Материал: part03

DICOM PS3.3 2020a - Information Object Definitions​

Page 31​

C.8.5.6.1.1. Image Type ...................................................................................................................

674​

C.8.5.6.1.2. Photometric Interpretation ................................................................................................

675​

C.8.5.6.1.3. Pixel Representation .......................................................................................................

675​

C.8.5.6.1.4. Frame Increment Pointer .................................................................................................

675​

C.8.5.6.1.5. (Retired) .......................................................................................................................

675​

C.8.5.6.1.6. (Retired) .......................................................................................................................

675​

C.8.5.6.1.7. (Retired) .......................................................................................................................

675​

C.8.5.6.1.8. Mechanical Index, Bone Thermal Index, Cranial Thermal Index, Soft Tissue Thermal Index ...........

675​

C.8.5.6.1.9. Image Transformation Matrix and Image Translation Vector ....................................................

675​

C.8.5.6.1.10. Ultrasound Color Data Present ........................................................................................

675​

C.8.5.6.1.11. Overlay Subtype ...........................................................................................................

676​

C.8.5.6.1.12. Samples Per Pixel ........................................................................................................

676​

C.8.5.6.1.13. Bits Allocated ...............................................................................................................

676​

C.8.5.6.1.14. Bits Stored ..................................................................................................................

676​

C.8.5.6.1.15. High Bit ......................................................................................................................

676​

C.8.5.6.1.16. Planar Configuration ......................................................................................................

677​

C.8.5.6.1.19. View Code Sequence ....................................................................................................

677​

C.8.5.6.1.20. (Retired) .....................................................................................................................

677​

C.8.5.6.1.21. IVUS Acquisition ...........................................................................................................

677​

C.8.5.6.1.22. IVUS Pullback Rate .......................................................................................................

678​

C.8.5.6.1.23. IVUS Gated Rate ..........................................................................................................

678​

C.8.5.6.1.24. IVUS Pullback Start Frame Number ..................................................................................

678​

C.8.5.6.1.25. IVUS Pullback Stop Frame Number ..................................................................................

678​

C.8.5.6.1.26. Lesion Number .............................................................................................................

678​

C.8.6. Secondary Capture Modules ................................................................................................................

678​

C.8.6.1. SC Equipment Module ..................................................................................................................

678​

C.8.6.2. SC Image Module ........................................................................................................................

679​

C.8.6.3. SC Multi-frame Image Module ........................................................................................................

680​

C.8.6.3.1. Scanned Film, Optical Density and P-Values ..............................................................................

682​

C.8.6.4. SC Multi-frame Vector Module .......................................................................................................

682​

C.8.7. X-Ray Modules ..................................................................................................................................

683​

C.8.7.1. X-Ray Image Module ...................................................................................................................

684​

C.8.7.1.1. X-Ray Image Attribute Descriptions ..........................................................................................

685​

C.8.7.1.1.1. Image Type ...................................................................................................................

685​

C.8.7.1.1.2. Pixel Intensity Relationship ...............................................................................................

686​

C.8.7.1.1.3. Acquisition Device Processing Description ...........................................................................

686​

C.8.7.1.1.4. Scan Options .................................................................................................................

686​

C.8.7.1.1.5. Derivation Description .....................................................................................................

686​

C.8.7.1.1.6. Bits Allocated ................................................................................................................

686​

C.8.7.1.1.7. Bits Stored ....................................................................................................................

687​

C.8.7.1.1.8. High Bit ........................................................................................................................

687​

C.8.7.1.1.9. Synchronization of Frame and Waveform Times ...................................................................

687​

C.8.7.1.1.12. Frame Dimension Pointer ...............................................................................................

687​

C.8.7.1.1.13. Referenced Image Sequence ..........................................................................................

687​

C.8.7.2. X-Ray Acquisition Module .............................................................................................................

688​

C.8.7.2.1. X-Ray Acquisition Attribute Descriptions ....................................................................................

689​

C.8.7.2.1.1. Exposure Time ..............................................................................................................

689​

C.8.7.2.1.2. Field of View .................................................................................................................

689​

C.8.7.3. X-Ray Collimator Module ..............................................................................................................

689​

C.8.7.3.1. X-Ray Collimator Attribute Descriptions .....................................................................................

691​

C.8.7.3.1.1. Collimator Vertical and Horizontal Edges .............................................................................

691​

C.8.7.4. X-Ray Table Module ....................................................................................................................

691​

C.8.7.4.1. X-Ray Table Attribute Descriptions ...........................................................................................

692​

C.8.7.4.1.1. Table Motion Increments ..................................................................................................

692​

C.8.7.4.1.2. Table Longitudinal Increment ............................................................................................

692​

C.8.7.4.1.3. Table Lateral Increment ...................................................................................................

692​

C.8.7.4.1.4. Table Motion With Patient in Relation to Imaging Chain ..........................................................

692​

C.8.7.5. XA Positioner Module ...................................................................................................................

693​

C.8.7.5.1. XA Positioner Attribute Descriptions ..........................................................................................

694​

C.8.7.5.1.1. Positioner Motion ...........................................................................................................

694​

Page 32​

DICOM PS3.3 2020a - Information Object Definitions​

C.8.7.5.1.2. Positioner Primary and Secondary Angles ...........................................................................

695​

C.8.7.5.1.3. Positioner Angle Increments .............................................................................................

695​

C.8.7.5.1.4. Detector Primary and Secondary Angles .............................................................................

696​

C.8.7.6. XRF Positioner Module .................................................................................................................

696​

C.8.7.7. X-Ray Tomography Acquisition Module ............................................................................................

696​

C.8.7.8. X-Ray Acquisition Dose Module .....................................................................................................

697​

C.8.7.9. X-Ray Generation Module .............................................................................................................

700​

C.8.7.10. X-Ray Filtration Module ...............................................................................................................

701​

C.8.7.11. X-Ray Grid Module ....................................................................................................................

702​

C.8.8. Radiotherapy Modules ........................................................................................................................

703​

C.8.8.1. RT Series Module ........................................................................................................................

704​

C.8.8.1.1. Modality ..............................................................................................................................

704​

C.8.8.2. RT Image Module ........................................................................................................................

705​

C.8.8.2.1. Multi-frame Image Data ..........................................................................................................

713​

C.8.8.2.2. X-Ray Image Receptor Angle ..................................................................................................

713​

C.8.8.2.3. Image Plane Pixel Spacing and RT Image SID ............................................................................

714​

C.8.8.2.4. Exposure Sequence ..............................................................................................................

714​

C.8.8.2.5. Single-Frame and Multi-frame Images .......................................................................................

714​

C.8.8.2.6. Image Pixel Module Attributes .................................................................................................

714​

C.8.8.2.6.1. Samples Per Pixel ..........................................................................................................

714​

C.8.8.2.6.2. Photometric Interpretation ................................................................................................

714​

C.8.8.2.6.3. Bits Allocated ................................................................................................................

714​

C.8.8.2.6.4. Bits Stored ....................................................................................................................

714​

C.8.8.2.6.5. High Bit ........................................................................................................................

714​

C.8.8.2.6.6. Pixel Representation .......................................................................................................

715​

C.8.8.2.7. RT Image Plane, Position and Orientation ..................................................................................

715​

C.8.8.2.8. Exposure Time and Meterset Exposure .....................................................................................

715​

C.8.8.3. RT Dose Module .........................................................................................................................

715​

C.8.8.3.1. Normalization Point ...............................................................................................................

719​

C.8.8.3.2. Grid Frame Offset Vector ........................................................................................................

719​

C.8.8.3.3. Dose Units ..........................................................................................................................

720​

C.8.8.3.4. Image Pixel Module Attributes .................................................................................................

721​

C.8.8.3.4.1. Samples Per Pixel ..........................................................................................................

721​

C.8.8.3.4.2. Photometric Interpretation ................................................................................................

721​

C.8.8.3.4.3. Bits Allocated ................................................................................................................

721​

C.8.8.3.4.4. Bits Stored ....................................................................................................................

721​

C.8.8.3.4.5. High Bit ........................................................................................................................

721​

C.8.8.3.4.6. Pixel Representation .......................................................................................................

721​

C.8.8.3.5. Referenced Spatial Registration Sequence ................................................................................

721​

C.8.8.4. RT DVH Module ..........................................................................................................................

721​

C.8.8.4.1. Referenced Structure Set Sequence .........................................................................................

723​

C.8.8.4.2. DVH ROI Contribution Type ....................................................................................................

723​

C.8.8.4.3. DVH Volume Units ................................................................................................................

723​

C.8.8.5. Structure Set Module ...................................................................................................................

723​

C.8.8.5.1. Frames of Reference .............................................................................................................

725​

C.8.8.5.2. Frame of Reference Relationship Sequence and Transformation Matrix ...........................................

725​

C.8.8.5.3. ROI Derivation Sequence .......................................................................................................

725​

C.8.8.5.4. SOP Class UID in RT Referenced Study Sequence .....................................................................

725​

C.8.8.6. ROI Contour Module ....................................................................................................................

726​

C.8.8.6.1. Contour Geometric Type ........................................................................................................

727​

C.8.8.6.2. Contour Slab Thickness .........................................................................................................

727​

C.8.8.6.3. Representing Inner and Outer Contours on an Image ...................................................................

727​

C.8.8.7. RT Dose ROI Module ...................................................................................................................

728​

C.8.8.7.1. Contour Geometric Type of Referenced ROI ..............................................................................

728​

C.8.8.7.2. Referenced ROI Number ........................................................................................................

728​

C.8.8.7.3. Dose Value ..........................................................................................................................

728​

C.8.8.8. RT ROI Observations Module ........................................................................................................

728​

C.8.8.8.1. RT ROI Interpreted Type ........................................................................................................

731​

C.8.8.8.2. Additional RT ROI Identification Code Sequence .........................................................................

731​

C.8.8.9. RT General Plan Module ...............................................................................................................

732​

DICOM PS3.3 2020a - Information Object Definitions​

Page 33​

C.8.8.9.1. Referenced Structure Set Sequence .........................................................................................

733​

C.8.8.10. RT Prescription Module ...............................................................................................................

733​

C.8.8.10.1. Target Underdose Volume Fraction .........................................................................................

735​

C.8.8.11. RT Tolerance Tables Module .......................................................................................................

735​

C.8.8.12. RT Patient Setup Module ............................................................................................................

736​

C.8.8.12.1. RT Patient Setup Module Attributes ........................................................................................

739​

C.8.8.12.1.1. Referenced Setup Image Sequence .................................................................................

739​

C.8.8.12.1.2. Patient Position ............................................................................................................

739​

C.8.8.13. RT Fraction Scheme Module ........................................................................................................

739​

C.8.8.13.1. Beam Dose Verification Parameters ........................................................................................

743​

C.8.8.14. RT Beams Module .....................................................................................................................

743​

C.8.8.14.1. Meterset Calculations ...........................................................................................................

758​

C.8.8.14.2. Planned Verification Image Sequence .....................................................................................

759​

C.8.8.14.3. X-Ray Image Receptor Angle ................................................................................................

759​

C.8.8.14.4. Multiple Aperture Blocks .......................................................................................................

759​

C.8.8.14.5. Control Point Sequence ........................................................................................................

759​

C.8.8.14.6. Absolute and Relative Machine Coordinates .............................................................................

760​

C.8.8.14.7. Cumulative Dose Reference Coefficient ...................................................................................

760​

C.8.8.14.8. Machine Rotations ...............................................................................................................

760​

C.8.8.14.9. Compensator Thickness Data and Source to Compensator Distance .............................................

760​

C.8.8.14.10. Compensator Transmission and Thickness Data Direction .........................................................

761​

C.8.8.14.11. Block and Compensator Precedence for Dosimetric Calculations ................................................

761​

C.8.8.14.12. Table Top Pitch and Table Top Roll .......................................................................................

761​

C.8.8.14.13. Angular Values in RT Beams Module .....................................................................................

762​

C.8.8.14.14. Effective Wedge Angle .......................................................................................................

762​

C.8.8.14.15. Source to External Contour Distance and External Contour Entry Point ........................................

762​

C.8.8.14.16. Referenced Control Point ....................................................................................................

762​

C.8.8.15. RT Brachy Application Setups Module ...........................................................................................

762​

C.8.8.15.1. Permanent Implants .............................................................................................................

769​

C.8.8.15.2. Referenced ROI Number ......................................................................................................

769​

C.8.8.15.3. Channel Length ..................................................................................................................

769​

C.8.8.15.4. Oscillating Source Movement ................................................................................................

769​

C.8.8.15.5. Channel Shields ..................................................................................................................

769​

C.8.8.15.6. Time Calculations ................................................................................................................

770​

C.8.8.15.7. Brachy Control Point Sequence ..............................................................................................

770​

C.8.8.15.8. Source Transit Time ............................................................................................................

771​

C.8.8.15.9. Control Point Relative Position ...............................................................................................

771​

C.8.8.15.10. Control Point 3D Position ....................................................................................................

771​

C.8.8.15.11. Cumulative Dose Reference Coefficient .................................................................................

771​

C.8.8.15.12. Nominal Thickness and Nominal Transmission ........................................................................

772​

C.8.8.15.13. Reference Point for Calibration of Beta Emitting Isotopes ...........................................................

772​

C.8.8.15.14. Orientation of Brachy Sources ..............................................................................................

772​

C.8.8.15.15. Source Model ID ...............................................................................................................

772​

C.8.8.15.16. Geometric Parameters ........................................................................................................

772​

C.8.8.15.16.1. Channel Inner Length ..................................................................................................

773​

C.8.8.15.16.2. Afterloader Channel ID .................................................................................................

773​

C.8.8.16. Approval Module .......................................................................................................................

774​

C.8.8.17. RT General Treatment Record Module ...........................................................................................

774​

C.8.8.18. RT Treatment Machine Record Module ..........................................................................................

775​

C.8.8.19. Measured Dose Reference Record Module .....................................................................................

775​

C.8.8.20. Calculated Dose Reference Record Module ....................................................................................

776​

C.8.8.21. RT Beams Session Record Module ...............................................................................................

777​

C.8.8.21.1. Control Point Machine Delivery Parameters ..............................................................................

788​

C.8.8.21.2. Specified and Delivered Meterset Values .................................................................................

788​

C.8.8.21.2.1. Beam Level .................................................................................................................

788​

C.8.8.21.2.2. Control Point Level ........................................................................................................

788​

C.8.8.22. RT Brachy Session Record Module ...............................................................................................

790​

C.8.8.22.1. PDR (Pulsed Dose Rate) Treatment ........................................................................................

798​

C.8.8.22.2. Specified Channel Total Time ................................................................................................

798​

C.8.8.23. RT Treatment Summary Record Module .........................................................................................

800​

Page 34​

DICOM PS3.3 2020a - Information Object Definitions​

C.8.8.23.1. Current Treatment Status ......................................................................................................

801​

C.8.8.24. RT Ion Tolerance Tables Module ..................................................................................................

801​

C.8.8.25. RT Ion Beams Module ................................................................................................................

803​

C.8.8.25.1. Beam Identifying Information .................................................................................................

819​

C.8.8.25.2. Treatment Machine Name .....................................................................................................

819​

C.8.8.25.3. Leaf Position Boundaries ......................................................................................................

820​

C.8.8.25.4. Virtual Source-Axis Distances and the Use of Trays in Ion Therapy ...............................................

820​

C.8.8.25.5. Range Shifter and Lateral Spreading Device Settings .................................................................

821​

C.8.8.25.6. Coordinate Systems ............................................................................................................

821​

C.8.8.25.6.1. Fixed Beam Line ..........................................................................................................

821​

C.8.8.25.6.2. Table Top Pitch and Table Top Roll ..................................................................................

822​

C.8.8.25.6.3. Seated Treatments .......................................................................................................

822​

C.8.8.25.6.4. Ocular Treatments ........................................................................................................

823​

C.8.8.25.6.4.1. Gantry Beam Line ..................................................................................................

823​

C.8.8.25.6.4.2. Fixed Beam Line ....................................................................................................

824​

C.8.8.25.6.5. Gantry Pitch Angle ........................................................................................................

825​

C.8.8.25.7. Ion Control Point Sequence ...................................................................................................

825​

C.8.8.25.8. Scan Spot Maps .................................................................................................................

826​

C.8.8.25.9. Depth Dose Parameters Sequence Attributes ...........................................................................

827​

C.8.8.25.10. Isocenter to Accessory Distance ...........................................................................................

829​

C.8.8.25.11. Block and Compensator Data ...............................................................................................

829​

C.8.8.26. RT Ion Beams Session Record Module ..........................................................................................

830​

C.8.8.26.1. Specified and Delivered Meterset Values .................................................................................

845​

C.8.8.26.2. Scan Spot Prescribed Indices ................................................................................................

845​

C.8.8.26.2.1. Content of RT Ion Plan for following Use Cases ..................................................................

845​

C.8.8.26.2.2. Treatment Recording Use Cases .....................................................................................

845​

C.8.8.26.2.3. Use Case 1: No pause, no spot reordering, no spot splitting, no repainting ...............................

845​

C.8.8.26.2.4. Use Case 2: Pause .......................................................................................................

846​

C.8.8.26.2.5. Use Case 3: Tuning Spot ...............................................................................................

846​

C.8.8.26.2.6. Use Case 4: Repainting .................................................................................................

846​

C.8.8.26.2.7. Use Case 5: Spot Reordering ..........................................................................................

847​

C.8.8.26.2.8. Use Case 6: Combination ...............................................................................................

847​

C.8.8.27. Beam Limiting Device Position Macro ............................................................................................

848​

C.8.8.28. Patient Support Identification Macro ..............................................................................................

849​

C.8.8.29. RT Beams Delivery Instruction Module ...........................................................................................

849​

C.8.8.29.1. Current Fraction Number ......................................................................................................

853​

C.8.8.29.2. Adjusted Table Positions and Angles .......................................................................................

853​

C.8.8.29.3. Meterset Exposure ..............................................................................................................

853​

C.8.8.29.4. Double Exposure Field Delta .................................................................................................

853​

C.8.8.29.5. Beam Order Index ...............................................................................................................

853​

C.8.8.29.6. Autosequence Flag ..............................................................................................................

854​

C.8.8.30. RT Brachy Application Setup Delivery Instruction Module ...................................................................

854​

C.8.8.30.1. Brachy Task Sequence ........................................................................................................

856​

C.8.8.30.1.1. Usage Scenario 1: HDR Treatment, Interruption Skipping Remainder of the Interrupted Delivery ...

857​

C.8.8.30.1.2. Usage Scenario 2: PDR Treatment, Interruption and Continuation ..........................................

858​

C.8.8.30.2. Treatment Delivery Type .......................................................................................................

859​

C.8.8.30.3. Current Fraction Number ......................................................................................................

859​

C.8.8.30.4. Current Pulse Number ..........................................................................................................

860​

C.8.9. PET Information Module Definitions .......................................................................................................

860​

C.8.9.1. PET Series Module ......................................................................................................................

860​

C.8.9.1.1. PET Series Attribute Descriptions .............................................................................................

864​

C.8.9.1.1.1. Specialization of Image Plane Module and Image Pixel Module Attributes ..................................

865​

C.8.9.1.1.2. Series Date, Series Time .................................................................................................

865​

C.8.9.1.1.3. Units ............................................................................................................................

865​

C.8.9.1.1.4. Series Type ...................................................................................................................

866​

C.8.9.1.1.5. Decay Correction ...........................................................................................................

867​

C.8.9.1.1.6. Acquisition Start Condition ...............................................................................................

867​

C.8.9.1.1.7. Gantry/Detector Tilt .........................................................................................................

867​

C.8.9.1.1.8. Axial Mash ....................................................................................................................

867​

C.8.9.1.1.9. Transverse Mash ...........................................................................................................

868​

DICOM PS3.3 2020a - Information Object Definitions​

Page 35​

C.8.9.1.1.10. Energy Window Range Sequence ....................................................................................

868​

C.8.9.1.1.11. Temporal Relationships of Images in PET Series ................................................................

868​

C.8.9.2. PET Isotope Module ....................................................................................................................

869​

C.8.9.3. PET Multi-gated Acquisition Module ................................................................................................

871​

C.8.9.4. PET Image Module ......................................................................................................................

871​

C.8.9.4.1. PET Image Module Attribute Descriptions ..................................................................................

874​

C.8.9.4.1.1. Image Type ...................................................................................................................

874​

C.8.9.4.1.2. Photometric Interpretation ................................................................................................

874​

C.8.9.4.1.3. Frame Time ..................................................................................................................

874​

C.8.9.4.1.4. Acquisition Date, Acquisition Time .....................................................................................

874​

C.8.9.4.1.5. Frame Reference Time ....................................................................................................

874​

C.8.9.4.1.6. Actual Frame Duration .....................................................................................................

875​

C.8.9.4.1.7. Secondary Counts Accumulated ........................................................................................

875​

C.8.9.4.1.8. Dose Calibration Factor ...................................................................................................

875​

C.8.9.4.1.9. Image Index ..................................................................................................................

875​

C.8.9.5. PET Curve Module ......................................................................................................................

876​

C.8.10. Hardcopy Modules ...........................................................................................................................

876​

C.8.11. DX Modules ....................................................................................................................................

876​

C.8.11.1. DX Series Module ......................................................................................................................

876​

C.8.11.1.1. DX Series Attribute Descriptions .............................................................................................

878​

C.8.11.1.1.1. Presentation Intent Type ................................................................................................

878​

C.8.11.2. DX Anatomy Imaged Module ........................................................................................................

879​

C.8.11.2.1. DX Anatomy Imaged Attribute Descriptions ..............................................................................

880​

C.8.11.3. DX Image Module ......................................................................................................................

880​

C.8.11.3.1. DX Image Attribute Descriptions .............................................................................................

883​

C.8.11.3.1.1. Image Type .................................................................................................................

883​

C.8.11.3.1.2. Pixel Intensity Relationship and Grayscale Transformations ..................................................

884​

C.8.11.3.1.3. Acquisition Device Processing Description .........................................................................

884​

C.8.11.3.1.4. Derivation Description ....................................................................................................

885​

C.8.11.3.1.5. VOI Attributes ..............................................................................................................

885​

C.8.11.4. DX Detector Module ...................................................................................................................

885​

C.8.11.4.1. DX Detector Attribute Descriptions ..........................................................................................

889​

C.8.11.4.1.1. Physical, Active, Field of View, Exposed and Displayed Areas ...............................................

889​

C.8.11.5. DX Positioning Module ................................................................................................................

892​

C.8.11.5.1. DX Positioning Attribute Descriptions ......................................................................................

896​

C.8.11.5.1.1. View Code Sequence ....................................................................................................

896​

C.8.11.5.1.2. Patient Orientation Code Sequence ..................................................................................

896​

C.8.11.6. Mammography Series Module ......................................................................................................

896​

C.8.11.7. Mammography Image Module ......................................................................................................

897​

C.8.11.7.1. Mammography Image Attribute Descriptions .............................................................................

900​

C.8.11.7.1.1. Mammography X-Ray Beam and X-Ray Beam Vector Definition .............................................

900​

C.8.11.7.1.2. Detector Primary and Secondary Angles ...........................................................................

900​

C.8.11.7.1.3. Partial View Code Sequence ...........................................................................................

901​

C.8.11.7.1.4. Image Type .................................................................................................................

905​

C.8.11.8. Intra-Oral Series Module .............................................................................................................

908​

C.8.11.9. Intra-Oral Image Module .............................................................................................................

908​

C.8.11.9.1. Intra-Oral Image Attribute Descriptions ....................................................................................

909​

C.8.11.9.1.1. Primary Anatomic Structure Sequence ..............................................................................

909​

C.8.11.10. Enhanced Mammography Series Module ......................................................................................

909​

C.8.12. VL Modules and Functional Group Macros ............................................................................................

910​

C.8.12.1. VL Image Module ......................................................................................................................

910​

C.8.12.1.1. VL Image Module Attribute Descriptions ...................................................................................

913​

C.8.12.1.1.1. Photometric Interpretation ..............................................................................................

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C.8.12.1.1.2. Bits Allocated, Bits Stored, and High Bit ............................................................................

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C.8.12.1.1.3. Pixel Representation .....................................................................................................

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C.8.12.1.1.4. Samples Per Pixel ........................................................................................................

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C.8.12.1.1.5. Planar Configuration ......................................................................................................

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C.8.12.1.1.6. Image Type .................................................................................................................

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C.8.12.1.1.7. Referenced Image Sequence ..........................................................................................

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C.8.12.2. Slide Coordinates Module ............................................................................................................

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