DICOM PS3.16 2019c - Content Mapping Resource

TID 5204 Wall Motion Analysis

The Wall Motion Analysis Template is used to document wall motion scoring for any imaging modality.

Table TID 5204. Parameters

Parameter Name

Parameter Usage

$Procedure

The imaging procedure used for wall motion analysis.


Type:

Extensible

Order:

Significant

Root:

No

Table TID 5204. Wall Motion Analysis

NL

Rel with Parent

VT

Concept Name

VM

Req Type

Condition

Value Set Constraint

1

CONTAINER

EV (121070, DCM, "Findings")

1

M

2

>

HAS CONCEPT MOD

CODE

EV (121058, DCM, "Procedure reported")

1

M

$Procedure

3

>

HAS ACQ CONTEXT

CODE

EV (18139-6, LN, "Stage")

1

U

BCID 3207 “Stress Test Procedure Phases”

4

>

CONTAINS

IMAGE

EV (125201, DCM, "Illustration of Finding")

1

U

5

>

CONTAINS

TEXT

EV (18118-0, LN, "LV Wall Motion Segmental Findings")

1

U

6

>

CONTAINS

NUM

DT (125202, DCM, "LV Wall Motion Score Index")

1

U

7

>>

HAS CONCEPT MOD

CODE

EV (273249006, SCT, "Assessment Scale")

1

M

BCID 12238 “Wall Motion Scoring Schemes”

8

>

CONTAINS

CONTAINER

EV (121070, DCM, "Findings")

1

U

9

>>

HAS CONCEPT MOD

CODE

EV (363698007, SCT, "Finding Site")

1

M

DT (272657006, SCT, "Myocardial Wall")

10

>>

CONTAINS

CODE

EV (18179-2, LN, "Wall Segment")

1-n

M

BCID 3717 “Myocardial Wall Segments”

11

>>>

HAS PROPERTIES

CODE

EV (60797005, SCT, "Cardiac Wall Motion")

1

MC

IF row 12 is absent

DCID 3703 “Wall Motion”

12

>>>

HAS PROPERTIES

CODE

EV (116676008, SCT, "Associated Morphology")

1

MC

IF row 11 is absent

DCID 3704 “Myocardium Wall Morphology Findings”

13

>>>

HAS PROPERTIES

NUM

DT (246262008, SCT, "Score")

1

U

14

>>>

HAS PROPERTIES

NUM

EV (122624, DCM, "Wall Thickness Ratio end-systolic to end-diastolic")

1

U

UNITS = DT (%, UCUM, "%")


Content Item Descriptions

Row 3

The stage of the protocol at which these findings were scored. This row may be absent if this is a generic, non-staged scoring.

Row 4

Image that graphically depicts the segments and their scores.

Row 5

Text narration accompanying this stage.

Row 6

The composite score computed from the average of the scored segments

Row 7

The type of scoring scheme used to score this exam.

Row 8

A container of all of the individual segment findings for this stage. The container shall be present if the observer makes an assessment, including the assessment of Not Visualized. It shall not be present if no evaluation was made.

Rows 11, 12

Scar/thinning (in Row 12) may accompany akinesis and dyskinesis (in Row 11).

Row 13

A numeric designation for the score. Score ranges vary, typically 0-4 or 0-5. Numeric scores may depend on wall motion findings as well as morphology findings. See Table 5204-1 for conventional numeric assignment schemes. The UCUM annotation code enables specifying the numeric range, ({L:N}, UCUM, "scale L:N"), where L and N are the lower and upper ends of the range.

A description of the scoring schemes described in Table 5204-1 is available in Recommendations for Quantitation of the Left Ventricle by Two-Dimensional Echocardiography, Journal of the American Society of Echocardiography, Vol 2, No 5 358-367, Oct 1989.

Table 5204-1. Numeric Score Assignment for Segmental Findings

Conventional Numeric Assignment

Wall Motion Finding or Morphology Finding

4 Point

5 Point

5 Point with Graded Hypokinesis

-1

(60797005, SCT, "Cardiac Wall Motion") = (373123005, SCT, "Hyperkinesis")

(60797005, SCT, "Cardiac Wall Motion") = (373123005, SCT, "Hyperkinesis")

(60797005, SCT, "Cardiac Wall Motion") = (373123005, SCT, "Hyperkinesis")

0

(60797005, SCT, "Cardiac Wall Motion") = (122288, DCM, "Not Visualized")

(60797005, SCT, "Cardiac Wall Motion") = (122288, DCM, "Not Visualized")

(60797005, SCT, "Cardiac Wall Motion") = (122288, DCM, "Not Visualized")

1

(60797005, SCT, "Cardiac Wall Motion") = (373122000, SCT, "Normal Wall Motion")

(60797005, SCT, "Cardiac Wall Motion") = (373122000, SCT, "Normal Wall Motion")

(60797005, SCT, "Cardiac Wall Motion") = (373122000, SCT, "Normal Wall Motion")

1.5

(60797005, SCT, "Cardiac Wall Motion") = (371868005, SCT, "Mild Hypokinesis")

2

(60797005, SCT, "Cardiac Wall Motion") = (37706002, SCT, "Hypokinesis")

(60797005, SCT, "Cardiac Wall Motion") = (37706002, SCT, "Hypokinesis")

(60797005, SCT, "Cardiac Wall Motion") = (371869002, SCT, "Moderate Hypokinesis")

2.5

(60797005, SCT, "Cardiac Wall Motion") = (371870001, SCT, "Severe Hypokinesis")

3

(60797005, SCT, "Cardiac Wall Motion") = (195675009, SCT, "Akinesis")

(60797005, SCT, "Cardiac Wall Motion") = (195675009, SCT, "Akinesis")

(60797005, SCT, "Cardiac Wall Motion") = (195675009, SCT, "Akinesis")

4

(60797005, SCT, "Cardiac Wall Motion") = (25437005, SCT, "Dyskinesis")

(60797005, SCT, "Cardiac Wall Motion") = (25437005, SCT, "Dyskinesis")

(60797005, SCT, "Cardiac Wall Motion") = (25437005, SCT, "Dyskinesis")

5

(116676008, SCT, "Associated Morphology") = (90539001, SCT, "Ventricular Aneurysm")

(116676008, SCT, "Associated Morphology") = (90539001, SCT, "Ventricular Aneurysm")


DICOM PS3.16 2019c - Content Mapping Resource