Материал: part03

Внимание! Если размещение файла нарушает Ваши авторские права, то обязательно сообщите нам

Page 896​

DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

Attribute Description​

Compression Force​

(0018,11A2)​

3​

Thecompressionforceappliedtothebodypartduringexposure,measured​

 

 

 

in Newtons.​

Compression Pressure​

(0018,11A3)​

3​

The average compression pressure applied to the body part during​

 

 

 

exposure, calculated in kPa.​

Compression Contact​

(0018,11A5)​

3​

The area of the body part to which compression has been applied during​

Area​

 

 

exposure, measured in mm2.​

 

 

 

Note​

 

 

 

Area information is useful in addition to the Compression​

 

 

 

Pressure (0018,11A3) and Compression Force (0018,11A2) in​

 

 

 

the event that unusual values are encountered.​

Paddle Description​

(0018,11A4)​

3​

Descriptionofthe compressionpaddle, ifcompressionwasappliedto the​

 

 

 

body part during exposure.​

C.8.11.5.1 DX Positioning Attribute Descriptions​

C.8.11.5.1.1 View Code Sequence​

View Code Sequence (0054,0220) replaces the function of View Position (0018,5101), and describes the radiographic view of the​ imagerelativetothereal-worldpatientorientationasdescribedinAnnexA“ExplanationofPatientOrientation(Normative)”inPS3.17.​

C.8.11.5.1.2 Patient Orientation Code Sequence​

This Attribute is not related to Patient Orientation (0020,0020) and conveys a different concept entirely.​

C.8.11.6 Mammography Series Module​

Table C.8-73 specifies the Attributes that identify and describe general information about a Digital Mammography Series.​

Table C.8-73. Mammography Series Module Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Modality​

(0008,0060)​

1​

Typeofequipmentthatoriginallyacquiredthedatausedtocreatetheimages​

 

 

 

in this Series.​

 

 

 

Enumerated Values:​

 

 

 

MG​

 

 

 

See Section C.7.3.1.1.1 for further explanation.​

Request Attributes​

(0040,0275)​

3​

Sequence that contains Attributes from the Imaging Service Request.​

Sequence​

 

 

One or more Items are permitted in this Sequence.​

 

 

 

>Include Table 10-9 “Request Attributes Macro​

For Reason for Requested Procedure Code Sequence (0040,100A) the​

Attributes”​

 

 

Baseline CIDs are CID 6051 “Breast Procedure Reason” and CID 6055​

“BreastClinicalFindingorIndicatedProblem”.NoBaselineCIDsaredefined​ for other Attributes.​

Note​

For example, Reason for Requested Procedure Code Sequence​ (0040,100A) may be used to convey whether the images in the​ Series were taken for screening or diagnostic purposes, if the​ information cannot be found in Reason For Performed Procedure​ Code Sequence (0040,1012) in the General Study Module.​

- Standard -​

DICOM PS3.3 2020a - Information Object Definitions​

Page 897​

C.8.11.7 Mammography Image Module​

Table C.8-74 contains IOD Attributes that describe a Digital Mammography X-Ray Image including its acquisition and positioning.​

Table C.8-74. Mammography Image Module Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Image Type​

(0008,0008)​

1​

Image identification characteristics.​

 

 

 

See Section C.8.11.7.1.4 for specialization.​

Positioner Type​

(0018,1508)​

1​

Enumerated Values:​

 

 

 

MAMMOGRAPHIC​

 

 

 

NONE​

Distance Source to​

(0018,1110)​

3​ Distance in mm from source to detector center on the chest wall line​

Detector​

 

 

Note​

 

 

 

 

 

 

1.​This value is traditionally referred to as Source Image​

 

 

 

Distance (SID).​

 

 

 

2.​See Section C.8.11.7.1.1.​

Distance Source to​

(0018,1111)​

3​ Distance in mm from source to the breast support side that is closest to the​

Patient​

 

 

Imaging Subject, as measured along the X-Ray beam vector.​

 

 

 

Note​

 

 

 

1.​This value is traditionally referred to as Source Object​

 

 

 

Distance (SOD).​

 

 

 

2.​SeenotesforthisAttributeinSectionC.8.11.5DXPositioning​

 

 

 

Module.​

 

 

 

3.​See Section C.8.11.7.1.1 for description of X-Ray beam​

 

 

 

vector.​

PositionerPrimaryAngle​

(0018,1510)​

3​ Signed position in degrees of the X-Ray beam vector in the coronal​

 

 

 

anatomicalplaneasifthepatientwerestandingfacingtheequipmentwhere​

 

 

 

vertical is zero.​

PositionerPrimaryAngle​

(0018,9559)​

3​ The interpretation of the sign of the Positioner Primary Angle (0018,1510).​

Direction​

 

 

Enumerated Values:​

 

 

 

 

 

 

CW​Clockwise. Positioner Primary Angle movement is positive when​

 

 

 

movement is from vertical to the patient's right (with patient standing,​

 

 

 

facing equipment).​

 

 

 

CC​Counter clockwise. Positioner Primary Angle is positive when​

 

 

 

movement is from vertical to the patient's left (with patient standing,​

 

 

 

facing the equipment).​

 

 

 

See Section C.8.31.2.1.​

Positioner Secondary​

(0018,1511)​

3​ Position in degrees of the X-Ray beam vector in the sagittal anatomical​

Angle​

 

 

plane as if the patient were standing where movement of the X-Ray source​

 

 

 

from anterior to posterior is positive, and vertical is zero.​

- Standard -​

Page 898​

DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

Attribute Description​

Image Laterality​

(0020,0062)​

1​ Laterality of the region examined.​

 

 

 

Enumerated Values:​

 

 

 

R​right​

 

 

 

L​left​

 

 

 

B​both (e.g., cleavage)​

 

 

 

Shall be consistent with any laterality information contained in Primary​

 

 

 

Anatomic Structure Modifier Sequence (0008,2230) and/or Laterality​

 

 

 

(0020,0060), if present.​

 

 

 

Note​

 

 

 

Laterality (0020,0060) is a Series level Attribute and must be the​

 

 

 

sameforallImagesintheSeries,henceitmustbeabsentifImage​

 

 

 

Laterality(0020,0062)hasdifferentvaluesforImagesinthesame​

 

 

 

Series.​

Organ Exposed​

(0040,0318)​

1​ Organ to which Organ Dose (0040,0316) applies.​

 

 

 

Enumerated Values:​

 

 

 

BREAST​

 

 

 

Note​

 

 

 

In the Mammography IOD, Organ Dose (0040,0316) refers to the​

 

 

 

mean glandular dose.​

Breast Implant Present​

(0028,1300)​

3​ Whether or not the imaged breast contains a breast implant regardless of​

 

 

 

the visibility of a breast implant in the Pixel Data.​

 

 

 

Enumerated Values:​

 

 

 

YES​

 

 

 

NO​

 

 

 

Note​

 

 

 

The value is expected to be YES for all images acquired on a​

 

 

 

breast that contains a breast implant, even when a breast implant​

 

 

 

is displaced during image acquisition.​

Partial View​

(0028,1350)​

3​ Indicates whether this image is a partial view, that is a subset of a single​

 

 

 

view of the breast.​

Enumerated Values:​

YES​

NO​

If this Attribute is absent, then the image may or may not be a partial view.​

Note​

This may occur when a breast is larger than the active area of the​ detector.​

If this Attribute is present, its value shall be NO if there is a View Modifier​ Code Sequence (0054,0222) Item of value (399163009, SCT,​ "Magnification") or (399055006, SCT, "Spot Compression").​

- Standard -​

 

DICOM PS3.3 2020a - Information Object Definitions​

Page 899​

Attribute Name​

Tag​

Type​

Attribute Description​

 

Partial View Description​

(0028,1351)​

3​

Free text description of the portion of the breast captured in a partial view​

 

 

 

image.​

 

 

 

 

ThisAttributeshallnotbepresentifthereisaViewModifierCodeSequence​

 

 

 

(0054,0222) Item of value (399163009, SCT, "Magnification") or​

 

 

 

(399055006, SCT, "Spot Compression").​

 

Partial View Code​

(0028,1352)​

3​

Sequence that describes the portion or section of the breast captured in a​

Sequence​

 

 

partial view image.​

 

 

 

 

Only one or two Items are permitted in this Sequence.​

 

 

 

 

See Section C.8.11.7.1.3.​

 

 

 

 

If this Attribute is absent, then the image may or may not be a partial view.​

 

 

 

ThisAttributeshallnotbepresentifthereisaViewModifierCodeSequence​

 

 

 

(0054,0222) Item of value (399163009, SCT, "Magnification") or​

 

 

 

(399055006, SCT, "Spot Compression").​

 

>Include Table 8.8-1 “Code Sequence Macro Attributes”​DCID 4005 “Partial View Section for Mammography”.​ Include Table 10-5 “General Anatomy Mandatory Macro​Defined CID for the Anatomic Region Sequence is CID 4013 “Anatomic​

Attributes”​

 

Region for Mammography”.​

View Code Sequence​

(0054,0220)​

1​ Sequence that describes the projection of the anatomic region of interest​

 

 

on the image receptor.​

 

 

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

>Include Table 8.8-1 “Code Sequence Macro Attributes”​DCID 4014 “View for Mammography”.​

.​

 

 

>View Modifier Code​

(0054,0222)​

2​ View modifier.​

Sequence​

 

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

 

 

>>IncludeTable8.8-1“CodeSequenceMacroAttributes”​DCID 4015 “View Modifier for Mammography”.​

BiopsyTargetSequence​

(0018,2041)​

3​ Sequence that identifies the targets of a biopsy procedure. One or more​

 

 

Items are permitted in this Sequence, where the coordinate system is the​

 

 

same for all Items within a pair of stereo images.​

>Target UID​

(0018,2042)​

1​ Unique identifier for the target.​

 

 

Note​

 

 

Toidentifythesametargetincorrespondingminusandplusstereo​

 

 

images.​

>Localizing Cursor​

(0018,2043)​

1​ Coordinates of localizing cursor position with respect to pixels in the image​

Position​

 

specified by a column (delimiter) row pair. The values shall be in the range​

 

 

0\0 (TLHC) to Columns\Rows (BRHC).​

>Calculated Target​

(0018,2044)​

1​ The calculated target position (x, y, z) in mm in an equipment relative​

Position​

 

right-handedcoordinatesystemwheretheoriginisunderthecentralX-Ray​

 

 

beam at the chest wall, and a z value of zero is located at the surface that​

 

 

the breast is in contact with that is closest to the detector.​

X is parallel to the chest wall, y is positive toward the patient's nipple, and​ z is positive toward the X-Ray source.​

- Standard -​

Page 900​

DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

Attribute Description​

>Displayed Z Value​

(0018,2046)​

1​

The z value in mm displayed to the user at the time of biopsy.​

 

 

 

Note​

 

 

 

1.​This may be the same as the z value of Calculated Target​

 

 

 

Position or different in direction or reference point, such as​

 

 

 

relative to the compression paddle.​

 

 

 

2.​This is not the distance that the needle was inserted,​

 

 

 

particularly for a lateral (parallel) approach.​

>Target Label​

(0018,2045)​

3​

Target description.​

C.8.11.7.1 Mammography Image Attribute Descriptions​

C.8.11.7.1.1 Mammography X-Ray Beam and X-Ray Beam Vector Definition​

Figure C.8.11.7-1 shows the X-Ray beam for a digital mammography system. The X-Ray beam vector is defined from the Focal Spot​ to the center of the chest wall line of the Image Detection device.​

Z

X-Ray Beam

 

X-Ray Beam Vector

Y

Image Plane

positive rotation

 

O

X

positive rotation

Figure C.8.11.7-1. X-Ray Beam for a Digital Mammography System​

C.8.11.7.1.2 Detector Primary and Secondary Angles​

Detector Angles are defined in a fashion similar to the positioner angles, except that the angle of the X-Ray beam vector is relative​ to the detector plane rather than the patient plane. Zero degrees is referenced to the normal of the detector plane pointing toward the​ X-Ray source. The valid range of the Detector Angles is -90 to + 90 degrees.​

The Primary Axis of rotation is defined along the line in the column direction of the detector plane that intersects the X-Ray beam​ vector. The Detector Primary Angle is defined in the plane perpendicular to the Primary Axis of rotation at the point where the X-Ray​ beam vector intersects the detector plane, with zero degrees in the direction normal to the detector plane and +90 in the direction of​ the higher numbered columns of the detector in that plane. The valid range of Detector Primary Angle is -90 to +90 degrees.​

The Secondary Axis is in the detector plane and is perpendicular to the Primary Axis at the intersection of the beam vector with the​ detectorplane(i.e.,itisalongtherowdirection).TheDetectorSecondaryAngleisdefinedintheplaneperpendiculartotheSecondary​ Axis at the point where the X-Ray beam vector intersects the detector plane, with zero degrees in the direction normal to the detector​

- Standard -​