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DICOM PS3.16 2020a - Content Mapping Resource​ Page 431​

Table TID 10003B. Irradiation Event X-Ray Source Data​

NL​ Rel with​

VT​

Concept Name​

VM​

Req​

Condition​

Value Set Constraint​

Parent​

 

 

 

Type​

 

 

1​

NUM​

EV (113738, DCM, "Dose​

1​

MC​ IF TID 10001 Row 2​UNITS = EV (Gy,​

 

 

(RP) ")​

 

 

= (113704, DCM,​

UCUM, "Gy")​

"Projection X-Ray")​ AND any of the​ valuesofTID(10001)​ Row 18 are not​ (113858, DCM,​ "MPPS Content")​

2​

TEXT​

EV (113780, DCM,​

1​

 

 

"Reference Point​

 

 

 

Definition")​

 

3​

CODE​

EV (113780, DCM,​

1​

 

 

"Reference Point​

 

 

 

Definition")​

 

4​

NUM​

EV (111631, DCM,​

1​

 

 

"AverageGlandularDose")​

 

5​

CODE​

EV (113732, DCM, "Fluoro​ 1​

 

 

Mode")​

 

6​

NUM​

EV (113791, DCM, "Pulse​

1​

 

 

Rate")​

 

7​

NUM​

EV (113768, DCM,​

1​

 

 

"Number of Pulses")​

 

8​ >​ HAS​

CODE​

EV (121401, DCM,​

1​

CONCEPT​

"Derivation")​

 

MOD​

 

 

 

MC​ IF Row 1 is present​ and Row 3 is not​ present​

MC​ IF Row 1 is present​DCID 10025 “Radiation​ and Row 2 is not​ Dose Reference Points”​ present​

MC​ IFF TID 10001 Row​UNITS = EV (mGy,​ 2 = (71651007, SCT,​UCUM, "mGy")​ "Mammography")​

UC​ IFF TID 10003 Row​DCID 10004 “Fluoro​

7value=(44491008,​Modes”​

SCT, "Fluoroscopy")​

MC​ IFF Row 5 value =​ UNITS = EV ({pulse}/s,​ (113631, DCM,​ UCUM, "pulse/s")​ "Pulsed")​

MC​ IFF Row 5 is not​ UNITS = EV (1, UCUM,​ present or Row 5 is​"no units")​

present and equals​ (113631, DCM,​ "Pulsed")​

MC​ IFFcountofpulsesin​EV (414135002, SCT,​

Row 7 is estimated​ "Estimated")​

9​

NUM​

EV (113793, DCM, "Pulse​ 1-n​

U​

UNITS = EV (ms,​

 

 

Width")​

 

 

UCUM, "ms")​

10​

NUM​

EV (113742, DCM,​

1​

U​

UNITS = EV (s, UCUM,​

 

 

"Irradiation Duration")​

 

 

"s")​

11​

NUM​

EV (113733, DCM, "KVP")​ 1-n​

M​

UNITS=EV(kV,UCUM,​

 

 

 

 

 

"kV")​

12​

NUM​

EV (113734, DCM, "X-Ray​1-n​

MC​ IF Row 15 is not​

UNITS = EV (mA,​

 

 

Tube Current")​

 

present​

UCUM, "mA")​

13​

NUM​

EV (113767, DCM,​

1​

U​

UNITS = EV (mA,​

 

 

"Average X-Ray Tube​

 

 

UCUM, "mA")​

 

 

Current")​

 

 

 

14​

NUM​

EV (113824, DCM,​

1​

MC​ IF Row 15 is not​

UNITS = EV (ms,​

 

 

"Exposure Time")​

 

present​

UCUM, "ms")​

15​

NUM​

EV (113736, DCM,​

1-n​

MC​ IF Row 12 or 14 is​ UNITS = EV (uA.s,​

 

 

"Exposure")​

 

not present​

UCUM, "uA.s")​

16​

NUM​

EV (113766, DCM, "Focal​

1​

U​

UNITS = EV (mm,​

 

 

Spot Size")​

 

 

UCUM, "mm")​

- Standard -​

Page 432​

 

 

DICOM PS3.16 2020a - Content Mapping Resource​

 

 

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VM​

Req​

Condition​

Value Set Constraint​

 

 

Parent​

 

 

 

Type​

 

 

17​

 

 

CODE​

EV (111632, DCM, "Anode​ 1​

U​

 

DCID 10016 “Anode​

 

 

 

 

Target Material")​

 

 

 

Target Material”​

18​

 

 

CONTAINER​EV (113771, DCM, "X-Ray​1-n​

U​

 

 

 

 

 

 

Filters")​

 

 

 

 

19​

>​

CONTAINS​CODE​

EV (113772, DCM, "X-Ray​ 1​

U​

 

DCID 10007 “X-Ray​

 

 

 

 

Filter Type")​

 

 

 

Filter Types”​

20​

>​

CONTAINS​CODE​

EV (113757, DCM, "X-Ray​ 1​

U​

 

DCID 10006 “X-Ray​

 

 

 

 

Filter Material")​

 

 

 

Filter Materials”​

21​

>​

CONTAINS​NUM​

EV (113758, DCM, "X-Ray​ 1​

U​

 

UNITS = EV (mm,​

 

 

 

 

FilterThicknessMinimum")​

 

 

 

UCUM, "mm")​

22​

>​

CONTAINS​NUM​

EV (113773, DCM, "X-Ray​ 1​

U​

 

UNITS = EV (mm,​

 

 

 

 

FilterThicknessMaximum")​

 

 

 

UCUM, "mm")​

23​

 

 

NUM​

EV (113790, DCM,​

1​

U​

 

UNITS = EV (m2,​

 

 

 

 

"Collimated Field Area")​

 

 

 

UCUM, "m2")​

24​

 

 

NUM​

EV (113788, DCM,​

1​

U​

 

UNITS = EV (mm,​

 

 

 

 

"Collimated Field Height")​

 

 

 

UCUM, "mm")​

25​

 

 

NUM​

EV (113789, DCM,​

1​

U​

 

UNITS = EV (mm,​

 

 

 

 

"Collimated Field Width")​

 

 

 

UCUM, "mm")​

26​

 

 

CODE​

EV (111635, DCM, "X-Ray​1-n​

U​

 

DCID 10017 “X-Ray​

 

 

 

 

Grid")​

 

 

 

Grid”​

27​

 

 

INCLUDE​

DTID 1021 “Device​

1​

MC​ Required if the​

$DeviceProcedureRole​

 

 

 

 

Participant”​

 

 

irradiating device is​= EV (113859, DCM,​

 

 

 

 

 

 

 

not the recording​

"Irradiating Device")​

 

 

 

 

 

 

 

device.​

 

Content Item Descriptions​

 

 

 

 

 

Row 1​

Dose applied by this irradiation event, relative to defined reference point.​

 

Row 7​

If a precise count of pulses is not available, an estimated number shall be provided, and the Row 8 Concept​

 

 

Modifier shall indicate "Estimated"​

 

 

 

 

Row 9​

Pulse width as measured/recorded by the system, either as a single total value, or as multiple values. If​

 

 

multiple values are provided, their number shall match the value in Row 7 "Number of Pulses".​

Row 11​

KVP value as measured/recorded by system, either as a single mean value, or as multiple values. If multiple​

 

 

values are provided, their number shall match the value in Row 7 "Number of Pulses".​

Row 12​

Tube current as measured/recorded by system, either as a single mean value, or as multiple values. If​

 

 

multiple values are provided, their number shall match the value in Row 7 "Number of Pulses".​

Row 14​

Exposure time as measured/recorded by the system.​

 

 

Row 15​

Exposure as measured/recorded by system, either as a single total value, or as multiple values. If multiple​

 

 

values are provided, their number shall match the value in Row 7 "Number of Pulses". The Exposure will be​

 

 

affected by the shape of the pulse and other factors, and may not be a simple multiplication of tube current​

 

 

and exposure time.​

 

 

 

 

Row 18​

If one or more Filter(s) were applied during this irradiation event​

 

Row 23​

Collimated area at the receptor plane.​

 

 

 

 

Row 27​

The device that produced the irradiation in this Irradiation Event. I.e., the X-Ray source.​

This is not required to be present if the information is the same as that already recorded in TID 1004 “Device​ Observer Identifying Attributes” encoded via the inclusion of TID 1002 “Observer Context” in TID 10001​ “Projection X-Ray Radiation Dose” Row 5, which in turn may be absent if identical to the content in the​ Enhanced General Equipment Module.​

- Standard -​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 433​

TID 10003C Irradiation Event X-Ray Mechanical Data​

This Template contains data that is expected to be available to the gantry or mechanical component of the equipment.​

Type:​

Extensible​

Order:​

Non-Significant​

Root:​

No​

Table TID 10003C. Irradiation Event X-Ray Mechanical Data​

NL​ Rel​

VT​

Concept Name​

VM​

Req​ Condition​

Value Set Constraint​

with​

 

 

 

Type​

 

Parent​

 

 

 

 

1​

CODE​

EV (113956, DCM, "CR/DR​

1​

U​

DCID 10031 “CR/DR​

 

 

Mechanical Configuration")​

 

 

Mechanical Configuration”​

2​

NUM​

EV (112011, DCM, "Positioner​

1​

UC​ XOR Row 6​ UNITS = EV (deg, UCUM,​

 

 

Primary Angle")​

 

 

"deg")​

3​

NUM​

EV (112012, DCM, "Positioner​

1​

UC​ XOR Row 6​ UNITS = EV (deg, UCUM,​

 

 

Secondary Angle")​

 

 

"deg")​

4​

NUM​

EV (113739, DCM, "Positioner​

1​

UC​ IFF TID​

UNITS = EV (deg, UCUM,​

 

 

Primary End Angle")​

 

10003 Row 7​"deg")​

 

 

 

 

value =​

 

 

 

 

 

(113613,​

 

 

 

 

 

DCM,​

 

 

 

 

 

"Rotational​

 

 

 

 

 

Acquisition")​

 

5​

NUM​

EV (113740, DCM, "Positioner​

1​

UC​ IFF TID​

UNITS = EV (deg, UCUM,​

 

 

Secondary End Angle")​

 

10003 Row 7​"deg")​

 

 

 

 

value =​

 

 

 

 

 

(113613,​

 

 

 

 

 

DCM,​

 

 

 

 

 

"Rotational​

 

 

 

 

 

Acquisition")​

 

6​

NUM​

EV (113770, DCM, "Column​

1​

UC​ XOR Rows 2,​UNITS = EV (deg, UCUM,​

 

 

Angulation")​

 

3​

"deg")​

7​

NUM​

EV(113754,DCM,"TableHeadTilt​

1​

U​

UNITS = EV (deg, UCUM,​

 

 

Angle")​

 

 

"deg")​

8​

NUM​

EV (113755, DCM, "Table​

1​

U​

UNITS = EV (deg, UCUM,​

 

 

Horizontal Rotation Angle")​

 

 

"deg")​

9​

NUM​

EV (113756, DCM, "Table Cradle​

1​

U​

UNITS = EV (deg, UCUM,​

 

 

Tilt Angle")​

 

 

"deg")​

10​

NUM​

EV (111633, DCM, "Compression​

1​

U​

UNITS = EV (mm, UCUM,​

 

 

Thickness")​

 

 

"mm")​

10a​

NUM​

EV (111647, DCM, "Compression​

1​

U​

UNITS = EV (N, UCUM,​

 

 

Force")​

 

 

"Newton")​

10b​

NUM​

EV (111648, DCM, "Compression​

1​

U​

UNITS = EV (kPa, UCUM,​

 

 

Pressure")​

 

 

"kilopascal")​

10c​

NUM​

EV (111649, DCM, "Compression​

1​

U​

UNITS = EV (mm2, UCUM,​

 

 

Contact Area")​

 

 

"mm2")​

11​

NUM​

DCID 10008 “Dose Related​

1-n​

U​

UNITS = EV (mm, UCUM,​

 

 

Distance Measurements”​

 

 

"mm")​

12​

NUM​

EV (128757, DCM, "Positioner​

1​

U​

UNITS = EV (deg, UCUM,​

 

 

Isocenter Primary Angle")​

 

 

"deg")​

- Standard -​

Page 434​

 

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VT​

Concept Name​

VM​

Req​ Condition​

Value Set Constraint​

with​

 

 

 

Type​

 

Parent​

 

 

 

 

13​

NUM​

EV (128758, DCM, "Positioner​

1​

U​

UNITS = EV (deg, UCUM,​

 

 

Isocenter Secondary Angle")​

 

 

"deg")​

14​

NUM​

EV (128759, DCM, "Positioner​

1​

U​

UNITS = EV (deg, UCUM,​

 

 

IsocenterDetectorRotationAngle")​

 

 

"deg")​

15​

NUM​

EV (128760, DCM, "Positioner​

1​

U​

UNITS = EV (deg, UCUM,​

 

 

Isocenter Primary End Angle")​

 

 

"deg")​

16​

NUM​

EV (128761, DCM, "Positioner​

1​

U​

UNITS = EV (deg, UCUM,​

 

 

Isocenter Secondary End Angle")​

 

 

"deg")​

17​

NUM​

EV (128762, DCM, "Positioner​

1​

U​

UNITS = EV (deg, UCUM,​

 

 

Isocenter Detector Rotation End​

 

 

"deg")​

 

 

Angle")​

 

 

 

18​

NUM​

EV(128763,DCM,"TableHeadTilt​

1​

U​

UNITS = EV (deg, UCUM,​

 

 

End Angle")​

 

 

"deg")​

19​

NUM​

EV (128764, DCM, "Table​

1​

U​

UNITS = EV (deg, UCUM,​

 

 

Horizontal Rotation End Angle")​

 

 

"deg")​

20​

NUM​

EV (128765, DCM, "Table Cradle​

1​

U​

UNITS = EV (deg, UCUM,​

 

 

Tilt End Angle")​

 

 

"deg")​

Content Item Descriptions​

 

 

 

 

Row 2​

Angle in patient's "equatorial" plane (LAO to RAO). For dynamically changing angle during the event,​

 

the start value shall be provided. Equivalent to (0018,1510) in an image instance.​

Row 3​

Angle in patient's "sagittal" plane (CRAN to CAUD). For dynamically changing angle during the event,​

 

the start value shall be provided. Equivalent to (0018,1511) in an image instance.​

Row 4​

In case of motion during irradiation event, Positioner Primary ending angle​

Row 5​

In case of motion during irradiation event., Positioner Secondary ending angle​

Row 6​

Column device Angle in equipment based coordinates​

 

Rows 12 to 20​

Refer to the definitions of the X-Ray Isocenter Reference System (“X-Ray Isocenter Reference System​

 

Macro” in PS3.3).​

 

 

 

TID 10004 Accumulated Fluoroscopy and Acquisition Projection X-Ray Dose​

This general Template provides detailed information on projection X-Ray dose value accumulations over several irradiation events​ from the same equipment (typically a study or a performed procedure step).​

Type:​

Extensible​

Order:​

Non-Significant​

Root:​

No​

Table TID 10004. Accumulated Fluoroscopy and Acquisition Projection X-Ray Dose​

NL​ Rel​

VT​

Concept Name​

VM​

Req​

Condition​

ValueSetConstraint​

with​

 

 

 

Type​

 

 

Parent​

 

 

 

 

 

1​

NUM​

EV (113726, DCM,​

1​

MC​ IFF TID 10003 Row 7 value =​

UNITS = EV (Gy.m2,​

 

 

"Fluoro Dose Area​

 

 

(44491008, SCT, "Fluoroscopy") for​UCUM, "Gy.m2")​

 

 

Product Total")​

 

 

at least one irradiation event​

 

- Standard -​

 

 

DICOM PS3.16 2020a - Content Mapping Resource​

Page 435​

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VT​

Concept Name​

VM​

Req​

Condition​

ValueSetConstraint​

with​

 

 

 

Type​

 

 

Parent​

 

 

 

 

 

2​

NUM​

EV (113728, DCM,​

1​

MC​ IFF TID 10003 Row 7 value =​

UNITS = EV (Gy,​

 

 

"Fluoro Dose (RP) Total")​

 

(44491008, SCT, "Fluoroscopy") for​UCUM, "Gy")​

 

 

 

 

 

atleastoneirradiationeventANDany​

 

 

 

 

 

of the values of TID (10001) Row 18​

 

 

 

 

 

are not (113858, DCM, "MPPS​

 

 

 

 

 

 

Content").​

 

3​

NUM​

EV (113730, DCM, "Total​ 1​

MC​ IFF TID 10003 Row 7 value =​

UNITS = EV (s,​

 

 

Fluoro Time")​

 

 

(44491008, SCT, "Fluoroscopy") for​UCUM, "s")​

 

 

 

 

 

at least one irradiation event.​

 

4​

NUM​

EV (113727, DCM,​

1​

MC​ IF any of the values of TID (10001)​ UNITS = EV (Gy.m2,​

 

 

"Acquisition Dose Area​

 

 

Row 18 are not (113858, DCM,​

UCUM, "Gy.m2")​

 

 

Product Total")​

 

 

"MPPS Content").​

 

5​

NUM​

EV (113729, DCM,​

1​

MC​ IF any of the values of TID (10001)​ UNITS = EV (Gy,​

 

 

"Acquisition Dose (RP)​

 

 

Row 18 are not (113858, DCM,​

UCUM, "Gy")​

 

 

Total")​

 

 

"MPPS Content").​

 

6​

NUM​

EV (113855, DCM, "Total​ 1​

MC​ IF any of the values of TID (10001)​ UNITS = EV (s,​

 

 

Acquisition Time")​

 

 

Row 18 are not (113858, DCM,​

UCUM, "s")​

 

 

 

 

 

"MPPS Content").​

 

Content Item Descriptions​

 

 

 

 

Rows 1-3​

 

Fluoroscopic component only​

 

 

 

Row 3​

 

Total clock time of Fluoroscopy accumulated over the defined scope of accumulation (i.e., the sum of​

 

 

the Irradiation Duration values for accumulated fluoroscopy irradiation events)​

Rows 4-6​

 

Acquisition component only​

 

 

 

Row 6​

 

Total clock time of acquisitions accumulated over the defined scope of accumulation (i.e., the sum of​

 

 

the Irradiation Duration values for accumulated acquisition irradiation events)​

TID 10005 Accumulated Mammography X-Ray Dose​

This modality specific Template provides detailed information on breast imaging projection X-Ray dose value accumulations over​ several irradiation events from the same equipment (typically a study or a performed procedure step).​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

Table TID 10005. Accumulated Mammography X-Ray Dose​

 

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req Type​Condition​Value Set Constraint​

1​

NUM​

EV (111637, DCM,​

1-2​

M​

UNITS = EV (mGy,​

 

 

"Accumulated Average​

 

 

UCUM, "mGy")​

 

 

Glandular Dose")​

 

 

 

2​

>​ HAS CONCEPT​CODE​

EV (272741003, SCT,​

1​

M​

DCID 6022 “Side”​

 

MOD​

"Laterality")​

 

 

 

TID 10006 Accumulated Cassette-based Projection Radiography Dose​

This Template provides information on Projection Radiography dose values accumulated on Cassette-based systems over one or​ more irradiation events (typically a study or a performed procedure step) from the same equipment.​

Type:​

Extensible​

Order:​

Non-Significant​

- Standard -​

Page 436​

 

DICOM PS3.16 2020a - Content Mapping Resource​

 

Root:​

 

No​

 

 

 

 

 

 

Table TID 10006. Accumulated Cassette-Based Projection Radiography Dose​

NL​ Rel with​ VT​

Concept Name​

VM​Req Type​

Condition​

Value Set Constraint​

 

Parent​

 

 

 

 

 

 

1​

CODE​

EV (113947, DCM,​

1​

MC​

IFTID10001Row8isabsent​DCID10030“Detector​

 

 

"Detector Type")​

 

 

orvalueis(373066001,SCT,​Types”​

 

 

 

 

 

"Yes")​

 

 

2​

NUM​

EV (113731, DCM, "Total​ 1​

MC​

IFTID10001Row8isabsent​UNITS = EV (1,​

 

 

Number of Radiographic​

 

 

orvalueis(373066001,SCT,​UCUM, "no units")​

 

 

Frames")​

 

 

"Yes")​

 

 

Content Item Descriptions​

 

 

 

 

 

 

Row 2​

The number of radiographic frames recorded by the X-Ray detector or the number of exposures recorded​

 

by the X-Ray source, whichever is known to be greater.​

 

 

TID 10007 Accumulated Total Projection Radiography Dose​

This Template provides information on total Projection Radiography dose values accumulated on Integrated or combined fluoro-​ scopy/acquisition systems over one or more irradiation events (typically a study or a performed procedure step) from the same​ equipment.​

Type:​

Extensible​

Order:​

Non-Significant​

Root:​

No​

 

Table TID 10007. Accumulated Total Projection Radiography Dose​

NL​ Rel​

VT​

Concept Name​

VM​

Req​

Condition​

ValueSetConstraint​

with​

 

 

 

Type​

 

 

Parent​

 

 

 

 

 

1​

NUM​

EV (113722, DCM, "Dose​

1​

M​

 

UNITS = EV (Gy.m2,​

 

 

Area Product Total")​

 

 

 

UCUM, "Gy.m2")​

2​

NUM​

EV (113725, DCM, "Dose​

1​

MC​ IF TID 10001 Row 4 = (113958,​

UNITS = EV (Gy,​

 

 

(RP) Total")​

 

 

DCM, "Integrated Projection​

UCUM, "Gy")​

 

 

 

 

 

RadiographySystem")oranyofthe​

 

 

 

 

 

values of TID (10001) Row 18 are​

 

 

 

 

 

not (113858, DCM, "MPPS​

 

 

 

 

 

 

Content").​

 

3​

NUM​

EV (113737, DCM,​

1​

U​

 

UNITS = EV (mm,​

 

 

"Distance Source to​

 

 

 

UCUM, "mm")​

 

 

Reference Point")​

 

 

 

 

4​

NUM​

EV (113731, DCM, "Total​

1​

U​

 

UNITS = EV (1,​

 

 

Number of Radiographic​

 

 

 

UCUM, "no units")​

 

 

Frames")​

 

 

 

 

5​

CODE​

EV (113780, DCM,​

1​

MC​ IF any of (113725, DCM, "Dose​

DCID 10025​

 

 

"Reference Point​

 

 

(RP) Total"), (113728, DCM,​

“Radiation Dose​

 

 

Definition")​

 

 

"Fluoro Dose (RP) Total") or​

Reference Points”​

 

 

 

 

 

(113729, DCM, "Acquisition Dose​

 

 

 

 

 

(RP) Total") are present, and Row​

 

 

 

 

 

6 is not present.​

 

- Standard -​

 

 

DICOM PS3.16 2020a - Content Mapping Resource​

Page 437​

NL​ Rel​

VT​

Concept Name​

VM​

 

Req​

Condition​

ValueSetConstraint​

with​

 

 

 

 

Type​

 

 

Parent​

 

 

 

 

 

 

 

6​

TEXT​

EV (113780, DCM,​

1​

 

MC​ IF any of (113725, DCM, "Dose​

 

 

 

"Reference Point​

 

 

 

 

(RP) Total"), (113728, DCM,​

 

 

 

Definition")​

 

 

 

 

"Fluoro Dose (RP) Total") or​

 

 

 

 

 

 

 

 

(113729, DCM, "Acquisition Dose​

 

 

 

 

 

 

 

(RP) Total") are present, and Row​

 

 

 

 

 

 

 

5 is not present.​

 

Content Item Descriptions​

 

 

 

 

 

 

Row 1​

 

Accumulated Dose Area Product​

 

 

Row 2​

 

Accumulated dose relative to reference point.​

 

Row 3​

 

A single value for Radiography systems calculating reference point dose based on fixed distance.​

Row 5​

 

A coded definition of the Reference Point (RP) used for RP-related dose values.​

Row 6​

 

A text definition of the Reference Point (RP) used for RP-related dose values.​

CT Radiation Dose SR IOD Templates ​

 

 

The Templates that comprise the CT Radiation Dose SR are interconnected as in Figure A-15.​

 

 

 

 

TID 10011

 

TID 1002

 

 

 

 

 

CT Radiation Dose

 

 

Observer

 

 

 

 

 

 

 

Context

 

 

 

 

 

 

 

 

 

 

TID 10012

CT Accumulated

Dose Data

TID 10013

CT Irradiation

Event Data

Figure A-15. CT Radiation Dose SR IOD Template Structure​

TID 10011 CT Radiation Dose​

ThisTemplatedefinesacontainer(theroot)withsubsidiaryContentItems,eachofwhichcorrespondstoasingleCTX-Rayirradiation​ event entry. There is a defined recording observer (the system or person responsible for recording the log, generally the system).​ Accumulated values shall be kept for a whole Study or at least a part of a Study, if the Study is divided in the workflow of the examin-​ ation, or a performed procedure step. Multiple CT Radiation Dose objects may be created for one Study.​

Type:​

Extensible​

Order:​

Significant​

Root:​

Yes​

 

Table TID 10011. CT Radiation Dose​

 

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​ Condition​Value Set Constraint​

 

 

 

 

 

Type​

 

1​

 

CONTAINER​EV (113701, DCM, "X-Ray​

1​

M​

Root node​

 

 

 

Radiation Dose Report")​

 

 

 

1b​

>​

HAS CONCEPT​INCLUDE​

DTID 1204 “Language of​

1​

U​

 

 

 

MOD​

Content Item and​

 

 

 

 

 

 

Descendants”​

 

 

 

2​

>​

HAS CONCEPT​CODE​

EV (121058, DCM,​

1​

M​

EV (77477000, SCT,​

 

 

MOD​

"Procedure reported")​

 

 

"ComputedTomography​

 

 

 

 

 

 

X-Ray")​

- Standard -​

Page 438​

 

DICOM PS3.16 2020a - Content Mapping Resource​

 

 

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​ Condition​Value Set Constraint​

 

 

 

 

 

 

Type​

 

3​

>>​

HAS CONCEPT​CODE​

EV (363703001, SCT, "Has​

1​

M​

DCID 3629 “Procedure​

 

 

MOD​

 

Intent")​

 

 

Intent”​

4​

>​

 

INCLUDE​

DTID 1002 “Observer​

1-n​

M​

 

 

 

 

 

Context”​

 

 

 

5​

>​

HAS OBS​

DATETIME​ EV (113809, DCM, "Start of​

1​

M​

 

 

 

CONTEXT​

 

X-Ray Irradiation")​

 

 

 

6​

>​

HAS OBS​

DATETIME​ EV (113810, DCM, "End of​

1​

M​

 

 

 

CONTEXT​

 

X-Ray Irradiation")​

 

 

 

7​

>​

HAS OBS​

CODE​

EV(113705,DCM,"Scopeof​

1​

M​

DCID 10000 “Scope of​

 

 

CONTEXT​

 

Accumulation")​

 

 

Accumulation”​

8​

>>​

HAS​

UIDREF​

DCID 10001 “UID Types”​

1​

M​

 

 

 

PROPERTIES​

 

 

 

 

 

9​

>​

CONTAINS​

INCLUDE​

DTID 10012 “CT​

1​

M​

 

 

 

 

 

Accumulated Dose Data”​

 

 

 

10​

>​

CONTAINS​

INCLUDE​

DTID 10013 “CT Irradiation​

1-n​

M​

 

 

 

 

 

Event Data”​

 

 

 

11​

>​

CONTAINS​

TEXT​

EV (121106, DCM,​

1​

U​

 

 

 

 

 

"Comment")​

 

 

 

12​

>​

CONTAINS​

CODE​

EV (113854, DCM, "Source​

1-n​

M​

DCID 10021 “Source of​

 

 

 

 

of Dose Information")​

 

 

CT Dose Information”​

13​

>​

CONTAINS​

INCLUDE​

DTID 1020 “Person​

1​

U​

$PersonProcedureRole​

 

 

 

 

Participant”​

 

 

= EV (113850, DCM,​

 

 

 

 

 

 

 

"IrradiationAuthorizing")​

Content Item Descriptions​

 

 

 

 

 

Row 4​

The observer context may include both a Person Observer identification, as well as the identity of the​

 

 

equipment providing the values for the irradiation event (Device Observer identification), if not inherited.​

Row 5​

Start, DateTime of the first CT Irradiation Event of the accumulation​

 

Row 6​

End, DateTime of the last CT Irradiation Event of the accumulation​

 

Row 12​

The primary source of information from which this dose object was constructed.​

Row 13​

Thephysicianresponsiblefordeterminingthattheirradiatingprocedurewasappropriatefortheindications.​

 

 

ThevaluemaycomefromRequestingPhysician(0032,1032),RequestingPhysicianIdentificationSequence​

 

 

(0032,1031) or somewhere else based on hospital policies.​

 

 

TID 10012 CT Accumulated Dose Data​

This general Template provides detailed information on CT X-Ray dose value accumulations over several irradiation events from the​ same equipment and over the scope of accumulation specified for the report (typically a Study or a Performed Procedure Step).​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

 

Table TID 10012. CT Accumulated Dose Data​

NL​ Rel with​

VT​

Concept Name​

VM​ Req​

Condition​ Value Set Constraint​

Parent​

 

 

Type​

 

1​

CONTAINER​EV (113811, DCM, "CT​

1​ M​

 

AccumulatedDoseData")​

- Standard -​

 

 

 

DICOM PS3.16 2020a - Content Mapping Resource​

Page 439​

 

NL​

Rel with​

VT​

Concept Name​

VM​ Req​

Condition​

Value Set Constraint​

 

 

Parent​

 

 

 

Type​

 

2​

>​

CONTAINS​

NUM​

EV(113812,DCM,"Total​ 1​

M​

 

UNITS = EV ({events},​

 

 

 

 

Number of Irradiation​

 

 

 

UCUM, "events")​

 

 

 

 

Events")​

 

 

 

 

3​

>​

CONTAINS​

NUM​

EV (113813, DCM, "CT​

1​

M​

 

UNITS = EV (mGy.cm,​

 

 

 

 

Dose Length Product​

 

 

 

UCUM, "mGy.cm")​

 

 

 

 

Total")​

 

 

 

 

4​

>​

CONTAINS​

NUM​

EV (113814, DCM, "CT​

1​

U​

 

UNITS = EV (mSv,​

 

 

 

 

Effective Dose Total")​

 

 

 

UCUM, "mSv")​

5​

>>​

HAS​

TEXT​

EV (121406, DCM,​

1​

MC​ XOR row 6​

 

 

 

PROPERTIES​

"Reference Authority")​

 

 

 

 

6​

>>​

HAS​

CODE​

EV (121406, DCM,​

1​

MC​ XOR row 5​

DCID 10015 “CT Dose​

 

 

PROPERTIES​

"Reference Authority")​

 

 

 

Reference Authorities”​

7​

>>​

HAS​

CODE​

EV (370129005, SCT,​

1​

M​

 

DCID 10011 “Effective​

 

 

CONCEPT​

 

"Measurement Method")​

 

 

 

Dose Evaluation​

 

 

MOD​

 

 

 

 

 

Method”​

8​

>>​

HAS​

TEXT​

EV (113815, DCM,​

1​

MC​ IF the value of row 7​

 

 

 

PROPERTIES​

"Patient Model")​

 

 

equals(113800,DCM,​

 

 

 

 

 

 

 

"DLP to E conversion​

 

 

 

 

 

 

 

via MC computation")​

 

 

 

 

 

 

 

or equals (113801,​

 

 

 

 

 

 

 

 

DCM, "CTDIfreeair to​

 

 

 

 

 

 

 

E conversion via MC​

 

 

 

 

 

 

 

computation")​

 

9​

>>​

HAS​

CONTAINER​EV (113816, DCM,​

1​

MC​ IF the value of row 7​

 

 

 

PROPERTIES​

"ConditionEffectiveDose​

 

equals(113802,DCM,​

 

 

 

 

measured")​

 

 

"DLP to E conversion​

 

 

 

 

 

 

 

via measurement") or​

 

 

 

 

 

 

 

equals(113803,DCM,​

 

 

 

 

 

 

 

"CTDIfreeair to E​

 

 

 

 

 

 

 

 

conversion via​

 

 

 

 

 

 

 

 

measurement")​

 

10​

>>>​ CONTAINS​

TEXT​

EV (113817, DCM,​

1​

M​

 

 

 

 

 

 

"Effective Dose Phantom​

 

 

 

 

 

 

 

Type")​

 

 

 

 

11​

>>>​ CONTAINS​

TEXT​

EV (113818, DCM,​

1​

M​

 

 

 

 

 

 

"Dosimeter Type")​

 

 

 

 

12​

>​

CONTAINS​

TEXT​

EV (121106, DCM,​

1​

U​

 

 

 

 

 

 

"Comment")​

 

 

 

 

13​

>​

CONTAINS​

INCLUDE​

DTID 1021 “Device​

1​

MC​ Required if the​

$DeviceProcedureRole​

 

 

 

 

Participant”​

 

 

irradiating device is​

= EV (113859, DCM,​

 

 

 

 

 

 

 

not the recording​

"Irradiating Device")​

 

 

 

 

 

 

 

device and the dose​

 

 

 

 

 

 

 

 

was accumulated on​

 

 

 

 

 

 

 

 

a single device.​

 

Content Item Descriptions​

- Standard -​

Page 440​

DICOM PS3.16 2020a - Content Mapping Resource​

Rows 5, 6​

Total Number of CT irradiation events.​

 

A CT irradiation event is one continuous irradiation procedure and is defined through consistent acquisition​

 

parameters.​

 

In the case of dose modulation the calculations are based on the effective parameters (e.g., the effective mA​

 

recorded in the Mean X-Ray Tube Current), and these acquisition parameters are consistent.​

Rows 5, 6​

The Dose Length Product (DLP) is calculated for every irradiation event. The Dose Length Product Total is the​

 

sum of the DLP values. The calculation is based on the CTDIvol result of each irradiation event.​

Rows 5, 6​

Effective dose (E, in units of mSv) evaluated as a total over the scope is defined in Row 6 of Template TID​

 

10011 “CT Radiation Dose”.​

 

Effective dose is defined by the reference in Rows 5 or 6 of this Template.​

 

It may be calculated from a product of DLP and an 'Effective Dose Conversion Factor' (E/DLP). Or it may be​

 

calculatedfromaproductoftheMeanCTDIfreeairandtheratioE/CTDIfreeair.TheratiosE/DLPorE/CTDIfreeair​

 

may be evaluated either from computer simulations applying Monte Carlo (MC) sampling techniques or from​

 

dosimetric measurements in an anthropomorphic phantom, e.g., the Alderson-Rando phantom.. The specific​

 

method used is identified in Rows 7 through 11.​

Row 5 - 6​

ReferenceofthebasepublicationdefiningtheEffectiveDose,eitherasacodedvalue,oratextualbibliographic​

 

reference. ICRP Publications shall be referenced using their assigned coded values.​

Row 7​

Description of the method used for Effective Dose evaluations.​

Row 8​

Description of the reference-patient mathematical or computational model used when Effective Dose is derived​

 

viaMonteCarlosimulationsofradiationtransportinsuchmodels.Examplesofpublicationsthatspecifyparticular​

 

referencepatientmodelsareNUREG/CR-1159,ORNL/NUREG/TM-367(1980);NRPB-R186(1985);GSF-Bericht​

 

S-885 (1986); Fill et al., Health Physics Vol. 86 (3): 253-272 (2004).​

Row 9​

Description of the condition Effective Dose measured​

Row 10​

Type of Effective Dose phantom used, e.g., Alderson-Rando​

Row 11​

Type of dosimeter used, e.g., TLD (Thermo Luminescence Dosimeter)​

Row 13​

ThedevicethatproducedtheirradiationaccumulatedinthisTemplate.I.e.,theCTScanner.Thisisnotrequired​

 

to be present if the information is the same as that already recorded in TID 1004 “Device Observer Identifying​

 

Attributes” encoded via the inclusion of TID 1002 “Observer Context” in TID 10011 “CT Radiation Dose” Row​

 

4, which in turn may be absent if identical to the content in the Enhanced General Equipment Module, or if more​

 

than one device produced the accumulated irradiation.​

TID 10013 CT Irradiation Event Data​

This Template conveys the dose and equipment parameters of a single irradiation event.​

ACTirradiationeventistheloadingofX-Rayequipmentcausedbyasinglecontinuousactuationoftheequipment'sirradiationswitch,​ from the start of the loading time of the first pulse until the loading time trailing edge of the final pulse. Any on-off switching of the ra-​ diation source during the event shall not be treated as separate events; rather the event includes the time between start and stop of​ radiation as triggered by the user, e.g., a single sequence of scanning comprised of multiple slices acquired with successive tube​ rotations and table increments shall be treated as a single irradiation event. Depending on the examination workflow and the anatom-​ icaltargetregiontheCTirradiationeventdatamaysplitintomultipleinstancesofthisTemplateforbetterdoseestimation.Theirradiation​ event is the "smallest" information entity to be recorded in the realm of Radiation Dose reporting. Individual Irradiation Events are​ describedbyasetofaccompanyingphysicalparametersthataresufficienttounderstandthe"quality"ofirradiationthatisbeingapplied.​ This set of parameters may be different for the various types of equipment that are able to create irradiation events.​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

- Standard -​

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