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DICOM PS3.3 2020a - Information Object Definitions​

Page 1181​

Attribute Name​

Tag​

Type​

Attribute Description​

 

Stimuli Retesting Quantity​

(0024,0042)​

3​ Total number of times in the course of a visual field exam that any​

 

 

location had to be retested at the same magnitude.​

 

 

 

 

Note​

 

 

 

 

An example is that the patient received 20 stimuli and​

 

 

 

blinked twice, therefore need to present the stimuli two​

 

 

 

additional times in which case the value is 2.​

 

Patient Reliability Indicator​

(0024,0069)​

3​ Vendor implementation specific text to provide an analysis and/or​

 

 

summary of patient reliability indicator/indices.​

 

Comments on Patient's​

(0024,0044)​

3​ Operator's (test administrator) subjective comment on patient's​

Performance of Visual Field​

 

performance.​

 

Visual Field Test Reliability​

(0024,0317)​

3​ Informationaboutvariousvisualfieldindicesrelatedtotestreliability.​

Global Index Sequence​

 

One or more Items are permitted in this Sequence.​

 

 

 

 

>Include Table C.8.26.3-2 “Ophthalmic Visual Field Global Index​

 

 

Macro Attributes”​

 

 

 

 

C.8.26.3.1 Ophthalmic Visual Field Global Index Macro​

 

Table C.8.26.3-2 describes the Attributes for the Ophthalmic Visual Field Global Index Macro.​

 

Table C.8.26.3-2. Ophthalmic Visual Field Global Index Macro Attributes​

 

Attribute Name​

Tag​

Type​

Attribute Description​

 

DataObservationSequence​

(0024,0325)​

1​

Information about various visual field global indexes.​

 

 

 

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

>Include Table 10-2 “Content Item Macro Attributes Description”​

Value Type (0040,A040) shall be NUMERIC or CODE.​

 

 

 

Concept Name Code Sequence (0040,A043) shall use CID​

 

 

 

4257 “Visual Field Global Index Name”.​

 

 

 

 

Concept Code Sequence (0040,A168) shall use CID 4254​

 

 

 

“Visual Field Static Perimetry Test Analysis Results”.​

Index Normals Flag​

(0024,0338)​

1​

Whether normative data exists for this index.​

 

 

 

 

Enumerated Values:​

 

 

 

 

YES​

 

 

 

 

NO​

 

Index Probability Sequence​

(0024,0344)​

1C​

Probability value and software algorithm used to provide the​

 

 

 

index.​

 

 

 

 

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

 

 

 

Required if Index Normals Flag (0024,0338) is YES.​

>Index Probability​

(0024,0341)​

1​

Probability for the index value within the normal population,​

 

 

 

in percent.​

 

>Include Table 10-19 “Algorithm Identification Macro Attributes”​

C.8.26.4 Visual Field Static Perimetry Test Measurements Module​

Table C.8.26.4-1 defines the Attributes used to represent the test measurement values determined during a patient's visual field test.​

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Page 1182​ DICOM PS3.3 2020a - Information Object Definitions​

Table C.8.26.4-1. Visual Field Static Perimetry Test Measurements Module Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Measurement Laterality​

(0024,0113)​

1​

Laterality of body part (eye) examined.​

 

 

 

See Section C.8.26.4.1.1 for further explanation.​

 

 

 

Enumerated Values:​

 

 

 

R​right​

 

 

 

L​left​

 

 

 

B​both left and right together​

 

 

 

Note​

 

 

 

This Attribute is mandatory, in order to ensure that​

 

 

 

measurements may be positioned correctly relative to one​

 

 

 

another for display.​

 

 

 

Note​

 

 

 

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

 

 

 

be the same for all Measurements in the Series, hence it​

 

 

 

must be absent if multiple instances from different eyes are​

 

 

 

encoded.​

Presented Visual Stimuli Data​

(0024,0037)​

1​

Whether the device was able to determine presented visual stimuli.​

Flag​

 

 

Enumerated Values:​

 

 

 

 

 

 

YES​

 

 

 

NO​

Number of Visual Stimuli​

(0024,0038)​

1C​

The total number of visual stimuli presented to the patient. This​

 

 

 

includes the number of stimuli repetitions.​

 

 

 

Required if Presented Visual Stimuli Data Flag (0024,0037) is YES.​

Visual Field Test Duration​

(0024,0088)​

1​

Total time the visual field machine was actively presenting visual​

 

 

 

stimuli to patient, in seconds.​

Foveal Sensitivity Measured​

(0024,0086)​

1​

Whether foveal sensitivity was measured.​

 

 

 

Enumerated Values:​

 

 

 

YES​

 

 

 

NO​

Foveal Sensitivity​

(0024,0087)​

1C​

Foveal Sensitivity is the reciprocal of foveal threshold (1/foveal​

 

 

 

threshold), in dB.​

 

 

 

Foveal Threshold is the minimum amount of luminance increment on​

 

 

 

a uniform background that can be detected by the patient at​

 

 

 

coordinates 0,0 (relative to the center of the patient's fixation).​

 

 

 

See Section C.8.26.4.1.2 for further explanation.​

 

 

 

Required if the value for Foveal Sensitivity Measured (0024,0086) is​

 

 

 

YES.​

Foveal Point Normative Data​

(0024,0117)​

1​

Existence of normative data base for the foveal point sensitivity.​

Flag​

 

 

Enumerated Values:​

 

 

 

YES​

NO​

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DICOM PS3.3 2020a - Information Object Definitions​

Page 1183​

Attribute Name​

Tag​

Type​

Attribute Description​

 

Foveal Point Probability Value​

(0024,0118)​

1C​

The percentile of the foveal point sensitivity within an age corrected​

 

 

 

normal visual field, in percent.​

 

 

 

 

Required if the value for Foveal Sensitivity Measured (0024,0086) is​

 

 

 

YES and Foveal Point Normative Data Flag (0024,0117) is YES.​

Screening Baseline Measured​

(0024,0120)​

1​

Whether visual field screening baseline was measured.​

 

 

 

Enumerated Values:​

 

 

 

 

YES​

 

 

 

 

NO​

 

Screening Baseline Measured​

(0024,0122)​

1C​

Information about the starting luminance screening values.​

Sequence​

 

 

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

 

 

 

 

 

 

 

 

Required if the value for Screening Baseline Measured (0024,0120)​

 

 

 

is YES.​

 

>Screening Baseline Type​

(0024,0124)​

1​

Method used to determine starting luminance screening values.​

 

 

 

Enumerated Values:​

 

 

 

 

CENTRAL​

 

 

 

 

PERIPHERAL​

 

>Screening Baseline Value​

(0024,0126)​

1​

Visual Field screening baseline value, in dB.​

 

Blind Spot Localized​

(0024,0106)​

1​

Whether the blind spot was measured.​

 

 

 

 

Enumerated Values:​

 

 

 

 

YES​

 

 

 

 

NO​

 

Blind Spot X-Coordinate​

(0024,0107)​

1C​

The horizontal coordinate of the patient's blind spot relative to the​

 

 

 

center of the patient's fixation, in degrees, such that toward the right​

 

 

 

is positive.​

 

 

 

 

Required if the value for Blind Spot Localized (0024,0106) is YES.​

 

 

 

See Section C.8.26.4.1.3 for further explanation.​

 

Blind Spot Y-Coordinate​

(0024,0108)​

1C​

Theverticalcoordinateofthepatient'sblindspotrelativetothecenter​

 

 

 

of the patient fixation, in degrees, such that up is positive.​

 

 

 

Required if the value for Blind Spot Localized (0024,0106) is YES.​

 

 

 

See Section C.8.26.4.1.3 for further explanation.​

 

Minimum Sensitivity Value​

(0024,0105)​

1​

The minimum sensitivity value generated by the equipment used for​

 

 

 

this visual field test, in dB.​

 

Test Point Normals Data Flag​

(0024,0057)​

1​

Existence of normative data base for at least one of the test points​

 

 

 

in this set of test points.​

 

 

 

 

Enumerated Values:​

 

 

 

 

YES​

 

 

 

 

NO​

 

Test Point Normals Sequence​

(0024,0058)​

1C​

Normative data base used for this test sequence.​

 

 

 

 

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

 

 

 

 

Required if Test Point Normals Data Flag (0024,0057) is YES.​

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Page 1184​

DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

 

Attribute Description​

>IncludeTable10-22“Externally-SourcedDataSetIdentification​

 

Macro Attributes”​

 

 

 

 

Age Corrected Sensitivity​

(0024,0065)​

1C​

Software algorithm used to provide the probability that the age​

DeviationAlgorithmSequence​

 

 

corrected sensitivity deviation values at each test point belong to a​

 

 

 

normal visual field.​

 

 

 

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

 

 

 

Required if Test Point Normals Data Flag (0024,0057) is YES.​

>IncludeTable10-19“AlgorithmIdentificationMacroAttributes”​

 

Generalized Defect Sensitivity​

(0024,0067)​

1C​

Software algorithm used to provide the probability that the sensitivity​

DeviationAlgorithmSequence​

 

 

deviation values at each test point belong to a normal visual field.​

 

 

 

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

 

 

 

Required if Test Point Normals Data Flag (0024,0057) is YES.​

>IncludeTable10-19“AlgorithmIdentificationMacroAttributes”​

 

Visual Field Test Point​

(0024,0089)​

1​

Information for each test point in the visual field.​

Sequence​

 

 

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

 

 

 

>Visual Field Test Point​

(0024,0090)​

1​

The horizontal coordinate of a single test point relative to the center​

X-Coordinate​

 

 

ofthepatientfixation,indegrees,suchthattowardtherightispositive.​

>Visual Field Test Point​

(0024,0091)​

1​

The vertical coordinate of a single test point relative to the center of​

Y-Coordinate​

 

 

the patient fixation, in degrees, such that up is positive.​

>Stimulus Results​

(0024,0093)​

1​

Whether the patient saw a stimulus presented at a luminance other​

 

 

 

thanmaximum,apresentationatmaximumluminance,ordidnotsee​

 

 

 

any presented stimulus.​

 

 

 

Enumerated Values:​

 

 

 

SEEN​

stimulus seen at a luminance value less than​

 

 

 

 

maximum​

 

 

 

NOT SEEN​ stimulus not seen​

 

 

 

SEENATMAX​stimulus seen at the maximum luminance possible​

 

 

 

 

for the instrument​

 

 

 

Note​

 

 

 

 

SEEN AT MAX is a value only relevant to Screening tests.​

>Sensitivity Value​

(0024,0094)​

1C​

If Stimulus Results (0024,0093) is SEEN then this value is the​

 

 

 

sensitivity, in dB.​

 

 

 

Required if Content Item Modifier Sequence (0040,0441) within​

 

 

 

Performed Protocol Code Sequence (0040,0260) contains an Item​

 

 

 

with the value (261004008, SCT, "Diagnostic"). May be present​

 

 

 

otherwise.​

 

 

 

 

Note​

 

 

 

 

If this is not present, refer to the Attribute Minimum​

 

 

 

Sensitivity Value (0024,0105).​

>Retest Stimulus Seen​

(0024,0095)​

3​

Whether the retested stimulus presented was seen by the patient.​

 

 

 

Enumerated Values:​

YES​

NO​

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DICOM PS3.3 2020a - Information Object Definitions​

Page 1185​

Attribute Name​

Tag​

Type​

Attribute Description​

 

>Retest Sensitivity Value​

(0024,0096)​

3​

If the Retest Stimulus Seen (0024,0095) is YES, then this value is​

 

 

 

the sensitivity, in dB.​

 

 

 

 

Note​

 

 

 

 

If this is not present, refer to the Attribute Minimum​

 

 

 

Sensitivity Value (0024,0105).​

 

>Quantified Defect​

(0024,0098)​

3​

Differencebetweentheexpectedandthedeterminedsensitivity,each​

 

 

 

in dB.​

 

 

 

 

Note​

 

 

 

 

This field is only useful when the sensitivity is quantified.​

 

 

 

Some examples include Test Strategy Code Sequence​

 

 

 

(0024,0015) with Items providing values such as​

 

 

 

 

Quantity-Defects, 2LT-Dynamic, 2LT-Normal.​

 

>Visual Field Test Point​

(0024,0097)​

2C​

Information about normal values for each visual field test point.​

Normals Sequence​

 

 

ZeroormoreItemsshallbeincludedinthisSequence.Maybeempty​

 

 

 

 

 

 

if there is no normative data for this test point.​

 

 

 

 

Required if Test Point Normals Data Flag (0024,0057) is YES.​

>>Age Corrected Sensitivity​

(0024,0092)​

1​

Differencebetweenthepatient'slocalsensitivityandtheagecorrected​

Deviation Value​

 

 

normal sensitivity, in dB.​

 

>>Age Corrected Sensitivity​

(0024,0100)​

1​

The percentile of the age corrected sensitivity deviation within the​

Deviation Probability Value​

 

 

normal population of visual field, in percent.​

 

>> Generalized Defect​

(0024,0102)​

1​

Whethergeneralizeddefectcorrecteddataareavailableforthispoint.​

CorrectedSensitivityDeviation​

 

 

Enumerated Values:​

 

Flag​

 

 

 

 

 

 

YES​

 

 

 

 

NO​

 

>>Generalized Defect​

(0024,0103)​

1C​

The age corrected sensitivity deviation after correction for the​

CorrectedSensitivityDeviation​

 

 

Generalized Defect, in dB. Generalized defect is proportional to the​

Value​

 

 

loss in sensitivity shared by all points in the visual field.​

 

 

 

Required if Generalized Defect Corrected Sensitivity Deviation Flag​

 

 

 

(0024,0102) is YES.​

 

>>Generalized Defect​

(0024,0104)​

1C​

Thepercentileofthegeneralizeddefectcorrectedsensitivitydeviation​

CorrectedSensitivityDeviation​

 

 

within the normal population of visual field, in percent.​

 

Probability Value​

 

 

Required if Generalized Defect Corrected Sensitivity Deviation Flag​

 

 

 

 

 

 

(0024,0102) is YES.​

 

C.8.26.4.1 Visual Field Static Perimetry Test Measurement Attribute Descriptions​

C.8.26.4.1.1 Measurement Laterality​

When B (both left and right together) eyes are provided for Measurement Laterality (0024,0113) it shall mean that both eyes are open​ during the test (binocular). It shall not be used to provide two monocular tests (i.e., one for the left eye and one for the right). Two​ monocular tests require two SOP Instances and two monocular tests with one binocular test require three SOP Instances.​

C.8.26.4.1.2 Foveal Sensitivity​

For Foveal Sensitivity (0024,0087), the terminology commonly used for perimetric measurements is employed, with reference to​ visual thresholds designated by a decibel (dB) scale. The decibel scale for conventional perimetry is based on the maximum stimulus​ luminance that can be superimposed on a uniform background, and it is given a value of 0 dB of sensitivity. Sensitivity is the inverse​

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