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DICOM PS3.3 2020a - Information Object Definitions​

Page 1611​

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Nominal Device Source Location

RT Beam Limiting

Device Proximal Distance

(300A,0642)

RT Beam Limiting

Device Distal Distance

(300A,0643)

Base Beam Modifier Definition Plane

Figure C.36.2.2.8.1-3. RT Beam Limiting Device Proximal and Distal Distance​

C.36.2.2.9 RT Beam Limiting Device Opening Macro​

This Macro defines the opening created by RT Beam Limiting Devices at a specific Control Point or set of Control Points.​

Table C.36.2.2.9-1. RT Beam Limiting Device Opening Macro Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Number of RT Beam​

(300A,0657)​

1C​

NumberofRTBeamLimitingDeviceOpeningsintheRTBeamLimitingDevice​

LimitingDeviceOpenings​

 

 

Opening Sequence (300A,0656).​

 

 

 

Required if Number of RT Beam Limiting Devices (300A,0641) is present and​

 

 

 

has a non-zero value.​

RTBeamLimitingDevice​(300A,0656)​

1C​

Beam limiting device (collimator) settings defining the opening for the current​

Opening Sequence​

 

 

Control Point.​

 

 

 

Required if Number of RT Beam Limiting Device Openings (300A,0657) is​

 

 

 

present and has a non-zero value and the conditions in Section C.36.2.2.5.1.1​

 

 

 

are satisfied.​

 

 

 

ThenumberofItemsincludedinthisSequenceshallequalthevalueofNumber​

 

 

 

of RT Beam Limiting Device Openings (300A,0657).​

>Referenced Device​

(300A,0607)​

1​

The value of Device Index (3010,0039) from the RT Beam Limiting Device​

Index​

 

 

Definition Sequence (300A,064D) corresponding to the Beam Limiting Device​

 

 

 

used in this Item.​

>RT Beam Limiting​

(300A,064B)​

1C​

Theoffsets(x,y)inmmoftheParallelRTBeamDelimiterPositions(300A,064A)​

Device Offset​

 

 

from the central beam axis.​

See Section C.36.2.2.9.1.1 and Section C.36.2.2.8.1.2.​

Required if the conditions in Section C.36.2.2.5.1.1 are satisfied.​

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DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

Attribute Description​

>Parallel RT Beam​

(300A,064A)​

1C​

One-dimensional positions of the tip in mm of beam delimiters.​

Delimiter Positions​

 

 

If Device Type Code Sequence (3010,002E) contains (130333, DCM, "Single​

 

 

 

 

 

 

Leaves"), N values shall be provided where N is the Number of Parallel RT​

 

 

 

Beam Delimiters (300A,0648).​

 

 

 

IfDeviceTypeCodeSequencecontains(130330,DCM,"JawPair")or(130331,​

 

 

 

DCM, "Leaf Pairs"), 2N values shall be provided where N is the Number of​

 

 

 

Parallel RT Beam Delimiters (300A,0648). The values shall be grouped by the​

 

 

 

mountingsideidentifiedbytheParallelRTBeamDelimiterLeafMountingSide​

 

 

 

(300A,064F) with the values of RT Beam Delimiter Elements on the negative​

 

 

 

mounting side first.​

 

 

 

The order of values shall correspond to the order of theParallel RT Beam​

 

 

 

Delimiter Boundaries (300A,0649).​

 

 

 

SeeSectionC.36.2.2.9.1.1,SectionC.36.2.2.9.1.2andSectionC.36.2.2.9.1.3.​

 

 

 

Required if the conditions in Section C.36.2.2.5.1.1 are satisfiedand if Device​

 

 

 

Type Code Sequence contains (130330, DCM, "Jaw Pair"), (130331, DCM,​

 

 

 

"Leaf Pairs") or (130333, DCM, "Single Leaves").​

>RT Beam Delimiter​

(300A,064C)​

1C​

The outline of the Beam Limiting Device opening.​

Geometry Sequence​

 

 

Required if the conditions in Section C.36.2.2.5.1.1 are satisfiedand if​

 

 

 

 

 

 

DeviceType Code Sequence (3010,002E) contains (130332, DCM, "Variable​

 

 

 

Circular Collimator").​

See Section C.36.2.2.9.1.1 and Section C.36.2.2.9.1.3.​

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

>>Include Table 10.38-1 “Outline Definition Macro​ The Outline Shape Type (0018,1630) shall be CIRCULAR.​

Attributes”.​

The plane is defined in Section C.36.2.2.9.1.1.​

C.36.2.2.9.1 RT Beam Limiting Device Opening Attribute Descriptions​

C.36.2.2.9.1.1 Geometric Value Attributes​

All geometric values in Table C.36.2.2.9-1 are defined in the Beam Modifier Definition Plane.​

C.36.2.2.9.1.2 RT Beam Delimiter Element Positions​

For Device Type Code Sequence (3010,002E) values of (130330, DCM, "Jaw Pair") or (130331, DCM, "Leaf Pairs"), the order of​ values are​

N1, N2, Nn​

P1, P2, Pn​

where N denotes the negative mounting side, P the positive mounting side and the indices increasing corresponding to the order of​ the values of Parallel RT Beam Delimiter Boundaries (300A,0649).​

C.36.2.2.9.1.3 RT Beam Delimiter Geometry​

The definition of the tip positions in Parallel RT Beam Delimiter Positions (300A,064A) or delimiter outline in the RT Beam Delimiter​ Geometry Sequence (300A,064C) is as defined by the manufacturer and shall be documented in the Conformance Statement. Typ-​ ically, this will be the radiological or physical edge.​

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DICOM PS3.3 2020a - Information Object Definitions​

Page 1613​

C.36.2.2.10 Wedges Definition Macro​

This Macro defines the geometric configuration elements which cannot vary during delivery.​

Table C.36.2.2.10-1. Wedges Definition Macro Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Number of Wedges​

(300A,00D0)​

1C​

Number of Wedges defined in the Wedge Definition Sequence​

 

 

 

(300A,0651).​

 

 

 

Required if RT Radiation Physical and Geometric Content Detail Flag​

 

 

 

(300A,0638) equals FULL. May be present otherwise.​

WedgeDefinitionSequence​

(300A,0651)​

1C​

Treatment wedge definitions.​

 

 

 

Required if Number of Wedges (300A,00D0) is present and has a​

 

 

 

non-zero value.​

 

 

 

The number of Items included in this Sequence shall equal the value​

 

 

 

of Number of Wedges(300A,00D0).​

>Include Table C.36.2.2.3-1 “RT Accessory Device​

DCID 9546 “Radiotherapy Wedge Types”.​

Identification Macro Attributes”.​

 

 

>Device Index​

(3010,0039)​

1​

Index of this Itemin this Sequence.​

 

 

 

The value shall start at 1 and increase monotonically by 1.​

>Referenced Defined​

(300A,0602)​

1C​

DeviceIndexvaluethatlinksthedevicedefinedbythisSequenceItem​

Device Index​

 

 

to the corresponding device in an RT Radiation Instance. The​

 

 

 

description of the two devices may or may not be the same.​

 

 

 

The value is the index of a device in the Wedges Definition Sequence​

 

 

 

(300A,0651)withinthesingleSOPInstancereferencedbyReferenced​

 

 

 

RT Instance Sequence (300A,0631).​

 

 

 

Required if the Instance referenced in Referenced RT Instance​

 

 

 

Sequence (300A,0631) contains the device that corresponds to the​

 

 

 

device defined by this Sequence Item.​

>Radiation Beam Wedge​

(300A,0652)​

1​

Nominal wedge angle in degrees.​

Angle​

 

 

See Section C.36.2.2.10.1.1.​

 

 

 

>Radiation Beam Effective​

(300A,0654)​

2​

Effective wedge angle in degrees.​

Wedge Angle​

 

 

See Section C.8.8.14.14.​

 

 

 

>BeamModifierOrientation​

(300A,0645)​

1​

AngleindegreesoftheBeamModifierCoordinateSystemwithrespect​

Angle​

 

 

to the Base Beam Modifier Coordinate System. The angle is a​

 

 

 

Continuous Rotation Angle, see Section C.36.1.1.5.​

The direction from thick edge to thin edge is along the positive y-axis​ of the Beam Modifier Definition Plane.​

See Section C.36.1.1.9 and Section C.36.2.2.10.1.1.​

C.36.2.2.10.1 Wedges Definition Macro Attribute Description​

C.36.2.2.10.1.1 Radiation Beam Wedge Orientation and Radiation Beam Wedge Angle​

For an Equipment Frame of Reference UID 1.2.840.10008.1.4.3.1 the wedge orientation has the value of 0 degree when the thin​ edge of the wedge is directed towards the positive direction of the y-axis of the Beam Modifier Coordinate system.​

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Page 1614​

DICOM PS3.3 2020a - Information Object Definitions​

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Radiation source

Beam Modifier Orientation Angle (300A,0645) value = 0º

Plane

Figure C.36.2.2.10.1-1. Beam Modifier Orientation Angle​

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Radiation Source

Wedge

Isodose Line measured in water (e.g., at 50%)

Radiation Beam Wedge Angle

(300A,0652)

Beam Central Axis

Figure C.36.2.2.10.1-2. Radiation Beam Wedge Angle​

C.36.2.2.11 Wedge Positions Macro​

This Macro defines the positions of Wedges used in a specific Control Point or set of Control Points.​

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DICOM PS3.3 2020a - Information Object Definitions​ Page 1615​

Table C.36.2.2.11-1. Wedge Positions Macro Attributes​

Attribute Name​

Tag​

Type​

 

Attribute Description​

Number of Wedge​

(300A,0655)​

1C​

Number of Wedge Positions defined in the Wedge Position Sequence​

Positions​

 

 

(300A,0116).​

 

 

 

Required if Number of Wedges (300A,00D0) is present and has a non-zero​

 

 

 

value.​

 

Wedge Position Sequence​ (300A,0116)​

1C​

Position for each Wedge for the current Control Point.​

 

 

 

Required if Number of Wedge Positions (300A,0655) is present and has a​

 

 

 

non-zero value and the conditions in Section C.36.2.2.5.1.1 are satisfied.​

 

 

 

The number of Items included in this Sequence shall equal the value of​

 

 

 

Number of Wedge Positions (300A,0655).​

>ReferencedDeviceIndex​ (300A,0607)​

1​

The value of Device Index (3010,0039) in Wedge Definition Sequence​

 

 

 

(300A,0651) for the Wedge being used.​

>Wedge Position​

(300A,0118)​

1​

Position of Wedge at current Control Point.​

 

 

 

Enumerated Values:​

 

 

 

IN​

Thecompensatorsurfaceshapeisdirectedtowardsthepatient.​

 

 

 

OUT​

The wedge is in fully retracted position.​

 

 

 

PARTIAL​The wedge is inserted only part of the way.​

>Radiation Beam Wedge​

(300A,0653)​

1C​

Closest distance in mm from the central axis of the beam along the wedge​

Thin Edge Distance​

 

 

angle direction to the thin edge as projected on the Beam ModifierDefinition​

 

 

 

Plane defined by the RT Beam Modifier Definition Distance (300A,0688).​

The value is negative if the thin edge is located on the positive y-axis, and​ is positive otherwise.​

Required if Wedge Position (300A,0118) is PARTIAL.​

See Section C.36.2.2.11.1.1.​

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