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DICOM PS3.3 2020a - Information Object Definitions​

Page 1641​

Attribute Name​

Tag​

Type​

Attribute Description​

 

>Recommended Display​

(0062,000C)​

3​

A default single gray unsigned value in which it is​

Grayscale Value​

 

 

recommended that the maximum pixel value in this surface​

 

 

 

be rendered on a monochrome display. The units are​

 

 

 

specified in P-Values from a minimum of 0000H (black) up​

 

 

 

to a maximum of FFFFH (white).​

 

 

 

 

Note​

 

 

 

 

The maximum P-Value for this Attribute may be​

 

 

 

differentfromthemaximumP-Valuefromtheoutput​

 

 

 

of the Presentation LUT, which may be less than​

 

 

 

16 bits in depth.​

 

>Recommended Display​

(0062,000D)​

3​

A default triplet value in which it is recommended that the​

CIELab Value​

 

 

surface be rendered on a color display. The units are​

 

 

 

specified in PCS-Values, and the value is encoded as​

 

 

 

CIELab.​

 

>Recommended Presentation​

(0066,000C)​

3​

Specifies the opacity in which it is recommended that the​

Opacity​

 

 

surface be rendered.​

 

 

 

 

See Section C.27.1.1.3.​

 

>Recommended Presentation​

(0066,000D)​

3​

Specifiestherepresentationtypeinwhichitisrecommended​

Type​

 

 

that the surface be rendered.​

 

See Section C.27.1.1.3.​

C.36.8.1 RT Segment Annotation Attribute Descriptions​

C.36.8.1.1 RT Segment Annotation Type Code Sequence​

In Table C.36.8-2, if the Segment Annotation Category Code Sequence (3010,002B) has the code value specified in the left column,​ the Context Group for Segment Annotation Type Code Sequence (3010,002C) shall be the one specified in the right column.​

Table C.36.8-2. RT Segment Annotation Type CIDs​

Code Value of Segment Annotation Category Code Sequence​ContextGroupforSegmentAnnotationTypeCodeSequence​

(3010,002B)​

 

(3010,002C)​

(130041, DCM, "RT Target")​

DCID 9534 “Radiotherapy Targets”​

(130042, DCM, "RT Dose Calculation Structure")​

DCID 9535 “Radiotherapy Dose Calculation Roles”​

(130043, DCM, "RT Geometric Information")​

DCID 9504 “RT Geometric Information”​

(130047, DCM, "External Body Model")​

DCID 9507 “External Body Models”​

(130405, DCM, "Patient-Attached Dose Control Object")​

DCID 9516

“Radiotherapy Bolus Device Types”​

(130044, DCM, "Fixation or Positioning Device")​

DCID 9505

“Fixation or Positioning Devices”​

(130045, DCM, "Brachytherapy Device")​

DCID 9506

“Brachytherapy Devices”​

(130046, DCM, "Non-specific Volume")​

DCID 9508

“Non-specific Volumes”​

For code values in Segment Annotation Category Code Sequence (3010,002B) that are not present in Table C.36.8-2, the Baseline​ ContextGroupsforcodesinSegmentAnnotationTypeCodeSequence(3010,002C)aredefinedinCID7150“SegmentationProperty​ Categories” where applicable.​

C.36.8.1.2 Segmented RT Accessory Device Sequence​

RT accessory device identification information when this segment represents a device.​

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DICOM PS3.3 2020a - Information Object Definitions​

Note​

ForanRTaccessorydevice,typicallytheSegmentedPropertyCategoryCodeSequence(0062,0003)hasoneofthefollowing​ values:​

•​(130044, DCM, "Fixation or Positioning Device")​

•​(130045, DCM, "Brachytherapy Device")​

•​(260787004, SCT, "Physical Object")​

C.36.9 Segment Reference Module​

The Segment Reference Module references geometrical representations, such as regions of interest, surfaces, lines, or points, which​ have been associated with a Conceptual Volume.​

These referenced representations are referred to as segments.​

Table C.36.9-1. Segment Reference Module Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

SegmentReferenceSequence​

(3010,0021)​

1​

References to segments.​

 

 

 

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

 

 

 

See Section C.36.9.1.3.​

>Segment Reference Index​

(3010,0022)​

1​

Index of the segment reference in the Sequence.​

 

 

 

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

>Direct Segment Reference​

(3010,0023)​

1C​

Directly identifies a specific segment in a specific SOP​

Sequence​

 

 

Instance.​

 

 

 

Required if Combination Segment Reference Sequence​

 

 

 

(3010,0024) is not present.​

 

 

 

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

 

 

 

See Section C.36.9.1.3.​

>>Include Table 10.33-1 “Conceptual Volume Macro Attributes”​

 

>>ReferencedSOPSequence​

(0008,1199)​

1​

The SOP Instance that contains the referenced segment.​

 

 

 

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

 

 

 

See Section C.36.9.1.1.​

>>>Include Table 10-11 “SOP Instance Reference Macro Attributes”​

 

>>Referenced Segment​

(0062,000B)​

1C​

Segment Number (0062,0004) in the referenced SOP​

Number​

 

 

Instance.​

 

 

 

Required as described in Section C.36.9.1.1.​

 

 

 

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

>>Referenced Fiducials UID​

(3010,0031)​

1C​

Fiducials UID (0070,031A) in the referenced SOP Instance.​

 

 

 

Required as described in Section C.36.9.1.1.​

 

 

 

See Section C.36.9.1.1.​

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DICOM PS3.3 2020a - Information Object Definitions​

Page 1643​

Attribute Name​

Tag​

Type​

Attribute Description​

 

>>Referenced ROI Number​

(3006,0084)​

1C​

ROI Number (3006,0022) in the referenced SOP Instance.​

 

 

 

Required as described in Section C.36.9.1.1.​

 

 

 

 

See Section C.36.9.1.1.​

 

>>Referenced Surface​

(0066,002C)​

1C​

SurfaceNumber(0066,0003)inthereferencedSOPInstance.​

Number​

 

 

Required as described in Section C.36.9.1.1.​

 

 

 

 

 

 

 

 

See Section C.36.9.1.1.​

 

>Combination Segment​

(3010,0024)​

1C​

Defines a segment as a combination of other segment Items​

Reference Sequence​

 

 

present in theSegment Reference Sequence (3010,0021).​

 

 

 

Required if the Direct Segment Reference Sequence​

 

 

 

(3010,0023) is not present.​

 

 

 

 

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

 

 

 

See Section C.36.9.1.3.​

 

>>IncludeTable10.34-1“ConceptualVolumeSegmentationReference​See Section C.36.9.1.2.​

 

And Combination Macro Attributes”​

 

 

 

>>Segmented Property​

(0062,0003)​

2​

Sequence defining the general category of the property the​

Category Code Sequence​

 

 

segment combination represents.​

 

 

 

 

Zero or one Item shall be included in this Sequence.​

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

BCID 7150 “Segmentation Property Categories”.​

>>Segmented Property Type​

(0062,000F)​

1C​

Sequence defining the modifier of the property type the​

Code Sequence​

 

 

segment combination represents.​

 

 

 

 

Required if Segmented Property Category Code Sequence​

 

 

 

(0062,0003) has a value.​

 

 

 

 

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

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

BCID 7151 “Segmentation Property Types”.​

 

Referenced Spatial​

(0070,0404)​

1C​

Registrations between Frames of Reference of Instances​

Registration Sequence​

 

 

referenced in the Referenced SOP Sequence (0008,1199)​

 

 

 

in the Direct Segment Reference Sequence (3010,0023).​

Required if any Item in the Combination Segment Reference​ Sequence (3010,0024) combines segments that do not have​ the same Frame of Reference UID (0020,0052).​

May be present otherwise.​

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

>Include Table 10-11 “SOP Instance Reference Macro Attributes”​

C.36.9.1 Segment Reference Attribute Descriptions​

C.36.9.1.1 Segmentation SOP Instance Reference Sequence​

Only the SOP Classes contained in Table C.36.9-2 shall be referenced.​

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Page 1644​ DICOM PS3.3 2020a - Information Object Definitions​

Table C.36.9-2. Permitted SOP Classes​

SOP Class Name​

SOP Class UID​

Referenced Attribute​

Required Referencing Attribute​

Segmentation Storage​

1.2.840.10008.5.1.4.1.1.66.4​

SegmentNumber(0062,0004)​Referenced Segment Number​

 

 

 

(0062,000B)​

SurfaceSegmentationStorage​1.2.840.10008.5.1.4.1.1.66.5​

SegmentNumber(0062,0004)​Referenced Segment Number​

 

 

 

(0062,000B)​

Spatial Fiducials Storage​

1.2.840.10008.5.1.4.1.1.66.2​

Fiducials UID (0070,031A)​

Referenced Fiducials UID​

 

 

 

(3010,0031)​

RT Structure Set​

1.2.840.10008.5.1.4.1.1.481.3​ROI Number (3006,0022)​

Referenced ROI Number​

 

 

 

(3006,0084)​

Surface Scan Mesh Storage​ 1.2.840.10008.5.1.4.1.1.68.1​

Surface Number (0066,0003)​Referenced Surface Number​

 

 

 

(0066,002C)​

Surface Scan Point Cloud​

1.2.840.10008.5.1.4.1.1.68.2​

None​

None​

Storage​

 

 

 

The column Referenced Attribute identifies the Attribute used to identify the geometric representation in the SOP Instance referenced​

in the Segmentation Referenced SOP Sequence (0008,1199).​

DependingontheSOPClassUID(0008,0016)intheReferencedSOPSequence(0008,1199)thecorrespondingattributeasspecified​ in the Required Referencing Attribute column is required to be present.​

ItisanticipatedthatinfutureadditionalreferencingAttributesmaybeneededtoaccommodatenewrepresentationsofsegmentations.​ HencethecollectionofRequiredReferencingAttributesinTableC.36.9-1SegmentReferenceModuleAttributesandtheconditionally​ required Type 1C Attributes in the Segment Reference Module may be extended.​

C.36.9.1.2 Combination Segment Reference Sequence​

A Conceptual Volume may be expressed as a combination of other segmented Conceptual Volumes. Those other segments are ref-​ erenced in the Conceptual Volume Segmentation Reference and Combination Macro (see section 10.34).​

TheConceptualVolumeCombinationFlag(3010,000E)shallbeYES.TheConceptualVolumeSegmentationDefinedFlag(3010,0010)​ shall be NO. The Conceptual Volume Constituent Segmentation Reference Sequence (3010,0012) in the Conceptual Volume Con-​ stituent Sequence (3010,0008) shall not be present since the segmented representation of a constituent of a combination is specified​ byanItemoftheSegmentReferenceSequence(3010,0021)asfollows:IfaconstituentintheConceptualVolumeConstituentSequence​ (3010,0008) is a combination its constituents must​

•​eithercontainareferencetoanItemintheSegmentReferenceSequence(3010,0021)whichcontainsaDirectSegmentReference​ Sequence (3010,0023), or​

•​be present in an Item of the Segment Reference Sequence (3010,0021) which contains the Combination Segment Reference Se-​ quence (3010,0024).​

All Conceptual Volume References in this Macro shall reference only segments that are defined in Items in the Direct Segment Ref-​ erence Sequence (3010,0023).​

C.36.9.1.3 Conceptual Volumes​

The Conceptual Volume UIDs of the Conceptual Volumes instantiated in either the Direct Segment Reference Sequence (3010,0023)​ ortheCombinationSegmentReferenceSequence(3010,0024)shallbeuniquewithintheSegmentReferenceSequence(3010,0021).​

C.36.10 RT Radiation Set Module​

TheRTRadiationSetModuledescribestreatmentfractionsthatcontainasetofbeamsorbrachytherapysetupsusedwithinatreatment​ sessiontohelpachievethedosimetricrequirementsofagivenTreatmentPhase.TheModulereferencesasetofRTRadiationinstances​ that describe the geometric and physical parameters that define the delivery of dose for a single fraction. In addition, the overall​ number of treatment fractions is defined, as well as possibly the fractionation scheme according to which, fractions will be delivered.​

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A Treatment Phase is achieved by delivering one or more RT Radiation Sets. The chronological relationships between RT Radiation​ Sets (the actual start of each set, the order or timing among sets, etc.) are recorded in Attributes outside the RT Radiation Set Module.​

Table C.36.10-1. RT Radiation Set Module Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Include Table 10.9.1-1 “Enhanced Content Identification Macro Attributes”.​

Intended Number of Fractions​

(300A,0636)​

1C​

Number of Fractions for which this RT Radiation Set is​

 

 

 

intended to be repeated.​

 

 

 

Required if Referenced RT Physician Intent Sequence​

 

 

 

(300A,063B) is empty. May be present otherwise.​

 

 

 

See Section C.36.10.1.4.​

Include Table C.36.2.1.1-1 “Radiation Fraction Pattern Macro Attributes”.​See Section C.36.10.1.4.​

ReferencedRTPhysicianIntent​

(300A,063B)​

2​

RT Physician Intent Instance this Radiation Set is based​

Sequence​

 

 

upon.​

 

 

 

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

>Include Table 10-11 “SOP Instance Reference Macro Attributes”.​

 

>Referenced RT Prescription​

(300A,068A)​

1​

Sequence of RT Prescription Prescription Indices.​

Sequence​

 

 

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

 

 

 

>>Referenced RT Prescription​

(3010,0041)​

1​

Value of RT Prescription Index (3010,003C) in the RT​

Index​

 

 

Prescription Sequence (3010,006B) specifying the​

 

 

 

prescription to which this RT Radiation Set is related.​

RT Radiation Set Intent​

(300A,0637)​

1​

A general indication of the type of information contained​

 

 

 

within this RT Radiation Set.​

 

 

 

See Section C.36.10.1.1.​

Treatment Position Group​

(300A,060A)​

2​

Treatment Position Groups defined for the included​

Sequence​

 

 

Radiation Instances.​

 

 

 

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

 

 

 

See Section C.36.10.1.3.​

>Treatment Position Group UID​

(300A,0609)​

1​

Unique identifier of the Treatment Position Group.​

>Treatment Position Group​

(300A,0608)​

1​

User-defined label of the Treatment Position Group.​

Label​

 

 

 

>Referenced RT Radiation​

(300A,0630)​

1​

RT Radiation Instances that belong to the Treatment​

Sequence​

 

 

Position Group.​

 

 

 

EachreferencedRadiationInstanceshallappearonceand​

 

 

 

only once in the Treatment Position Group Sequence​

 

 

 

(300A,060A).​

 

 

 

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

>>Include Table 10-11 “SOP Instance Reference Macro Attributes”.​

 

RT Radiation Sequence​

(300A,0616)​

1​

RT Radiation instances which are referenced by this RT​

Radiation Set.​

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

See Section C.36.10.1.2.​

>Include Table 10-11 “SOP Instance Reference Macro Attributes”.​

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