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DICOM PS3.3 2020a - Information Object Definitions​

Page 861​

Attribute Name​

Tag​

Type​

Attribute Description​

 

Series Type​

(0054,1000)​

1​

A multi-valued indicator of the type of Series. See Section C.8.9.1.1.4 for​

 

 

 

explanation.​

 

 

 

 

Value 1 Enumerated Values:​

 

 

 

 

STATIC​

 

 

 

 

DYNAMIC​

 

 

 

 

GATED​

 

 

 

 

WHOLE BODY​

 

 

 

 

Value 2 Enumerated Values:​

 

 

 

 

IMAGE​

 

 

 

 

REPROJECTION​

 

Reprojection Method​

(0054,1004)​

2C​

Method for projecting volumetric data onto planar projection. Required if​

 

 

 

Series Type (0054,1000), Value 2 is REPROJECTION.​

 

 

 

 

Defined Terms:​

 

 

 

 

SUM​

 

 

 

 

MAX PIXEL​

 

Number of R-R Intervals​

(0054,0061)​

1C​

The maximum number of R-R Intervals that may exist in this Series.​

 

 

 

Required if Series Type (0054,1000), Value 1 is GATED.​

 

Number of Time Slots​

(0054,0071)​

1C​

ThemaximumnumberofTimeSlotsthatmayexistinthisSeries.Required​

 

 

 

if Series Type (0054,1000), Value 1 is GATED.​

 

Number of Time Slices​

(0054,0101)​

1C​

ThemaximumnumberofTimeSlicesthatmayexistinthisSeries.Required​

 

 

 

if Series Type (0054,1000), Value 1 is DYNAMIC.​

 

Number of Slices​

(0054,0081)​

1​

The maximum number of Slices that may exist in this Series.​

 

Corrected Image​

(0028,0051)​

2​

One or more values that indicate which, if any, corrections have been​

 

 

 

applied to the images in this Series.​

 

 

 

 

Defined Terms:​

 

 

 

 

DECY​decay corrected​

 

 

 

 

ATTN​attenuation corrected​

 

 

 

 

SCAT​scatter corrected​

 

 

 

 

DTIM​dead time corrected​

 

 

 

 

MOTN​gantry motion corrected (e.g., wobble, clamshell)​

 

 

 

 

PMOT​patient motion corrected​

 

 

 

 

CLN​ count loss normalization (correction for count loss in gated Time​

 

 

 

Slots)​

 

 

 

 

RAN​ randoms corrected​

 

 

 

 

RADL​non-uniform radial sampling corrected​

 

 

 

 

DCAL​sensitivity calibrated using dose calibrator​

 

 

 

 

NORM​detector normalization​

 

Randoms Correction​

(0054,1100)​

3​

Type of randoms correction processing.​

 

Method​

 

 

Defined Terms:​

 

 

 

 

 

 

 

 

NONE​no randoms correction​

 

 

 

 

DLYD​delayed event subtraction​

 

 

 

 

SING​singles estimation​

 

Attenuation Correction​

(0054,1101)​

3​

A textual description of the attenuation correction processing. e.g.,​

Method​

 

 

measured vs. calculated, transmission source type (ring, line, point),​

 

 

 

assumed patient geometry (polygon, ellipse, segmented, attenuation​

 

 

 

coefficient, skull thickness), post-injection transmission, smoothing.​

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Page 862​

DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

Attribute Description​

Scatter Correction Method​

(0054,1105)​

3​ A textual description of the scatter correction processing. e.g.,​

 

 

 

convolution-subtraction, dual energy window, model-based, use of​

 

 

 

attenuation data.​

Decay Correction​

(0054,1102)​

1​ The real-world event to which images in this Series were decay corrected.​

 

 

 

See Section C.8.9.1.1.5 for explanation.​

 

 

 

Defined Terms:​

 

 

 

NONE​no decay correction​

 

 

 

START​acquisition start time​

 

 

 

ADMIN​radiopharmaceutical administration time​

Reconstruction Diameter​

(0018,1100)​

3​ Diameter, in mm, of the region within which the data was used in creating​

 

 

 

the reconstruction of the image. Data may exist outside this region and​

 

 

 

portions of the patient may exist outside this region.​

 

 

 

The diameter defines a circular region that is entirely contained within the​

 

 

 

encoded Pixel Data (7FE0,0010), unless the encoded image has been​

 

 

 

cropped after reconstruction.​

 

 

 

Note​

 

 

 

If not cropped or padded, for square images with square pixels,​

 

 

 

bothvaluesofPixelSpacing(0028,0030)willbeequalandequal​

 

 

 

toReconstructionDiameter(0018,1100)/Rows(0028,0010)and​

 

 

 

Reconstruction Diameter (0018,1100) / Columns (0028,0011).​

Convolution Kernel​

(0018,1210)​

3​ Textual description of the convolution kernel(s) used to reconstruct the​

 

 

 

data (e.g., name, cutoff, radial/axial/angular, mathematical form, DC​

 

 

 

handling)​

Reconstruction Method​

(0054,1103)​

3​ Textual description of reconstruction processing, e.g., 2D filtered​

 

 

 

backprojection, 2D iterative, 3D PROMIS, 3D FAVOR, 3D iterative.​

Detector Lines of​

(0054,1104)​

3​ Textualdescriptionofwhichdetectorlinesofresponsewereused,mashed,​

Response Used​

 

 

or otherwise processed during tomographic reconstruction.​

Acquisition Start Condition​

(0018,0073)​

3​ Description of how the data collection was started.​

 

Defined Terms:​

 

DENS​density (counts/sec)​

 

RDD​ relative density difference (change in counts/sec)​

 

MANU​manual​

 

TIME​time​

 

AUTO​automatic, when ready​

 

TRIG​physiological trigger​

 

See Section C.8.9.1.1.6 for explanation.​

Acquisition Start Condition​ (0018,0074)​

3​ Count density, change in count density, or physiological triggers causing​

Data​

data collection to start.​

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DICOM PS3.3 2020a - Information Object Definitions​

Page 863​

Attribute Name​

Tag​

Type​

Attribute Description​

 

Acquisition Termination​

(0018,0071)​

3​

Description of how the data collection for the Series was stopped.​

Condition​

 

 

Defined Terms:​

 

 

 

 

 

CNTS​counts​

DENS​density (counts/sec)​

RDD​ relative density difference (change in counts/sec)​

MANU​manual​

OVFL​data overflow​

TIME​time​

TRIG​physiological trigger​

 

 

See Section C.8.4.9.1.3 for explanation.​

Acquisition Termination​

(0018,0075)​

3​ Numberofcounts,countdensity,changeincountdensity,orphysiological​

Condition Data​

 

triggers causing the termination.​

Field of View Shape​

(0018,1147)​

3​ Shape of the field of view of the PET camera.​

 

 

Defined Terms:​

 

 

 

CYLINDRICAL RING​

 

 

HEXAGONAL​

 

 

 

MULTIPLE PLANAR​

Field of View Dimensions​

(0018,1149)​

3​ Dimensions of the field of view, in mm. Transverse detector diameter​

 

 

followed by axial width.​

Gantry/Detector Tilt​

(0018,1120)​

3​ Angle of tilt in degrees of the gantry. See Section C.8.9.1.1.7 for​

 

 

explanation.​

 

Gantry/Detector Slew​

(0018,1121)​

3​ Angle of slew in degrees of the gantry. Positive slew is moving the gantry​

 

 

onthepatient'slefttowardthepatient'ssuperior,whenthepatientissupine.​

Type of Detector Motion​

(0054,0202)​

3​ Describes the detector motion during acquisition.​

 

 

Defined Terms:​

 

 

 

NONE​

stationary gantry​

 

 

STEP AND​

Interrupted motion, acquire only while stationary​

 

 

SHOOT​

 

 

 

CONTINUOUS​ Gantrymotionandacquisitionaresimultaneousand​

 

 

 

continuous​

 

 

WOBBLE​

wobble motion​

 

 

CLAMSHELL​

clamshell motion​

Collimator Type​

(0018,1181)​

2​ Collimator Type.​

 

 

 

Defined Terms:​

 

 

 

NONE​no collimator​

 

 

RING​transverse septa​

Collimator/Grid Name​

(0018,1180)​

3​ Label describing the collimator used.​

Axial Acceptance​

(0054,1200)​

3​ Maximum axial angle accepted, in degrees.​

Axial Mash​

(0054,1201)​

3​ Number of adjacent axial lines of response mashed together. See​

 

 

Section C.8.9.1.1.8 for explanation.​

Transverse Mash​

(0054,1202)​

3​ Number of adjacent transverse lines of response mashed together. See​

 

 

Section C.8.9.1.1.9 for explanation.​

Detector Element Size​

(0054,1203)​

3​ Size of an individual detector element, in mm. Transverse dimension​

 

 

followed by axial dimension. For a discrete crystal, this is the crystal size.​

 

 

For a continuous detector, this is the pixel bin size.​

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Page 864​

DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

Attribute Description​

CoincidenceWindowWidth​

(0054,1210)​

3​ The width of the coincidence timing window, in nsec. The maximum time​

 

 

 

difference accepted between two single events.​

Energy Window Range​

(0054,0013)​

3​ SequenceofItemsthatdescribestheenergywindowsusedforthisSeries.​

Sequence​

 

 

One or more Items are permitted in this Sequence.​

 

 

 

 

 

 

See Section C.8.9.1.1.10 for explanation.​

>Energy Window Lower​

(0054,0014)​

3​ The lower limit of the energy window, in KeV.​

Limit​

 

 

 

>Energy Window Upper​

(0054,0015)​

3​ The upper limit of the energy window, in KeV.​

Limit​

 

 

 

Secondary Counts Type​

(0054,1220)​

3​ Arraydefiningthetypeofadditionalcountsaccumulatedduringacquisition.​

 

 

 

Defined Terms:​

 

 

 

DLYD​delayed events​

 

 

 

SCAT​scattered events in secondary window​

 

 

 

SING​singles​

 

 

 

DTIM​events lost due to deadtime​

ScanProgressionDirection​

(0054,0501)​

3​ The anatomical order in which the slices were acquired.​

 

 

 

Enumerated Values:​

FEET_TO_HEAD​Slices closest to the patient's feet were acquired first.​

HEAD_TO_FEET​Slices closest to the patient's head were acquired first.​

Note​

The formulas for the determination of SUVbw, SUVbsa, SUVlbm (James) and SUVibw are defined in Sugawara et al. Ree-​ valuation of the Standardized Uptake Value for FDG: Variations with Body Weight and Methods for Correction. Radiology,​ 1999 at http://radiology.rsna.org/content/213/2/521.​

Unfortunately, Sugawara used a parameter of 120 rather than 128 for males, propagating an error in Morgan DJ, Bray KM.​ LeanBodyMassasaPredictorofDrugDosage:ImplicationsforDrugTherapy.ClinicalPharmacokinetics.1994;26(4):292–307,​ which misquoted the original LBM definition that used 128 in James WPT, Waterlow JC. Research on Obesity: A Report of​ the DHSS/MRC Group. London: Her Majesty’s Stationery Office; 1976. Implementations differ in whether they have used​ 120 or 128 when the DICOM Defined Term is LBM. See Kelly M. SUV: Advancing Comparability and Accuracy. Siemens;​ 2009. Available from: http://www.mpcphysics.com/documents/SUV_Whitepaper_Final_11.17.09_59807428_2.pdf.​

The Janmahasatian LBM formula is defined in Janmahasatian et al. Quantification of Lean Bodyweight. Clin Pharmacokinet.​ 2005Oct1;44(10):1051–65.athttp://dx.doi.org/10.2165/00003088-200544100-00004anditsroleinSUVlbm(Janma)calcu-​ lation is discussed in Tahari et al. Optimum Lean Body Formulation for Correction of Standardized Uptake Value in PET​ Imaging. Journal of Nuclear Medicine. 2014 Sep 1;55(9):1481–4. at http://jnm.snmjournals.org/content/55/9/1481. See also​ CID 85 “SUV Units” in PS3.16.​

C.8.9.1.1 PET Series Attribute Descriptions​

Note​

The meaning of a General Series in DICOM is determined by the Attributes in the General Series Module and by the Source​ Entities (Patient, Study, Frame of Reference, Equipment) that originate the Series. The Source Entities are the single-valued​ entities of the 1->n relationship, where the Series is the multi-valued entity. Therefore, a Series is a group of images that:​ are from the same patient and Study; are from the same Equipment; and, are from the same spatial Frame of Reference.​

The PET Image IOD further refines a PET Series IE by the Attributes in the PET Series Module, the PET Isotope Module, the PET​ Multi-gated Acquisition Module and the Acquisition Context Module. These are the Attributes that shall not change from Image to​ Image. Therefore, in addition to the criteria above for a General Series (same patient, Study, Frame of Reference, equipment), the​ Attributes in the PET Series IE define a PET Series as a group of images that: are from the same temporal Frame of Reference; have​

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DICOM PS3.3 2020a - Information Object Definitions​

Page 865​

the same fundamental meaning (e.g., same units: either activity density, metabolism, or attenuation); are derived from the same​ activity source (emission or transmission); are from the same isotope and radiopharmaceutical; were derived from the same recon-​ struction processing; and, originated from the same acquisition setup and parameters, including the patient conditions (cardiac stress​ or rest) if applicable.​

C.8.9.1.1.1 Specialization of Image Plane Module and Image Pixel Module Attributes​

For PET Series, the following Image Pixel Module Attributes shall not vary from Image to Image:​

•​Photometric Interpretation (0028,0004)​

•​Rows (0028,0010)​

•​Columns (0028,0011)​

•​Bits Allocated (0028,0100)​

•​Bits Stored (0028,0101)​

•​Pixel Representation (0028,0103)​

For PET Series, the following Image Plane Module Attributes shall not vary from Image to Image:​

•​Pixel Spacing (0028,0030)​

For PET Series where Series Type (0054,1000), Value 2 is IMAGE, the following Image Plane Module Attributes shall not vary from​ Image to Image:​

•​Image Orientation (Patient) (0020,0037)​

Note​

This means that for a Series Type (0054,1000) Value 2 of IMAGE, all images in the PET Series lie on parallel planes. The​ images, however, may have non-uniform spacing along the normals to the planes.​

For PET Series where Series Type (0054,1000), Value 2 is REPROJECTION, Image Orientation (0020,0037) shall vary such that​ the images rotate about a single axis. Geometrically, the normal to each image plane is defined by the cross product of its row and​ column vectors. Each reprojection image has one Center Normal that passes through the center of the image. Reprojection images​ within a PET Series shall have their Center Normals be co-planar and pass through a single point.​

C.8.9.1.1.2 Series Date, Series Time​

For PET Series, Series Date (0008,0021) and Series Time (0008,0031) are specified to be Type 1. Series Date (0008,0021) and​ Series Time (0008,0031) are used as the reference time for all PET Image Attributes that are temporally related, including activity​ measurements. Series Date (0008,0021) and Series Time (0008,0031) are not tied to any real-world event (e.g., acquisition start,​ radiopharmaceutical administration) and their real-world meaning are implementation dependent.​

C.8.9.1.1.3 Units​

The units of the pixel values obtained after conversion from the stored pixel values (SV) (Pixel Data (7FE0,0010)) to pixel value units​ (U), as defined by Rescale Intercept (0028,1052) and Rescale Slope (0028,1053).​

Defined Terms:​

CNTS​ counts ({counts}, UCUM, "Counts")​

NONE​ unitless (1, UCUM, "no units")​

CM2​ centimeter**2 (cm2, UCUM, "Centimeter**2")​

CM2ML​ centimeter**2/milliliter (cm2/ml, UCUM, "Centimeter**2/milliliter")​

PCNT​ percent (%, UCUM, "Percent")​

CPS​ counts/second ({counts}/s, UCUM, "Counts per second")​

BQML​ Becquerels/milliliter (Bq/ml, UCUM, "Becquerels/milliliter")​

MGMINML​ milligram/minute/milliliter (mg/min/ml, UCUM, "Milligrams/minute/milliliter")​

UMOLMINML​micromole/minute/milliliter (umol/min/ml, UCUM, "Micromole/minute/milliliter")​

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