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DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

Attribute Description​

ROI Mean​

(60xx,1302)​

3​

ROI Mean.​

 

 

 

See Section C.9.2.1.2 for further explanation.​

ROI Standard Deviation​

(60xx,1303)​

3​

ROI standard deviation.​

 

 

 

See Section C.9.2.1.2 for further explanation.​

C.9.2.1 Overlay Attribute Descriptions​

C.9.2.1.1 Overlay Type​

There are two specific types of overlays. The type is specified in this Attribute.​

A Region of Interest (ROI) is a specific use of an Overlay. The overlay bits corresponding to all the pixels included in the ROI shall​ be set to 1. All other bits are set to 0. This is used to specify an area of the image of particular interest.​

A Graphics overlay may express reference marks, graphic annotation, or bit mapped text, etc. A Graphics overlay may be used to​ mark the boundary of a ROI. If this is the case and the ROI statistical parameters are used, they will only refer to the pixels under the​ boundaries, not those in the included regions.​

The overlay bits corresponding to all the pixels included in the Graphics shall be set to 1. All other bits are set to 0.​

C.9.2.1.2 ROI Area, ROI Mean and ROI Standard Deviation​

These Attributes contain the statistical parameters of the ROI. The values of these parameters are for the overlay pixel values set to​ 1.​

C.9.2.1.3 Overlay Subtype​

Defined Terms:​

USER​ User created graphic annotation (e.g., operator)​

AUTOMATED​Machine or algorithm generated graphic annotation, such as output of a Computer Assisted Diagnosis algorithm​

Note​

Additional or alternative Defined Terms may be specified in modality specific Modules, such as in the Overlay Subtype.​

C.9.3 Multi-frame Overlay Module​

Table C.9-3 specifies the Attributes of a Multi-frame overlay.​

Table C.9-3. Multi-frame Overlay Module Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Number of Frames in Overlay​

(60xx,0015)​

1​

Number of Frames in Overlay. Required if Overlay data​

 

 

 

contains multiple frames.​

Image Frame Origin​

(60xx,0051)​

3​

Frame number of Multi-frame Image to which this overlay​

 

 

 

applies; frames are numbered from 1.​

C.9.3.1 Multi-frame Overlay Attribute Descriptions​

C.9.3.1.1 Number of Frames in Overlay​

A Multi-frame Overlay is defined as an Overlay whose overlay data consists of a sequential set of individual Overlay frames. A Multi-​ frameOverlayis transmitted as a singlecontiguous stream of overlaydata. Framedelimitersarenotcontainedwithinthe datastream.​

Each individual frame shall be defined (and thus can be identified) by the Attributes in the Overlay Plane Module (see Section C.9.2).​

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The total number of frames contained within a Multi-frame Overlay is conveyed in the Number of Frames in Overlay (60xx,0015).​

The frames within a Multi-frame Overlay shall be conveyed as a logical sequence. If Multi-frame Overlays are related to a Multi-frame​ Image, the order of the Overlay Frames are one to one with the order of the Image frames. Otherwise, no Attribute is used to indicate​ the sequencing of the Overlay Frames. If Image Frame Origin (60xx,0051) is present, the Overlay frames are applied one to one to​ the Image frames, beginning at the indicated frame number. Otherwise, no Attribute is used to indicated the sequencing of the​ Overlay Frames.​

The Number of Frames in Overlay (60xx,0015) plus the Image Frame Origin (60xx,0051) minus 1 shall be less than or equal to the​ total number of frames in the Multi-frame Image.​

C.9.4 Bi-plane Overlay Module (Retired)​

C.9.5 Basic Print Image Overlay Box Module (Retired)​

Retired. See PS3.3-2004.​

C.10 Curve, Graphic and Waveform​

C.10.1 Curve Identification Module (Retired)​

Retired. See PS3.3-2004.​

C.10.2 Curve Module (Retired)​

Retired. See PS3.3-2004.​

C.10.3 Audio Module (Retired)​

Retired. See PS3.3-2004.​

C.10.4 Displayed Area Module​

This Module describes Attributes required to define a Specified Displayed Area space.​

The Specified Displayed Area is that portion of the image displayed on the device.​

If Presentation Size Mode (0070,0100) is specified as SCALE TO FIT, then the specified area shall be displayed as large as possible​ within the available area on the display or window, i.e., magnified or minified if necessary to fit the display or window space available.​

If Presentation Size Mode (0070,0100) is specified as TRUE SIZE, then the physical size of the rendered image pixels shall be the​ same on the screen as specified in Presentation Pixel Spacing (0070,0101).​

If Presentation Size Mode (0070,0100) is specified as MAGNIFY, then the factor that shall be used to spatially interpolate image​ pixels to create pixels on the display is defined.​

Note​

If this factor is specified as 1.0, then one image pixel will correspond to one displayed pixel, and if the Specified Displayed​ Area is the entire image, and it fits on the display, then the number of displayed pixels will equal the number of image pixels.​

In all modes, the actual area rendered on a display device may be greater than the Specified Display Area, if the ratio of rows and​ columns of the Specified Display Area differs from the ratio of rows and columns of the display device or window. The Displayed Area​ relative annotations specified in Section C.10.5 Graphic Annotation Module are rendered relative to the Specified Displayed Area,​ not the actual rendered displayed area.​

Note​

1.​The content of a display outside the Specified Display Area is not defined. In particular no padding value (such as black)​ is specified.​

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DICOM PS3.3 2020a - Information Object Definitions​

2.​In the TRUE SIZE and MAGNIFY modes, if the entire Specified Displayed Area is not visible, then display relative​ graphic annotations may be obscured.​

This Module explicitly specifies the aspect ratio to be used to display the image, even if it is 1:1, and it may be different from that​ specified in the referenced image.​

Note​

1.​Depending on the mode, the aspect ratio is either specified using the Presentation Pixel Aspect Ratio (0070,0102), or​ derived from the Presentation Pixel Spacing (0070,0101).​

2.​This explicit definition of aspect ratio implies that graphic objects that are specified relative to the Specified Display Area​ will not change their shape regardless of the size or shape of the presentation device (e.g., whether a landscape or​ portrait monitor is used).​

3.​The mechanism of interpolation, if necessary, is not specified.​

4.​The image may need to be cropped and scroll bars or a panning mechanism provided in order to provide access to​ sections of the image that do not fit within the available area on the display or window.​

Table C.10-4. Displayed Area Module Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Displayed Area​

(0070,005A)​

1​

A Sequence of Items each of which describes the displayed area selection for a​

Selection Sequence​

 

 

groupofimagesorframes.SufficientItemsshallbepresenttodescribeeveryimage​

 

 

 

and frame listed in the Presentation State Relationship Module.​

 

 

 

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

>Referenced Image​

(0008,1140)​

1C​

The subset of images and frames listed in the Presentation State Relationship​

Sequence​

 

 

Module, to which this displayed area selection applies.​

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

Required if the displayed area selection in this Item does not apply to all the images​ and frames listed in the Presentation State Relationship Module.​

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

>Pixel Origin​

(0048,0301)​

1C​

For a referenced multi-frame image, specifies whether the Displayed Area Top Left​

Interpretation​

 

 

HandCorner(0070,0052)andDisplayedAreaBottomRightHandCorner(0070,0053)​

 

 

 

are to be interpreted relative to the individual frame pixel origins, or relative to the​

 

 

 

Total Pixel Matrix origin (see Section C.8.12.4.1.4).​

 

 

 

Required if the value of Referenced SOP Class UID (0008,1150) within Referenced​

 

 

 

Image Sequence (0008,1140) is 1.2.840.10008.5.1.4.1.1.77.1.6 (VL Whole Slide​

 

 

 

Microscopy Image). May be present otherwise.​

 

 

 

Enumerated Values:​

 

 

 

FRAME​relative to individual frame​

 

 

 

VOLUME​relative to Total Image Matrix​

 

 

 

If not present, TLHC and BRHC are defined relative to the frame pixel origins.​

>Displayed Area Top​(0070,0052)​

1​

Thetopleft(afterspatialtransformation)pixelinthereferencedimagetobedisplayed,​

Left Hand Corner​

 

 

given as column\row. Column is the horizontal (before spatial transformation) offset​

 

 

 

(X) and row is the vertical (before spatial transformation) offset (Y) relative to the​

 

 

 

origin of the pixel data before spatial transformation, which is 1\1. See​

 

 

 

Figure C.10.4-1.​

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DICOM PS3.3 2020a - Information Object Definitions​

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Attribute Name​

Tag​

Type​

Attribute Description​

 

>Displayed Area​

(0070,0053)​

1​

The bottom right (after spatial transformation) pixel in the referenced image to be​

Bottom Right Hand​

 

 

displayed, given as column\row. Column is the horizontal (before spatial​

Corner​

 

 

transformation)offset(X)androwisthevertical(before spatial transformation)offset​

 

 

 

(Y) relative to the origin of the pixel data before spatial transformation, which is 1\1.​

 

 

 

See Figure C.10.4-1.​

 

>Presentation Size​

(0070,0100)​

1​

Manner of selection of display size.​

 

Mode​

 

 

Enumerated Values:​

 

 

 

 

 

 

 

 

SCALE TO FIT​

 

 

 

 

TRUE SIZE​

 

 

 

 

MAGNIFY​

 

 

 

 

See Section C.10.4 for further explanation.​

 

>Presentation Pixel​

(0070,0101)​

1C​

Physical distance between the center of each pixel in the referenced image (before​

Spacing​

 

 

spatialtransformation),specifiedbyanumericpair-adjacentrowspacing(delimiter)​

 

 

 

adjacent column spacing in mm. See Section 10.7.1.3 for further explanation of the​

 

 

 

value order.​

 

 

 

 

Note​

 

 

 

 

1.​This value may be different from Pixel Spacing (0028,0030) or Imager​

 

 

 

Pixel Spacing (0018,1164) specified in the referenced image, which​

 

 

 

are ignored, since some form of calibration may have been performed​

 

 

 

(for example by reference to an object of known size in the image).​

 

 

 

2.​If the row and column spacing are different, then the pixel aspect ratio​

 

 

 

of the image is not 1:1.​

 

 

 

 

Required if Presentation Size Mode (0070,0100) is TRUE SIZE, in which case the​

 

 

 

values will correspond to the physical distance between the center of each pixel on​

 

 

 

the display device.​

 

 

 

 

May be present if Presentation Size Mode (0070,0100) is SCALE TO FIT or​

 

 

 

MAGNIFY, in which case the values are used to compute the aspect ratio of the​

 

 

 

image pixels.​

 

>Presentation Pixel​

(0070,0102)​

1C​

Ratiooftheverticalsizeandthehorizontalsizeofthepixelsinthereferencedimage,​

Aspect Ratio​

 

 

to be used to display the referenced image, specified by a pair of integer values​

 

 

 

where the first value is the vertical pixel size and the second value is the horizontal​

 

 

 

pixel size. See Section C.7.6.3.1.7.​

 

Required if Presentation Pixel Spacing (0070,0101) is not present.​

Note​

1.​This value may be different from the aspect ratio specified by Pixel​ Aspect Ratio (0028,0034) in the referenced image, or implied by the​ values of Pixel Spacing (0028,0030) or Imager Pixel Spacing​ (0018,1164) specified in the referenced image, which are ignored.​

2.​This value must be specified even if the aspect ratio is 1:1.​

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DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

Attribute Description​

>Presentation Pixel​

(0070,0103)​

1C​

Ratio of displayed pixels to source pixels, specified in one dimension.​

Magnification Ratio​

Required if Presentation Size Mode (0070,0100) is MAGNIFY.​

Note​

1.​Avalueof1.0wouldimplythatonepixelinthereferencedimagewould​ be displayed as one pixel on the display (i.e., it would not be​ interpolated if the aspect ratio of the image pixels is 1:1).​

2.​Avalueof2.0wouldimplythatonepixelinthereferencedimagewould​ be displayed as 4 pixels on the display (i.e., up-sampled by a factor of​ 2 in each of the row and column directions).​

3.​A value of 0.5 would imply that 4 pixels in the referenced image would​ be displayed as 1 pixel on the display (i.e., down-sampled by a factor​ of 2 in each of the row and column directions).​

4.​If the source pixels have an aspect ratio of other than 1:1, then they​ are assumed to have been interpolated to a display pixel aspect ratio​ of 1:1 prior to magnification.​

Note​

1.​In scale to fit mode, the Displayed Area Top Left Hand Corner (TLHC) and Bottom Right Hand Corner (BRHC) have​ the effect of defining how any zoom or magnification and/or pan has been applied to select a region of an image to be​ displayed (the Specified Displayed Area), without assuming anything about the size of the actual display.​

2.​The TLHC and BRHC may be outside the boundaries of the image pixel data (e.g., the TLHC may be 0 or negative, or​ the BRHC may be greater than Rows or Columns), allowing minification or placement of the image pixel data within a​ larger Specified Displayed Area. There is no provision to position a zoomed selected sub-area of the image pixel data​ within a larger Specified Displayed Area.​

3.​When Pixel Origin Interpretation (0048,0301) value is VOLUME, the selected Display Area may extend across multiple​ frames, and may include pixel locations for which there is no pixel data (outside the edge of the imaged volume, not​ encoded in a sparse encoding, or not within explicitly selected frames).​

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