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DICOM PS3.3 2020a - Information Object Definitions​

Note​

An Image may contain references to itself (e.g., to other frames within itself).​

C.7.6.16.2.6 Derivation Image Macro​

Table C.7.6.16-7 specifies the Attributes of the Derivation Image Functional Group Macro.​

Table C.7.6.16-7. Derivation Image Macro Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Derivation Image​

(0008,9124)​

2​

The set of Images or other composite SOP Instances that were used to derive​

Sequence​

 

 

this frame.​

 

 

 

Zero or more Items shall be included in this Sequence.​

>Derivation​

(0008,2111)​

3​

A text description of how this frame data was derived. See Section C.12.4.1.1​

Description​

 

 

for further explanation.​

>Derivation Code​

(0008,9215)​

1C​

A coded description of how this frame was derived. See Section C.12.4.1.1​

Sequence​

 

 

for further explanation.​

 

 

 

One or more Items shall be included in this Sequence. More than one Item​

 

 

 

indicates that successive derivation steps have been applied.​

 

 

 

Required if SOP Class UID is not "1.2.840.10008.5.1.4.1.1.2.2" (Legacy​

 

 

 

ConvertedEnhancedCTImageStorage)andnot"1.2.840.10008.5.1.4.1.1.4.4"​

 

 

 

(Legacy Converted Enhanced MR Image Storage) and not​

 

 

 

"1.2.840.10008.5.1.4.1.1.128.1" (Legacy Converted Enhanced PET Image​

 

 

 

Storage), may be present otherwise.​

>>Include Table 8.8-1 “Code Sequence Macro​

DCID 7203 “Image Derivation”.​

Attributes”​

 

 

 

>Source Image​

(0008,2112)​

2​

ThesetofImagesorotherCompositeSOPInstancesthatwereusedtoderive​

Sequence​

 

 

this frame.​

 

 

ZeroormoreItemsshallbeincludedinthisSequence.SeeSectionC.12.4.1.2​

 

 

for further explanation.​

>>IncludeTable10-3“ImageSOPInstanceReference​

Macro Attributes”​

 

 

>>Purpose of​

(0040,A170)​

1C​ Describes the purpose for which the reference is made, that is what role the​

Reference Code​

 

source image or frame played in the derivation of this image or frame.​

Sequence​

 

Only a single Item shall be included in this Sequence.​

 

 

Required if SOP Class UID is not "1.2.840.10008.5.1.4.1.1.2.2" (Legacy​ ConvertedEnhancedCTImageStorage)andnot"1.2.840.10008.5.1.4.1.1.4.4"​ (Legacy Converted Enhanced MR Image Storage) and not​ "1.2.840.10008.5.1.4.1.1.128.1" (Legacy Converted Enhanced PET Image​ Storage), may be present otherwise.​

>>>Include Table 8.8-1 “Code Sequence Macro​ DCID 7202 “Source Image Purposes of Reference”.​ Attributes”​

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DICOM PS3.3 2020a - Information Object Definitions​

Page 567​

Attribute Name​

Tag​

Type​

Attribute Description​

 

>>Spatial Locations​

(0028,135A)​

3​

The extent to which the spatial locations of all pixels are preserved during the​

Preserved​

 

 

processing of the source image that resulted in the current image or frame.​

Enumerated Values:​

YES​

NO​

REORIENTED_ONLY​A projection radiograph that has been flipped, and/or​ rotated by a multiple of 90 degrees​

Note​

1.​This applies not only to images with a known relationship to a​ 3D space, but also to projection images. For example, a​ projection radiograph such as a mammogram that is processed​ by a point image processing operation such as contrast​ enhancement, or a smoothing or edge enhancing convolution,​ would have a value of YES for this Attribute. A projection​ radiograph that had been magnified or warped geometrically​ would have a value of NO for this Attribute. A projection​ radiograph that has been flipped, and/or rotated by a multiple of​ 90degrees,suchthattransformationofpixellocationsispossible​ by comparison of the values of Patient Orientation (0020,0020)​ would have a value of REORIENTED_ONLY. This Attribute is​ typicallyofimportanceinrelatingimageswithPresentationIntent​ Type (0008,0068) values of FOR PROCESSING and FOR​ PRESENTATION.​

2.​When the value of this Attribute is NO, it is not possible to locate​ on the current image any pixel coordinates that are referenced​ relative to the source image, such as for example, might be​ required for rendering CAD findings derived from a referenced​ FORPROCESSINGimageonthecurrentFORPRESENTATION​ image.​

>>Patient Orientation​ (0020,0020)​

1C​ The Patient Orientation values of the source image.​

Required if the value of Spatial Locations Preserved (0028,135A) is​

REORIENTED_ONLY.​

C.7.6.16.2.7 Cardiac Synchronization Macro​

Table C.7.6.16-8 specifies the Attributes of the Cardiac Synchronization Functional Group Macro.​

Table C.7.6.16-8. Cardiac Synchronization Macro Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Cardiac Synchronization​

(0018,9118)​

1​

Sequence that describes the frame specific cardiac synchronization​

Sequence​

 

 

parameters.​

 

 

 

Only a single Item shall be included in this Sequence.​

>Nominal Percentage of​

(0020,9241)​

1C​

The nominal time relative to the preceding R peak divided by the​

Cardiac Phase​

 

 

nominal R-R interval multiplied by 100.​

 

 

 

Required if used as a dimension index, may be present otherwise.​

>Nominal Cardiac Trigger​

(0020,9153)​

1​

The nominal time in ms from the time of the previous R-peak to the​

Delay Time​

 

 

value of Frame Reference DateTime (0018,9151) expressed as a​

 

 

 

positive value. See Section C.7.6.16.2.7.1 for further explanation.​

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DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

Attribute Description​

>Actual Cardiac Trigger Delay​

(0020,9252)​

1C​

TheactualtimeinmsfromthetimeofthepreviousR-peaktothevalue​

Time​

 

 

of Frame Reference DateTime (0018,9151) expressed as a positive​

 

 

 

value. See Section C.7.6.16.2.7.1 for further explanation.​

 

 

 

Required if Intervals Acquired (0018,1083) is present and has a value​

 

 

 

of 1. May be present otherwise.​

>NominalCardiacTriggerTime​

(0020,9154)​

3​

The nominal time in ms from the time of the next R-peak to the value​

Prior to R-peak​

 

 

of Frame Reference DateTime (0018,9151) expressed as a negative​

 

 

 

value. See Section C.7.6.16.2.7.1 for further explanation.​

>Actual Cardiac Trigger Time​

(0020,9155)​

3​

The actual time in ms from the time of the next R-peak to the value of​

Prior to R-peak​

 

 

Frame Reference DateTime (0018,9151) expressed as a negative​

 

 

 

value. See Section C.7.6.16.2.7.1 for further explanation.​

>Intervals Acquired​

(0018,1083)​

3​

Number of R-R intervals acquired.​

>Intervals Rejected​

(0018,1084)​

3​

Number of R-R intervals rejected.​

>Heart Rate​

(0018,1088)​

3​

Average number of heart beats per minute for the collection period for​

 

 

 

this frame. This shall include all accepted beats as well as rejected​

 

 

 

beats.​

 

 

 

Note​

 

 

 

During prolonged acquisitions the average heart rate may​

 

 

 

differ from the reciprocal of the nominal R-R interval.​

>R-R Interval Time Nominal​

(0020,9251)​

1C​

NominalR-peak-R-peakintervaltimeinmsforthecardiaccycleused​

 

 

 

for the acquisition of this frame. See Section C.7.6.16.2.7.1 for further​

 

 

 

explanation.​

 

 

 

Required if Cardiac Synchronization Technique (0018,9037) equals​

 

 

 

other than NONE or REALTIME. May be present otherwise.​

>Low R-R Value​

(0018,1081)​

3​

R-R interval low limit for beat rejection, in ms.​

>High R-R Value​

(0018,1082)​

3​

R-R interval high limit for beat rejection, in ms.​

C.7.6.16.2.7.1 Relationship of Cardiac Timing Attributes​

The Nominal Cardiac Trigger Delay Time (0020,9153) is the nominal trigger delay time in ms from the previous R-peak to the value​ of Frame Reference DateTime (0018,9151). When frames are acquired with prospective gating, that is, the data acquisition actually​ begins in response to a timed delay from the R-peak, it may be that Actual Cardiac Trigger Delay Time (0020,9252) and the Nominal​ Cardiac Trigger Delay Time (0020,9153) have the same value.​

However, when frames are the result of retrospective gating, that is, the data is continuously acquired and then later compared with​ a simultaneously acquired ECG waveform and fitted into time slots corresponding to nominal phases of the cardiac cycle, then​ Nominal Cardiac Trigger Delay Time (0020,9153) and the Actual Cardiac Trigger Delay Time (0020,9252) may have different values.​ When applicable the same is valid for the Nominal Cardiac Trigger Time Prior to R-peak (0020,9154) and the Actual Cardiac Trigger​ Time Prior to R-peak (0020,9155) Attributes.​

When multiple cardiac cycles are averaged together, then the Low R-R Value (0018,1081), and High R-R Value (0018,1082) are an​ average of the cardiac cycles that were accepted in the frame.​

Note​

For cardiac gated acquisitions the choice of the Frame Reference DateTime (0018,9151) is influenced by the Nominal Car-​ diac Trigger Delay Time (0020,9153). For respiratory gated acquisitions the choice of the Frame Reference DateTime​ (0018,9151) is influenced by the Nominal Respiratory Trigger Delay Time (0020,9255).​

Figure C.7.6.16-5a depicts the usage.​

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DICOM PS3.3 2020a - Information Object Definitions​

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Cardiac R-R Interval Specified (0018,9070):

R - R interval in ms at prescription time

OR...

R R

R - R Interval Time Nominal (0020,9251):

Actual measured R - R peak of this cycle.

Nominal Cardiac Trigger Delay Time (0020,9153): nominal delay in ms after previous R-peak.

Figure C.7.6.16-5a. Cardiac Timing Tags​

NominalCardiacTriggerTimePriortoR-peak(0020,9154)andtheActualCardiacTriggerTimePriortoR-peak(0020,9155)Attributes​ can be used to store a time of the next R-peak to the value of Frame Reference DateTime (0018,9151) expressed as a negative​ value. In this case the Actual Cardiac Trigger Delay Time (0020,9252), when present, and the Nominal Cardiac Trigger Delay Time​ (0020,9153) shall contain a value calculated based on the R-R interval applicable for this frame. See Figure C.7.6.16-5b.​

Cardiac R-R Interval Specified (0018,9070):

R - R interval in ms at prescription time

OR...

R R

R - R Interval Time Nominal (0020,9251):

Actual measured R - R peak of this cycle.

Nominal Cardiac Trigger Time Prior to R-peak (0020,9154):

Nominal time interval in ms prior to next R-peak.

Nominal Cardiac Trigger Delay Time (0020,9153) as calculated:

R-R interval time minus the Nominal Cardiac Trigger Time Prior to R-peak (0020,9154)

Figure C.7.6.16-5b. Cardiac Timing Relationships​

Note​

SpecifyingthetimeintervalpriortotheR-peakisrelevantforapplicationssuchascapturingP-andQ-waverelatedmorphology.​

C.7.6.16.2.8 Frame Anatomy Macro​

Table C.7.6.16-9 specifies the Attributes of the Frame Anatomy Functional Group Macro.​

Table C.7.6.16-9. Frame Anatomy Macro Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Frame Anatomy​

(0020,9071)​

1​

Identifies anatomic characteristics of this frame.​

Sequence​

 

 

Only a single Item shall be included in this Sequence.​

 

 

 

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DICOM PS3.3

2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

Attribute Description​

>Frame Laterality​

(0020,9072)​

1​

 

Lateralityof(possiblypaired)bodyparts(asdescribedinAnatomicRegion​

 

 

 

 

Sequence (0008,2218)) examined.​

Enumerated Values:​

R​right​

L​left​

U​unpaired​

B​both left and right​

Note​

ThisAttributeismandatory,inordertoensurethatframesmaybe​ positioned correctly relative to one another for display.​

Shall be consistent with any laterality information contained in Primary​

Anatomic Structure Modifier Sequence (0008,2230), if present.​

>Include Table 10-5 “General Anatomy Mandatory Macro​Defined CID for the Anatomic Region Sequence is CID 4030 “CT, MR​ Attributes”​ and PET Anatomy Imaged”.​

Defined CID for Anatomic Region Modifier Sequence (0008,2220) and​ Primary Anatomic Structure Modifier Sequence (0008,2230) is CID 2​ “Anatomic Modifier”.​

C.7.6.16.2.9 Pixel Value Transformation Macro​

Table C.7.6.16-10 specifies the Attributes of the Pixel Value Transformation Functional Group Macro.​

Note​

This Macro is equivalent with the Modality LUT transformation in non Multi-frame IODs.​

Table C.7.6.16-10. Pixel Value Transformation Macro Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Pixel Value Transformation​

(0028,9145)​

1​ ContainstheAttributesinvolvedinthetransformationofstoredpixel​

Sequence​

 

 

values.​

 

 

 

Only a single Item shall be included in this Sequence.​

>Rescale Intercept​

(0028,1052)​

1​ The value b in relationship between stored values (SV) and the​

 

 

 

output units.​

 

 

 

Output units = m*SV + b.​

>Rescale Slope​

(0028,1053)​

1​ m in the equation specified by Rescale Intercept (0028,1052).​

>Rescale Type​

(0028,1054)​

1​ SpecifiestheoutputunitsofRescaleSlope(0028,1053)andRescale​

 

 

 

Intercept (0028,1052).​

See Section C.11.1.1.2 for further explanation.​

Enumerated Values:​

US​Unspecified if Modality (0008,0060) equals MR or PT.​

Note​

Window Center (0028,1050) and Window Width (0028,1051) are applied after Rescale Slope (0028,1053) and Rescale In-​ tercept (0028,1054) have been applied to Stored Pixel Values, see Section C.11.2.1.2.​

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