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DICOM PS3.17 2020a - Explanatory Information​

Page 201​

Node​

CodeMeaningofConceptName​ Code Meaning or Example Value​

TID/CID​

1.3.3.1.5​

Depth​

Anterior​

TID 4206​

 

 

 

CID 6024​

1.3.3.1.6​

Calcification Type​

Heterogeneous calcification​

TID 4206​

 

 

 

CID 6010​

1.3.3.1.7​

Calcification Distribution​

Regional calcification distribution​

TID 4206​

 

 

 

CID 6012​

1.3.3.1.8​

Change since last mammogram​Increase in number of calcifications​

TID 4206​

 

 

 

CID 6002​

Q.2.4 Example 4: Diagnostic Mammogram and Ultrasound - Unilateral​

Followingascreeningmammogram,thepatientwasaskedtoreturnforadditionalimagingandanultrasoundonthebreast,forfurther​ evaluationofamammographicmass.Thisexampledemonstratesareportonmultiplebreastimagingprocedures.Thisreportprovides​ the narrative text with some supplementary data.​

Example Q.2-4. Report Sample: Multiple Procedures, Narrative Text with Some Supplementary Data​

Procedure reported

Film screen mammography, left breast; Ultrasound procedure, left breast.

Reason for procedure

Additional evaluation requested at current screening.

Comparison to previous exams

Comparison was made to exam from 11/14/2001.

Findings

Film Screen Mammography: A lobular mass with obscured margins is present measuring 7mm in the upper outer quadrant. Findings

Ultrasound demonstrates a simple cyst.

Impressions

BI-RADS® Category 2: Benign, no evidence of malignancy. Normal interval follow-up of both breasts is recommended in 12 months.

Overall Assessment

Benign

Table Q.2-4. Breast Imaging Report Content for Example 4​

Node​

Code Meaning of Concept​ Code Meaning or Example Value​

TID/CID​

 

Name​

 

1​

Breast Imaging Report​

TID 4200​

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Page 202​

DICOM PS3.17 2020a - Explanatory Information​

 

Node​

Code Meaning of Concept​

Code Meaning or Example Value​

TID/CID​

 

Name​

 

 

1.1​

Language of Content Item and​ English​

TID 1204​

 

Descendants​

 

 

1.2​

Narrative Summary​

 

TID 4202​

1.2.1​

Procedure reported​

 

TID 4202​

 

 

 

CID 6052​

1.2.1.1​

Procedure reported​

Filmscreenmammography,leftbreast;​TID 4202​

 

 

Ultrasound procedure, left breast.​

CID 6053​

 

 

 

1.2.2​

Reason for procedure​

 

TID 4202​

 

 

 

CID 6052​

1.2.2.1​

Reason for procedure​

Additional evaluation requested at​

TID 4202​

 

 

current screening.​

CID 6053​

 

 

 

1.2.3​

Comparison to previous exams​

 

TID 4202​

 

 

 

CID 6052​

1.2.3.1​

Comparison to previous exams​Comparison was made to exam from​TID 4202​

 

 

11/14/2001.​

CID 6053​

 

 

 

1.2.4​

Findings​

 

TID 4202​

 

 

 

CID 6052​

1.2.4.1​

Finding​

Film Screen Mammography: A lobular​TID 4202​

 

 

mass with obscured margins is present​

 

 

measuring 7mm in the upper outer​

CID 6053​

 

 

quadrant.​

 

1.2.5​

Findings​

 

TID 4202​

 

 

 

CID 6052​

1.2.5.1​

Finding​

Ultrasounddemonstratesasimplecyst.​TID 4202​

 

 

 

CID 6053​

1.2.6​

Impressions​

 

TID 4202​

 

 

 

CID 6052​

1.2.6.1​

Impression​

BI-RADS® Category 2: Benign, no​

TID 4202​

 

 

evidenceofmalignancy.Normalinterval​

 

 

follow-up of both breasts is​

CID 6053​

 

 

recommended in 12 months.​

 

1.2.7​

Overall Assessment​

 

TID 4202​

 

 

 

CID 6052​

1.2.7.1​

Overall Assessment​

Benign​

TID 4202​

 

 

 

CID 6053​

1.3​

Supplementary Data​

 

TID 4208​

1.3.1​

Procedure reported​

Film Screen Mammography​

TID 4201​

 

 

 

CID 6050​

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DICOM PS3.17 2020a - Explanatory Information​

Page 203​

Node​

Code Meaning of Concept​

Code Meaning or Example Value​

TID/CID​

 

Name​

 

 

1.3.1.1​

Laterality​

Left breast​

TID 4201​

 

 

 

CID 6022​

1.3.1.2​

Reason for procedure​

Additional evaluation requested at​

TID 4201​

 

 

current screening​

CID 6051​

 

 

 

1.3.2​

Procedure reported​

Ultrasound procedure​

TID 4201​

 

 

 

CID 6050​

1.3.2.1​

Laterality​

Left breast​

TID 4201​

 

 

 

CID 6022​

1.3.2.2​

Reason for procedure​

Additional evaluation requested at​

TID 4201​

 

 

current screening​

CID 6051​

 

 

 

1.3.3​

Findings​

 

TID 4206​

1.3.3.1​

Procedure reported​

Film Screen Mammography​

TID 4201​

 

 

 

CID 6050​

1.3.3.1.1​

Laterality​

Left breast​

TID 4201​

 

 

 

CID 6022​

1.3.3.1.2​

Reason for procedure​

Additional evaluation requested at​

TID 4201​

 

 

current screening​

CID 6051​

 

 

 

1.3.3.2​

Finding​

Mammographic breast mass​

TID 4206​

 

 

 

CID 6054​

1.3.3.2.1​

Quadrant location​

Upper outer quadrant of breast​

TID 4206​

 

 

 

CID 6020​

1.3.3.2.2​

Diameter​

7 mm​

TID 1400​

 

 

 

CID 7470​

1.3.3.2.3​

Shape​

Lobular​

TID 4206​

 

 

 

CID 6004​

1.3.3.2.4​

Margins​

Obscured lesion​

TID 4206​

 

 

 

CID 6006​

1.3.4​

Findings​

 

TID 4206​

1.3.4.1​

Procedure reported​

Ultrasound procedure​

TID 4201​

 

 

 

CID 6050​

1.3.4.1.1​

Laterality​

Left breast​

TID 4201​

 

 

 

CID 6022​

1.3.4.1.2​

Reason for procedure​

Additional evaluation requested at​

TID 4201​

 

 

current screening​

CID 6051​

 

 

 

- Standard -​

Page 204​

DICOM PS3.17 2020a - Explanatory Information​

 

Node​

Code Meaning of Concept​

Code Meaning or Example Value​

TID/CID​

 

Name​

 

 

1.3.4.2​

Finding​

Simple cyst of breast​

TID 4206​

 

 

 

CID 6054​

1.3.5​

Overall Assessment​

 

TID 4208​

1.3.5.1​

Assessment Category​

2 - Benign Finding​

TID 4203​

 

 

 

CID 6026​

- Standard -​

DICOM PS3.17 2020a - Explanatory Information​

Page 205​

R Configuration Use Cases (Informative)​

The following use cases are the basis for the decisions made in defining the Configuration Management Profiles specified in PS3.15.​ Where possible specific protocols that are commonly used in IT system management are specifically identified.​

R.1 Install A New Machine​

When a new machine is added there need to be new entries made for:​

a.​TCP/IP parameters​

b.​DICOM Application Entity Related Parameters​

The service staff effort needed for either of these should be minimal. To the extent feasible these parameters should be generated​ and installed automatically.​

The need for some sort of ID is common to most of the use cases, so it is assumed that each machine has sufficient non-volatile​ storage to at least remember its own name for later use.​

Updates may be made directly to the configuration databases or made via the machine being configured. A common procedure for​ large networks is for the initial network design to assign these parameters and create the initial databases during the complete initial​ network design. Updates can be made later as new devices are installed.​

One step that specifically needs automation is the allocation of AE Titles. These must be unique. Their assignment has been a​ problem with manual procedures. Possibilities include:​

a.​Fully automatic allocation of AE Titles as requested. This interacts with the need for AE title stability in some use cases. The​ automatic process should permit AE Titles to be persistently associated with particular devices and application entities. The​ automatic process should permit the assignment of AE titles that comply with particular internal structuring rules.​

b.​Assisted manual allocation, where the service staff proposes AE Titles (perhaps based on examining the list of present AE Titles)​ and the system accepts them as unique or rejects them when non-unique.​

These AE Titles can then be associated with the other application entity related information. This complete set of information needs​ to be provided for later uses.​

ThelocalsetupmayalsoinvolvesearchesforotherAEsonthenetwork.Forexample,itislikelythatasearchwillbemadeforarchives​ and printers. These searches might be by SOP class or device type. This is related to vendor specific application setup procedures,​ which are outside the scope of DICOM.​

R.1.1 Configure DHCP​

The network may have been designed in advance and the configuration specified in advance. It should be possible to pre-configure​ the configuration servers prior to other hardware installation. This should not preclude later updates or later configuration at specific​ devices.​

The DHCP servers have a database that is manually maintained defining the relationship between machine parameters and IP​ parameters. This defines:​

a.​Hardware MAC addresses that are to be allocated specific fixed IP information.​

b.​Client machine names that are to be allocated specific fixed IP information.​

c.​Hardware MAC addresses and address ranges that are to be allocated dynamically assigned IP addresses and IP information.​

d.​Client machine name patterns that are to be allocated dynamically assigned IP addresses and IP information.​

The IP information that is provided will be a specific IP address together with other information. The present recommendation is to​ provide all of the following information when available.​

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

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