.2 Measurement Terminology Composition
DICOM identifies echocardiography observations with various degrees of preand post-coordination. The concept name of the base content item typically specifies both anatomy and property for commonly used terms, or purely a property. Pure property concepts require an anatomic site concept modifier. Pure property concepts such as those in CID 12222 “Orifice Flow Properties” and CID 12239 “Cardiac Output Properties” use concept modifiers shown below.
Concept Name of Modifier |
|
Value Set |
(370129005, SCT, "Measurement Method") |
CID 12227 “Echocardiography Measurement Method” |
|
(363698007, SCT, "Finding Site") |
CID 12236 “Echo Anatomic Sites” |
|
(106233006, SCT, "Topographical Modifier") |
CID 12237 |
“Echocardiography Anatomic Site Modifiers” |
(260674002, SCT, "Flow Direction") |
CID 12221 |
“Flow Direction” |
(272517003, SCT, "Respiratory Cycle Point") |
CID 12234 |
“Respiration State” |
(272518008, SCT, "Cardiac Cycle Point") |
CID 12233 |
“Cardiac Phase” |
(121401, DCM, "Derivation") |
CID 3627 “Measurement Type” |
|
Further qualification specifies the image mode and the image plane using HAS ACQ CONTEXT with the value sets shown below.
Concept Name |
|
Value Set |
(399264008, SCT, "Image Mode") |
CID 12224 |
“Ultrasound Image Modes” |
(111031, DCM, "Image View") |
CID 12226 |
“Echocardiography Image View” |
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N.3 Illustrative Mapping to ASE Concepts
The content of this section provides recommendations on how to express the concepts from draft ASE guidelines with measurement type concept names and concept name modifiers.
The leftmost column is the name of the ASE concept. The Base Measurement Concept Name is the concept name of the numeric measurement content item. The modifiers column specifies a set of modifiers for the base measurement concept name. Each modi- fier consists of a modifier concept name (e.g., method or mode) and its value (e.g., Continuity). Where no Concept Modifier appears, the base concept matches the ASE concept.
N.3.1 Aorta
Name of ASE Concept |
Base Measurement Concept Name |
Concept or Acquisition |
|
|
Context Modifiers |
Aortic Root Diameter |
(18015-8, LN, "Aortic Root Diameter") |
|
Ascending Aortic Diameter |
(18012-5, LN, "Ascending Aortic Diameter") |
|
Aortic Arch Diameter |
(18011-7, LN, "Aortic Arch Diameter") |
|
Descending Aortic Diameter |
(18013-3, LN, "Descending Aortic Diameter") |
|
N.3.2 Aortic Valve
Name of ASE Concept |
BaseMeasurementConceptName |
Concept or Acquisition Context Modifiers |
Aortic Valve Cusp Separation |
(17996-0, LN, "Aortic Valve Cusp |
|
|
Separation") |
|
Aortic Valve Systolic Peak Velocity(11726-7, LN, "Peak Velocity") |
(260674002, SCT, "Direction of Flow") = (263677008, |
|
|
|
SCT, "Antegrade Flow") |
Aortic Valve Systolic Velocity Time(20354-7, LN, "Velocity Time |
(260674002, SCT, "Direction of Flow") = (263677008, |
|
Integral |
Integral") |
SCT, "Antegrade Flow") |
Aortic Valve Systolic Area |
(399367004, SCT, "Cardiovascular(260674002, SCT, "Direction of Flow") = (263677008, |
|
|
Orifice Area") |
SCT, "Antegrade Flow") |
Aortic Valve Planimetered Systolic(399367004, SCT, "Cardiovascular(260674002, SCT, "Direction of Flow") = (263677008, |
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Area |
Orifice Area") |
SCT, "Antegrade Flow") |
|
|
(370129005, SCT, "Measurement Method") = (125220, |
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DCM, "Planimetry") |
Aortic Valve Systolic Area by |
(399367004, SCT, "Cardiovascular(260674002, SCT, "Direction of Flow") = (263677008, |
|
Continuity |
Orifice Area") |
SCT, "Antegrade Flow") |
|
|
(370129005, SCT, "Measurement Method") = (125212, |
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DCM, "Continuity Equation") |
Aortic Valve Systolic Area by |
(399367004, SCT, "Cardiovascular(260674002, SCT, "Direction of Flow") = (263677008, |
|
Continuity of Peak Velocity |
Orifice Area") |
SCT, "Antegrade Flow") |
|
|
(370129005, SCT, "Measurement Method") = (125214. |
|
|
DCM, "Continuity Equation Peak Velocity") |
Aortic Valve Systolic Area by |
(399367004, SCT, "Cardiovascular(260674002, SCT, "Direction of Flow") = (263677008, |
|
Continuity of Mean Velocity |
Orifice Area") |
SCT, "Antegrade Flow") |
(370129005, SCT, "Measurement Method") = (125213. DCM, "Continuity Equation by Mean Velocity")
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Name of ASE Concept |
BaseMeasurementConceptName |
Concept or Acquisition Context Modifiers |
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Aortic Valve Systolic Area by |
(399367004, SCT, "Cardiovascular(260674002, SCT, "Direction of Flow") = (263677008, |
||
Continuity of VTI |
Orifice Area") |
SCT, "Antegrade Flow") |
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(370129005, SCT, "Measurement Method") = (125215, |
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DCM, "Continuity Equation by Velocity Time Integral") |
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Aortic Valve Systolic Peak |
(20247-3 LN, "Peak Gradient") |
(260674002, SCT, "Direction of Flow") = (263677008, |
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Instantaneous Gradient |
|
SCT, "Antegrade Flow") |
|
Aortic Valve Systolic Mean Gradient(20256-4, LN, "Mean Gradient") |
(260674002, SCT, "Direction of Flow") = (263677008, |
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SCT, "Antegrade Flow") |
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Aortic Annulus Systolic Diameter |
(399027007, SCT, "Cardiovascular(363698007, SCT, "Finding Site") = (77583004, SCT, |
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Orifice Diameter") |
"AorticValveRing")(260674002,SCT,"DirectionofFlow") |
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= (263677008, SCT, "Antegrade Flow") |
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Aortic Valve Regurgitant Diastolic |
(20216-8, LN, "Deceleration Slope")(260674002, SCT, "Direction of Flow") = (312004007, |
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Deceleration Slope |
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SCT, "Regurgitant Flow") |
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Aortic Valve Regurgitant Diastolic |
(20217-6, LN, "Deceleration Time")(260674002, SCT, "Direction of Flow") = (312004007, |
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Deceleration Time |
|
SCT, "Regurgitant Flow") |
|
Aortic Valve Regurgitant Diastolic |
(20280-4,LN,"PressureHalf-Time")(260674002, SCT, "Direction of Flow") = (312004007, |
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Pressure Half-time |
|
SCT, "Regurgitant Flow") |
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Aortic Insufficiency, End-Diastolic |
(20247-3, LN, "Peak Gradient") |
(260674002, SCT, "Direction of Flow") = (312004007, |
|
Pressure Gradient |
|
SCT, "Regurgitant Flow") |
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Aortic Insufficiency, End Diastolic |
(11653-3, LN, "End Diastolic |
(260674002, SCT, "Direction of Flow") = (312004007, |
|
Velocity |
Velocity") |
SCT, "Regurgitant Flow") |
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Note
Aortic Valve measurements appear in TID 5202 “Echo Section”, which specifies the Finding Site to be Aortic Valve with the concept modifier (363698007, SCT, "Finding Site") = (34202007, SCT, "Aortic Valve").Therefore, the Finding Site modifier does not appear in the right column.
N.3.3 Left Ventricle - Linear
Name of ASE Concept |
Base Measurement Concept Name |
Concept or Acquisition Context |
|
|
Modifiers |
Left Ventricle Internal End Diastolic |
(29436-3, LN "Left Ventricle Internal End |
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Dimension |
Diastolic Dimension") |
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Left Ventricle Internal Systolic Dimension(29438-9, LN, "Left Ventricle Internal Systolic |
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Dimension") |
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Left Ventricle Diastolic Major Axis |
(18077-8, LN, "Left Ventricle Diastolic Major |
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Axis") |
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Left Ventricle Systolic Major Axis |
(18076-0, LN, "Left Ventricle Systolic Major |
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Axis") |
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Left Ventricular Fractional Shortening |
(18051-3, LN, "Left Ventricular Fractional |
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Shortening") |
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InterventricularSeptumDiastolicThickness(18154-5,LN,"InterventricularSeptumDiastolic
Thickness")
Interventricular Septum Systolic Thickness(18158-6, LN, "Interventricular Septum Systolic
Thickness")
Interventricular Septum % Thickening |
(18054-7, LN, "Interventricular Septum % |
|
Thickening") |
Left Ventricle Posterior Wall Diastolic |
(18152-9, LN, "Left Ventricle Posterior Wall |
Thickness |
Diastolic Thickness") |
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Name of ASE Concept |
Base Measurement Concept Name |
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Concept or Acquisition Context |
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Modifiers |
Left Ventricle Posterior Wall Systolic |
(18156-0, LN, "Left Ventricle Posterior Wall |
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Thickness |
Systolic Thickness") |
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Left Ventricle Posterior Wall % Thickening(18053-9, LN, "Left Ventricle Posterior Wall % |
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Thickening") |
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Interventricular Septum to Posterior Wall (18155-2, LN, "Interventricular Septum to |
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Thickness ratio |
Posterior Wall Thickness Ratio") |
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Left Ventricular Internal End Diastolic |
(29436-3, LN, "Left Ventricle Internal End |
(399264008, SCT, "Image Mode") = |
|
Dimension by 2-D |
Diastolic Dimension") |
(399064001, SCT, "2D mode") |
|
LeftVentricularInternalSystolicDimension(29438-9, LN, "Left Ventricle Internal Systolic(399264008, |
SCT, "Image Mode") = |
||
by 2-D |
Dimension") |
(399064001, |
SCT, "2D mode") |
Left Ventricular Fractional Shortening by (18051-3, LN, "Left Ventricular Fractional |
(399264008, |
SCT, "Image Mode") = |
|
2-D |
Shortening") |
(399064001, |
SCT, "2D mode") |
InterventricularSeptumDiastolicThickness(18154-5,LN,"InterventricularSeptumDiastolic(399264008, |
SCT, "Image Mode") = |
||
by 2-D |
Thickness") |
(399064001, |
SCT, "2D mode") |
Interventricular Septum Systolic Thickness(18158-6, LN, "Interventricular Septum Systolic(399264008, |
SCT, "Image Mode") = |
||
by 2-D |
Thickness") |
(399064001, |
SCT, "2D mode") |
Interventricular Septum % Thickening by (18054-7, LN, "Interventricular Septum % |
(399264008, |
SCT, "Image Mode") = |
|
2-D |
Thickening") |
(399064001, |
SCT, "2D mode") |
Left Ventricular Posterior Wall Diastolic |
(18152-9, LN, "Left Ventricle Posterior Wall |
(399264008, |
SCT, "Image Mode") = |
Thickness by 2-D |
Diastolic Thickness") |
(399064001, |
SCT, "2D mode") |
Left Ventricle Posterior Wall Systolic |
(18156-0, LN, "Left Ventricle Posterior Wall |
(399264008, |
SCT, "Image Mode") = |
Thickness by 2-D |
Systolic Thickness") |
(399064001, |
SCT, "2D mode") |
Left Ventricle Posterior Wall % Thickening(18053-9, LN, "Left Ventricle Posterior Wall %(399264008, |
SCT, "Image Mode") = |
||
by 2-D |
Thickening") |
(399064001, |
SCT, "2D mode") |
Interventricular Septum/ Left Ventricular |
(18155-2, LN, "Interventricular Septum to |
(399264008, |
SCT, "Image Mode") = |
Posterior Wall Diastolic Thickness Ratio byPosterior Wall Thickness Ratio") |
(399064001, SCT, "2D mode") |
||
2-D |
|
|
|
Left Ventricular Internal End Diastolic |
(29436-3, LN, "Left Ventricle Internal End |
(399264008, SCT, "Image Mode") = |
|
Dimension by M-Mode |
Diastolic Dimension") |
(399155008, SCT, "M mode") |
|
LeftVentricularInternalSystolicDimension(29438-9, LN, "Left Ventricle Internal Systolic(399264008, SCT, "Image Mode") =
by M-Mode |
Dimension") |
(399155008, SCT, "M mode") |
Left Ventricular Systolic Fractional |
(18051-3, LN, "Left Ventricular Fractional |
(399264008, SCT, "Image Mode") = |
Shortening by M-Mode |
Shortening") |
(399155008, SCT, "M mode") |
InterventricularSeptumDiastolicThickness(18154-5,LN,"InterventricularSeptumDiastolic(399264008, SCT, "Image Mode") = by M-Mode Thickness") (399155008, SCT, "M mode")
Interventricular Septum Systolic Thickness(18158-6, LN, "Interventricular Septum Systolic(399264008, SCT, "Image Mode") =
by M-Mode |
Thickness") |
(399155008, SCT, "M mode") |
Interventricular Septum % Thickening by (18054-7, LN, "Interventricular Septum % |
(399264008, SCT, "Image Mode") = |
|
M-Mode |
Thickening") |
(399155008, SCT, "M mode") |
Left Ventricular Posterior Wall Diastolic |
(18152-9, LN, "Left Ventricle Posterior Wall |
(399264008, SCT, "Image Mode") = |
Thickness by M-Mode |
Diastolic Thickness") |
(399155008, SCT, "M mode") |
Left Ventricle Posterior Wall Systolic |
(18156-0, LN, "Left Ventricle Posterior Wall |
(399264008, SCT, "Image Mode") = |
Thickness by M-Mode |
Systolic Thickness") |
(399155008, SCT, "M mode") |
Left Ventricle Posterior Wall % Thickening(18053-9, LN, "Left Ventricle Posterior Wall %(399264008, SCT, "Image Mode") =
by M-Mode |
Thickening") |
(399155008, SCT, "M mode") |
Interventricular Septum to Left Ventricular(18155-2, LN, "Interventricular Septum to |
(399264008, SCT, "Image Mode") = |
|
Posterior Wall Ratio by M-Mode |
Posterior Wall Thickness Ratio") |
(399155008, SCT, "M mode") |
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Page 170 DICOM PS3.17 2020a - Explanatory Information
N.3.4 Left Ventricle Volumes and Ejection Fraction
Name of ASE Concept |
Base Measurement Concept Name Concept or Acquisition Context Modifiers |
|
Left Ventricular End Diastolic Volume |
(18026-5, LN, "Left Ventricular End |
|
|
Diastolic Volume") |
|
Left Ventricular End Diastolic Volume by(18026-5, LN, "Left Ventricular End |
(370129005, SCT, "Measurement Method") = |
|
Teichholz Method |
Diastolic Volume") |
(125209, DCM, "Teichholz") |
Left Ventricular End Diastolic Volume by(18026-5, LN, "Left Ventricular End |
(111031, DCM, "Image View") = (399214001, |
|
2-D Single Plane by Method of Disks |
Diastolic Volume") |
SCT, "Apical Four Chamber") (370129005, SCT, |
(4-Chamber) |
|
"Measurement Method") = (125208, DCM, |
|
|
"Method of Disks, Single Plane") |
Left Ventricular End Diastolic Volume by(18026-5, LN, "Left Ventricular End 2-D Biplane by Method of Disks Diastolic Volume")
(370129005, SCT, "Measurement Method") = (125207, DCM, "Method of Disks, Biplane")
Left Ventricular End Systolic Volume |
(18148-7, LN, "Left Ventricular End |
|
|
Systolic Volume") |
|
Left Ventricular End Systolic Volume by(18148-7, LN, "Left Ventricular End |
(370129005, SCT, "Measurement Method") = |
|
Teichholz Method |
Systolic Volume") |
(125209, DCM, "Teichholz") |
Left Ventricular End Systolic Volume by(18148-7, LN, "Left Ventricular End |
(111031, DCM, "Image View") = (399214001, |
|
2D Single Plane by Method of Disks |
Systolic Volume") |
SCT, "Apical Four Chamber") (370129005, SCT, |
(4-Chamber) |
|
"Measurement Method") = (125208, DCM, |
|
|
"Method of Disks, Single Plane") |
Left Ventricular End Systolic Volume by(18148-7, LN, "Left Ventricular End 2-D Biplane by Method of Disks Systolic Volume")
(370129005, SCT, "Measurement Method") = (125207, DCM, "Method of Disks, Biplane")
Left Ventricular EF |
(18043-0, LN, "Left Ventricular Ejection |
|
Fraction") |
Left Ventricular EF by Teichholz Method(18043-0, LN, "Left Ventricular Ejection(370129005, SCT, "Measurement Method") = Fraction") (125209, DCM, "Teichholz")
Left Ventricular EF by 2D Single Plane (18043-0, LN, "Left Ventricular Ejection(111031, DCM, "Image View") = (399214001, by Method of Disks (4-Chamber) Fraction") SCT, "Apical Four Chamber ") (370129005, SCT,
"Measurement Method") = (125208, DCM, "Method Of Disks, Single Plane")
Left Ventricular EF by 2-D Biplane by Method of Disks
(18043-0, LN, "Left Ventricular Ejection(370129005, SCT, "Measurement Method") = Fraction") (125207, DCM, "Method of Disks, Biplane")
N.3.5 Left Ventricle Output
Name of ASE Concept |
Base Measurement Concept |
Concept or Acquisition Context Modifiers |
|
Name |
|
Left Ventricular Stroke Volume |
(90096001, SCT, "Stroke |
|
Volume") |
LeftVentricularStrokeVolumebyDoppler(90096001, SCT, "Stroke |
|
Volume Flow |
Volume") |
Left Ventricular Stroke Volume by |
(90096001, SCT, "Stroke |
Teichholz Method |
Volume") |
Left Ventricular Stroke Volume by 2-D |
(90096001, SCT, "Stroke |
Single Plane by Method of Disks |
Volume") |
(4-Chamber) |
|
Left Ventricular Stroke Volume by 2-D |
(90096001, SCT, "Stroke |
Biplane by Method of Disks |
Volume") |
(370129005,SCT,"MeasurementMethod")=(125219, DCM, "Doppler Volume Flow") (363698007, SCT, "Finding Site") = (13418002, SCT, "Left Ventricle Outflow Tract")
(370129005,SCT,"MeasurementMethod")=(125209, DCM, "Teichholz")
(1110321 DCM, "Image View")= (399214001, SCT, "Apical Four Chamber") (370129005, SCT, "Measurement Method") = (125208, DCM, "Method of Disks, Single Plane")
(370129005,SCT,"MeasurementMethod")=(125207, DCM, "Method of Disks, Biplane")
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