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DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

Attribute Description​

>Conceptual Volume Derivation​

(3010,0016)​

3​

Algorithm used to derive this Conceptual Volume.​

Algorithm Sequence​

 

 

One or more Items are permitted in this Sequence.​

 

 

 

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

No Baseline CID defined​

10.33.1 Conceptual Volume Macro Attribute Descriptions​

10.33.1.1 Equivalent Conceptual Volumes​

Conceptual Volumes can be declared to be equivalent to other Conceptual Volumes. In such cases, the Equivalent Conceptual​ Volumes Sequence (3010,000A) is used in derived SOP instances which are aware of other SOP instances defining a semantically​ equivalent volume, but using different Conceptual Volume UIDs (3010,0006).​

10.33.1.2 Derivation Conceptual Volume Sequence​

The Derivation Conceptual Volume Sequence (3010,0014) may be used to describe how a Conceptual Volume is derived from one​ or more other Conceptual Volumes in cases where it may not be possible to describe the method of the derivation completely. Since​ the Conceptual Volume cannot be mathematically constructed from a derivation description, it will be defined explicitly by a segment-​ ation.​

The specification of derivation is different from combining Conceptual Volumes as defined in Section 10.34 “Conceptual Volume​ Segmentation Reference and Combination Macro”.​

10.34 Conceptual Volume Segmentation Reference and Combination Macro​

This Macro allows the combination of Conceptual Volumes as constituents of a combined volume. A representative example is to​ have the Left Lung and the Right Lung segmented, and then to declare the Lungs as a combined Conceptual Volume, for which​ prescription constraints can be defined.​

The Macro also allows reference to RT Segment Annotation SOP instances, which contain a segmented representation of the Con-​ ceptual Volume. At the invocation of this Macro it is declared, whether this segmented representation is required or not.​

 

RT Physician Intent

 

 

RT Segmentation

 

 

RT Segmentation

 

 

 

 

Annotation 1

 

 

 

Annotation 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Conceptual Volume

Conceptual Volume

 

Conceptual Volume

 

Conceptual Volume

“Lung, left”

“Lung, right”

 

“Lung, left”

 

“Lung, right”

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Segmentation

 

RT Structure Set

 

 

 

 

 

Segment 3

 

 

 

ROI 5

 

 

 

 

 

 

 

 

 

 

 

 

 

Figure 10.34-1. Conceptual Volume References​

Figure 10.34-1 describes an RT Physician Intent Instance where Conceptual Volumes "Lung, left" and "Lung, right" are referenced,​ but not defined. In this example, the RT Segmentation Annotation Instances then define the volumetric information of the Conceptual​ Volumes by referencing a specific segment of a Segmentation Instance and a specific ROI in an RT Structure Set Instance.​

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DICOM PS3.3 2020a - Information Object Definitions​

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RT Physician Intent

Conceptual Volume

“Lung”

Conceptual Volume

Conceptual Volume

“Lung, left”

“Lung, right”

Figure 10.34-2. Conceptual Volume Combination References​

Figure 10.34-1 describes an RT Physician Intent Instance defining Conceptual Volumes "Lung, left" and "Lung, right" and Conceptual​ Volume "Lung" as a combination of the first two without a direct reference to a volume definition.​

Table 10.34-1. Conceptual Volume Segmentation Reference And Combination Macro Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

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

 

Conceptual Volume​

(3010,000E)​

1​

Indication that this Conceptual Volume is a combination of other​

Combination Flag​

 

 

Conceptual Volumes.​

 

 

 

Enumerated Values:​

 

 

 

YES​

 

 

 

NO​

ConceptualVolumeConstituent​

(3010,0008)​

1C​

References to Conceptual Volumes which are constituents of this​

Sequence​

 

 

Conceptual Volume.​

 

 

 

See Section 10.34.1.1.​

 

 

 

Required if Conceptual Volume Combination Flag (3010,000E)​

 

 

 

equals YES.​

 

 

 

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

 

 

 

ThecombinedConceptualVolumeUIDshallnotbeincludedinthe​

 

 

 

Sequence.​

>Conceptual Volume​

(3010,000D)​

1​

An index referenced in the Conceptual Volume Combination​

Constituent Index​

 

 

Expression (3010,000C) identifying the Conceptual Volume​

 

 

 

Constituent.​

 

 

 

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

>Constituent Conceptual​

(3010,0013)​

1​

UID identifying the Conceptual Volume that is a constituent of the​

Volume UID​

 

 

combined Conceptual Volume.​

>Originating SOP Instance​

(3010,0007)​

1​

Reference to the SOP Instance that contains the original definition​

Reference Sequence​

 

 

of the Conceptual Volume constituent identified by Constituent​

 

 

 

Conceptual Volume UID (3010,0013) in this Sequence.​

If this Conceptual Volume orginated in the current SOP Instance,​ thenthereferencedSOPInstanceUIDisthecurrentSOPInstance​ UID.​

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

>>IncludeTable10-11“SOPInstanceReferenceMacroAttributes”​

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DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

Attribute Description​

>Conceptual Volume​

(3010,0012)​

1C​

Contains a segmented representation of the Conceptual Volume​

Constituent Segmentation​

 

 

constituent.​

Reference Sequence​

 

 

Required if the Conceptual Volume Segmentation Defined Flag​

 

 

 

 

 

 

(3010,0010) equals YES and the Conceptual Volume is not a​

 

 

 

Combination of other Conceptual Volumes.​

 

 

 

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

 

 

 

See Section 10.34.1.2.​

>>Referenced Direct Segment​

(3010,004A)​

1​

Reference to the SOP Instance that contains the Direct Segment​

Instance Sequence​

 

 

Reference Sequence (3010,0023).​

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

See Section 10.34.1.3.​

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

>>Referenced Segment​

(3010,0020)​

1​

Reference Index​

 

 

Conceptual Volume​

(3010,000C)​

1C​

Combination Expression​

 

 

Conceptual Volume​

(3010,000F)​

2C​

Combination Description​

 

 

The Segment Reference Index (3010,0022) in the Segment​ Reference Sequence (3010,0021) corresponding to the segment​ representing this Conceptual Volume.​

ShallreferenceonlysegmentItemsthatcontaintheDirectSegment​

Reference Sequence (3010,0023).​

Symbolic expression specifying the combination of Conceptual​ Volumes as a text string consisting of Conceptual Volume​ ConstituentIndex(3010,000D)values,combinationoperatorsand​ parentheses.​

Required if Conceptual Volume Combination Flag (3010,000E)​ equals YES.​

See Section 10.34.1.1.​

Human-readable description of the combination of Conceptual​ Volumes. This information is intended for displayand shall not be​ used for structured processing.​

Required if Conceptual Volume Combination Flag (3010,000E)​ equals YES.​

Conceptual Volume​

(3010,0010)​

1​

IndicationthattherearedefinedsegmentationsforthisConceptual​

Segmentation Defined Flag​

 

 

Volume.​

 

 

 

Enumerated Values:​

 

 

 

YES​

 

 

 

NO​

Conceptual Volume​

(3010,0011)​

1C​

Contains a segmented representation of the Conceptual Volume.​

Segmentation Reference​

 

 

Required when Conceptual Volume Segmentation Defined Flag​

Sequence​

 

 

(3010,0010) equals YES and Conceptual Volume Combination​ Flag Indicator (3010,000E) equals NO.​

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

See Section 10.34.1.4.​

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DICOM PS3.3 2020a - Information Object Definitions​

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Attribute Name​

Tag​

Type​

Attribute Description​

 

>Referenced Direct Segment​

(3010,004A)​

1​

Reference to the SOP Instance that contains the Segment​

Instance Sequence​

 

 

ReferenceSequence(3010,0021)inwhichthesegmentisdefined.​

 

 

 

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

 

 

 

 

See Section 10.34.1.3.​

 

>>IncludeTable10-11“SOPInstanceReferenceMacroAttributes”​

 

>Referenced Segment​

(3010,0020)​

1​

The Segment Reference Index (3010,0022) in the Segment​

Reference Index​

 

 

Reference Sequence (3010,0021) corresponding to the segment​

 

 

 

representing this Conceptual Volume.​

 

In the segment Item referenced, the Direct Segment Reference​

Sequence (3010,0023) shall be present.​

10.34.1 Conceptual Volume Segmentation Reference and Combination Macro Attribute De-​ scription​

10.34.1.1 Conceptual Volume Combination Expression​

For Conceptual Volumes specified as a combination of other Conceptual Volumes, the combination logic is specified by the text string​ value of the Conceptual Volume Combination Expression (3010,000C).​

A nested list notation is used to apply geometric operators to a set of Conceptual Volumes.​

The first element of the list shall be one of the following geometric operators:​

UNION​

geometric union of two or more arguments​

INTERSECTION​geometric intersection of two or more arguments​

NEGATION​ geometric inverse of a single argument​

SUBTRACTION​geometric subtraction of second argument from the first​

XOR​

geometric exclusive disjunction of two arguments​

Note​

The result of a NEGATION operation is well-defined only if used as an operand to an INTERSECTION. NEGATION without​ context to an INTERSECTION results in an infinite Volume.​

Subsequent elements shall specify arguments of the geometric operator. An argument is either a Conceptual Volume Constituent​ Index (3010,000D) value (i.e., positive integer) or a parenthesized list of operations.​

The grammar for the Conceptual Volume Combination Expression (<sexpr>) is shown below in BNF (Backus Naur Form) :​

<sexpr>

:: <cv> | <list>

<cv>

:: 1

| 2 | 3 | …

<list>

:: (

<op1><sp><sexpr> ) |

 

(

<op2><sp><sexpr><sp><sexpr> ) |

<args>

(

<op3><sp><args> )

:: <sexpr><sp><sexpr> | <args><sp><sexpr>

<op1>

:: NEGATION

<op2>

:: SUBTRACTION | XOR

<op3>

:: UNION | INTERSECTION

<sp>

:: 0x20

Examples:​

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DICOM PS3.3 2020a - Information Object Definitions​

1.​Union of paired organs 1 and 2 (disjoint)​

 

 

Input

Result

Right Lung

Left Lung

(1)(2)

Figure 10.34.1.1-1. Conceptual Volume Example of Union of Disjoint Volumes​

Conceptual Volume Combination Expression (3010,000C):​ (UNION 1 2)​

Items in Conceptual Volume Constituent Sequence (3010,0008):​

Table 10.34.1.1-1. Conceptual Volume Example of Union of Disjoint Volumes​

Conceptual Volume Constituent Index (3010,000D)​

Conceptual Volume​

1​

Right Lung​

2​

Left Lung​

2.​Union of paired organs 1 and 2 (non-disjoint)​

 

Input

Result

Spinal Cord

Left Lung

PRV

(2)

(1)

 

Figure 10.34.1.1-2. Conceptual Volume Example of Union of Non-disjoint Volumes​

Conceptual Volume Combination Expression (3010,000C):​

(UNION 1 2)​

Items in Conceptual Volume Constituent Sequence (3010,0008) :​

Table 10.34.1.1-2. Conceptual Volume Example of Union of non-disjoint Volumes​

Conceptual Volume Constituent Index (3010,000D)​

Conceptual Volume​

1​

Spinal Cord PRV​

2​

Left Lung​

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