DICOM PS3.16 2019b - Content Mapping Resource

TID 4006 Mammography CAD Single Image Finding

This Template describes a single image finding for a lesion or other object. The details of the finding are expressed in this Template and/or more specific Templates. The details from which a single image Calcification Cluster is inferred may be expressed in a number of Single Image Findings (see TID 4006 “Mammography CAD Single Image Finding”) of type Individual Calcification.

A Single Image Finding of type Breast Composition may be INFERRED FROM by-reference to a Single Image Finding of type Breast Geometry.

Type:

Non-Extensible

Order:

Significant

Root:

No

Table TID 4006. Mammography CAD Single Image Finding

NL

Rel with Parent

VT

Concept Name

VM

Req Type

Condition

Value Set Constraint

1

CODE

EV (111059, DCM, "Single Image Finding")

1

M

DCID 6014 “Mammography Single Image Finding”

2

>

HAS CONCEPT MOD

CODE

EV (111056, DCM, "Rendering Intent")

1

M

DCID 6034 “Intended Use of CAD Output”

3

>>

HAS PROPERTIES

NUM

EV (111071, DCM, "CAD Operating Point")

1

UC

IFF value of row 2 is (111151, DCM, "Presentation Optional") and row 9 of TID 4017 “CAD Detection Performed” is present

UNITS = DT ({1:n}, UCUM, "range: 1:n"), where n is the maximum specified in Row 9 of TID 4017 “CAD Detection Performed”. Value is restricted to being an integer

4

>

HAS OBS CONTEXT

INCLUDE

DTID 4108 “Tracking Identifier”

1

U

5

>

HAS PROPERTIES

INCLUDE

DTID 4019 “Algorithm Identification”

1

M

6

>

HAS PROPERTIES

NUM

EV (111012, DCM, "Certainty of Finding")

1

U

UNITS = EV (%, UCUM, "Percent")

Value = 0 - 100

7

>

HAS PROPERTIES

NUM

EV (111047, DCM, "Probability of cancer")

1

UC

May be present unless value of parent is (129715009, SCT, "Breast composition"), (111100, DCM, "Breast geometry"), (24142002, SCT, "Nipple"), (111099, DCM, "Selected region"), (111101, DCM, "Image quality") or (111102, DCM, "Non-lesion")

UNITS = EV (%, UCUM, "Percent")

Value = 0 - 100

8

>

HAS PROPERTIES

INCLUDE

DTID 4021 “Mammography CAD Geometry”

1

MC

Shall be present unless value of parent is (129715009, SCT, "Breast composition"), (111100, DCM, "Breast geometry") or (111101, DCM, "Image quality")

9

>

HAS PROPERTIES

INCLUDE

DTID 4007 “Mammography CAD Breast Composition”

1

MC

Shall be present only if value of parent is (129715009, SCT, "Breast composition")

10

>

R-INFERRED FROM

CODE

1-n

UC

May be present only if value of parent is (129715009, SCT, "Breast composition")

Shall reference a (111059, DCM, "Single Image Finding") of value: EV (111100, DCM, "Breast geometry")

11

>

HAS PROPERTIES

INCLUDE

DTID 4008 “Mammography CAD Breast Geometry”

1

MC

Shall be present only if value of parent is (111100, DCM, "Breast geometry")

12

>

HAS PROPERTIES

INCLUDE

DTID 4009 “Mammography CAD Individual Calcification”

1

UC

May be present only if value of parent is (129770007, SCT, "Individual Calcification")

13

>

HAS PROPERTIES

INCLUDE

DTID 4010 “Mammography CAD Calcification Cluster”

1

UC

May be present only if value of parent is (129769006, SCT, "Calcification Cluster")

14

>

HAS PROPERTIES

INCLUDE

DTID 4011 “Mammography CAD Density”

1

UC

May be present only if value of parent is (129793001, SCT, "Mammography breast density")

15

>

HAS PROPERTIES

CODE

EV (111297, DCM, "Nipple Characteristic")

1

UC

May be present only if value of parent is (24142002, SCT, "Nipple")

DCID 6039 “Nipple Characteristic”

16

>

HAS PROPERTIES

INCLUDE

DTID 4012 “Mammography CAD Non-lesion”

1

MC

Shall be present only if value of parent is (111102, DCM, "Non-lesion")

17

>

HAS PROPERTIES

INCLUDE

DTID 4013 “Mammography CAD Selected Region”

1

MC

Shall be present only if value of parent is (111099, DCM, "Selected Region")

18

>

R-INFERRED FROM

IMAGE

1

MC

IF value of parent is (111101, DCM, "Image quality") and IFF row 19 is not present

Shall reference an IMAGE Content Item in the (111028, DCM, "Image Library")

19

>

HAS PROPERTIES

SCOORD

EV (111030, DCM, "Image Region")

1-n

MC

IF value of parent is (111101, DCM, "Image quality") and IFF row 18 is not present

20

>>

R-SELECTED FROM

IMAGE

1

M

All the (111030, DCM, "Image Region") Content Items in a single invocation of this Template shall reference the same IMAGE Content Item in the (111028, DCM, "Image Library")

21

>

HAS PROPERTIES

INCLUDE

DTID 4014 “CAD Image Quality”

1-n

MC

Shall be present only if value of parent is (111101, DCM, "Image quality")

$QualityFinding = DCID 6041 “Mammography Image Quality Finding”

$QualityStandard = DCID 6045 “Mammography Types of Quality Control Standard”

22

>

HAS PROPERTIES

NUM

DCID 6142 “Calculated Value”

1-n

U

23

>>

HAS CONCEPT MOD

CODE

EV (121401, DCM, "Derivation")

1

M

DCID 6140 “Calculation Methods”

24

>>

INFERRED FROM

TEXT

EV (112034, DCM, "Calculation Description")

1

U

25

>

INFERRED FROM

INCLUDE

DTID 4006 “Mammography CAD Single Image Finding”

1-n

UC

May be present only if value of parent is (129769006, SCT, "Calcification Cluster")

EV (129770007, SCT, "Individual Calcification")

26

>

HAS OBS CONTEXT

INCLUDE

DTID 4022 “CAD Observation Context”

1

MC

Shall be present only if this finding is incorporated from a different report than its parent.


Content Item Descriptions

Rendering Intent

This Content Item constrains the SCP receiving the Mammography CAD SR IOD in its use of the contents of this Template and its Target Content Items. Mammography CAD devices may opt to use data marked "Not for Presentation" or "Presentation Optional" as input to subsequent mammography CAD processing steps. Refer to Section O.2 “Structured Reporting Storage SOP Class SCU and SCP Behavior” in PS3.4 .

CAD Operating Point

Additional information to use when Rendering Intent is "Presentation Optional". A CAD Operating Point of zero is not sent, and is encoded as a Rendering Intent of "Presentation Required". See Section O.2 “Structured Reporting Storage SOP Class SCU and SCP Behavior” in PS3.4 and Section E.4 “CAD Operating Point” in PS3.17 .

Single Image Finding

A Single Image Finding (whose parent is a Single Image Finding of type Calcification Cluster) allows one level of nesting for the definition of individual calcifications within the cluster. To use this Template recursively, this Single Image Finding code value shall be "Individual Calcification".

Certainty of Finding

The likelihood that the finding detected, and classified by the CODE specified in the Single Image Finding parent Template, is in fact that type of finding.

DICOM PS3.16 2019b - Content Mapping Resource