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DICOM PS3.3 2020a - Information Object Definitions​

Page 371​

Functional Group Macro​

Section​

Usage​

 

Derivation Image​

C.7.6.16.2.6​

C - Required if Image Type (0008,0008)​

 

 

Value 1 equals DERIVED.​

 

Frame Anatomy​

C.7.6.16.2.8​

M​

 

Pixel Value Transformation​

C.7.6.16.2.9​

U​

 

Frame VOI LUT​

C.7.6.16.2.10​

M​

 

Real World Value Mapping​

C.7.6.16.2.11​

U​

 

Contrast/Bolus Usage​

C.7.6.16.2.12​

C - Required if the Enhanced​

 

 

 

Contrast/Bolus Module is present.​

X-Ray 3D Frame Type​

C.8.21.5.1​

M​

 

A.54.4.1 X-Ray 3D Craniofacial Image Functional Group Macros Content Constraints​

A.54.4.1.1 Frame Anatomy Functional Group Macro​

The Defined CID for the Anatomic Region Sequence (0008,2218) shall be CID 4028 “Craniofacial Anatomic Regions” or CID 4016​ “Anatomic Region for Intra-oral Radiography”.​

In the case of CID 4016 “Anatomic Region for Intra-oral Radiography”, the Defined CID for the Anatomic Region Modifier Sequence​ (0008,2220) shall be CID 4017 “Anatomic Region Modifier for Intra-oral Radiography”, if present, and the Defined CID for the Primary​ AnatomicStructureSequence(0008,2228)shallbeCID4026“PrimaryAnatomicStructureforIntra-oralandCraniofacialRadiography​ - Teeth”, if present.​

A.55 Breast Tomosynthesis Image IOD​

A.55.1 Breast Tomosynthesis Image IOD Description​

This Section defines the Information Object for multi-dimensional reconstructed breast tomosynthesis X-Ray Images that includes​ those Attributes and Information Objects necessary for the interchange of multi-dimensional breast tomosynthesis X-Ray volumes.​

Note​

This IOD is not intended for interchange of source projection X-Ray images.​

A.55.2 Breast Tomosynthesis Image IOD Entity-Relationship Model​

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

A.55.3 Breast Tomosynthesis Image IOD Module Table​

Table A.55-1 specifies the Modules of the Breast Tomosynthesis Image IOD.​

Table A.55-1. Breast Tomosynthesis Image 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​

 

Enhanced Mammography Series​

C.8.11.10​

M​

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DICOM PS3.3 2020a - Information Object Definitions​

 

IE​

Module​

Reference​

Usage​

Frame of​ Frame of Reference​

C.7.4.1​

M​

Reference​Synchronization​

C.7.4.2​

C - Required if time​

 

 

 

synchronization was applied.​

Equipment​General Equipment​

C.7.5.1​

M​

 

Enhanced General Equipment​

C.7.5.2​

M​

Image​

Image Pixel​

C.7.6.3​

M​

 

Enhanced Contrast/Bolus​

C.7.6.4b​

C - Required if contrast media​

 

 

 

was applied.​

 

Device​

C.7.6.12​

U​

 

Intervention​

C.7.6.13​

U​

 

Acquisition Context​

C.7.6.14​

M​

 

Multi-frame Functional Groups​

C.7.6.16​

M​

 

Multi-frame Dimension​

C.7.6.17​

U​

 

Image - Equipment Coordinate Relationship​

C.7.6.21​

U​

 

Specimen​

C.7.6.22​

U​

 

X-Ray 3D Image​

C.8.21.1​

M​

 

Breast Tomosynthesis Contributing Sources​

C.8.21.2.3​

U​

 

Breast Tomosynthesis Acquisition​

C.8.21.3.4​

U​

 

X-Ray 3D Reconstruction​

C.8.21.4​

U​

 

Breast View​

C.8.21.6​

M​

 

SOP Common​

C.12.1​

M​

 

Common Instance Reference​

C.12.2​

U​

 

Frame Extraction​

C.12.3​

C-RequirediftheSOPInstance​

 

 

 

was created in response to a​

 

 

 

Frame-Level retrieve request​

A.55.3.1 Breast Tomosynthesis Image IOD Content Constraints​

A.55.3.1.1 Restrictions for Standard Extended SOP Classes​

The Overlay Plane Module, Modality LUT Module, VOI LUT Module and Softcopy Presentation LUT Module shall not be used in a​ Standard Extended SOP Class of the Breast Tomosynthesis Image.​

Note​

The VOI LUT function is provided by a Frame VOI LUT Functional Group.​

A.55.3.1.2 Image - Equipment Coordinate Relationship Module​

For Breast Tomosynthesis Image SOP Instances created from SOP Instances of the Breast Projection X-Ray Image SOP Classes​ (1.2.840.10008.5.1.4.1.1.13.1.4 or 1.2.840.10008.5.1.4.1.1.13.1.5) the isocenter coordinate system shall be used to describe the​ positioning of the X-Ray Source, Detector and Breast Support (see Section C.8.31.6), and shall use only the value ISOCENTER for​ Equipment Coordinate System Identification (0028,9537).​

A.55.4 Breast Tomosynthesis Image Functional Group Macros​

Table A.55-2 specifies the use of the Functional Group Macros used in the Multi-frame Functional Groups Module for the Breast To-​ mosynthesis Image IOD.​

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DICOM PS3.3 2020a - Information Object Definitions​

Page 373​

Table A.55-2. Breast Tomosynthesis Image Functional Group Macros​

 

Functional Group Macro​

Section​

Usage​

 

Pixel Measures​

C.7.6.16.2.1​

M​

 

Frame Content​

C.7.6.16.2.2​

M - May not be used as a Shared Functional​

 

 

Group.​

 

Plane Position (Patient)​

C.7.6.16.2.3​

M​

 

Plane Orientation (Patient)​

C.7.6.16.2.4​

M​

 

Referenced Image​

C.7.6.16.2.5​

U​

 

Derivation Image​

C.7.6.16.2.6​

C - Required if Image Type (0008,0008) Value​

 

 

1 equals DERIVED.​

 

Frame Anatomy​

C.7.6.16.2.8​

M​

 

Identity Pixel Value Transformation​

C.7.6.16.2.9b​

M​

 

Frame VOI LUT With LUT​

C.7.6.16.2.10b​

M​

 

Real World Value Mapping​

C.7.6.16.2.11​

U​

 

Contrast/Bolus Usage​

C.7.6.16.2.12​

C - Required if the Enhanced Contrast/Bolus​

 

 

Module is present.​

 

X-Ray 3D Frame Type​

C.8.21.5.1​

M - May not be used as a Shared Functional​

 

 

Group.​

 

Breast Biopsy Target​

C.8.21.5.2​

U – May not be used as a Shared Functional​

 

 

Group.​

 

A.55.4.1 Breast Tomosynthesis Image Functional Group Macros Content Constraints​

A.55.4.1.1 Frame Anatomy Functional Group Macro​

The Defined CID for the Anatomic Region Sequence (0008,2218) shall be CID 4013 “Anatomic Region for Mammography”.​

A.56 Enhanced PET Image IOD​

A.56.1 Enhanced PET Image IOD Description​

The Enhanced Positron Emission Tomography (PET) Image Information Object Definition (IOD) specifies an image that has been​ created by a positron emission tomography coincidence imaging device.​

A.56.2 Enhanced PET Image IOD Entity-Relationship Model​

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

A.56.3 Enhanced PET Image IOD Module Table​

Table A.56-1 specifies the Modules of the Enhanced PET Image IOD.​

Table A.56-1. Enhanced PET Image 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​

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DICOM PS3.3 2020a - Information Object Definitions​

 

IE​

Module​

Reference​

Usage​

Series​

General Series​

C.7.3.1​

M​

 

Enhanced PET Series​

C.8.22.1​

M​

 

Clinical Trial Series​

C.7.3.2​

U​

Frame of​ Frame of Reference​

C.7.4.1​

M​

Reference​Synchronization​

C.7.4.2​

C - Required if time synchronization​

 

 

 

was applied.​

Equipment​General Equipment​

C.7.5.1​

M​

 

Enhanced General Equipment​

C.7.5.2​

M​

Image​

Image Pixel​

C.7.6.3​

M​

 

Intervention​

C.7.6.13​

U​

 

Acquisition Context​

C.7.6.14​

M​

 

Multi-frame Functional Groups​

C.7.6.16​

M​

 

Multi-frame Dimension​

C.7.6.17​

M​

 

Cardiac Synchronization​

C.7.6.18.1​

C - Required if cardiac​

 

 

 

synchronization was applied.​

 

Respiratory Synchronization​

C.7.6.18.2​

C - Required if respiratory​

 

 

 

synchronization was applied.​

 

Specimen​

C.7.6.22​

U​

 

Enhanced PET Isotope​

C.8.22.4​

M​

 

Enhanced PET Acquisition​

C.8.22.2​

M​

 

Enhanced PET Image​

C.8.22.3​

M​

 

Enhanced PET Corrections​

C.8.22.6​

M​

 

SOP Common​

C.12.1​

M​

 

Common Instance Reference​

C.12.2​

U​

 

Frame Extraction​

C.12.3​

C - Required if the SOP Instance​

 

 

 

was created in response to a​

 

 

 

Frame-Level retrieve request​

A.56.3.1 Enhanced PET Image IOD Content Constraints​

Modality (0008,0060) shall have the value PT.​

The General Image Module, Overlay Plane Module, VOI LUT Module, Supplemental Palette Color Lookup Table Module, and the​ Softcopy Presentation LUT Module shall not be used in a Standard Extended SOP Class of the Enhanced PET Image.​

Note​

1.​In order to annotate images, whether during acquisition or subsequently, SOP Instances of the Grayscale Softcopy​ Presentation State Storage, Color Softcopy Presentation State Storage, or the Structured Report Storage SOP Classes​ that reference the image SOP Instance, may be used.​

2.​No standard mechanism is provided for inclusion of annotations within the image SOP Instance itself, and implementers​ are discouraged from using private extensions to circumvent this restriction.​

3.​TheBlendingSoftcopyPresentationStateandSpatialRegistrationSOPClassescanbeusedtorelatethisSOPInstance​ to related image, registration, or fiducial SOP Instances.​

4.​If contrast was administered during a CT acquisition used for attenuation correction, this information can be obtained​ from the CT SOP Instances and is not encoded in the PET SOP Instances.​

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DICOM PS3.3 2020a - Information Object Definitions​

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A.56.4 Enhanced PET Image Functional Group Macros​

Table A.56-2 specifies the use of the Functional Group Macros used in the Multi-frame Functional Groups Module for the Enhanced​ PET Image IOD.​

Table A.56-2. Enhanced PET Image Functional Group Macros​

Functional Group Macro​

Section​

Usage​

Pixel Measures​

C.7.6.16.2.1​

M​

Frame Content​

C.7.6.16.2.2​

M - May not be used as a Shared Functional Group.​

Plane Position (Patient)​

C.7.6.16.2.3​

M​

Plane Orientation (Patient)​

C.7.6.16.2.4​

M​

Referenced Image​

C.7.6.16.2.5​

C - Required if the image or frame has been planned on​

 

 

another image or frame, may be present otherwise.​

Derivation Image​

C.7.6.16.2.6​

C - Required if the image or frame has been derived from​

 

 

another SOP Instance.​

Frame Anatomy​

C.7.6.16.2.8​

M​

Pixel Value Transformation​

C.7.6.16.2.9​

M​

Frame VOI LUT​

C.7.6.16.2.10​

M​

Real World Value Mapping​

C.7.6.16.2.11​

M - The Defined CID for Measurement Units Code Sequence​

 

 

shall be CID 84 “PET Units”.​

Cardiac Synchronization​

C.7.6.16.2.7​

C-RequiredifCardiacSynchronizationTechnique(0018,9037)​

 

 

equals other than NONE. May be present otherwise.​

Respiratory Synchronization​

C.7.6.16.2.17​

C - Required if Respiratory Motion Compensation Technique​

 

 

(0018,9170) equals other than NONE. May be present​

 

 

otherwise.​

Radiopharmaceutical Usage​

C.7.6.16.2.19​

M​

Patient Physiological State​

C.7.6.16.2.20​

C - Required for cardiac rest and stress images.​

PET Frame Type​

C.8.22.5.1​

M​

PET Frame Acquisition​

C.8.22.5.2​

C - Required if Image Type (0008,0008) Value 1 equals​

 

 

ORIGINAL. May be present otherwise.​

PET Detector Motion Details​

C.8.22.5.3​

C - Required if Image Type (0008,0008) Value 1 equals​

 

 

ORIGINAL and Type of Detector Motion (0054,0202) is not​

 

 

equal to STATIONARY.​

PET Position​

C.8.22.5.4​

C - Required if Image Type (0008,0008) Value 1 equals​

 

 

ORIGINAL. May be present otherwise.​

PET Frame Correction Factors​

C.8.22.5.5​

C - Required if Image Type (0008,0008) Value 1 equals​

 

 

ORIGINAL. May be present otherwise.​

PET Reconstruction​

C.8.22.5.6​

C - Required if Image Type (0008,0008) Value 1 equals​

 

 

ORIGINAL. May be present otherwise.​

PET Table Dynamics​

C.8.22.5.7​

C - Required if Image Type (0008,0008) Value 1 equals​

 

 

ORIGINAL and Table Motion (0018,1134) is equal to​

 

 

DYNAMIC.​

A.56.5 Acquisition Context Module​

The Defined TID for Acquisition Context Sequence (0040,0555) is TID 3471 “PET Covariates Acquisition Context”, which includes​ thebloodglucosemeasurement.IncontrasttothePETImageIOD,thedescriptionofthecardiovascularrestorstressstateisencoded​ in the Enhanced PET Image IOD using the Patient Physiological State Functional Group Macro, rather than the Acquisition Context.​

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