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DICOM PS3.17 2020a - Explanatory Information​

Page 441​

Attribute​

Value​

Comment​

>Code Value​

256506002​

 

>Coding Scheme Designator​

SCT​

 

>Code Meaning​

Stainless Steel Material​

 

Implant Type Code Sequence​

 

 

>Code Value​

112315​

 

>Coding Scheme Designator​

DCM​

 

>Code Meaning​

Monoblock Stem​

 

Fixation Method Code Sequence​

 

 

>Code Value​

304367000​

 

>Coding Scheme Designator​

SCT​

 

>Code Meaning​

Uncemented Component Fixation​

 

Mating Feature Sets Sequence​

 

 

>Mating Feature Set ID​

1​

 

>Mating Feature Set Label​

Head Rotation Point​

 

>Mating Feature Sequence​

 

 

>>Mating Feature ID​

1​

 

>>2D Mating Feature Coordinates Sequence​

 

 

>>>Referenced HPGL Document ID​

1​

 

>>>2D Mating Point​

39.6/72.4​

 

>>>2D Mating Axes​

1/0/0/1​

 

>>Mating Feature Degree of Freedom Sequence​

 

 

>>>Degree of Freedom ID​

1​

 

>>>Degree of Freedom Type​

ROTATION​

 

>>>2D Degree of Freedom Sequence​

 

 

>>>>Referenced HPGL Document ID​

1​

 

>>>>2D Degree Of Freedom Axis​

0/0/1​

 

>>>>Range of Freedom​

-15/15​

 

Table ZZ.4-2. Attributes Used to Describe a Mono Cup Implant for Total Hip Replacement​

Attribute​

Value​

Comment​

SOP Common Module​

 

 

SOP Class UID​

1.2.840.10008.5.1.4.43.1​

 

SOP Instance UID​

1.2.3.4.5.6.7.0.2​

 

Generic Implant Template Module​

 

 

Manufacturer​

ACME​

 

Implant Name​

MONO_CUP​

 

Implant Size​

MEDIUM​

 

Implant Part Number​

ACME_MCP_M​

 

Effective DateTime​

26.06.2009 12:00​

 

Implant Template Version​

1​

 

Implant Template Type​

ORIGINAL​

 

Implant Target Anatomy Sequence​

 

 

- Standard -​

Page 442​

DICOM PS3.17 2020a - Explanatory Information​

 

Attribute​

Value​

Comment​

>Anatomic Region Sequence​

 

 

>>Code Value​

24136001​

 

>>Coding Scheme Designator​

SCT​

 

>>Code Meaning​

Hip Joint​

 

Frame of Reference UID​

1.2.3.4.5.6.7.1.2​

 

Overall Template Spatial Tolerance​

1.0​

 

HPGL Document Sequence​

 

 

>HPGL Document ID​

1​

 

>View Orientation Code Sequence​

 

 

>>Code Value​

399321004​

 

>>Coding Scheme Designator​

SCT​

 

>>Code Meaning​

Anterior Projection​

 

>HPGL Document Scaling​

1​

 

>HPGL Document​

IN PA …​

HPGL commands​

>HPGL Contour Pen Number​

2​

 

>HPGL Pen Sequence​

 

 

>>HPGL Pen Number​

2​

 

>>HPGL Pen Label​

Contour​

 

>>HPGL Pen Number​

3​

 

>>HPGL Pen Label​

Landmarks​

 

>>HPGL Pen Number​

4​

 

>>HPGL Pen Label​

Mating Features​

 

>Recommended Rotation Point​

12.9/0​

 

>Bounding Rectangle​

0/0/25.8/12.9​

 

Material Code Sequence​

 

 

>Code Value​

256506002​

 

>Coding Scheme Designator​

SCT​

 

>Code Meaning​

Stainless Steel Material​

 

Implant Type Code Sequence​

 

 

>Code Value​

112307​

 

>Coding Scheme Designator​

DCM​

 

>Code Meaning​

Acetabular Cup Monoblock​

 

Fixation Method Code Sequence​

 

 

>Code Value​

304367000​

 

>Coding Scheme Designator​

SCT​

 

>Code Meaning​

Uncemented Component Fixation​

 

Mating Feature Sets Sequence​

 

 

>Mating Feature Set ID​

1​

 

>Mating Feature Set Label​

Hip Joint Mating Feature​

 

>Mating Feature Sequence​

 

 

>>Mating Feature ID​

1​

 

>>2D Mating Feature Coordinates Sequence​

- Standard -​

 

DICOM PS3.17 2020a - Explanatory Information​

Page 443​

Attribute​

Value​

Comment​

>>>Referenced HPGL Document ID​

1​

 

>>>2D Mating Point​

12.9/0​

 

>>>2D Mating Axes​

0.707/0.707/-0.707/0.707​

 

Table ZZ.4-3. Attributes Used to Describe The Assembly of Cup and Stem​

Attribute​

Value​

Comment​

SOP Common Module​

 

 

SOP Class UID​

1.2.840.10008.5.1.4.44.1​

 

SOP Instance UID​

1.2.3.4.5.6.7.0.3​

 

Implant Assembly Template Module​

 

 

Implant Assembly Template Name​

Acme Hip Assembly​

 

Implant Assembly Template Issuer​

ACME​

 

Effective DateTime​

26.06.2009 12:00​

 

Implant Assembly Template Version​

1​

 

Implant Assembly Template Type​

ORIGINAL​

 

Implant Assembly Template Target Anatomy Sequence​

 

>Anatomic Region Sequence​

 

 

>>Code Value​

24136001​

 

>>Coding Scheme Designator​

SCT​

 

>>Code Meaning​

Hip Joint​

 

Procedure Type Code Sequence​

 

 

>Code Value​

119614000​

 

>Coding Scheme Designator​

SCT​

 

>Code Meaning​

Hip Joint Reconstruction​

 

Component Types Sequence​

 

 

>Component Type Code Sequence​

 

Sequence Item 1​

>>Code Value​

112310​

 

>>Coding Scheme Designator​

DCM​

 

>>Code Meaning​

Femoral Stem​

 

>Exclusive Component Type​

YES​

 

>Mandatory Component Type​

YES​

 

>Component Sequence​

 

 

>>Referenced SOP Class UID​

1.2.840.10008.5.1.4.43.1​

 

>>Referenced SOP Instance UID​

1.2.3.4.5.6.7.0.1​

 

>>Component ID​

1​

 

>Component Type Code Sequence​

 

Sequence Item 2​

>>Code Value​

112305​

 

>>Coding Scheme Designator​

DCM​

 

>>Code Meaning​

Acetabular Cup Shell​

 

>Exclusive Component Type​

YES​

 

>Mandatory Component Type​

YES​

 

>Component Sequence​

 

 

- Standard -​

Page 444​

DICOM PS3.17 2020a - Explanatory Information​

 

 

Attribute​

Value​

Comment​

>>Referenced SOP Class UID​

1.2.840.10008.5.1.4.43.1​

 

>>Referenced SOP Instance UID​

1.2.3.4.5.6.7.0.2​

 

>>Component ID​

2​

 

Component Assembly Sequence​

 

 

>Component 1 Referenced ID​

1​

The stem​

>Component 1 Referenced Mating Feature Set ID​

1​

 

> Component 1

Referenced Mating Feature ID​

1​

 

>Component 2 Referenced ID​

2​

The cup​

> Component 2

Referenced Mating Feature Set ID​

1​

 

> Component 2

Referenced Mating Feature ID​

1​

 

ZZ.5 Implant Template Versions and Derivation​

The Generic Implant Module contains several Attributes to express the relations between different versions of implant templates.​ These Attributes are​

(0022,1097)​

Implant Part Number​

Number (or alphanumerical code) assigned by the manufacturer of an implant​

 

 

to one particular release of one particular part. Whenever changes on the​

 

 

implant design are made, a new implant part number is assigned.​

(0068,6226)​

Effective DateTime​

Date and time from which on an Implant Template Instance is valid.​

(0068,6221)​

Implant Template Version​

Number assigned by the creator of an ORIGINAL Implant Template Instance.​

 

 

When an implant manufacturer issues a new version of an implant template​

 

 

without doing changes on the implant itself, it issues a new instance with the​

 

 

same part number but a different template version.​

(0068,6222)​

Replaced Implant Template​

WhenamanufacturerissuesanewversionofanImplantTemplate,theinstance​

 

Sequence​

contains a reference to it direct predecessor.​

(0068,6223)​

Implant Type​

When a software vendor, user or other entity creates a "proprietary" version​

 

 

of an Implant Template by adding Attributes, the resulting Instance is labeled​

 

 

DERIVED.​

(0068,6225)​

Original Implant Template​

When an Instance is DERIVED, it contains a reference to the ORIGINAL​

 

 

instance it was derived from (directly or with several derived versions in​

 

 

between).​

(0068,6224)​

Derivation Implant Template​ WhenanImplantTemplateInstanceisderivedfromanotherinstance,itcontains​

 

Sequence​

a reference to the Implant Template Instance it was directly derived from.​

Different versions of Implant Templates reflect the changes a manufacturer is doing on the Implant Templates he issues. The Implant​ Templates that are issued by a manufacturer (or a third party who is acting on behalf of the manufacturer) are always ORIGINAL.​ Softwarevendors,PACSintegrators,orotherstakeholderswilladdinformationtosuchtemplatesfordifferentpurposes.TheInstances​ that are generated by this process is called derivation and the resulting instances are labeled DERIVED. Implantation Plans, i.e.,​ electronicdocumentsdescribingtheresultofimplantationplanning,arespecifiedinaninstanceoftheImplantationPlanSRDocument.​ There, the implants that are relevant for one plan are included by reference. When such plans are exchanged between systems or​ organizationsitislikelythatthereceivingpartyhasaccesstootherversionsoftemplatesasthesendingpartyhas.Inordertomaintain​ readability of exchanged plans, the following is required:​

•​All necessary information about an implant that is relevant to display and understand a plan is present in the ORIGINAL Implant​ Templates that were issued by a manufacturer. This is assured by these Attributes being Type 1 in the IOD.​

•​When deriving Instances, information may only be added but not removed from the ORIGINAL Instance. This information may be​ encoded in standard or private Tags.​

•​Derived Instances contain the information about the source Instances they were derived from. All Instances contain a reference to​ the ORIGINAL Instance they were derived from. If an application receives a plan that references an implant it does not have in its​

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DICOM PS3.17 2020a - Explanatory Information​

Page 445​

database, it will find the UID of the ORIGINAL Instance in the plan, too. It can query its database for an instance that was derived​ from that Instance and thereby find an Instance it can use to present the plan.​

FigureZZ.5-1showsanexampleoftherelationshipsbetweentwoversionsofamanufacturer'sImplantTemplateandseveraldifferent​ Implant Templates derived by software vendors from these versions.​

Template Manufacturer

 

 

 

 

Software Vendor

 

 

PACS System Integrator

 

 

 

Real-World Implant

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Part Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

issues

 

 

 

Derivation Implant

 

 

 

issues

 

 

 

 

 

 

Implant Template A

Implant Template A1

 

 

 

 

 

 

 

 

 

 

Template

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ORIGINAL

 

Original Implant

DERIVED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Version 1

 

Template

Version 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Replaces

 

 

 

Replaces

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Implant

 

 

 

Implant

 

 

 

 

 

 

 

 

 

issues

 

Template

 

 

 

Template

 

 

 

 

 

 

 

 

 

 

 

 

 

Derivation Implant

 

 

 

 

 

 

 

 

 

 

 

 

update

Implant Template A

 

Implant Template A1

 

issues

 

 

 

 

 

 

 

 

 

 

 

 

 

Template

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ORIGINAL

 

Original Implant

DERIVED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Version 2

 

Template

Version 2

 

Derivation Implant

Implant Template A2

 

issues

 

 

 

 

 

 

 

 

 

 

 

 

 

Template

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original Implant

 

DERIVED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Template

 

Version 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Figure ZZ.5-1. Implant Versions and Derivation.​

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