Материал: part03

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DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

Attribute Description​

>Energy Weighting​

(0018,9353)​

1C​

The weighting factor of the data from this additional source in a multiple​

Factor​

 

 

energy composition image. This factor incorporates the effects of​

 

 

 

•​the specific X-Ray source and kV value​

 

 

 

•​examination specific characteristics.​

 

 

 

Required if one Derivation Code Sequence (0008,9215) Item value is​

 

 

 

(113097, DCM, "Multi-energy proportional weighting"). May be present​

 

 

 

otherwise.​

Isocenter Position​

(300A,012C)​

3​

Isocenter coordinates (x,y,z), in mm. Specifies the location of the machine​

 

 

 

isocenter in the Patient-Based Coordinate System associated with the​

 

 

 

Frame of Reference. It allows transformation from the Equipment-Based​

 

 

 

Coordinate System to the Patient-Based Coordinate System.​

Include Table 10-27 “RT Equipment Correlation Macro​

Attributes Description”​

C.8.2.1.1 CT Image Attribute Descriptions​

C.8.2.1.1.1 Image Type​

For CT Images, Image Type (0008,0008) is specified to be Type 1.​

Defined Terms for Value 3:​

AXIAL​ a CT Cross-sectional Image​

LOCALIZER​a CT Localizer Image​

Note​

Cross-sectional images include transverse, coronal, sagittal and oblique images.​

Image Type (0008,0008) Value 4 shall be present if Multi-energy CT Acquisition (0018,9361) has a value of YES.​

Defined Terms for Value 4 for Multi-energy CT Images:​

VMI​

a Virtual Monoenergetic Image. Each real-world value mapped pixel represents CT Hounsfield units and is​

 

analogous to a CT image created by a monoenergetic (of a specific keV value) X-Ray beam.​

MAT_SPECIFIC​

a Material-SpecificImage. Eachreal-worldvaluemappedpixelvalue representsapropertyofa materialsuch​

 

as attenuation, concentration or density.​

MAT_REMOVED​

An image with the attenuation contribution of one or more materials removed. For pixels that did not contain​

any of the removed material(s), the pixel values are unchanged.​

MAT_FRACTIONAL​ a Material-Fractional Image. Each real-world value mapped pixel represents the fraction of a voxel occupied​ by a material.​

EFF_ATOMIC_NUM​ an Effective Atomic Number Image. Each real-world value mapped pixel represents Effective Atomic Number​ of the materials in the voxel.​

ELECTRON_DENSITY​an Electron Density Image. Each real-world value mapped pixel represents the number of electrons per unit​ volume or the electron density relative to water.​

MAT_MODIFIED​ a Material-Modified Image. CT Image where real-world value mapped pixels have been modified to highlight​ a certain target material (either by partially suppressing the background or by enhancing the target material),​ or to partially suppress the target material.​

MAT_VALUE_BASED​aValue-BasedImage.CTImagewherereal-worldvaluemappedpixelsrepresentacertainvalueforaspecified​ material​

Note​

Multi-energy CT images are not necessarily DERIVED and may be ORIGINAL\PRIMARY.​

When an image is created by a generic transformation an implementation-specific Value 4 may be provided.​

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DICOM PS3.3 2020a - Information Object Definitions​

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C.8.2.1.1.2 Samples Per Pixel​

Enumerated Values:​

1​

C.8.2.1.1.3 Photometric Interpretation​

Enumerated Values:​

MONOCHROME1​

MONOCHROME2​

See Section C.7.6.3.1.2 for definition of these terms.​

C.8.2.1.1.4 Bits Allocated​

Enumerated Values:​

16​

C.8.2.1.1.5 Bits Stored​

Enumerated Values:​

12​

13​

14​

15​

16​

C.8.2.1.1.6 High Bit​

For CT Images, High Bit (0028,0102) shall be one less than the value of Bits Stored (0028,0101).​

C.8.2.1.1.7 Calcium Scoring Mass Factor Patient and Device​

ThecalibrationfactorsfortheCalciumScoringMassFactorPatient(0018,9351)andCalciumScoringMassFactorDevice(0018,9352)​ Attributes are defined by the International Consortium for Multi-Detector CT Evaluation of Coronary Calcium, see McCollough, C.H.​ "A multi-institutional, multi-manufacturer, international standard for the quantification of coronary artery calcium using cardiac CT".​

C.8.2.2 Multi-energy CT Image Module​

The table in this Section contains IOD Attributes that describe a Multi-energy CT image.​

Table C.8.2.2-1. Multi-energy CT Image Module Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Multi-energy CT Acquisition​

(0018,9362)​

1​

The attributes of a Multi-energy CT​

Sequence​

 

 

Image acquisition.​

 

 

 

One Item shall be included in this​

 

 

 

Sequence.​

>Multi-energy Acquisition​

(0018,937B)​

3​

Human readable summary of the​

Description​

 

 

Multi-Energy technique applied during​

 

 

 

the acquisition.​

>Include Table C.8.2.2-2 “Multi-energy CT X-Ray Source Macro Attributes”​

>Include Table C.8.2.2-3 “Multi-energy CT X-Ray Detector Macro Attributes”​

>Include Table C.8.2.2-4 “Multi-energy CT Path Macro Attributes”​

>Include Table C.8-124 “CT Exposure Macro Attributes”​

>Include Table C.8-125 “CT X-Ray Details Sequence Macro Attributes”​

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DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

Attribute Description​

>Include Table C.8-119 “CT Acquisition Details Macro Attributes”​

 

 

>Include Table C.8-122 “CT Geometry Macro Attributes”​

 

 

Multi-energy CT Processing​

(0018,9363)​

3​

HowtheacquiredMulti-energydatawas​

Sequence​

 

 

processed to generate this image.​

 

 

 

Only a single Item is permitted in this​

 

 

 

Sequence.​

>Include Table C.8.15.3.13-1 “Multi-energy CT Processing Macro Attributes”​

 

Multi-energy CT Characteristics​

(0018,9364)​

1C​

Multi-energy characteristics of the​

Sequence​

 

 

generated image.​

Required if Image Type (0008,0008)​ Value 4 is VMI. May be present​ otherwise.​

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

>Include Table C.8.15.3.12-1 “Multi-energy CT Characteristics Macro Attributes”​

C.8.2.2.1 Multi-energy CT X-Ray Source Macro​

Attributes for the CT X-Ray Source(s).​

Table C.8.2.2-2. Multi-energy CT X-Ray Source Macro Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Multi-energy CT X-Ray​

(0018,9365)​

1​ X-Ray Source (see Section C.8.2.2.1.1) information.​

Source Sequence​

 

 

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

 

 

 

>X-Ray Source Index​

(0018,9366)​

1​ Identification number of this item in the Multi-energy CT X-Ray Source​

 

 

 

Sequence.​

 

 

 

The number shall be 1 for the first Item and increase by 1 for each​

 

 

 

subsequent Item.​

>X-Ray Source ID​

(0018,9367)​

1​ Identifier of the physical X-Ray source. This might be the serial number.​

 

 

 

The X-Ray Source ID (0018,9367) will have the same value for different​

 

 

 

values of X-Ray Source Index (0018,9366) if a single source generates​

 

 

 

different nominal energies.​

>Multi-energy Source​

(0018,9368)​

1​ Technique used to acquire Multi-energy data.​

Technique​

 

 

Defined Terms:​

 

 

 

 

 

 

SWITCHING_SOURCE​a physical X-Ray source (tube) uses beam mode​

 

 

 

switching​

 

 

 

CONSTANT_SOURCE​a physical X-Ray source (tube) uses a beam with​

 

 

 

constant characteristics​

>Source Start DateTime​

(0018,9369)​

1​ The date and time this X-Ray source (see Section C.8.2.2.1.1) was first​

 

 

 

used in this Multi-energy acquisition.​

>Source End DateTime​

(0018,936A)​

1​ The date and time this X-Ray source (see Section C.8.2.2.1.1) was last​

 

 

 

used in this Multi-energy acquisition.​

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DICOM PS3.3 2020a - Information Object Definitions​

Page 629​

Attribute Name​

Tag​

Type​

Attribute Description​

 

>Switching Phase Number​

(0018,936B)​

1C​

A number, unique within the sequence, to identify the switching phase.​

 

 

 

Required if Multi-energy Source Technique (0018,9368) is​

 

 

 

 

"SWITCHING_SOURCE".​

 

>Switching Phase Nominal​

(0018,936C)​

3​

Duration, in microseconds, that the energy is nominally in the target KV for​

Duration​

 

 

this switching phase. I.e., the Switching Phase Nominal Duration does not​

 

 

 

include the Switching Phase Transition Duration (0018,936D).​

 

 

 

 

The target KV is the value of KVP (0018,0060) for the item in the CT X-Ray​

 

 

 

Details Sequence (0018,9325) that identifies the Multi-energy CT Path​

 

 

 

Index (0018,937A) that corresponds to this X-Ray Source.​

 

 

 

 

Note​

 

 

 

 

Applicable if Multi-energy Source Technique (0018,9368) is​

 

 

 

"SWITCHING_SOURCE".​

 

>SwitchingPhaseTransition​

(0018,936D)​

3​

Duration, in microseconds, that the energy has left the target KV for this​

Duration​

 

 

switching phase, but has not yet reached the target KV for the next phase.​

 

 

 

The target KV is the value of KVP (0018,0060) for the item in the CT X-Ray​

 

 

 

Details Sequence (0018,9325) that identifies the Multi-energy CT Path​

 

 

 

Index (0018,937A) that corresponds to this X-Ray Source.​

 

 

 

 

Note​

 

 

 

 

Applicable if Multi-energy Source Technique (0018,9368) is​

 

 

 

"SWITCHING_SOURCE".​

 

>Generator Power​

(0018,1170)​

3​

Power in kW going into the X-Ray generator.​

 

C.8.2.2.1.1 Multi-energy X-Ray Source Description​

Each item in the Multi-energy CT X-Ray Source Sequence (0018,9365) might describe either a constant source, a constant source​ with energy selective filter or one output corresponding to a specific energy of a KV switching source. The attributes will refer to a​ source, meaning one item in the Multi-energy CT X-Ray Source Sequence (0018,9365). The attributes use the phrase "physical X-​ Ray Source" when it is necessary to refer to the actual device (tube) rather than the current item.​

C.8.2.2.2 Multi-energy CT X-Ray Detector Macro​

Attributes for the CT X-Ray Detector(s).​

Table C.8.2.2-3. Multi-energy CT X-Ray Detector Macro Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Multi-energy CT X-Ray​

(0018,936F)​

1​ X-Ray Detector (see Section C.8.2.2.1.1) information.​

Detector Sequence​

 

 

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

 

 

 

>X-Ray Detector Index​

(0018,9370)​

1​ Identification number of this item in the Multi-energy CT X-Ray Detector​

 

 

 

Sequence.​

 

 

 

Thenumbershallbe1forthefirstItemandincreaseby1foreachsubsequent​

 

 

 

Item.​

>X-Ray Detector ID​

(0018,9371)​

1​ Identifier of the physical X-Ray detector. This might be the serial number.​

 

 

 

When a single detector discriminates different energies, the X-Ray Detector​

 

 

 

ID (0018,9371) will have the same value in different Items of Multi-energy CT​

 

 

 

X-Ray Detector Sequence (0018,936F).​

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DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

 

Attribute Description​

>Multi-energy Detector​

(0018,9372)​

1​

Technology used to detect multiple energies.​

Type​

 

 

Defined Terms:​

 

 

 

 

 

 

 

 

INTEGRATING​

physical detector integrates the full X-Ray spectrum.​

 

 

 

MULTILAYER​

physical detector layers absorb different parts of the​

 

 

 

 

X-Ray spectrum​

 

 

 

PHOTON_COUNTING​physical detector counts photons with energy​

 

 

 

 

discrimination capability​

>X-Ray Detector Label​

(0018,9373)​

3​

Label of this item in the Multi-energy CT X-Ray Detector Sequence.​

 

 

 

Note​

 

 

 

 

The label might be High, Low or some nominal bin energy.​

>Nominal Max Energy​

(0018,9374)​

1C​

Nominal maximum energy in keV of photons that are integrated/counted by​

 

 

 

the detector (see Section C.8.2.2.1.1). Due to energy resolution limits of the​

 

 

 

detector, some photons above the nominal maximum may be counted.​

 

 

 

RequiredifMulti-energyDetectorType(0018,9372)isPHOTON_COUNTING.​

 

 

 

May be present otherwise.​

>Nominal Min Energy​

(0018,9375)​

1C​

Nominal minimum energy in keV of photons that are integrated/counted by​

 

 

 

the detector (see Section C.8.2.2.1.1). Due to energy resolution limits of the​

 

 

 

detector, some photons below the nominal minimum may be counted.​

 

 

 

RequiredifMulti-energyDetectorType(0018,9372)isPHOTON_COUNTING.​

 

 

 

May be present otherwise.​

>Effective Bin Energy​

(0018,936E)​

3​

Energy of the heterogeneous (polychromatic) photon beam represented by​

 

 

 

thisdetector(seeSectionC.8.2.2.1.1)calculatedasifitweremonochromatic.​

Note​

E.g., this can be calculated based on the beam spectrum or derived​ from the attenuation of phantom measurement.​

C.8.2.2.2.1 Multi-energy X-Ray Detector Description​

Each item in the Multi-energy CT X-Ray Detector Sequence (0018,936F) might describe either an integrating detector or one output​ corresponding to a specific spectrum of a physical detector like:​

•​One layer of a multi-layer detector.​

•​One energy bin of a photon counting detector.​

•​One energy threshold of a photon counting detector.​

The sequence attribute descriptions will refer to a detector, meaning one item in the Multi-energy CT X-Ray Detector Sequence​ (0018,936F).Theattributesusethephrase"physicaldetector"whenitisnecessarytorefertotheactualdeviceratherthanthecurrent​ item.​

C.8.2.2.3 Multi-energy CT Path Macro​

A Multi-energy CTPath is an X-Ray source paired with a corresponding X-Ray detector for a particular energy level.​

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