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DICOM PS3.3 2020a - Information Object Definitions​

Page 731​

Attribute Name​

Tag​

Type​

 

Attribute Description​

 

>>ROI Physical Property​

(3006,00B2)​

1​

PhysicalpropertyspecifiedbyROIPhysicalPropertyValue(3006,00B4).​

 

 

 

Defined Terms:​

 

 

 

 

 

REL_MASS_DENSITY​mass density relative to water​

 

 

 

 

REL_ELEC_DENSITY​electron density relative to water​

 

 

 

 

EFFECTIVE_Z​

effective atomic number​

 

 

 

 

EFF_Z_PER_A​

ratio of effective atomic number to mass​

 

 

 

 

(AMU-1)​

 

 

 

 

REL_STOP_RATIO​ ratio of linear stopping power of material​

 

 

 

 

relative to linear stopping power of water​

 

 

 

ELEM_FRACTION​ elemental composition of the material​

 

 

 

MEAN_EXCI_ENERGY​Mean Excitation Energy of the material (eV)​

>>ROI Elemental​

(3006,00B6)​

1C​

The elemental composition of the ROI and the atomic mass fraction of​

Composition Sequence​

 

 

the elements in the ROI.​

 

 

 

 

Required if ROI Physical Property (3006,00B2) equals​

 

 

 

 

ELEM_FRACTION.​

 

 

 

 

 

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

 

>>>ROI Elemental​

(3006,00B7)​

1​

The atomic number of the element for which the ROI Elemental​

CompositionAtomicNumber​

 

 

Composition Sequence (3006,00B6) is present.​

 

>>>ROI Elemental​

(3006,00B8)​

1​

The fractional weight of the element for which the ROI Elemental​

Composition Atomic Mass​

 

 

Composition Sequence (3006,00B6) is present.​

 

Fraction​

 

 

The sum of all ROI Elemental Composition Atomic Mass Fractions​

 

 

 

 

 

 

(3006,00B8) within the ROI Elemental Composition Sequence​

 

 

 

(3006,00B6) shall equal 1.0 within acceptable limits of floating point​

 

 

 

precision.​

 

 

>>ROI Physical Property​

(3006,00B4)​

1​

User-assigned value for physical property.​

 

Value​

 

 

Note​

 

 

 

 

 

 

 

The value has no meaning when ROI Physical Property​ (3006,00B2) has the value ELEM_FRACTION. Therefore this​ Attributemaycontainanyvalueandreceiversmayignorethat​ value.​

Note​

1.​This Attribute allows preserving information by copying the content of Segmented Property Category Code Sequence​ (0062,0003) in case a Segmentation object is re-encoded as an RT Structure Set or vice-versa.​

2.​In case of re-encoding a Segmentation object as an RT Structure Set or vice-versa it is suggested, that the Segmented​ Property Type Code Sequence (0062,000F) is mapped to RT ROI Identification Code Sequence (3006,0086).​

C.8.8.8.1 RT ROI Interpreted Type​

RT ROI Interpreted Type (3006,00A4) shall describe the class of ROI (e.g., CTV, PTV). Individual instances of each class of structure​ (e.g., CTV1, CTV2) can be distinguished using ROI Observation Label (3006,0085).​

C.8.8.8.2 Additional RT ROI Identification Code Sequence​

Retired. See DICOM PS3.3 2016c.​

- Standard -​

Page 732​ DICOM PS3.3 2020a - Information Object Definitions​

C.8.8.9 RT General Plan Module​

Table C.8-45. RT General Plan Module Attributes​

Attribute Name​

Tag​

Type​

 

Attribute Description​

RT Plan Label​

(300A,0002)​

1​

User-defined label for treatment plan.​

RT Plan Name​

(300A,0003)​

3​

User-defined name for treatment plan.​

RT Plan Description​

(300A,0004)​

3​

User-defined description of treatment plan.​

Instance Number​

(0020,0013)​

3​

A number that identifies this object instance.​

RT Plan Date​

(300A,0006)​

2​

Date treatment plan was last modified.​

RT Plan Time​

(300A,0007)​

2​

Time treatment plan was last modified.​

Treatment Protocols​

(300A,0009)​

3​

Planned treatment protocols.​

Plan Intent​

(300A,000A)​

3​

Intent of this plan.​

 

 

 

Defined Terms:​

 

 

 

 

CURATIVE​

Curative therapy on patient​

 

 

 

PALLIATIVE​ Palliative therapy on patient​

 

 

 

PROPHYLACTIC​Preventative therapy on patient​

 

 

 

VERIFICATION​ Verification of patient plan using phantom​

 

 

 

MACHINE_QA​ Quality assurance of the delivery machine​

 

 

 

 

(independently of a specific patient)​

 

 

 

RESEARCH​

Research project​

 

 

 

SERVICE​

Machine repair or maintenance operation​

Treatment Sites​

(300A,000B)​

3​

Planned treatment sites.​

RT Plan Geometry​

(300A,000C)​

1​

Describes whether RT Plan is based on patient or treatment​

 

 

 

device geometry. See Section C.8.8.9.1.​

 

 

 

Defined Terms:​

 

 

 

 

PATIENT​

RT Structure Set exists​

 

 

 

TREATMENT_DEVICE​RT Structure Set does not exist​

Referenced Structure Set​

(300C,0060)​

1C​

The RT Structure Set on which the RT Plan is based.​

Sequence​

 

 

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

 

 

 

 

 

 

Required if RT Plan Geometry (300A,000C) is PATIENT.​

>Include Table 10-11 “SOP Instance Reference Macro Attributes”​

 

 

Referenced Dose Sequence​

(300C,0080)​

3​

Related instances of RT Dose (for grids and named/unnamed​

 

 

 

point doses).​

 

 

 

 

One or more Items are permitted in this Sequence.​

 

 

 

See Note 1.​

 

>Include Table 10-11 “SOP Instance Reference Macro Attributes”​

 

 

Referenced RT Plan​

(300C,0002)​

3​

Related instances of RT Plan.​

Sequence​

 

 

One or more Items are permitted in this Sequence.​

 

 

 

>Include Table 10-11 “SOP Instance Reference Macro Attributes”​

- Standard -​

 

DICOM PS3.3 2020a - Information Object Definitions​

Page 733​

Attribute Name​

Tag​

Type​

 

Attribute Description​

 

>RT Plan Relationship​

(300A,0055)​

1​

Relationship of referenced plan with respect to current plan.​

 

 

 

Defined Terms:​

 

 

 

 

 

PRIOR​

plan delivered prior to current treatment​

 

 

 

ALTERNATIVE​

alternative plan prepared for current​

 

 

 

 

treatment​

 

 

 

 

PREDECESSOR​plan used in derivation of current plan​

 

 

 

VERIFIED_PLAN​plan that is verified using the current plan.​

 

 

 

 

This value shall only be used if Plan Intent​

 

 

 

 

(300A,000A) is present and has a value of​

 

 

 

 

VERIFICATION​

 

 

 

 

CONCURRENT​ plan that forms part of a set of two or more​

 

 

 

 

RT Plan instances representing a single​

 

 

 

 

conceptual 'plan', applied in parallel in one​

 

 

 

 

treatment phase​

 

Frame of Reference to​

(0070,030B)​

3​

A 4x4 transformation matrix that transforms a coordinate of the​

DisplayedCoordinateSystem​

 

 

Frame of Reference to a displayed coordinate system.​

Transformation Matrix​

Only rigid transformation matrices are permitted (see definition​

in Section C.20.2.1.2).​

Matrix elements shall be listed in row major order.​

Note​

An RT Dose IOD referenced within the Referenced Dose Sequence (300C,0080) can be used for storing grid-based (pixel)​ data, individual dose points (with optional dose point names), isodose curves, and DVHs.​

C.8.8.9.1 Referenced Structure Set Sequence​

AnRTPlanGeometry(300A,000C)ofPATIENTshallsignifythatanRTStructureSethasbeendefineduponwhichtheplangeometry​ is based, and this RT Structure Set shall be specified in the Referenced Structure Set Sequence (300C,0060). An RT Plan Geometry​ (300A,000C) of TREATMENT_DEVICE shall indicate that no patient geometry is available, and that the RT Plan is being defined with​ respect to the IEC FIXED Coordinate System.​

C.8.8.10 RT Prescription Module​

Table C.8-46. RT Prescription Module Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Prescription Description​

(300A,000E)​

3​ User-defined description of treatment prescription.​

Dose Reference Sequence​

(300A,0010)​

3​ Sequence of Dose References.​

 

 

 

One or more Items are permitted in this Sequence.​

>Dose Reference Number​

(300A,0012)​

1​ Identification number of the Dose Reference. The value of Dose​

 

 

 

Reference Number (300A,0012) shall be unique within the RT Plan​

 

 

 

in which it is created.​

>Dose Reference UID​

(300A,0013)​

3​ A unique identifier for a Dose Reference that can be used to link the​

 

 

 

same entity across multiple RT Plan objects.​

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Page 734​

DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

 

Attribute Description​

>Dose Reference Structure​

(300A,0014)​

1​

Structure type of Dose Reference.​

Type​

 

 

Defined Terms:​

 

 

 

 

 

 

POINT​

dose reference point specified as ROI​

 

 

 

VOLUME​

dose reference volume specified as ROI​

 

 

 

COORDINATES​pointspecifiedbyDoseReferencePointCoordinates​

 

 

 

 

(300A,0018)​

 

 

 

SITE​

dose reference clinical site​

>Dose Reference Description​

(300A,0016)​

3​

User-defined description of Dose Reference.​

>Referenced ROI Number​

(3006,0084)​

1C​

Uniquely identifies ROI representing the dose reference specified by​

 

 

 

ROINumber(3006,0022)inStructureSetROISequence(3006,0020)​

 

 

 

in Structure Set Module within RT Structure Set in Referenced​

 

 

 

Structure Set Sequence (300C,0060) in RT General Plan Module.​

 

 

 

Required if Dose Reference Structure Type (300A,0014) is POINT or​

 

 

 

VOLUME.​

 

>Dose Reference Point​

(300A,0018)​

1C​

Coordinates(x,y,z)ofReferencePointinthePatient-BasedCoordinate​

Coordinates​

 

 

System described in Section C.7.6.2.1.1 (mm). Required if Dose​

 

 

 

Reference Structure Type (300A,0014) is COORDINATES.​

>Nominal Prior Dose​

(300A,001A)​

3​

Dose (in Gy) from prior treatment to this Dose Reference (e.g., from​

 

 

 

a previous course of treatment).​

>Dose Reference Type​

(300A,0020)​

1​

Type of Dose Reference.​

 

 

 

Defined Terms:​

 

 

 

TARGET​

treatment target (corresponding to GTV, PTV, or​

 

 

 

 

CTV in [ICRU Report 50])​

 

 

 

ORGAN_AT_RISK​Organ at Risk (as defined in [ICRU Report 50])​

>Constraint Weight​

(300A,0021)​

3​

Relative importance of satisfying constraint, where high values​

 

 

 

represent more important constraints.​

>Delivery Warning Dose​

(300A,0022)​

3​

The dose (in Gy) that when reached or exceeded should cause some​

 

 

 

action to be taken.​

>Delivery Maximum Dose​

(300A,0023)​

3​

Themaximumdose(inGy)thatcanbedeliveredtothedosereference.​

>Target Minimum Dose​

(300A,0025)​

3​

Minimumpermitteddose(inGy)toDoseReferenceifDoseReference​

 

 

 

Type (300A,0020) is TARGET.​

>Target Prescription Dose​

(300A,0026)​

3​

Prescribed dose (in Gy) to Dose Reference if Dose Reference Type​

 

 

 

(300A,0020) is TARGET.​

>Target Maximum Dose​

(300A,0027)​

3​

Maximumpermitteddose(inGy)toDoseReferenceifDoseReference​

 

 

 

Type (300A,0020) is TARGET.​

>Target Underdose Volume​

(300A,0028)​

3​

Maximumpermittedfraction(inpercent)ofTargettoreceivelessthan​

Fraction​

 

 

the Target Prescription Dose if Dose Reference Type (300A,0020) is​

 

 

 

TARGET and Dose Reference Structure Type (300A,0014) is​

 

 

 

VOLUME. See Section C.8.8.10.1.​

>Organ at Risk Full-volume​

(300A,002A)​

3​

Maximum dose (in Gy) to entire Dose Reference if Dose Reference​

Dose​

 

 

Type(300A,0020)isORGAN_AT_RISKandDoseReferenceStructure​

 

 

 

Type (300A,0014) is VOLUME.​

>Organ at Risk Limit Dose​

(300A,002B)​

3​

Maximum permitted dose (in Gy) to any part of Dose Reference if​

 

 

 

Dose Reference Type (300A,0020) is ORGAN_AT_RISK and Dose​

 

 

 

Reference Structure Type (300A,0014) is VOLUME.​

>Organ at Risk Maximum​

(300A,002C)​

3​

Maximum dose (in Gy) to non-overdosed part of Dose Reference if​

Dose​

 

 

Dose Reference Type (300A,0020) is ORGAN_AT_RISK and Dose​

 

 

 

Reference Structure Type (300A,0014) is VOLUME.​

- Standard -​

 

DICOM PS3.3 2020a - Information Object Definitions​

Page 735​

Attribute Name​

Tag​

Type​

Attribute Description​

 

>Organ at Risk Overdose​

(300A,002D)​

3​

Maximumpermittedfraction(inpercent)oftheOrganatRisktoreceive​

Volume Fraction​

 

 

more than the Organ at Risk Maximum Dose if Dose Reference Type​

 

 

 

(300A,0020) is ORGAN_AT_RISK and Dose Reference Structure​

 

 

 

Type (300A,0014) is VOLUME.​

 

C.8.8.10.1 Target Underdose Volume Fraction​

If the Target Underdose Volume Fraction (300A,0028) is not present, it shall be interpreted as zero.​

C.8.8.11 RT Tolerance Tables Module​

Table C.8-47. RT Tolerance Tables Module Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Tolerance Table Sequence​

(300A,0040)​

3​ Sequenceoftolerancetablestobeusedfordeliveryoftreatment​

 

 

plan.​

 

 

 

One or more Items are permitted in this Sequence.​

 

 

See Note 1.​

>Tolerance Table Number​

(300A,0042)​

1​ Identification number of the Tolerance Table. The value of​

 

 

Tolerance Table Number (300A,0042) shall be unique within the​

 

 

RT Plan in which it is created.​

>Tolerance Table Label​

(300A,0043)​

3​ User-defined label for Tolerance Table.​

>Gantry Angle Tolerance​

(300A,0044)​

3​ Maximum permitted difference (in degrees) between planned​

 

 

and delivered Gantry Angle.​

>Gantry Pitch Angle Tolerance​

(300A,014E)​

3​ Maximum permitted difference (in degrees) between planned​

 

 

and delivered Gantry Pitch Angle.​

>Beam Limiting Device Angle​

(300A,0046)​

3​ Maximum permitted difference (in degrees) between planned​

Tolerance​

 

and delivered Beam Limiting Device Angle.​

>Beam Limiting Device Tolerance​

(300A,0048)​

3​ Sequence of beam limiting device (collimator) tolerances. One​

Sequence​

 

or more Items are permitted in this Sequence.​

>>RT Beam Limiting Device Type​

(300A,00B8)​

1​ Type of beam limiting device (collimator).​

 

 

Enumerated Values:​

 

 

X​

symmetric jaw pair in IEC X direction​

 

 

Y​

symmetric jaw pair in IEC Y direction​

 

 

ASYMX​asymmetric jaw pair in IEC X direction​

 

 

ASYMY​asymmetric pair in IEC Y direction​

 

 

MLCX​multileaf (multi-element) jaw pair in IEC X direction​

 

 

MLCY​multileaf (multi-element) jaw pair in IEC Y direction​

>>Beam Limiting Device Position​

(300A,004A)​

1​ Maximum permitted difference (in mm) between planned and​

Tolerance​

 

deliveredleaf(element)orjawpositionsforcurrentbeamlimiting​

 

 

device (collimator).​

>Patient Support Angle Tolerance​

(300A,004C)​

3​ Maximum permitted difference (in degrees) between planned​

 

 

and delivered Patient Support Angle.​

>Table Top Eccentric Angle​

(300A,004E)​

3​ Maximum permitted difference (in degrees) between planned​

Tolerance​

 

and delivered Table Top Eccentric Angle.​

>Table Top Pitch Angle Tolerance​

(300A,004F)​

3​ Maximumpermitteddifference(indegrees)betweentheplanned​

 

 

and delivered Table Top Pitch Angle.​

>Table Top Roll Angle Tolerance​

(300A,0050)​

3​ Maximumpermitteddifference(indegrees)betweentheplanned​

 

 

and delivered Table Top Roll Angle.​

- Standard -​