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DICOM PS3.3 2020a - Information Object Definitions​

Page 1021​

Attribute Name​

Tag​

Type​

Attribute Description​

 

In-concatenation Total​

(0020,9163)​

1​

The number of SOP Instances sharing the same Concatenation UID​

Number​

 

 

(0020,9161).​

 

 

 

 

See Section C.8.17.16.3 for further explanation.​

 

 

 

 

Enumerated Values:​

 

 

 

 

1​

 

Image Comments​

(0020,4000)​

3​

User-defined comments about the image​

 

The value constraints on Concatenation Frame Offset Number (0020,9228), In-concatenation Number (0020,9162), and In-concaten-​ ation Total Number (0020,9163) have the effect of preventing the use of concatenations.​

TheAttributeOphthalmicVolumetricPropertiesFlag(0022,1622)isYESwhentheOphthalmicTomographyImageStorageSOPInstance​ encodesvolumetricspatialinformation(e.g.FrameofReference,PixelMeasures,PlaneOrientation,PlanePosition,etc.).Forexample,​ ophthalmic tomography volumetric information is required when implementations encode Surface Segmentation SOP Instance(s)​ (e.g., surface segmentation is applied to the structural OCT volume to delineate the anatomical boundaries) and/or an Ophthalmic​ Optical Coherence Tomography B-scan Volume Analysis Storage SOP Instance (e.g., angiographic (blood flow) volume information)​ based upon the volumetric Ophthalmic Tomography Image Storage SOP Instance.​

C.8.17.8 Ophthalmic Tomography Acquisition Parameters Module​

Table C.8.17.8-1 describes patient clinical conditions related to an Ophthalmic Tomography image acquisition.​

Table C.8.17.8-1. Ophthalmic Tomography Acquisition Parameters Module Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Axial Length of the Eye​

(0022,0030)​

2​

Axial length of the eye in mm.​

Horizontal Field of View​

(0022,000C)​

2​

The horizontal field of view in degrees​

Include Table C.8.17.8-2 “Ophthalmic Acquisition Parameters Macro Attributes”​

Table C.8.17.8-2. Ophthalmic Acquisition Parameters Macro Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Refractive State Sequence​

(0022,001B)​

2​

The refractive state of the imaged eye at the time of​

 

 

 

acquisition.​

 

 

 

Zero or one Itemshall be included in this Sequence.​

 

 

 

Zero length means the refractive state was not measured.​

>Spherical Lens Power​

(0022,0007)​

1​

Sphere value in diopters​

>Cylinder Lens Power​

(0022,0008)​

1​

Cylinder value in diopters​

>Cylinder Axis​

(0022,0009)​

1​

Axis value in degrees​

Emmetropic Magnification​

(0022,000A)​

2​

Emmetropicmagnificationvalue(dimensionless).Zerolength​

 

 

 

means the emmetropic magnification was not measured.​

Intra Ocular Pressure​

(0022,000B)​

2​

Value of intraocular pressure in mmHg.​

 

 

 

Zero length means the pressure was not measured​

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Page 1022​

DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

Pupil Dilated​

(0022,000D)​

2​

Mydriatic Agent Sequence​

(0022,0058)​

2C​

>Mydriatic Agent Code​

(0022,001C)​

1​

Sequence​

 

 

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

 

>MydriaticAgentConcentration​

(0022,004E)​

3​

>MydriaticAgentConcentration​

(0022,0042)​

1C​

Units Sequence​

 

 

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

 

Degree of Dilation​

(0022,000E)​

2C​

Attribute Description​

Whether or not the patient's pupils were pharmacologically​ dilated for this acquisition.​

Enumerated Values:​

YES​

NO​

If this Attribute is empty, no information is available.​ Information about the agent administered.​

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

Note​

An empty Sequence indicates that an agent was​ used for dilation, but the name was not entered.​

Required if the value of Pupil Dilated (0022,000D) is YES.​ The actual agent administered to dilate the pupil.​

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

BCID 4208 “Mydriatic Agent”.​

The concentration of the agent.​

Units of measure for the Mydriatic Agent Concentration.​

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

Required if Mydriatic Agent Concentration (0022,004E) is​ present.​

DCID 82 “Units of Measurement”.​

The degree of the dilation in mm.​

Required if the value of Pupil Dilated (0022,000D) is YES.​

C.8.17.9 Ophthalmic Tomography Parameters Module​

Table C.8.17.9-1 describes the parameters and characteristics of the acquisition device related to an Ophthalmic Tomography image​ acquisition.​

Table C.8.17.9-1. Ophthalmic Tomography Parameters Module Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Acquisition Device Type​

(0022,0015)​

1​

Describes the type of acquisition device.​

Code Sequence​

 

 

 

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

>Include Table 8.8-1 “Code Sequence Macro Attributes”​ BCID 4210 “Ophthalmic Tomography Acquisition Device”.​

LightPathFilterTypeStack​ (0022,0017)​ 2​ Filters used in the light source path.​ Code Sequence​

 

 

 

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

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

BCID 4204 “Ophthalmic Filter”.​

>Light Path Filter​

(0022,0001)​

3​

Nominal pass-through wavelength of light path filter in nm​

Pass-Through Wavelength​

 

 

 

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DICOM PS3.3 2020a - Information Object Definitions​

Page 1023​

Attribute Name​

Tag​

Type​

Attribute Description​

 

>Light Path Filter Pass​

(0022,0002)​

3​

Pass band of light path filter in nm. This Attribute has two Values. The​

Band​

 

 

first is the shorter and the second the longer wavelength relative to the​

 

 

 

peak. The values are for the - 3dB nominal (1/2 of peak) pass through​

 

 

 

intensity.​

 

 

 

 

One of the two Values may be zero length, in which case it is a cutoff​

 

 

 

filter.​

 

Detector Type​

(0018,7004)​

1​

Type of detector used for creating this image.​

 

 

 

 

Defined Terms:​

 

 

 

 

CCD​ Charge Coupled Device​

 

 

 

 

CMOS​Complementary Metal Oxide Semiconductor​

 

 

 

 

PHOTO​Photodetector​

 

 

 

 

INT​ Interferometer​

 

Scan Pattern Type Code​

(0022,1618)​

3​

The scan pattern type used to generate this SOP Instance.​

Sequence​

 

 

Only a single Item is permitted in this Sequence.​

 

 

 

 

 

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

DCID 4272 “Opt Scan Pattern Types”​

 

Illumination Wave Length​

(0022,0055)​

1C​

Wavelength of the illuminator in nm. Required if Acquisition Device​

 

 

 

Type Code Sequence (0022,0015) contains an Item with the value​

 

 

 

(392012008, SCT, "Optical Coherence Tomography Scanner"). May​

 

 

 

be present otherwise.​

 

Illumination Power​

(0022,0056)​

1C​

Power of the illuminator in microwatts at corneal plane. Required if​

 

 

 

AcquisitionDeviceTypeCodeSequence(0022,0015)containsanItem​

 

 

 

with the value (392012008, SCT, "Optical Coherence Tomography​

 

 

 

Scanner"). May be present otherwise.​

 

Illumination Bandwidth​

(0022,0057)​

1C​

Bandwidthoftheilluminatorin nm.RequiredifAcquisitionDeviceType​

 

 

 

Code Sequence (0022,0015) contains an Item with the value​

 

 

 

(392012008, SCT, "Optical Coherence Tomography Scanner"). May​

 

 

 

be present otherwise.​

 

Depth Spatial Resolution​

(0022,0035)​

1C​

The inherent limiting resolution in microns for depth of the acquisition​

 

 

 

equipment for high contrast objects for the data gathering and​

 

 

 

reconstruction technique chosen. If variable, the value at the center of​

 

 

 

the scanning volume. Required if Acquisition Device Type Code​

 

 

 

Sequence (0022,0015) contains an Item with the value (392012008,​

 

 

 

SCT, "Optical Coherence Tomography Scanner"). May be present​

 

 

 

otherwise.​

 

Maximum Depth Distortion​

(0022,0036)​

1C​

Maximumdistortionindepthdirectionin%ofDepthSpatialResolution.​

 

 

 

Required if Acquisition Device Type Code Sequence (0022,0015)​

 

 

 

contains an Item with the value (392012008, SCT, "Optical Coherence​

 

 

 

Tomography Scanner"). May be present otherwise.​

 

Along-scan Spatial​

(0022,0037)​

1C​

The inherent limiting resolution in microns of the acquisition equipment​

Resolution​

 

 

in the direction of a row. Required if Acquisition Device Type Code​

 

 

 

Sequence (0022,0015) contains an Item with the value (392012008,​

 

 

 

SCT, "Optical Coherence Tomography Scanner"). May be present​

 

 

 

otherwise.​

 

Maximum Along-scan​

(0022,0038)​

1C​

Maximum distortion in along-scan direction in % of Along-scan Spatial​

Distortion​

 

 

Resolution. Required if Acquisition Device Type Code Sequence​

 

 

 

(0022,0015)containsanItemwiththevalue(392012008,SCT,"Optical​

 

 

 

Coherence Tomography Scanner"). May be present otherwise.​

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Page 1024​

DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

Attribute Description​

Across-scan Spatial​

(0022,0048)​

1C​

The inherent limiting resolution in microns of the acquisition equipment​

Resolution​

 

 

perpendicular to the slice. Required if Acquisition Device Type Code​

 

 

 

Sequence (0022,0015) contains an Item with the value (392012008,​

 

 

 

SCT, "Optical Coherence Tomography Scanner"). May be present​

 

 

 

otherwise.​

Maximum Across-scan​

(0022,0049)​

1C​

Maximum distortion in across-scan direction in % of cross-scan Spatial​

Distortion​

 

 

Resolution. Required if Acquisition Device Type Code Sequence​

 

 

 

(0022,0015)containsanItemwiththevalue(392012008,SCT,"Optical​

 

 

 

Coherence Tomography Scanner"). May be present otherwise.​

C.8.17.10 Ophthalmic Tomography Functional Group Macros​

C.8.17.10.1 Ophthalmic Frame Location Macro​

Table C.8.17.10-1 specifies the Attributes of the Ophthalmic Frame Location Functional Group Macro. This is used to provide a frame​ location relative to one or more referenced images. This Macro describes a frame perpendicular or parallel to the reference image;​ it describes column locations for frames that are scanned either uniformly along a line segment, or with a non-uniform spacing along​ any trajectory in the reference image.​

Table C.8.17.10-1. Ophthalmic Frame Location Macro Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Ophthalmic Frame Location​

(0022,0031)​

1​

Specifies the column locations for this frame in terms of locations​

Sequence​

 

 

on a referenced image.​

 

 

 

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

>Include Table 10-3 “Image SOP Instance Reference Macro​

 

Attributes”​

 

 

 

>Purpose of Reference​

(0040,A170)​

3​

Describes the purpose for which the reference is made.​

Code Sequence​

 

 

Only a single Item is permitted in this Sequence.​

 

 

 

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

Defined Code Concept for Purpose of Reference is (121311, DCM,​

 

 

 

"Localizer").​

>Reference Coordinates​

(0022,0032)​

1​

Image coordinates for the points on the referenced image that​

 

 

 

correspond to the points on this frame. See Section C.8.17.10.1.1.​

 

 

 

Multiple pairs of values where the first value of each pair is the row​

 

 

 

andthesecondvalueofeachpairisthecolumn.Rowisthevertical​

 

 

 

offset and column is the horizontal offset.​

 

 

 

Specified with sub-pixel resolution such that the origin at the Top​

 

 

 

Left Hand Corner (TLHC) of the TLHC pixel is 0.0\0.0, the Bottom​

 

 

 

Right Hand Corner (BRHC) of the TLHC pixel is 1.0\1.0, and the​

 

 

 

BRHC of the BRHC pixel is Rows\Columns (see Figure C.10.5-1,​

 

 

 

except that that row and column order is reversed). The values​

 

 

 

must be within the range 0\0 to Rows\Columns.​

>DepthofTransverseImage​

(0022,0041)​

2C​

Relative position in microns signifying the location of a Transverse​

 

 

 

image in the z-axis. Required if Ophthalmic Image Orientation​

 

 

 

(0022,0039) is TRANSVERSE.​

>Ophthalmic Image​

(0022,0039)​

1​

Enumerated Values:​

Orientation​

LINEAR​

 

 

NONLINEAR​

 

TRANSVERSE​

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DICOM PS3.3 2020a - Information Object Definitions​

Page 1025​

C.8.17.10.1.1 Reference Coordinates​

A frame can be described in terms of its "position" on another image. In the case of ophthalmic tomography (OPT) images with longit-​ udinal orientation, the OPT image corresponds to a vertical slice along a trajectory on the referenced image. Each column of the OPT​ frame is nominally perpendicular to the image. Therefore, each column of the OPT frame can also correspond to a particular pixel on​ anassociatedimage.ItisnormalinOPTanalysistoindicatethelocationoftheOPTslicebyshowingthecorrespondingpixellocations​ on the image. For Transverse frames, the position is indicated by two corners of a rectangle.​

Note​

The simple geometric relationship Modules are not practical to use for describing the relationship between OPT and retinal​ photography images. The retinal surface is highly curved, and the optical path is influenced by the lens and other eye​ structures. It is impractical to measure all of the geometric and optical properties of the eye to the degree needed to establish​ the relationship by geometric computation. It is easy to capture a retinal image and the slice path on that image as part of​ the OPT acquisition.​

The OPT columns for a retinal slice are not strictly perpendicular to the retina and there are minor systematic distortions as a result.​ This DICOM Functional Group does not attempt to capture the data needed to measure or correct for these effects, except for the​ presence of the Maximum Along-scan Distortion Attribute (0022,0038).​

The relationship between the columns in the image frame and the reference image are illustrated in Figure C.8.17.10-1.​

Frames can be captured using a linear scan with uniform column spacing. This permits the column position to be described by giving​ theendpointsofthelinesegmentthatwasscanned.FigureC.8.17.10-1showssuchascanlabeledas"OCTFrame1".Whendescribing​ this frame using the Linear Column Locations Functional Group Macro, the Sequence Attributes would contain:​

a.​The Attributes of the Image SOP Instance Reference Macro would point to a frame of the reference image.​

b.​Reference Coordinates (0022,0032) would contain values that give the row and column coordinates for the image pixel on the​ referenced image that corresponds to the first column of the OPT Frame 1 and the row and column coordinates that corresponds​ to the last column of the OPT Frame 1.​

Framescanalsobetakenalongcurvedpaths,orwithnon-uniformspacing.Theseframescannotbedescribedbyjustthetwoendpoints.​ These frames are described by specifying the referenced image pixel coordinates for each column in the frame. The frame labeled​ "OCT Frame 2" illustrates this kind of relationship. The Non-linear Column Locations Functional Group Macro description for this​ frame would contain:​

a.​The Attributes of the Image SOP Instance Reference Macro would point to a frame of the reference image.​

b.​Reference Coordinates (0022,0032) would contain 2N integer values. Their contents would be:​

1-2 (e,f)​

other values​ 2L-1, 2L (g,h)​

other values​ 2N-1, 2N (x,y)​

A three dimensional OPT raster scan image would be described by a series of Linear Column Location Sequences, one for each​ frame.​

Note​

One expected use of column location is the automatic generation of annotation graphics display. The slice location can be​ indicatedanddynamicallycontrolledonthereferenceimagewhileexaminingtheobservedslices.Thisreplacestherelatively​ inflexible practice of creating a modified retinal image with burned in annotation to indicate the slice locations.​

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