Материал: part17

DICOM PS3.17 2020a - Explanatory Information​

Page 21​

EEEE. Encoding Diffusion Model Parameters for Parametric Maps and ROI Measurements (Informative) .............................

827​

EEEE.1. Encoding Diffusion Model Parameters for Parametric Maps .........................................................................

827​

EEEE.2. Encoding Diffusion Model Parameters for ROIs in Measurement Report SR Documents ...................................

828​

EEEE.3. Relationship of Derived Diffusion Model Parametric Maps to Diffusion Weighted Source Images ........................

828​

EEEE.4. Image and Frame of Derived Diffusion Model Parametric Maps ....................................................................

829​

EEEE.5. Informative References ........................................................................................................................

830​

FFFF. Advanced Blending Presentation State Storage Encoding Example (Informative) ....................................................

831​

FFFF.1. Introduction ........................................................................................................................................

831​

FFFF.2. Example ............................................................................................................................................

831​

FFFF.3. Encoding Example ..............................................................................................................................

834​

GGGG. Patient Radiation Dose Structured Report Document (Informative) .....................................................................

837​

GGGG.1. Skin Dose Map Example .....................................................................................................................

837​

GGGG.2. Dual-source CT Organ Radiation Dose Example .....................................................................................

840​

HHHH. Protocol Approval Examples and Concepts (Informative) ..................................................................................

843​

IIII. Encapsulated STL (Informative) ........................................................................................................................

845​

IIII.1. Example of CT Derived Encapsulated STL ...................................................................................................

845​

IIII.2. Example of Fused CT/MR Derived Encapsulated STL ....................................................................................

846​

JJJJ. Multi-energy CT Imaging (Informative) .............................................................................................................

849​

JJJJ.1. Domain of Application ............................................................................................................................

849​

JJJJ.2. Use Cases ..........................................................................................................................................

849​

JJJJ.3. Classification of Multi-energy Images ........................................................................................................

849​

JJJJ.4. Presentation of Multi-energy Images by Legacy Display Systems ...................................................................

851​

JJJJ.5.. Examples of Implementation ..................................................................................................................

851​

JJJJ.5.1. Examples For Objective Image Family ................................................................................................

851​

JJJJ.5.1.1. Example Multiple Physical Sources and Multiple Physical Detectors ..................................................

851​

JJJJ.5.1.2. Example Single Source Multi-layerdetector ...................................................................................

855​

JJJJ.5.2. Examples For Material Quantification Image Family: .............................................................................

858​

JJJJ.5.2.1. Example Switching Source Integrating Detector .............................................................................

858​

KKKK. Encoding Quantitative Image Family Parameters (Informative) ...........................................................................

863​

KKKK.1. Encoding of Quantitative Image Family Parameters With RWVM ..................................................................

863​

LLLL. Imaging Agent Administration Report Template (Informative) ...............................................................................

865​

LLLL.1. Purpose of this Annex ...........................................................................................................................

865​

LLLL.2. Use Cases .........................................................................................................................................

865​

LLLL.2.1. Use Case 1 - Manual Bolus Injection .................................................................................................

865​

LLLL.2.2. Use Case 2 - Automatic Infusion Pump - Contrast Reporting ..................................................................

866​

LLLL.2.3. Use Case 3 - Protocoling ................................................................................................................

867​

LLLL.2.4. Use Case 4 - Consumption of the Contrast Information by Reporting Systems for Automated Documentation ...

868​

LLLL.3. Informative References .........................................................................................................................

868​

MMMM. Performed Imaging Agent Administration Structured Report (Informative) ...........................................................

869​

MMMM.1. Performed Imaging Agent Administration Structured Report ......................................................................

869​

NNNN. Mapping of Visible Light Photography Related Attributes to EXIF and TIFF/EP Tags (Informative) ............................

893​

NNNN.1. Mapping ...........................................................................................................................................

893​

NNNN.2. Informative References .......................................................................................................................

949​

OOOO. Encoding Perfusion Parameters for Parametric Maps and ROI Measurements (Informative) ...................................

951​

OOOO.1. Encoding Relative Cerebral Tumor Blood Flow for Parametric Maps ............................................................

951​

OOOO.2. Encoding Relative Cerebral Tumor Blood Volume for ROIs in Measurement Report SR Documents ...................

952​

OOOO.5. Informative References ......................................................................................................................

953​

PPPP. Real-Time Video Use Cases (Informative) ......................................................................................................

955​

PPPP.1. Introduction .......................................................................................................................................

955​

PPPP.2. Use Case: Duplicating Video On Additional Monitors .................................................................................

956​

PPPP.3. Use Case: Post Review by Senior ..........................................................................................................

956​

PPPP.4. Use Case: Automatic Display in Operating Room (or) ................................................................................

957​

PPPP.5. Use Case: Augmented Reality ...............................................................................................................

958​

PPPP.6. Use Case: Robotic Aided Surgery ..........................................................................................................

958​

PPPP.7. Example of DICOM Real-Time Video Implementation ................................................................................

958​

PPPP.8. Storage Considerationa .......................................................................................................................

961​

PPPP.8.1. Creating IOD From DICOM-RTV Streams .........................................................................................

961​

PPPP.8.2. Streaming DICOM-RTV From Stored IOD .........................................................................................

962​

PPPP.9. Example of Engineering Implementation ..................................................................................................

962​

PPPP.20. Transmitting a Stereo Video ................................................................................................................

963​

Page 22​

DICOM PS3.17 2020a - Explanatory Information​

QQQQ. Transport of Elementary Stream over IP (Informative) .....................................................................................

965​

RRRR. Encapsulated OBJ, 3D Model Grouping, & Color (Informative) ...........................................................................

969​

RRRR.1. Overview ..........................................................................................................................................

969​

RRRR.2. Example Encoding of OBJ & MTL .........................................................................................................

969​

RRRR.2.1. Example A .................................................................................................................................

969​

RRRR.3. Manufacturing Model Grouping, Color & Opacity ......................................................................................

973​

DICOM PS3.17 2020a - Explanatory Information​

Page 23​

List of Figures​

A-1. Standard Anatomic Position Directions - Whole Body ............................................................................................

53​

A-2. Standard Anatomic Position Directions - Hand .....................................................................................................

54​

A-3. Standard Anatomic Position Directions - Foot ......................................................................................................

55​

A-4. Views - Anterior and Lateral .............................................................................................................................

56​

A-5. Planes - Whole Body - Transverse .....................................................................................................................

57​

A-6. Planes - Whole Body - Sagittal ..........................................................................................................................

58​

A-7. Planes - Whole Body - Coronal .........................................................................................................................

59​

A-8. Planes - Hand ...............................................................................................................................................

60​

A-9. Planes - Double Obliquity ................................................................................................................................

61​

A-10. Standard Anatomic Position Directions - Paired Hands .........................................................................................

62​

A-11. Breast - MedioLateral Oblique .........................................................................................................................

62​

A-12. Panoramic Zonogram Directions ......................................................................................................................

63​

B-1. Functional View - Modality Worklist and Modality Performed Procedure Step Management in the Context of DICOM Service​

Classes ..............................................................................................................................................................

65​

B-2. Relationship of the Original Model and the Extensions for Modality Worklist and Modality Performed Procedure Step Manage-​

ment ..................................................................................................................................................................

66​

C.4-1. Waveform Acquisition Model ..........................................................................................................................

70​

C.5-1. DICOM Waveform Information Model ..............................................................................................................

71​

E.1-1. Top Levels of Mammography CAD SR Content Tree ..........................................................................................

85​

E.1-2. Summary of Detections and Analyses Levels of Mammography CAD SR Content Tree ..............................................

86​

E.1-3. Example of Individual Impression/Recommendation Levels of Mammography CAD SR Content Tree ...........................

87​

E.2-1. Example of Use of Observation Context ...........................................................................................................

88​

E.3-1. Mammograms as Described in Example 1 ........................................................................................................

88​

E.3-2. Mammograms as Described in Example 2 ........................................................................................................

90​

E.3-3. Content Tree Root of Example 2 Content Tree ..................................................................................................

90​

E.3-4. Image Library Branch of Example 2 Content Tree ..............................................................................................

91​

E.3-5. CAD Processing and Findings Summary Bifurcation of Example 2 Content Tree ......................................................

91​

E.3-6. Individual Impression/Recommendation 1.2.1 from Example 2 Content Tree ............................................................

92​

E.3-7. Single Image Finding Density 1.2.1.2.6 from Example 2 Content Tree ....................................................................

93​

E.3-8. Single Image Finding Density 1.2.1.2.7 from Example 2 Content Tree ....................................................................

93​

E.3-9. Individual Impression/Recommendation 1.2.2 from Example 2 Content Tree ............................................................

94​

E.3-10. Individual Impression/Recommendation 1.2.3 from Example 2 Content Tree ..........................................................

95​

E.3-11. Individual Impression/Recommendation 1.2.4 from Example 2 Content Tree ..........................................................

96​

E.3-12. Single Image Finding 1.2.4.2.7 from Example 2 Content Tree .............................................................................

97​

E.3-13. Single Image Finding 1.2.4.2.8 from Example 2 Content Tree .............................................................................

97​

E.3-14. Summary of Detections Branch of Example 2 Content Tree ................................................................................

98​

E.3-15. Summary of Analyses Branch of Example 2 Content Tree ..................................................................................

99​

E.3-16. Mammograms as Described in Example 3 .....................................................................................................

100​

E.4-1. Free-response Receiver-Operating Characteristic (FROC) curve .........................................................................

109​

F.1-1. Top Levels of Chest CAD SR Content Tree .....................................................................................................

111​

F.1-2. Example of CAD Processing and Findings Summary Sub-Tree of Chest CAD SR Content Tree .................................

112​

F.2-1. Example of Use of Observation Context ..........................................................................................................

113​

F.3-1. Chest Radiograph as Described in Example 1 ..................................................................................................

113​

F.3-2. Chest Radiograph as Described in Example 2 ..................................................................................................

114​

F.3-3. Content Tree Root of Example 2 Content Tree .................................................................................................

114​

F.3-4. Image Library Branch of Example 2 Content Tree .............................................................................................

115​

F.3-5. CAD Processing and Findings Summary Portion of Example 2 Content Tree ..........................................................

116​

F.3-6. Summary of Detections Portion of Example 2 Content Tree ................................................................................

117​

F.3-8. Chest radiographs as Described in Example 3 .................................................................................................

117​

F.3-9. Chest Radiograph and CT slice as described in Example 4 .................................................................................

120​

H-1. Workflow Diagram for Clinical Trials .................................................................................................................

127​

I.1-1. Top Level Structure of Content Tree ...............................................................................................................

129​

I.3-1. Multiple Fetuses .........................................................................................................................................

130​

I.4-1. Explicit Dependencies ..................................................................................................................................

130​

I.5-1. Relationships to Images and Coordinates ........................................................................................................

131​

I.6-1. OB Numeric Biometry Measurement group Example ..........................................................................................

131​

I.6-2. Percentile Rank or Z-score Example ...............................................................................................................

132​

Page 24​

DICOM PS3.17 2020a - Explanatory Information​

I.6-3. Estimated Fetal Weight ................................................................................................................................

132​

I.7-1. Selected Value Example ...............................................................................................................................

133​

I.7-2. Selected Value with Mean Example ................................................................................................................

133​

I.8-1. Ovaries Example ........................................................................................................................................

139​

I.8-2. Follicles Example ........................................................................................................................................

140​

K.3-1. Cardiac Stress-Echo Staged Protocol US Exam ...............................................................................................

152​

K.5.5-1. Example of Uninterrupted Staged-Protocol Exam WORKFLOW ........................................................................

156​

K.5.5-2. Example Staged-Protocol Exam with Unscheduled Follow-up Stages .................................................................

157​

K.5.5-3. Example Staged-Protocol Exam with Scheduled Follow-up Stages ....................................................................

158​

L-1. Hemodynamics Report Structure .....................................................................................................................

159​

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

161​

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

165​

N.1-2. Echocardiography Measurement Group Example .............................................................................................

166​

N.5-1. IVUS Report Structure ................................................................................................................................

182​

O.1-1. Registration of Image SOP Instances ............................................................................................................

183​

O.3-1. Stored Registration System Interaction ..........................................................................................................

184​

O.3-2. Interaction Scenario ...................................................................................................................................

185​

O.3-3. Coupled Modalities ....................................................................................................................................

185​

O.4-1. Spatial Registration Encoding ......................................................................................................................

186​

O.4-2. Deformable Spatial Registration Encoding ......................................................................................................

186​

O.4-3. Spatial Fiducials Encoding ...........................................................................................................................

187​

Q.1-1. Top Level of Breast Imaging Report Content Tree ............................................................................................

193​

Q.1-2. Breast Imaging Procedure Reported Content Tree ...........................................................................................

193​

Q.1-3. Breast Imaging Report Narrative Content Tree ................................................................................................

194​

Q.1-4. Breast Imaging Report Supplementary Data Content Tree .................................................................................

194​

Q.1-5. Breast Imaging Assessment Content Tree ......................................................................................................

195​

R.1-1. System Installation with Pre-configured Configuration .......................................................................................

206​

R.1-2. Configuring a System when network LDAP updates are permitted .......................................................................

208​

R.1-3. Configuring a system when LDAP network updates are not permitted ...................................................................

209​

R.4-1. Configured Device Start up (Normal Start up) ..................................................................................................

211​

T.1-1. Definition of Left and Right in the Case of Quantitative Arterial Analysis ................................................................

221​

T.2-1. Definition of Diameter Symmetry with Arterial Plaques .......................................................................................

222​

T.3-1. Landmark Based Wall Motion Regions ...........................................................................................................

222​

T.3-2. Example of Centerline Wall Motion Template Usage .........................................................................................

223​

T.3-3. Radial Based Wall Motion Region ..................................................................................................................

225​

T.5-1. Artery Horizontal ........................................................................................................................................

226​

T.5-2. Artery 45º Angle ........................................................................................................................................

227​

U.1.8-1. Anatomical Landmarks and References of the Left Ocular Fundus ....................................................................

232​

U.2-1. Typical Sequence of Events .........................................................................................................................

232​

U.3-1. Schematic representation of the human eye ....................................................................................................

233​

U.3-2. Tomography of the anterior segment showing a cross section through the cornea ...................................................

234​

U.3-3. Example tomogram of the retinal nerve fiber layer with a corresponding fundus image .............................................

235​

U.3-4. Example of a macular scan showing a series of B-scans collected at six different angles ..........................................

235​

U.3-5. Example 3D reconstruction ..........................................................................................................................

236​

U.3-6. Longitudinal OCT Image with Reference Image (inset) ......................................................................................

237​

U.3-7. Superimposition of Longitudinal Image on Reference Image ...............................................................................

237​

U.3-8. Transverse OCT Image ...............................................................................................................................

238​

U.3-9. Correlation between a Transverse OCT Image and a Reference Image Obtained Simultaneously ..............................

238​

U.3-10. Correspondence between Reconstructed Transverse and Longitudinal OCT Images .............................................

239​

U.3-11. Reconstructed Transverse and Side Longitudinal Images .................................................................................

239​

V.1-1. Spatial layout of screens for workstations in Example Scenario ...........................................................................

242​

V.1-2. Sequence diagram for Example Scenario .......................................................................................................

242​

V.2-1. Hanging Protocol Internal Process Model ........................................................................................................

243​

V.2-2. Example Process Flow ................................................................................................................................

244​

V.3-1. Chest X-Ray Hanging Protocol Example .........................................................................................................

244​

V.4-1. Neurosurgery Planning Hanging Protocol Example ...........................................................................................

250​

V.4.3-1. Group #1 is CT only display (current CT) ......................................................................................................

253​

V.4.3-2. Group #2 is MR only display ......................................................................................................................

257​

V.4.3-3. Group #3 is combined MR & CT

.................................................................................................................

261​

V.4.3-4. Group #4 is combined CT new & CT old .......................................................................................................

267​

DICOM PS3.17 2020a - Explanatory Information​

Page 25​

V.6-1. Display Set Patient Orientation Example .........................................................................................................

278​

X.1-1. Dictation/Transcription Reporting Data Flow ....................................................................................................

281​

X.1-2. Reporting Data Flow with Image References ...................................................................................................

282​

X.1-3. Reporting Data Flow with Image and Presentation/Annotation References .............................................................

283​

X.2-1. Transcribed Text Content Tree .....................................................................................................................

284​

X.2-2. Inputs to SR Basic Text Object Content Tree ...................................................................................................

284​

X.3-1. CDA Section with DICOM Object References ..................................................................................................

287​

Y-1. Linear Window Center and Width .....................................................................................................................

291​

Y-2. H-D Curve ..................................................................................................................................................

291​

Y-3. Sigmoid LUT ...............................................................................................................................................

292​

Z-1. Coordinates of a Point "P" in the Isocenter and Table coordinate systems ................................................................

294​

AA.3-1. Basic Dose Reporting ...............................................................................................................................

296​

AA.3-2. Dose Reporting for Non-Digital Imaging ........................................................................................................

296​

AA.3-3. Dose Reporting Post-Processing .................................................................................................................

297​

CC.1-1. Example of Storage Commitment Push Model SOP Class ...............................................................................

301​

CC.1-3. Example of Remote Storage of SOP Instances ..............................................................................................

302​

CC.1-4. Example of Storage Commitment in Conjunction with Storage Media .................................................................

302​

DD.1-1. Modality Worklist Message Flow Example ....................................................................................................

305​

FF.1-1. Top Level Structure of Content Tree .............................................................................................................

315​

FF.2-1. CT/MR Cardiovascular Analysis Report ........................................................................................................

316​

FF.2-2. Vascular Morphological Analysis .................................................................................................................

316​

FF.2-3. Vascular Functional Analysis ......................................................................................................................

317​

FF.2-4. Ventricular Analysis ..................................................................................................................................

317​

FF.2-5. Vascular Lesion .......................................................................................................................................

318​

HH-1. Segment Sequence Structure and References .................................................................................................

323​

JJ.2-1. Surface Mesh Tetrahedron .........................................................................................................................

331​

NN.3-1. Extension of DICOM E-R Model for Specimens .............................................................................................

343​

NN.4-1. Sampling for one specimen per container .....................................................................................................

344​

NN.4-2. Container with two specimens from same parent ............................................................................................

345​

NN.4-3. Sampling for two specimens from different ancestors ......................................................................................

345​

NN.4-4. Two specimens smears on one slide ...........................................................................................................

346​

NN.4-5. Sampling for TMA Slide ............................................................................................................................

346​

OO-1. Intra-oral Full Mouth Series Structured Display ................................................................................................

357​

OO-2. Cephalometric Series Structured Display ........................................................................................................

358​

OO-3. Ophthalmic Retinal Study Structured Display ...................................................................................................

380​

OO-4. OCT Retinal Study with Cross Section and Navigation Structured Display .............................................................

380​

OO-5. Stress Echocardiography Structured Display ...................................................................................................

381​

OO-6. Stress-Rest Nuclear Cardiography Structured Display .......................................................................................

381​

OO-7. Mammography Structured Display .................................................................................................................

382​

PP.3-1. Types of 3D Ultrasound Source and Derived Images .......................................................................................

385​

QQ.1-1. Example 1 .............................................................................................................................................

390​

QQ.1-2. Example 2 .............................................................................................................................................

391​

QQ.1-3. Example 3 .............................................................................................................................................

392​

QQ.1-4. Example 4 .............................................................................................................................................

393​

QQ.1-5. Example 5 .............................................................................................................................................

394​

QQ.1-6. Example 6 .............................................................................................................................................

395​

QQ.1-7. Example 7 .............................................................................................................................................

396​

SS.1-1. Top Levels of Colon CAD SR Content Tree ...................................................................................................

407​

SS.2-1. Example of Use of Observation Context .......................................................................................................

408​

SS.3-1. Colon Radiograph as Described in Example 1 ...............................................................................................

408​

SS.3-2. Colon radiograph as Described in Example 2 .................................................................................................

409​

SS.3-3. Content Tree Root of Example 2 Content Tree ...............................................................................................

410​

SS.3-4. CAD Processing and Findings Summary Portion of Example 2 Content Tree .......................................................

411​

SS.3-5. Summary of Detections Portion of Example 2 Content Tree ..............................................................................

412​

SS.3-7. Colon radiographs as Described in Example 3 ...............................................................................................

413​

TT-1. Stress Testing Report Template .....................................................................................................................

417​

UU.3-1. OPT B-scan with Layers and Boundaries Identified .........................................................................................

420​

UU.5-1. Macular Grid Thickness Report Display Example ...........................................................................................

421​

UU.5-2. - ETDRS GRID Layout ..............................................................................................................................

422​

VV.1-1. Top Level Structure of Content ...................................................................................................................

423​