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DICOM PS3.3 2020a - Information Object Definitions​

Page 871​

Attribute Name​

Tag​

Type​

Attribute Description​

 

>Radiopharmaceutical​

(0018,0031)​

3​

Name of the radiopharmaceutical.​

 

>Radiopharmaceutical Code​

(0054,0304)​

3​

Sequence that identifies the radiopharmaceutical.​

 

Sequence​

 

 

Only a single Item is permitted in this Sequence.​

 

 

 

 

 

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

BCID 4021 “PET Radiopharmaceutical”.​

 

Intervention Drug Information​

(0018,0026)​

3​

Sequence of Items that describes the intervention drugs used.​

Sequence​

 

 

One or more Items are permitted in this Sequence.​

 

 

 

>Intervention Drug Name​

(0018,0034)​

3​

Name of the intervention drug.​

 

>Intervention Drug Code​

(0018,0029)​

3​

Sequence that identifies the intervention drug name.​

Sequence​

 

 

Only a single Item is permitted in this Sequence.​

 

 

 

 

 

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

BCID 10 “Interventional Drug”.​

 

>Intervention Drug Start Time​

(0018,0035)​

3​

Time of administration of the intervention drug, using the same​

 

 

 

time base as for Series Time (0008,0031).​

 

>Intervention Drug Stop Time​

(0018,0027)​

3​

Time of completion of administration of the intervention drug,​

 

 

 

using the same time base as for Series Time (0008,0031).​

>Intervention Drug Dose​

(0018,0028)​

3​

Intervention drug dose, in mg.​

 

C.8.9.3 PET Multi-gated Acquisition Module​

 

Table C.8-62 contains IOD Attributes that describe a PET Multi-gated Acquisition.​

 

Table C.8-62. PET Multi-Gated Acquisition Module Attributes​

 

Attribute Name​

Tag​

Type​

Attribute Description​

 

Beat Rejection Flag​

(0018,1080)​

2​

Heart beat duration sorting has been applied.​

 

 

 

 

Enumerated Values:​

 

 

 

 

Y​yes​

 

 

 

 

N​no​

 

Trigger Source or Type​

(0018,1061)​

3​

Text indicating trigger source.​

 

 

 

 

Defined Terms:​

 

 

 

 

EKG​

 

PVC Rejection​

(0018,1085)​

3​

Description of the type of PVC rejection criteria used.​

Skip Beats​

(0018,1086)​

3​

Number of beats skipped after a detected arrhythmia.​

Heart Rate​

(0018,1088)​

3​

Average number of heart beats per minute for the collection​

 

 

 

period for this image. This shall include all accepted beats as​

 

 

 

well as rejected beats.​

 

Cardiac Framing Type​

(0018,1064)​

3​

Description of type of framing performed. See​

 

 

 

 

Section C.7.6.18.1.1.1 for description and Defined Terms.​

C.8.9.4 PET Image Module​

Table C.8-63 contains IOD Attributes that describe PET images.​

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Page 872​ DICOM PS3.3 2020a - Information Object Definitions​

Table C.8-63. PET Image Module Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Image Type​

(0008,0008)​

1​

Image identification characteristics. See Section C.8.9.4.1.1 for​

 

 

 

specialization.​

Samples per Pixel​

(0028,0002)​

1​

Number of samples (planes) in this image.​

 

 

 

Enumerated Values:​

 

 

 

1​

PhotometricInterpretation​

(0028,0004)​

1​

Specifies the intended interpretation of the pixel data. See​

 

 

 

Section C.8.9.4.1.2 for specialization.​

Bits Allocated​

(0028,0100)​

1​

Numberofbitsallocatedforeachpixelsample.Eachsampleshallhave​

 

 

 

the same number of bits allocated.​

 

 

 

Enumerated Values:​

 

 

 

16​

Bits Stored​

(0028,0101)​

1​

Number of bits stored for each pixel sample. Each sample shall have​

 

 

 

the same number of bits stored. The value shall be the same as the​

 

 

 

value in Bits Allocated (0028,0100).​

High Bit​

(0028,0102)​

1​

Most significant bit for pixel sample data. Each sample shall have the​

 

 

 

same high bit. Shall be one less than the value in Bits Stored​

 

 

 

(0028,0101).​

Rescale Intercept​

(0028,1052)​

1​

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

 

 

 

units (U) defined in Units (0054,1001): U = m*SV+b. The Rescale​

 

 

 

Intercept is always zero for PET images.​

Rescale Slope​

(0028,1053)​

1​

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

Frame Reference Time​

(0054,1300)​

1​

Thetimethatthepixelvaluesintheimageoccurred.FrameReference​

 

 

 

Time is the offset, in msec, from the Series reference time. See​

 

 

 

explanation in Section C.8.9.4.1.5.​

Trigger Time​

(0018,1060)​

1C​

Time interval, in msec, from the start of the trigger to the beginning of​

 

 

 

data acquisition for this image. Required if Series Type (0054,1000),​

 

 

 

Value 1 is GATED.​

Frame Time​

(0018,1063)​

1C​

Nominaldurationperindividualframe,inmsec.RequiredifSeriesType​

 

 

 

(0054,1000), Value 1 is GATED. See Section C.8.9.4.1.3 for​

 

 

 

explanation.​

Low R-R Value​

(0018,1081)​

1C​

R-R interval lower limit for beat rejection, in msec. Required if Series​

 

 

 

Type (0054,1000), Value 1 is GATED and Beat Rejection Flag​

 

 

 

(0018,1080) is Y.​

High R-R Value​

(0018,1082)​

1C​

R-R interval upper limit for beat rejection, in msec. Required if Series​

 

 

 

Type (0054,1000), Value 1 is GATED and Beat Rejection Flag​

 

 

 

(0018,1080) is Y.​

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DICOM PS3.3 2020a - Information Object Definitions​

Page 873​

Attribute Name​

Tag​

Type​

Attribute Description​

 

Lossy Image​

(0028,2110)​

1C​

Specifies whether an Image has undergone lossy compression (at a​

Compression​

 

 

point in its lifetime).​

 

 

 

 

Enumerated Values:​

 

 

 

 

00​Image has NOT been subjected to lossy compression.​

 

 

 

01​Image has been subjected to lossy compression.​

 

 

 

 

Once this value has been set to 01 it shall not be reset.​

 

 

 

 

See Section C.7.6.1.1.5.​

 

 

 

 

Required if Lossy Compression has been performed on the image.​

 

 

 

May be present otherwise.​

 

Image Index​

(0054,1330)​

1​

AnindexidentifyingthepositionofthisimagewithinaPETSeries.See​

 

 

 

Section C.8.9.4.1.9 for explanation.​

 

Acquisition Date​

(0008,0022)​

2​

Thedatetheacquisitionofdatathat resultedinthis image started.See​

 

 

 

Section C.8.9.4.1.4 for specialization.​

 

Acquisition Time​

(0008,0032)​

2​

The time the acquisition of data that resulted in this image started. See​

 

 

 

Section C.8.9.4.1.4 for specialization.​

 

Actual Frame Duration​

(0018,1242)​

2​

Elapsed time of the data acquisition for this image, in msec. See​

 

 

 

Section C.8.9.4.1.6 for explanation.​

 

Nominal Interval​

(0018,1062)​

3​

Average duration of accepted beats, in msec, of the R-R interval.​

Intervals Acquired​

(0018,1083)​

3​

Number of heartbeats that fall within Low R-R Value (0018,1081) and​

 

 

 

High R-R Value (0018,1082), and were therefore accepted and​

 

 

 

contribute coincidence events to this R-R Interval.​

 

Intervals Rejected​

(0018,1084)​

3​

NumberofheartbeatsthatfalloutsideLowR-RValue(0018,1081)and​

 

 

 

HighR-RValue(0018,1082),anddonotcontributecoincidenceevents​

 

 

 

to this R-R Interval. However, they may contribute coincidence events​

 

 

 

to other R-R Intervals.​

 

Primary(Prompts)Counts​

(0054,1310)​

3​

The sum of events that occur in the primary event channel. The counts​

Accumulated​

 

 

include Trues +Scatter+ Randoms if Randoms Correction Method​

 

 

 

(0054,1100) is NONE; otherwise the counts are Trues +Scatter.​

Secondary Counts​

(0054,1311)​

3​

Sum of counts accumulated in secondary channels. See​

 

Accumulated​

 

 

Section C.8.9.4.1.7 for explanation.​

 

Slice Sensitivity Factor​

(0054,1320)​

3​

The slice-to-slice sensitivity correction factor that was used to correct​

 

 

 

this image. The value shall be one if no slice sensitivity correction was​

 

 

 

applied.​

 

Decay Factor​

(0054,1321)​

1C​

The decay factor that was used to scale this image. Required if Decay​

 

 

 

Correction (0054,1102) is other than NONE. If decay correction is​

 

 

 

applied, all images in the Series shall be decay corrected to the same​

 

 

 

time.​

 

Dose Calibration Factor​

(0054,1322)​

3​

Factorthatwasusedtoscalethisimagefromcounts/sectoBq/mlusing​

 

 

 

a dose calibrator. The value shall be one if no dose calibration was​

 

 

 

applied. See Section C.8.9.4.1.8 for explanation.​

 

Scatter Fraction Factor​

(0054,1323)​

3​

An estimate of the fraction of acquired counts that were due to scatter​

 

 

 

and were corrected in this image. The value shall be zero if no scatter​

 

 

 

correction was applied.​

 

Dead Time Factor​

(0054,1324)​

3​

Theaveragedeadtimecorrectionfactorthatwasappliedtothisimage.​

 

 

 

The value shall be one if no dead time correction was applied.​

Include Table 10-7 “General Anatomy Optional Macro​

No CID for the Anatomic Region Sequence is defined.​

 

Attributes”​

 

 

 

 

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Page 874​

DICOM PS3.3 2020a

- Information Object Definitions​

Attribute Name​

Tag​

Type​

Attribute Description​

Include Table 10-25 “Optional View and Slice Progression​

 

Direction Macro Attributes”​

 

 

 

Isocenter Position​

(300A,012C)​

3​

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

 

 

 

machineisocenterinthePatient-BasedCoordinateSystemassociated​

 

 

 

with the Frame of Reference. It allows transformation from the​

 

 

 

Equipment-BasedCoordinateSystemtothePatient-BasedCoordinate​

 

 

 

System.​

Note​

Referenced Overlay Sequence (0008,1130) and Referenced Curve Sequence (0008,1145) were previously included in this​ Module as optional Attributes but have been retired. See PS3.3-2004.​

C.8.9.4.1 PET Image Module Attribute Descriptions​

C.8.9.4.1.1 Image Type​

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

Note​

ForPETimages,ImageType(0008,0008)Value1willbeORIGINALforreconstructedimages.DERIVEDmaybeappropriate​ for some other results images. For PET images, Image Type (0008,0008) Value 2 will be PRIMARY.​

C.8.9.4.1.2 Photometric Interpretation​

Enumerated Values:​

MONOCHROME2​

See Section C.7.6.3.1.2 for definition of this term.​

C.8.9.4.1.3 Frame Time​

Frame Time (0018,1063) is the explicit duration of the gated frame when Cardiac Framing Type (0018,1064) is equal to FORW or​ BACK. Frame Time (0018,1063) is the nominal duration of the gated frame when Cardiac Framing Type (0018,1064) is equal to​ PCNT.​

C.8.9.4.1.4 Acquisition Date, Acquisition Time​

For PET Images, Acquisition Date (0008,0022) and Acquisition Time (0008,0032) are specified to be Type 2. Acquisition Date​ (0008,0022) and Acquisition Time (0008,0032) use the same time base as Series Time (0008,0031).​

For Series Type (0054,1000) Value 1 equal to STATIC, WHOLE BODY, or DYNAMIC, Acquisition Time (0008,0032) is the real-world​ beginningoftheaccumulationofeventsintothisImage.ForSTATIC,WHOLEBODY,orDYNAMICSeries,AcquisitionTime(0008,0032)​ may vary from Image to Image within a PET Series.​

For Series Type (0054,1000) Value 1 equal to GATED, Acquisition Time (0008,0032) is the real-world beginning of the capability of​ accumulating events into this Image. (The actual accumulation of events has only occurred during an R-R Interval.) For GATED​ Series, Acquisition Time (0008,0032) shall not vary from Image to Image within a PET Series.​

C.8.9.4.1.5 Frame Reference Time​

Frame Reference Time (0054,1300) is the time that the pixel values in the Image occurred. Frame Reference Time is defined as the​ time offset, in msec, from the Series Reference Time, where the Series Reference Time is defined by the combination of Series Date​ (0008,0021) and Series Time (0008,0031).​

Note​

Frame Reference Time (0054,1300) is implementation dependent and may or may not be tied to any real-world event. To​ illustrate the meaning of Frame Reference Time (0054,1300), the following are some examples of possible implementations:​

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DICOM PS3.3 2020a - Information Object Definitions​

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•​Example 1: For a long-lived radionuclide and a non-time-varying radiopharmaceutical distribution, an implementation sets​ the Frame Reference Time (0054,1300) to the midpoint of the Actual Frame Duration (0018,1242).​

•​Example2:Forashort-livedradionuclideandanon-time-varyingradiopharmaceuticaldistribution,animplementationsets​ the Frame Reference Time (0054,1300) to the time at which the average activity occurs for a decaying radionuclide, Tave.​ If image acquisition started at the Series Reference Time and the image has not been decay corrected, then Tave will be:​

Tave =

1

ln

λ

T

 

1 − e

− λ T

 

λ

where:​

•​lambda = decay constant = (ln 2) / T1/2​

•​T1/2 = Radionuclide Half Life (0018,1075)​

•​T = Actual Frame Duration (0018,1242)​

Note that Tave will be sooner than the midpoint of the Actual Frame Duration (0018,1242).​

•​Example 3: For a short-lived radionuclide and a time-varying radiopharmaceutical distribution, an implementation with​ supplementary data (e.g., scanner count rates or blood sample data) sets the Frame Reference Time (0054,1300) to a​ derived time determined to be its best estimate of the time that the pixel values occurred.​

C.8.9.4.1.6 Actual Frame Duration​

The accumulation of counts for a PET Image shall occur entirely between:​

1.​the acquisition starting time (as specified by Acquisition Date (0008,0022) and Acquisition Time (0008,0032)), and​

2.​the acquisition ending time, which is equal to the acquisition starting time in (1) plus the Actual Frame Duration (0018,1242).​

If Series Type (0054,1000) Value 1 is GATED, then the actual accumulation of counts has only occurred during an R-R Interval.​

C.8.9.4.1.7 Secondary Counts Accumulated​

Secondary Counts Accumulated (0054,1311) is multi-valued and, if supplied, has Values corresponding to the Secondary Counts​ Type (0054,1220). The number and order of the Values in Secondary Counts Accumulated (0054,1311) shall be the same as Sec-​ ondary Counts Type (0054,1220).​

C.8.9.4.1.8 Dose Calibration Factor​

The Dose Calibration Factor (0054,1322) is the factor that was used to scale this image from counts/sec to Bq/ml using an external​ dose calibrator. The value shall be one if no dose calibration was applied. The application of a dose calibration correction is specified​ by Corrected Image (0028,0051) equal to DCAL.​

Note​

DoseCalibrationFactor(0054,1322)isnotequaltotheinverseofthesensitivity(kcps/Bq/ml)ofthescanner,whichisusually​ measured for a given radiopharmaceutical distribution and excluding the effects of attenuation.​

C.8.9.4.1.9 Image Index​

Image Index (0054,1330) is an index identifying the position of this image within a PET Series.​

Note​

The scheme for encoding Image Index (0054,1330) is as follows. Images within a PET Series can be viewed as a multi-di-​ mensional array whose possible dimensions include R-R Intervals, Time Slots, Time Slices, and Slices. The dimensions of​ the array are defined by Series Type (0054,1000) Value 1. Each dimension of the array has an index that identifies the pos-​ itionofthisimageinthearray.Theindicesare:R-RIntervalIndex,TimeSlotIndex,TimeSliceIndex,SliceIndex.Theindices​ are calculated as follows:​

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