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DICOM PS3.3 2020a - Information Object Definitions​

Page 1571​

If the Attribute is absent, a value of INFORMATIVE may be assumed.​

C.34.9.4 Modifiable Constraint Flag​

New protocol instances derived from original protocol instances with different constraints on a given Attribute "modify" the constraint.​ Thisflagmaybeusedbydevicesthatcreateoriginalinstancestospecifywhichconstraintscanbemodifiedbyotherdevicesinderived​ instances.​

For example, a CT device that creates a Defined Procedure Protocol, may indicate that the Element Name (0018,9922) of the Acquis-​ ition Protocol Element, or the CTDIvol Notification Trigger (0018,9942) constraints may be modified, but the Spiral Pitch Factor​ (0018,9311) constraint may not since the latter depends on correlated changes by the device to other Attributes. Such information​ would be useful to a protocol management workstation that is letting its operator make changes to the CTDIvol Notification Trigger.​

Note​

There is a difference between these "derivation" modifications and what an operator does at the time of protocol execution.​ At execution time, the operator is using the CT device to change Selector Attribute values and those values are compared​ totheConstraintValuesintheConstraintMacrooftheDefinedProtocol.Theresultmay(ormaynotbe)storedinaPerformed​ Procedure Protocol instance. At derivation time, an operator is using a workstation to change Constraint Values in the Con-​ straint Macro and store a new Defined Procedure Protocol Instance.​

C.34.10 Performed CT Acquisition Module​

This Module contains acquisition parameter values for a performed CT imaging procedure. The purpose of this Module is to record​ all relevant parameters, not just to record the values that were constrained in the executed Defined Protocol (if any).​

This Module contains Attributes that are "set" on the machine, e.g., to affect its behavior, but not those that describe the results. The​ latter may be found in the reconstructed images.​

Table C.34.10-1. Performed CT Acquisition Module Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Acquisition Protocol​

(0018,9920)​

2​

Parameter values for each Protocol Element in the acquisition protocol.​

Element Sequence​

 

 

EachItemintheSequencedescribesoneElement.Elementsareperformed​

 

 

 

in the order of their Protocol Element Number (0018,9921).​

 

 

 

See Section C.34.9.1.​

 

 

 

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

>Include Table 10.28-1 “Protocol Element Identification​

Macro Attributes”​

 

 

 

>Acquisition Type​

(0018,9302)​

1​

Description of the method used during acquisition.​

 

 

 

See Section C.8.15.3.2.1 for Defined Terms.​

>Tube Angle​

(0018,9303)​

1C​

TheconstantangleatwhichtheX-Raysourceislocatedduringacquisition.​

 

 

 

0degreesmeansthatthesourceislocatedatthehighestpointofthegantry​

 

 

 

orbit. Degrees increase from 0 to positive 360 in a clockwise direction as​

 

 

 

viewed when facing the gantry where the table enters the gantry.​

Required if Acquisition Type (0018,9302) is CONSTANT_ANGLE.​

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DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

Attribute Description​

>Constant Volume Flag​

(0018,9333)​

1​

Identifies that the acquisition was performed by repetitively acquiring the​

 

 

 

same volume set over a period of time.​

 

 

 

Note​

 

 

 

The Acquisition Type (0018,9302) value may be SEQUENCED,​

 

 

 

SPIRALorSTATIONARYdependingonwhethertablemovement​

 

 

 

is necessary to cover the volume.​

 

 

 

Enumerated Values:​

 

 

 

YES​

 

 

 

NO​

>Fluoroscopy Flag​

(0018,9334)​

1​

Identifies that near real-time display of a block of continuously acquired​

 

 

 

data was performed.​

 

 

 

Enumerated Values:​

 

 

 

YES​

 

 

 

NO​

>Revolution Time​

(0018,9305)​

1C​

The time in seconds of a complete revolution of the source around the​

 

 

 

gantry orbit. This value is independent of the Reconstruction Angle​

 

 

 

(0018,9319) of the frame.​

 

 

 

RequiredifAcquisitionType(0018,9302)isotherthanCONSTANT_ANGLE.​

>SingleCollimationWidth​

(0018,9306)​

1​

The width of a single row of acquired data (in mm).​

 

 

 

Note​

 

 

 

Adjacentphysicaldetectorrowsmayhavebeencombinedtoform​

 

 

 

a single effective acquisition row.​

>Total Collimation Width​

(0018,9307)​

1​

The width of the total collimation (in mm) over the area of active X-Ray​

 

 

 

detection.​

 

 

 

Note​

 

 

 

This will be equal to the number of effective detector rows​

 

 

 

multiplied by single collimation width.​

>Table Height​

(0018,1130)​

1​

Thedistanceinmmfromthetopofthepatienttabletothecenterofrotation​

 

 

 

of the source (i.e., the data collection center or isocenter). The distance is​

 

 

 

positive when the table is below the data collection center.​

>Gantry/Detector Tilt​

(0018,1120)​

1​

Nominal angle of tilt in degrees of the scanning gantry. Not intended for​

 

 

 

mathematical computations. Zero degrees means the gantry is not tilted,​

 

 

 

negative degrees are when the top of the gantry is tilted away from where​

 

 

 

the table enters the gantry.​

>Table Speed​

(0018,9309)​

1​

Thedistanceinmmthatthetablemovesinonesecondduringthegathering​

 

 

 

of data.​

>TableFeedperRotation​

(0018,9310)​

1​

Motion of the table (in mm) during a complete revolution of the source​

 

 

 

around the gantry orbit.​

>Spiral Pitch Factor​

(0018,9311)​

1​

Ratio of the Table Feed per Rotation (0018,9310) to the Total Collimation​

 

 

 

Width (0018,9307).​

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DICOM PS3.3 2020a - Information Object Definitions​

Page 1573​

Attribute Name​

Tag​

Type​

 

Attribute Description​

 

>CTDIvol​

(0018,9345)​

1C​

Computed Tomography Dose Index (CTDI vol), in mGy according to [IEC​

 

 

 

60601-2-44] (Clause 29.1.103.4), The Volume CTDI vol.​

 

 

 

 

It describes the average CTDIvol for this AcquisitionProtocol Element for​

 

 

 

the selected CT conditions of operation.​

 

 

 

 

Required if Acquisition Type (0018,9302) is not CONSTANT_ANGLE. May​

 

 

 

be present otherwise.​

 

>CTDI Phantom Type​

(0018,9346)​

1C​

The type of phantom used for CTDI measurement according to [IEC​

Code Sequence​

 

 

60601-2-44].​

 

 

 

 

 

Required if CTDIvol (0018,9345) is present.​

 

 

 

 

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

 

>>IncludeTable8.8-1“CodeSequenceMacroAttributes”​Defined CID 4052 "Phantom Devices".​

 

>CTDIvol Notification​

(0018,9942)​

3​

The threshold for the CTDIvol value, in mGy, at which a dose notification​

Trigger​

 

 

is triggered for this Acquisition Protocol Element.​

 

 

 

 

See Section C.34.10.2.​

 

>DLP Notification Trigger​

(0018,9943)​

3​

The threshold for the DLP value, in mGy.cm, at which a dose notification​

 

 

 

is triggered for this Acquisition Protocol Element.​

 

 

 

 

See Section C.34.10.2.​

 

>Acquisition Motion​

(0018,9930)​

1​

Motion of scan progression.​

 

 

 

 

See Section C.34.10.1.​

 

 

 

 

Defined Terms:​

 

 

 

 

 

SINGLE​

ScanprogressesinasinglepassfromAcquisitionStart​

 

 

 

 

Location to Acquisition End Location.​

 

 

 

 

SHUTTLE​

Scan progresses from Acquisition Start Location to​

 

 

 

 

Acquisition End Location, then reverses direction and​

 

 

 

 

scans back to Acquisition Start Location.​

 

 

 

 

NO_MOTION​ All slices are acquired simultaneously.​

 

 

 

 

NOT_IMPORTANT​Acan either direction is acceptable.​

 

 

 

 

ThevalueofNOT_IMPORTANTisnotpermittedinthePerformedProcedure​

 

 

 

Protocol IOD.​

 

 

>Acquisition Start​

(0018,9931)​

3​

Anatomically oriented transverse location where this acquisition starts.​

Location Sequence​

 

 

Note​

 

 

 

 

 

 

 

1.​This represents the nominal start location. Due to overscan,​ tissue may be irradiated beyond this location.​

2.​InaDefinedProcedureProtocol,thisrepresentstheintended​ start location. The operator may or may not select a location​ that exactly matches this anatomical location.​

3.​InaPerformedProcedureProtocol,thisvaluemayhavebeen​ copied from the Defined Procedure Protocol and may not​ represent the exact anatomical location selected by the​ operator.​

Only a single Item is permitted in the Sequence.​

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DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

 

Attribute Description​

>>Include Table 10.27-1 “Reference Location Macro​

BCID 1000 “CT Transverse Plane Reference Basis” for Reference Basis​

Attributes”​

 

 

Code Sequence (0018,9902)​

 

 

 

BCID 1010 “Reference Geometry - Planes” for Reference Geometry Code​

 

 

 

Sequence (0018,9903)​

>AcquisitionEndLocation​

(0018,9932)​

3​

Anatomically oriented transverse location where this acquisition ends.​

Sequence​

 

 

Note​

 

 

 

 

 

 

 

 

1.​This represents the nominal end location. Due to overscan,​

 

 

 

tissue may be irradiated beyond this location.​

 

 

 

2.​InaDefinedProcedureProtocol,thisrepresentstheintended​

 

 

 

end location. The operator may or may not select a location​

 

 

 

that exactly matches this anatomical location.​

 

 

 

3.​InaPerformedProcedureProtocol,thisvaluemayhavebeen​

 

 

 

copied from the Defined Procedure Protocol and may not​

 

 

 

represent the exact anatomical location selected by the​

 

 

 

operator.​

 

 

 

 

Only a single Item is permitted in the Sequence.​

>>Include Table 10.27-1 “Reference Location Macro​

BCID 1000 “CT Transverse Plane Reference Basis” for Reference Basis​

Attributes”​

 

 

Code Sequence (0018,9902)​

 

 

 

BCID 1010 “Reference Geometry - Planes” for Reference Geometry Code​

 

 

 

Sequence (0018,9903)​

>CT X-Ray Details​

(0018,9325)​

1​

Parameter values for each of the X-Ray beams in the Acquisition Protocol​

Sequence​

 

 

Element. Each Item in the Sequence describes one X-Ray beam.​

 

 

 

See Section C.34.10.3.​

 

 

 

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

>>Beam Number​

(300A,00C0)​

1​

Identification number of the beam.​

>>KVP​

(0018,0060)​

1​

Peak kilo voltage output of the X-Ray generator.​

>>Exposure Time in ms​

(0018,9328)​

1​

Duration of exposure for this Acquisition Protocol Element in milliseconds.​

 

 

 

If Acquisition Type (0018,9302) equals SPIRAL the duration of exposure​

 

 

 

shall be weighted by the Spiral Pitch Factor (0018,9311).​

>>X-Ray Tube Current in​

(0018,9330)​

1​

Nominal X-Ray tube current in milliamperes.​

mA​

 

 

 

 

>>Exposure in mAs​

(0018,9332)​

1​

The exposure expressed in milliampere seconds, for example calculated​

 

 

 

from exposure time and X-Ray tube current.​

>>Auto KVP Selection​

(0018,9944)​

1​

The type of automated selection of the kVp value.​

Type​

 

 

Defined Terms:​

 

 

 

 

 

 

 

 

NONE​

Value is not selected automatically.​

 

 

 

CNR_BASED​

Value is selected based on Contrast to Noise Ratio.​

 

 

 

DIAMETER_BASED​Value is selected based on patient diameter.​

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DICOM PS3.3 2020a - Information Object Definitions​

Page 1575​

Attribute Name​

Tag​

Type​

Attribute Description​

 

>>AutoKVPUpperBound​

(0018,9945)​

3​

Upper limit on the value of the auto-selected kVp.​

 

 

 

 

Note​

 

Constraints on KVP (0018,0060) represent constraints on the​ nominal KVP for the scan. Auto KVP Upper Bound (0018,9945)​ represents a direct constraint on the range of values that may be​ produced by the automated selection of the kVp value.​

>>AutoKVPLowerBound​ (0018,9946)​

3​ Lower limit on the value of the auto-selected kVp.​

Note​

Constraints on KVP (0018,0060) represent constraints on the​ nominal KVP for the scan. Auto KVP Lower Bound (0018,9946)​ represents a direct constraint on the range of values that may be​ produced by the automated selection of the kVp value.​

>>Exposure Modulation​

(0018,9323)​

1​ A multi-valued label describing the type of current modulation used for the​

Type​

 

purpose of limiting the dose.​

 

 

Defined Terms:​

 

 

 

NONE​

Current is modulated over different tube angles.​

 

 

ANGULAR​

 

 

LONGITUDINAL​Current is modulated along the axis of the table.​

 

 

ECG_BASED​ Current is modulated based on the cardiac phase.​

 

 

ORGAN_BASED​Current is modulated based on the organs in the field of​

 

 

 

view.​

>>Focal Spot(s)​

(0018,1190)​

1​ Used nominal size of the focal spot in mm. The Attribute may only have​

 

 

one or two values, for devices with variable focal spot, small dimension​

 

 

followed by large dimension.​

>>Data Collection​

(0018,0090)​

1​ The diameter in mm of the region over which data were collected. See​

Diameter​

 

Section C.8.15.3.6.1.​

Note​

In the case of an Acquisition Type (0018,9302) of​ CONSTANT_ANGLE,thediameteristhatinaplanenormaltothe​ central ray of the diverging X-Ray beam as it passes through the​ data collection center.​

>>Filter Type​

(0018,1160)​

1​ Type of filter(s) inserted into the X-Ray beam.​

Defined Terms:​

NONE​

WEDGE​

BUTTERFLY​

STRIP​

MULTIPLE​

BOWTIE​

Note​

Multiple filters can be expressed by a combination of terms, e.g.,​

BUTTERFLY+WEDGE.…​

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