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DICOM PS3.3 2020a - Information Object Definitions​

Page 281​

It includes capabilities for specifying:​ a.​the output color space in PCS-Values​

b.​grayscale contrast transformations including modality and VOI LUT for both the underlying and superimposed image sets​ c.​a color palette to map the transformed grayscale values of the superimposed image set into pseudo-color​

d.​selection of the area of the blended images to display and whether to rotate or flip it​ e.​image and display relative annotations, including graphics, text and overlays​

Note​

This IOD does not support presentation control for a set of images for which the modality LUT varies on a frame-by-frame​ basis. Other Presentation State IODs (standard or private) may support such images.​

A.33.4.2 Blending Softcopy Presentation State IOD Entity-Relationship Model​

This IOD uses the E-R Model in Section A.1.2, with only the Presentation State IE below the Series IE.​

A.33.4.3 Blending Softcopy Presentation State IOD Module Table​

Table A.33.4-1 specifies the Modules of the Blending Softcopy Presentation State IOD.​

Table A.33.4-1. Blending Softcopy Presentation State IOD Modules​

IE​

Module​

Reference​

Usage​

Patient​

Patient​

C.7.1.1​

M​

 

Clinical Trial Subject​

C.7.1.3​

U​

Study​

General Study​

C.7.2.1​

M​

 

Patient Study​

C.7.2.2​

U​

 

Clinical Trial Study​

C.7.2.3​

U​

Series​

General Series​

C.7.3.1​

M​

 

Clinical Trial Series​

C.7.3.2​

U​

 

Presentation Series​

C.11.9​

M​

Equipment​ General Equipment​

C.7.5.1​

M​

Presentation​Presentation State Identification​

C.11.10​

M​

State​

Presentation State Blending​

C.11.14​

M​

 

 

Displayed Area​

C.10.4​

M​

 

Graphic Annotation​

C.10.5​

C-RequiredifGraphicAnnotations​

 

 

 

are to be applied​

 

Spatial Transformation​

C.10.6​

C - Required if rotation or flipping​

 

 

 

are to be applied​

 

Graphic Layer​

C.10.7​

C - Required if Graphic Annotation​

 

 

 

Module is present.​

 

Graphic Group​

C.10.11​

U​

 

Palette Color Lookup Table​

C.7.9​

M​

 

ICC Profile​

C.11.15​

M​

 

SOP Common​

C.12.1​

M​

In the Blending Softcopy Presentation State IOD, the Presentation Series Module specializes some Attributes of the General Series​ Module.​

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Page 282​

DICOM PS3.3 2020a - Information Object Definitions​

The Softcopy Presentation LUT Module shall not be present in this IOD.​

The VOI LUT Module and Softcopy VOI LUT Module shall not be present in this IOD, since the Presentation State Blending Module​ subsumes their function.​

The Palette Color Lookup Table Module describes the color mapping to be used for the superimposed image set.​

The Displayed Area Module and Graphic Annotation Module specifically identify those images or frames to which they apply, and​ may include images or frames from the underlying or superimposed set.​

The Spatial Transformation Module describes any necessary spatial transformation of the image to be rendered after the blending​ operation.​

The Overlay Plane Module and Overlay Activation Module shall not be present, and any overlays present in the referenced images​ shall not be displayed.​

The Display Shutter Module and Bitmap Display Shutter Module shall not be present, since the underlying image geometry may differ​ between the two sets of images.​

The ICC Profile Module shall always be present. If the color space to be used is not calibrated (i.e., a device-specific ICC Input Profile​ is not available), then an ICC Input Profile specifying a well-known space (such as sRGB) may be specified.​

A.33.5 Basic Structured Display IOD​

A.33.5.1 Basic Structured Display IOD Description​

The Basic Structured Display Information Object Definition (IOD) specifies an instance of a single screen structured display that has​ been created for a Patient. It references specific image or other composite SOP instances from one or more Studies for that Patient,​ or for other Patients for comparison, arranged in a specific presentation layout. Presentation of images within the structured display​ may be controlled by referenced Softcopy Presentation State instances. The structured display may include text annotations.​

A.33.5.2 Basic Structured Display IOD Entity-Relationship Model​

This IOD uses the E-R Model in Section A.1.2, with only the Presentation State IE below the Series IE.​

A.33.5.3 Basic Structured Display IOD Module Table​

Table A.33.5.1-1 specifies the Modules of the Basic Structured Display IOD.​

Table A.33.5.1-1. Basic Structured Display IOD Modules​

IE​

Module​

Reference​

Usage​

Patient​

Patient​

C.7.1.1​

M​

 

Clinical Trial Subject​

C.7.1.3​

U​

Study​

General Study​

C.7.2.1​

M​

 

Patient Study​

C.7.2.2​

U​

 

Clinical Trial Study​

C.7.2.3​

U​

Series​

General Series​

C.7.3.1​

M​

 

Clinical Trial Series​

C.7.3.2​

U​

 

Presentation Series​

C.11.9​

M​

Equipment​

General Equipment​

C.7.5.1​

M​

 

Enhanced General Equipment​

C.7.5.2​

U​

Presentation​Structured Display​

C.11.16​

M​

State​

Structured Display Image Box​

C.11.17​

M​

 

 

Structured Display Annotation​

C.11.18​

U​

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DICOM PS3.3 2020a - Information Object Definitions​

Page 283​

IE​

Module​

Reference​

Usage​

 

Common Instance Reference​

C.12.2​

M​

 

SOP Common​

C.12.1​

M​

A.33.6 XA/XRF Grayscale Softcopy Presentation State IOD​

A.33.6.1 XA/XRF Grayscale Softcopy Presentation State IOD Description​

The XA/XRF Grayscale Softcopy Presentation State Information Object Definition (IOD) specifies information that may be used to​ present angiographic projection images that are referenced from within the IOD.​

It includes capabilities from the Grayscale Softcopy Presentation State IOD for specifying:​ a.​the output grayscale space in P-Values​

b.​grayscale contrast transformations including VOI LUT​

c.​selection of the area of the image to display and whether to rotate or flip it​ d.​image and display relative annotations, including graphics, text and overlays​

For the presentation of angiographic projection images the following capabilities are provided:​ a.​shutter specifications on a frame-by-frame basis​

b.​mask subtraction including regional pixel shift​ c.​presentation of sets of frames​

A.33.6.2XA/XRFGrayscaleSoftcopyPresentationStateIODEntity-RelationshipModel​

This IOD uses the E-R Model in Section A.1.2, with only the Presentation State IE below the Series IE.​

A.33.6.3 XA/XRF Grayscale Softcopy Presentation State IOD Module Table​

Table A.33.6-1 specifies the Modules of the XA/XRF Grayscale Softcopy Presentation State IOD.​

Table A.33.6-1. XA/XRF Grayscale Softcopy Presentation State IOD Modules​

IE​

Module​

Reference​

Usage​

Patient​

Patient​

C.7.1.1​

M​

 

Clinical Trial Subject​

C.7.1.3​

U​

Study​

General Study​

C.7.2.1​

M​

 

Patient Study​

C.7.2.2​

U​

 

Clinical Trial Study​

C.7.2.3​

U​

Series​

General Series​

C.7.3.1​

M​

 

Clinical Trial Series​

C.7.3.2​

U​

 

Presentation Series​

C.11.9​

M​

Equipment​ General Equipment​

C.7.5.1​

M​

 

Enhanced General Equipment​

C.7.5.2​

M​

Presentation​Presentation State Identification​

C.11.10​

M​

State​

Presentation State Relationship​

C.11.11​

M​

 

 

Presentation State Shutter​

C.11.12​

M​

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Page 284​

DICOM PS3.3 2020a - Information Object Definitions​

IE​

Module​

Reference​

Usage​

 

Bitmap Display Shutter​

C.7.6.15​

C - Required if a Display Shutter is to be applied to​

 

 

 

referenced image(s) and the XA/XRF Presentation​

 

 

 

State Shutter Module is not present​

 

Overlay Plane​

C.9.2​

C-RequiredifOverlayistobeappliedtoreferenced​

 

 

 

image(s) or the Bitmap Display Shutter Module is​

 

 

 

present.​

 

Overlay Activation​

C.11.7​

C - Required if referenced image contains overlay​

 

 

 

data that is to be displayed or Presentation State​

 

 

 

Instance contains Overlay data other than Bitmap​

 

 

 

Shutter​

 

Displayed Area​

C.10.4​

M​

 

Graphic Annotation​

C.10.5​

C-RequiredifGraphicAnnotationsaretobeapplied​

 

 

 

to referenced image(s)​

 

Spatial Transformation​

C.10.6​

C - Required if rotation or flipping are to be applied​

 

 

 

to referenced image(s)​

 

Graphic Layer​

C.10.7​

C - Required if Graphic Annotations or Overlays or​

 

 

 

Curves are to be applied to referenced image(s)​

 

Softcopy VOI LUT​

C.11.8​

C - Required if a VOI LUT is to be applied to​

 

 

 

referenced image(s)​

 

XA/XRF Presentation State Mask​

C.11.19​

C - Required if the referenced image(s) are to be​

 

 

 

subtracted​

 

XA/XRF Presentation State Shutter​

C.11.20​

C - Required if a Display Shutter is to be applied to​

 

 

 

referencedimage(s)andtheBitmapDisplayShutter​

 

 

 

Module is not present​

 

XA/XRF Presentation State​

C.11.21​

C - Required if the referenced image(s) are to be​

 

Presentation​

 

displayed with a prescribed preference​

 

Softcopy Presentation LUT​

C.11.6​

M​

 

SOP Common​

C.12.1​

M​

In the XA/XRF Grayscale Softcopy Presentation State IOD, the Presentation Series Module specializes some Attributes of the Gen-​ eral Series Module, the XA/XRF Presentation State Mask Module specializes some Attributes of the Mask Module, and the XA/XRF​ Presentation State Shutter Module specializes some Attributes of the Bitmap Display Shutter Module and Display Shutter Module.​

Note​

1.​Subtraction between different images is not supported.​

2.​The Display Shutter may be used to darken image areas that surround important information and exclude extraneous​ bright areas that increase glare and ambient lighting impairing image interpretation. For example, unexposed areas in​ aXAimagemightbeobscuredusingtheDisplayShutter,ratherthanpermanentlyreplacingimagepixelsinthoseareas.​

3.​This IOD does not support the storage of a multi-frame overlay in the IOD itself, but does support selective activation​ of multi-frame overlays within the referenced images via the Overlay Activation Module.​

A.33.7 Advanced Blending Presentation State IOD​

A.33.7.1 Advanced Blending Presentation State IOD Description​

The Advanced Blending Presentation State Information Object Definition (IOD) specifies information that may be used to blend two​ or more sets of images that are referenced from within the IOD for the purpose of presentation (display).​

It includes capabilities for specifying:​

a.​output color space in PCS-Values​

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DICOM PS3.3 2020a - Information Object Definitions​

Page 285​

b.​optional thresholds to restrict contributing areas of an input​ c.​definition of blending control values for the different inputs​

d.​selection of the area of the output images to display and whether to rotate or flip it​ e.​image and display relative annotations, including graphics, text and overlays​

A.33.7.2 Advanced Blending Presentation State IOD Entity-Relationship Model​

This IOD uses the E-R Model in Section A.1.2, with only the Presentation State IE below the Series IE.​

A.33.7.3 Advanced Blending Presentation State IOD Module Table​

Table A.33.7-1. Advanced Blending Presentation State IOD Modules​

IE​

Module​

Reference​

Usage​

Patient​

Patient​

C.7.1.1​

M​

 

Clinical Trial Subject​

C.7.1.3​

U​

Study​

General Study​

C.7.2.1​

M​

 

Patient Study​

C.7.2.2​

U​

 

Clinical Trial Study​

C.7.2.3​

U​

Series​

General Series​

C.7.3.1​

M​

 

Presentation Series​

C.11.9​

M​

 

Clinical Trial Series​

C.7.3.2​

U​

Frame of​

Frame of Reference​

C.7.4.1​

M​

Reference​

 

 

 

Equipment​

General Equipment​

C.7.5.1​

M​

 

Enhanced General Equipment​

C.7.5.2​

M​

Presentation​Presentation State Identification​

C.11.10​

M​

State​

Advanced Blending Presentation State​

C.11.33​

M​

 

 

Advanced Blending Presentation State Display​

C.11.34​

M​

 

Displayed Area​

C.10.4​

U​

 

Graphic Annotation​

C.10.5​

U​

 

Spatial Transformation​

C.10.6​

C - Required if rotation or​

 

 

 

flipping are to be applied​

 

Graphic Layer​

C.10.7​

C - Required if Graphic​

 

 

 

AnnotationModuleispresent.​

 

Graphic Group​

C.10.11​

U​

 

ICC Profile​

C.11.15​

M​

 

Common Instance Reference​

C.12.2​

M​

 

SOP Common​

C.12.1​

M​

A.34 Waveform Information Object Definitions​

A.34.1 Waveform IOD Entity-Relationship Model​

These IODs use the E-R Model in Section Section A.1.2, with only the Waveform IE below the Series IE.​

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