PS3.17

Table of Contents

Notice and Disclaimer

Foreword

1. Scope and Field of Application

2. Normative References

Bibliography

3. Definitions

Glossary

4. Symbols and Abbreviations

5. Conventions

A. Explanation of Patient Orientation (Normative)

B. Integration of Modality Worklist and Modality Performed Procedure Step in The Original DICOM Standard (Informative)

C. Waveforms (Informative)

C.1. Domain of Application

C.2. Use Cases

C.3. Time Synchronization Frame of Reference

C.4. Waveform Acquisition Model

C.5. Waveform Information Model

C.6. Harmonization With HL7

C.6.1. HL7 Waveform Observation

C.6.2. Channel Definition

C.6.3. Timing

C.6.4. Waveform Data

C.6.5. Annotation

C.7. Harmonization With SCP-ECG

D. SR Encoding Example (Informative)

E. Mammography CAD (Informative)

E.1. Mammography CAD SR Content Tree Structure

E.2. Mammography CAD SR Observation Context Encoding

E.3. Mammography CAD SR Examples

E.3.1. Example 1: Calcification and Mass Detection With No Findings

E.3.2. Example 2: Calcification and Mass Detection With Findings

E.3.3. Example 3: Calcification and Mass Detection, Temporal Differencing With Findings

E.4. CAD Operating Point

E.5. Mammography CAD SR and For Processing / For Presentation Images

F. Chest CAD (Informative)

F.1. Chest CAD SR Content Tree Structure

F.2. Chest CAD SR Observation Context Encoding

F.3. Chest CAD SR Examples

F.3.1. Example 1: Lung Nodule Detection With No Findings

F.3.2. Example 2: Lung Nodule Detection With Findings and Anatomy/pathology Interpretation

F.3.3. Example 3: Lung Nodule Detection, Temporal Differencing With Findings

F.3.4. Example 4: Lung Nodule Detection in Chest Radiograph, Spatially Correlated With CT

G. Explanation of Grouping Criteria For Multi-frame Functional Group IODs (Informative)

H. Clinical Trial Identification Workflow Examples (Informative)

H.1. Example Use-case

I. Ultrasound Templates (Informative)

I.1. SR Content Tree Structure

I.2. Procedure Summary

I.3. Multiple Fetuses

I.4. Explicitly Specifying Calculation Dependencies

I.5. Linking Measurements to Images, Coordinates

I.6. Ob Patterns

I.7. Selected Value

I.8. OB-GYN Examples

I.8.1. Example 1: OB-GYN Root with Observation Context

I.8.2. Example 2: OB-GYN Patient Characteristics and Procedure Summary

I.8.3. Example 3: OB-GYN Multiple Fetus

I.8.4. Example 4: Biophysical Profile

I.8.5. Example 5: Biometry Ratios

I.8.6. Example 6: Biometry

I.8.7. Example 7: Amniotic Sac

I.8.8. Example 8: OB-GYN Ovaries

I.8.9. Example 9: OB-GYN Follicles

I.8.10. Example 10: Pelvis and Uterus

J. Handling of Identifying Parameters (Informative)

J.1. Purpose of This Annex

J.2. Integrated Environment

J.2.1. Modality Conforms to Modality Worklist and MPPS SOP Classes

J.2.2. Modality Conforms Only to The Modality Worklist SOP Class

J.2.3. Modality Conforms Only to The MPPS SOP Class

J.3. Non-integrated Environment

J.4. One MPPS Is Created in Response to Two Or More Requested Procedures

J.4.1. Choose Or Create A Value For Study Instance UID and Accession Number

J.4.2. Replicate The Image IOD

J.5. MPPS SOP Instance Created by Another System (not the Modality)

J.6. Mapping of Study Instance UIDs to the Study SOP Instance UID

K. Ultrasound Staged Protocol Data Management (Informative)

K.1. Purpose of this Annex

K.2. Prerequisites For Support

K.3. Definition of a Staged Protocol Exam

K.4. Attributes Used in Staged Protocol Exams

K.5. Guidelines

K.5.1. Staged Protocol Exam Identification

K.5.2. Stage and View Identification

K.5.3. Extra-protocol Image Identification

K.5.4. Multiple Images of A Stage-view

K.5.5. Workflow Management of Staged Protocol Images

K.5.5.1. Uninterrupted Exams - Single MPPS

K.5.5.2. Interrupted Exams - Multiple MPPS

K.5.5.2.2. Scheduled Follow-up Stages

L. Hemodynamics Report Structure (Informative)

M. Vascular Ultrasound Reports (Informative)

M.1. Vascular Report Structure

M.2. Vascular Examples

M.2.1. Example 1: Renal Vessels

M.2.2. Example 2: Carotids Extracranial

N. Echocardiography Procedure Reports (Informative)

N.1. Echo Patterns

N.2. Measurement Terminology Composition

N.3. Illustrative Mapping to ASE Concepts

N.3.1. Aorta

N.3.2. Aortic Valve

N.3.3. Left Ventricle - Linear

N.3.4. Left Ventricle Volumes and Ejection Fraction

N.3.5. Left Ventricle Output

N.3.6. Left Ventricular Outflow Tract

N.3.7. Left Ventricle Mass

N.3.8. Left Ventricle Miscellaneous

N.3.9. Mitral Valve

N.3.10. Pulmonary Vein

N.3.11. Left Atrium / Appendage

N.3.12. Right Ventricle

N.3.13. Pulmonic Valve / Pulmonic Artery

N.3.14. Tricuspid Valve

N.3.15. Right Atrium / Inferior Vena Cava

N.3.16. Congenital/Pediatric

N.4. Encoding Examples

N.4.1. Example 1: Patient Characteristics

N.4.2. Example 2: LV Dimensions and Fractional Shortening

N.4.3. Example 3: Left Atrium / Aortic Root Ratio

N.4.4. Example 4: Pressures

N.4.5. Example 5: Cardiac Output

N.4.6. Example 6: Wall Scoring

N.5. IVUS Report

O. Registration (Informative)

O.1. Spatial Registration and Spatial Fiducials SOP Classes

O.2. Functional Use Cases

O.3. System Interaction

O.4. Overview of Encoding

O.5. Matrix Registration

O.6. Spatial Fiducials

P. Transforms and Mappings (Informative)

Q. Breast Imaging Report (Informative)

Q.1. Breast Imaging Report Content Tree Structure

Q.2. Breast Imaging Report Examples

Q.2.1. Example 1: Screening Mammogram With Negative Findings

Q.2.2. Example 2: Screening Mammogram With Negative Findings

Q.2.3. Example 3: Diagnostic Mammogram - Unilateral

Q.2.4. Example 4: Diagnostic Mammogram and Ultrasound - Unilateral

R. Configuration Use Cases (Informative)

R.1. Install A New Machine

R.1.1. Configure DHCP

R.1.2. Configure LDAP

R.1.2.1. Pre-configure

R.1.2.2. Updating Configuration During Installation

R.1.2.3. Configure Client Then Update Server

R.1.3. Distributed Update Propagation

R.2. Legacy Compatibility

R.3. Obtain Configuration of Other Devices

R.3.1. Find AE When Given Device Type

R.4. Device Start up

R.5. Shutdown

R.5.1. Shutdown

R.5.2. Online/offline

R.6. Time Synchronization

R.6.1. High Accuracy Time Synchronization

R.6.2. Ordinary Time Synchronization

R.6.3. Background

R.6.3.1. Unsynchronized Time

R.6.3.2. Network Synchronized Time

R.6.3.3. External Clocks

R.6.4. SNTP Restrictions

R.6.5. Implementation Considerations

S. Legacy Transition For Configuration Management (Informative)

S.1. Legacy Association Requester, Configuration Managed Association Acceptor

S.1.1. DHCP Server

S.1.2. DNS Server

S.1.3. LDAP Server

S.2. Managed Association Requester, Legacy Association Acceptor

S.2.1. DHCP Server

S.2.2. DNS Server

S.2.3. LDAP Server

S.3. No DDNS Support

S.4. Partially Managed Devices

S.5. Adding The First Managed Device to A Legacy Network

S.5.1. New Servers Required

S.5.2. NTP

S.5.3. Documenting Managed and Unmanaged Nodes (DHCP, DNS, and LDAP)

S.5.3.1. DHCP Documentation

S.5.3.2. DNS Documentation

S.5.3.3. LDAP Documentation

S.5.3.4. Descriptions of Other Devices

S.5.4. Description of This Device

S.6. Switching A Node From Unmanaged to Managed in A Mixed Network

S.6.1. DHCP and DNS

S.6.2. NTP

S.6.3. Association Acceptors On This Node

S.6.4. Association Requesters On Legacy Nodes

S.6.5. Association Requesters On Managed Nodes

T. Quantitative Analysis References (Informative)

T.1. Definition of Left and Right in the Case of Quantitative Arterial Analysis

T.2. Definition of Diameter Symmetry with Arterial Plaques

T.3. Wall Motion Regions

T.3.1. Landmark Based Wall Motion Regions

T.3.2. Centerline Wall Motion Region

T.3.4. Radial Based Wall Motion Region

T.4. Quantitative Arterial Analysis Reference Method

T.4.1. Computer Calculated Reference

T.4.2. Interpolated Reference

T.4.3. Mean Local Reference

T.5. Positions in Diameter Graphic

U. Ophthalmology Use Cases (Informative)

U.1. Ophthalmic Photography Use Cases

U.1.1. Routine N-spot Exam

U.1.2. Routine N-spot Exam With Exceptions

U.1.3. Routine Flourescein Exam

U.1.4. External Examination

U.1.5. External Examination With Intention

U.1.6. External Examination With Drug Application

U.1.7. Routine Stereo Camera Examination

U.1.8. Relative Image Position Definitions

U.2. Typical Sequence of Events

U.3. Ophthalmic Tomography Use Cases (Informative)

U.3.1. Anterior Chamber Tomography

U.3.1.1. Anterior Chamber Exam For Phakic Intraocular Lens Surgery Planning

U.3.1.2. Anterior Chamber Angle Exam

U.3.1.4. Corneal Exam

U.3.2. Posterior Segment Tomography

U.3.2.1. Retinal Nerve Fiber Layer Exam

U.3.2.2. Macular Exam

U.3.2.3. Angiographic Exams

U.3.2.4. 3D Reconstruction Exam

U.3.2.5. Transverse Imaging

V. Hanging Protocols (Informative)

V.1. Example Scenario

V.2. Hanging Protocol Internal Process Model

V.3. Chest X-Ray Hanging Protocol Example

V.3.1. Hanging Protocol Definition Module

V.3.2. Hanging Protocol Environment Module

V.3.3. Hanging Protocol Display Module

V.4. Neurosurgery Planning Hanging Protocol Example

V.4.1. Hanging Protocol Definition Module

V.4.2. Hanging Protocol Environment Module

V.4.3. Hanging Protocol Display Module

V.5. Hanging Protocol Query Example

V.6. Display Set Patient Orientation Example

W. Digital Signatures in Structured Reports Use Cases (Informative)

X. Dictation-based Reporting With Image References (Informative)

X.1. Basic Data Flows

X.1.1. Dictation/transcription Reporting

X.1.2. Reporting With Image References

X.1.3. Reporting With Annotated Images

X.2. Transcribed Diagnostic Imaging SR Instance Content

X.2.1. SR Header Content

X.2.2. Transcribed Text Data Format

X.2.3. Image Reference Format

X.3. Transcribed Diagnostic Imaging CDA Instance Content

X.3.1. CDA Header Content

X.3.2. Transcribed Text Content

X.3.3. Image References

X.3.4. Icons

X.3.5. Structured Entries

X.4.3. Using The WADO Reference For DICOM Network Protocol Retrievals

X.4. Simultaneous SR and CDA Instance Creation

X.4.1. Equivalence

X.4.2. Document Cross-reference

Y. VOI LUT Functions (Informative)

Z. X-Ray Isocenter Reference Transformations (Informative)

Z.1. Introduction

Z.2. Positioner Coordinate System Transformations

Z.3. Table Coordinate System Transformations

AA. Radiation Dose Reporting Use Cases (Informative)

AA.1. Purpose of This Annex

AA.2. Definitions

AA.3. Use Cases

AA.3.1. Basic Dose Reporting

AA.3.2. Dose Reporting For Non-digital Imaging

AA.3.3. Dose Reporting Post-processing

AA.3.4. Dose Reporting Workflow Management

BB. Printing (Informative)

BB.1. Example of Print Management SCU Session (Informative)

BB.1.1. Simple Example

BB.1.2. Advanced Example (Retired)

CC. Storage Commitment (Informative)

CC.1. Storage Commitment Examples (Informative)

CC.1.1. Push Model Example

CC.1.2. Pull Model Example (Retired)

CC.1.3. Remote Storage of Data by The SCP

CC.1.4. Storage Commitment in Conjunction With Use of Storage Media

DD. Worklists (Informative)

DD.1. Examples For The Usage of The Modality Worklist (Informative)

DD.2. General Purpose Worklist Example (Informative) (Retired)

EE. Relevant Patient Information Query (Informative)

EE.1. Relevant Patient Information Query Example (Informative)

FF. CT/MR Cardiovascular Analysis Report Templates (Informative)

FF.2. Template Structure

FF.3. Report Example

GG. JPIP Referenced Pixel Data Transfer Syntax Negotiation (Informative)

HH. Segmentation Encoding Example (Informative)

II. Use of Product Characteristics Attributes in Composite SOP Instances (Informative)

II.1. Contrast/bolus Module

II.2. Enhanced Contrast/bolus Module

II.3. Device Module

II.4. Intervention Module

JJ. Surface Mesh Representation (Informative)

JJ.1. Multi-Dimensional Vectors

JJ.2. Encoding Examples

KK. Use Cases For The Composite Instance Root Retrieval Classes (Informative)

KK.1. Clinical Review

KK.1.1. Retrieval Based On Report References

KK.1.2. Selective Retrieval Without References to Specific Slices

KK.2. Local Use - "Relevant Priors"

KK.2.1. Anatomic Sub-region

KK.2.2. Worklists

KK.3. Attribute Based Retrieval

KK.4. CAD & Data Mining Applications

KK.5. Independent WADO Server

LL. Example SCU Use of The Composite Instance Root Retrieval Classes (Informative)

LL.1. Retrieval of Entire Composite Instances

LL.2. Retrieval of Selected Frame Composite Instances From Multi-frame Objects

LL.3. Retrieval of Selected Frame Composite Instances From MPEG-2 Video

MM. Considerations For Applications Creating New Images From Multi-frame Images

MM.1. Scope

MM.2. Frame Extraction Issues

MM.2.1. Number of Frames

MM.2.2. Start and End Times

MM.2.3. Time Interval versus Frame Increment Vector

MM.2.4. MPEG-2

MM.2.5. JPEG 2000 Part 2 Multi-Component Transform

MM.2.6. Functional Groups For Enhanced CT, MR, etc.

MM.2.7. Nuclear Medicine Images

MM.2.8. A "Single Frame" Multi-frame Image

MM.3. Frame Numbers

MM.4. Consistency

MM.5. Time Synchronization

MM.6. Audio

MM.7. Private Attributes

NN. Specimen Identification and Management

NN.1. Pathology Workflow

NN.2. Basic Concepts and Definitions

NN.2.1. Specimen

NN.2.2. Containers

NN.3. Specimen Module

NN.3.1. Scope

NN.3.2. Relationship With The Laboratory Information System

NN.3.3. Case Level Information and The Accession Number

NN.3.4. Laboratory Workflows and Specimen Types

NN.3.5. Relationship Between Specimens and Containers

NN.3.6. Relationship Between Specimens and Images

NN.4. Specimen Identification Examples

NN.4.1. One Specimen Per Container

NN.4.2. Multiple Items From Same Block

NN.4.3. Items From Different Parts in The Same Block

NN.4.4. Items From Different Parts On The Same Slide

NN.4.5. Tissue Micro Array

NN.5. Structure of The Specimen Module

NN.6. Examples of Specimen Module Use

NN.6.1. Gross Specimen

NN.6.2. Slide

NN.7. Specimen Data in Pathology Imaging Workflow Management

NN.7.1. Modality Worklist

NN.7.1.1. MWL for Whole Slide Imaging

NN.7.2. Modality Performed Procedure Step

OO. Structured Display (Informative)

OO.1. Structured Display Use Cases

OO.1.1. Dentistry

OO.1.2. Ophthalmology

OO.1.3. Cardiology

OO.1.4. Radiology

PP. 3D Ultrasound Volumes (Informative)

PP.1. Purpose of This Annex

PP.2. 3D Ultrasound Clinical Use Cases

PP.2.1. Use Cases

PP.2.2. Hierarchy of Use Cases

PP.3. 3D Ultrasound Solutions in DICOM

PP.3.1. 3D Volume Data sets

PP.3.2. 2D Derived Images

PP.3.3. Physiological Waveforms Associated With 3D Volume Data sets

PP.3.4. Workflow Considerations

QQ. Enhanced US Data Type Blending Examples (Informative)

QQ.1. Enhanced US Volume Use of the Blending and Display Pipeline

QQ.1.1. Example 1 - Grayscale P-Values Output

QQ.1.2. Example 2 - Grayscale-only Color Output

QQ.1.3. Example 3 - Color Tissue (Pseudo-color) Mapping

QQ.1.4. Example 4 - Fixed Proportion Additive Grayscale Tissue and Color Flow

QQ.1.5. Example 5 - Threshold Based On Flow_velocity

QQ.1.6. Example 6 - Threshold Based On Flow_velocity and Flow_variance W/2d Color Mapping

QQ.1.7. Example 7 - Color Tissue / Velocity / Variance Mapping - Blending Considers Both Data Paths

RR. Ophthalmic Refractive Reports Use Cases (Informative)

RR.1. Introduction

RR.2. Reference Tables For Equivalent Visual Acuity Notations

RR.2.1. Background

RR.2.2. Notations

RR.2.3. Use of The Lookup Table

RR.2.4. Traditional Charts

RR.2.5. ETDRS Charts

SS. Colon CAD (Informative)

SS.1. Colon CAD SR Content Tree Structure

SS.2. Colon CAD SR Observation Context Encoding

SS.3. Colon CAD SR Examples

SS.3.1. Example 1: Colon Polyp Detection With No Findings

SS.3.2. Example 2: Colon Polyp Detection With Findings

SS.3.3. Example 3: Colon Polyp Detection, Temporal Differencing With Findings

TT. Stress Testing Report Template (Informative)

UU. Macular Grid Thickness and Volume Report Use Cases (Informative)

UU.1. Introduction

UU.2. Use of B-scan Images

UU.3. Use of Tissue Measurements

UU.4. Axial Measurements

UU.5. En Face Measurements

UU.6. Interpretation of OPT

VV. Pediatric, Fetal and Congenital Cardiac Ultrasound Reports (Informative)

VV.1. Content Structure

VV.2. Pediatric, Fetal and Congenital Cardiac Ultrasound Patterns

VV.3. Measurement Terminology Composition

WW. Audit Messages (Informative)

WW.1. Message Example

WW.2. Workflow Example

XX. Use Cases for Application Hosting

XX.1. Agent-Specific Post Processing

XX.2. Support For Multi-site Collaborative Research

XX.3. Screening Applications

XX.4. Modality-Specific Post Processing

XX.5. Measurement/Evidence Document Creation

XX.6. CAD Rendering

YY. Compound and Combined Graphic Objects in Presentation States (Informative)

YY.1. An Example of The Compound Graphic 'axis'

YY.2. An Example of Distance Line Defined As A Combined Graphic Object

ZZ. Implant Template Description

ZZ.1. Implant Mating

ZZ.1.1. Mating Features

ZZ.1.2. Mating Feature ID

ZZ.1.3. Mating Feature Sets

ZZ.1.4. Degrees of Freedom

ZZ.1.5. Implant Assembly Templates

ZZ.2. Planning Landmarks

ZZ.3. Implant Registration and Mating Example

ZZ.3.1. Degrees of Freedom

ZZ.4. Encoding Example

ZZ.5. Implant Template Versions and Derivation

AAA. Implantation Plan SR Document (Informative)

AAA.1. Implantation Plan SR Document Content Tree Structure

AAA.2. Relationship Between Implant Template and Implantation Plan

AAA.3. Implantation Plan SR Document Total Hip Replacement Example

AAA.4. Implantation Plan SR Document Dental Drilling Template Example

BBB. Unified Procedure Step in Radiotherapy (Informative)

BBB.1. Purpose of this Annex

BBB.2. Use Case Actors

BBB.3. Use Cases

BBB.3.1. Treatment Delivery Normal Flow - Internal Verification

BBB.3.1.1. Message Sequencing

BBB.3.1.2. Transactions and Message Flow

BBB.3.2. Treatment Delivery Normal Flow - External Verification

BBB.3.2.1. Message Sequencing

BBB.3.2.2. Transactions and Message Flow

BBB.3.3. Treatment-delivery With External Verification - Override Or Additional Info Required

BBB.3.3.1. Message Sequencing

BBB.3.3.2. Transactions and Message Flow

BBB.3.4. Treatment-delivery With External Verification - Machine Adjustment Required

BBB.3.4.1. Message Sequencing

BBB.3.4.2. Transactions and Message Flow

CCC. Ophthalmic Axial Measurements and Intraocular Lens Calculations Use Cases (Informative)

CCC.1. Axial Measurements

CCC.2. Intraocular Lens Calculations Introduction

CCC.3. Output of An Ultrasound A-scan Device

CCC.4. Output of An Optical A-scan Device

CCC.5. IOL Calculation Results Example

DDD. Visual Field Static Perimetry Use Cases (Informative)

DDD.1. Introduction

DDD.2. Use Cases

DDD.2.1. Evaluation For Glaucoma

DDD.2.2. Neurological Disease

DDD.2.3. Diffuse and Local Defect

DDD.2.3.1. Diffuse Defect

DDD.2.4.2. Local Defect

EEE. Intravascular OCT Image (Informative)

EEE.1. Purpose of This Annex

EEE.2. IVOCT For Processing Parameters

EEE.2.1. Z Offset Correction

EEE.2.2. Refractive Index Correction

EEE.2.3. Polar-Cartesian Conversion

EEE.3. Intravascular Longitudinal Image

FFF. Enhanced XA/XRF Encoding Examples (Informative)

FFF.1. General Concepts of X-Ray Angiography

FFF.1.1. Time Relationships

FFF.1.1.1. Time Relationships of A Multi-frame Image

FFF.1.1.2. Time Relationships of One Frame

FFF.1.2. Acquisition Geometry

FFF.1.2.1. Patient Description

FFF.1.2.2. Patient Position

FFF.1.2.2.1. Table Description

FFF.1.2.2.2. Options For Patient Position On The X-Ray Table

FFF.1.2.3. Table Movement

FFF.1.2.3.1. Isocenter Coordinate System

FFF.1.2.3.2. Table Movement in The Isocenter Coordinate System

FFF.1.2.4. Positioner Movement

FFF.1.2.4.1. Positioner Movement in The Isocenter Coordinate System

FFF.1.2.4.2. X-Ray Incidence and Image Coordinate System

FFF.1.2.5. Field of View Transformations

FFF.1.2.5.1. Detector

FFF.1.2.5.2. Field of View

FFF.1.2.5.3. Field of View Rotation and Flip

FFF.1.3. Calibration

FFF.1.4. X-Ray Generation

FFF.1.5. Pixel Data Properties and Display Pipeline

FFF.2. Application Cases

FFF.2.1. Acquisition

FFF.2.1.1. ECG Recording at Acquisition Modality

FFF.2.1.1.1. User Scenario

FFF.2.1.1.2. Encoding Outline

FFF.2.1.1.3. Encoding Details

FFF.2.1.1.3.1. Enhanced XA Image

FFF.2.1.1.3.1.1. Synchronization Module Recommendations

FFF.2.1.1.3.1.2. General Equipment Module Recommendations

FFF.2.1.1.3.1.3. Cardiac Synchronization Module Recommendations

FFF.2.1.1.3.1.4. Enhanced XA/XRF Image Module Recommendations

FFF.2.1.1.3.1.5. Cardiac Synchronization Macro Recommendations

FFF.2.1.1.3.1.6. Frame Content Macro Recommendations

FFF.2.1.1.3.2. General ECG Object

FFF.2.1.1.3.2.1. General Series Module Recommendations

FFF.2.1.1.3.2.2. Synchronization Module Recommendations

FFF.2.1.1.3.2.3. General Equipment Module Recommendations

FFF.2.1.1.3.2.4. Waveform Identification Recommendations

FFF.2.1.1.3.2.5. Waveform Module Recommendations

FFF.2.1.1.4. Examples

FFF.2.1.1.4.1. Enhanced XA Image Without Cardiac Synchronization

FFF.2.1.1.4.2. Enhanced XA Image With Cardiac Synchronization

FFF.2.1.2. Multi-modality Waveform Synchronization

FFF.2.1.2.1. Both Modalities Synchronized Via NTP

FFF.2.1.2.1.1. User Scenario

FFF.2.1.2.1.2. Encoding Outline

FFF.2.1.2.1.3. Encoding Details

FFF.2.1.2.1.3.1. Enhanced XA Image

FFF.2.1.2.1.3.1.1. Synchronization Module Recommendations

FFF.2.1.2.1.3.1.2. Enhanced XA/XRF Image Module Recommendations

FFF.2.1.2.1.3.1.3. Frame Content Macro Recommendations

FFF.2.1.2.1.3.2. Waveform Object

FFF.2.1.2.1.4. Example

FFF.2.1.2.2. One Modality Sends Trigger to The Other Modality

FFF.2.1.2.2.1. User Scenario

FFF.2.1.2.2.2. Encoding Outline

FFF.2.1.2.2.3. Encoding Details

FFF.2.1.2.2.3.1. Enhanced XA Image

FFF.2.1.2.2.3.1.1. Synchronization Module Recommendations

FFF.2.1.2.2.3.1.2. Enhanced XA/XRF Image Module Recommendations

FFF.2.1.2.2.3.1.3. Frame Content Macro Recommendations

FFF.2.1.2.2.3.2. Waveform Object

FFF.2.1.2.2.3.2.2. Synchronization Module Recommendations

FFF.2.1.2.2.3.2.3. Waveform Identification Module Recommendations

FFF.2.1.2.2.3.2.4. Waveform Module Recommendations

FFF.2.1.2.2.4. Examples

FFF.2.1.2.2.4.1. Image modality sends trigger to the waveform modality

FFF.2.1.2.2.4.2. Waveform modality sends trigger to the image modality

FFF.2.1.3. Mechanical Movement

FFF.2.1.3.1. Rotational Acquisition

FFF.2.1.3.1.1. User Scenario

FFF.2.1.3.1.2. Encoding Outline

FFF.2.1.3.1.3. Encoding Details

FFF.2.1.3.1.3.1. XA/XRF Acquisition Module Recommendations

FFF.2.1.3.1.3.2. X-Ray Positioner Macro Recommendations

FFF.2.1.3.1.3.3. X-Ray Isocenter Reference System Macro Recommendations

FFF.2.1.3.1.4. Example

FFF.2.1.3.2. Peripheral/stepping Acquisition

FFF.2.1.3.2.1. User Scenario

FFF.2.1.3.2.2. Encoding Outline

FFF.2.1.3.2.3. Encoding Details

FFF.2.1.3.2.3.1. XA/XRF Acquisition Module Recommendations

FFF.2.1.3.2.3.2. X-Ray Table Position Macro Recommendations

FFF.2.1.3.2.3.3. X-Ray Isocenter Reference System Macro Recommendations

FFF.2.1.3.2.4. Example

FFF.2.1.4. Changes in X-Ray Controls

FFF.2.1.4.1. Exposure Regulation Control

FFF.2.1.4.1.1. User Scenario

FFF.2.1.4.1.2. Encoding Outline

FFF.2.1.4.1.3. Encoding Details

FFF.2.1.4.1.3.1. X-Ray Exposure Control Sensing Regions Macro Recommendations

FFF.2.1.4.1.4. Example

FFF.2.1.5. Image Detector and Field of View

FFF.2.1.5.1. User Scenario

FFF.2.1.5.2. Encoding Outline

FFF.2.1.5.3. Encoding Details

FFF.2.1.5.3.1. XA/XRF Acquisition Module Recommendations

FFF.2.1.5.3.2. X-Ray Image Intensifier Module Recommendations

FFF.2.1.5.3.3. X-Ray Detector Module Recommendations

FFF.2.1.5.3.4. X-Ray Field of View Macro Recommendations

FFF.2.1.5.3.5. XA/XRF Frame Pixel Data Properties Macro Recommendations

FFF.2.1.5.4. Examples

FFF.2.1.5.4.1. Field of View On Image Intensifier

FFF.2.1.5.4.2. Field of View On Digital Detector

FFF.2.1.6. Acquisitions With Contrast

FFF.2.1.6.1. User Scenario

FFF.2.1.6.2. Encoding Outline

FFF.2.1.6.3. Encoding Details

FFF.2.1.6.3.1. Enhanced Contrast/bolus Module Recommendations

FFF.2.1.6.3.2. Contrast/bolus Usage Macro Recommendations

FFF.2.1.6.4. Example

FFF.2.1.7. Acquisition Parameters For X-Ray Generation (kVp, mA, …)

FFF.2.1.7.1. User Scenario

FFF.2.1.7.2. Encoding Outline

FFF.2.1.7.3. Encoding Details

FFF.2.1.7.3.1. XA/XRF Acquisition Module Recommendations

FFF.2.1.7.3.2. Frame Content Macro Recommendations

FFF.2.1.7.3.3. X-Ray Frame Acquisition Macro Recommendations

FFF.2.1.7.4. Example

FFF.2.2. Review

FFF.2.2.1. Variable Frame-rate Acquisition With Skip Frames

FFF.2.2.1.1. User Scenario

FFF.2.2.1.2. Encoding Outline

FFF.2.2.1.3. Encoding Details

FFF.2.2.1.3.1. XA/XRF Multi-frame Presentation Module Recommendations

FFF.2.2.1.4. Example

FFF.2.3. Display

FFF.2.3.1. Standard Pipeline With Enhanced XA

FFF.2.3.1.1. User Scenario

FFF.2.3.1.2. Encoding Outline

FFF.2.3.1.3. Encoding Details

FFF.2.3.1.3.1. Enhanced XA/XRF Image Module Recommendations

FFF.2.3.1.3.2. XA/XRF Multi-frame Presentation Module Recommendations

FFF.2.3.1.3.3. Frame VOI LUT Macro Recommendations

FFF.2.3.1.3.4. Pixel Intensity Relationship LUT Macro Recommendations

FFF.2.3.1.3.5. XA/XRF Frame Pixel Data Properties Macro Recommendations

FFF.2.3.1.4. Example

FFF.2.3.2. Mask Subtraction

FFF.2.3.2.1. User Scenario

FFF.2.3.2.2. Encoding Outline

FFF.2.3.2.3. Encoding Details

FFF.2.3.2.3.1. Mask Module Recommendations

FFF.2.3.2.3.2. XA/XRF Multi-frame Presentation Module Recommendations

FFF.2.3.2.4. Examples

FFF.2.3.3. Pixel-shift

FFF.2.3.3.1. User Scenario

FFF.2.3.3.2. Encoding Outline

FFF.2.3.3.3. Encoding Details

FFF.2.3.3.3.1. Mask Module Recommendations

FFF.2.3.3.3.2. Frame Pixel Shift Macro Recommendations

FFF.2.3.3.4. Examples

FFF.2.3.3.4.1. Usage of Pixel Shift Macro in Shared Context

FFF.2.3.3.4.2. Usage of Pixel Shift Macro in "per Frame" Context

FFF.2.3.3.4.3. Usage of Pixel Shift Macro in "per Frame" Context For Multiple Shifts

FFF.2.4. Processing

FFF.2.4.1. Projection Pixel Calibration

FFF.2.4.1.1. User Scenario

FFF.2.4.1.2. Encoding Outline

FFF.2.4.1.3. Encoding Details

FFF.2.4.1.3.1. XA/XRF Acquisition Module Recommendations

FFF.2.4.1.3.2. XA/XRF Frame Pixel Data Properties Macro Recommendations

FFF.2.4.1.3.3. X-Ray Projection Pixel Calibration Macro Recommendations

FFF.2.4.1.3.4. X-Ray Geometry Macro Recommendations

FFF.2.4.1.4. Example

FFF.2.4.2. Image Derivation and Pixel Data Properties

FFF.2.4.2.1. User Scenario

FFF.2.4.2.2. Encoding Outline

FFF.2.4.2.3. Encoding Details

FFF.2.4.2.3.1. Enhanced XA/XRF Image Module Recommendations

FFF.2.4.2.3.2. Derivation Image Macro Recommendations

FFF.2.4.2.3.3. Pixel Intensity Relationship LUT Macro Recommendations

FFF.2.4.2.3.4. XA/XRF Frame Characteristics Macro Recommendations

FFF.2.4.2.3.5. XA/XRF Frame Pixel Data Properties Macro Recommendations

FFF.2.4.2.4. Examples

FFF.2.4.2.4.1. Various Successive Derivations

FFF.2.4.2.4.2. Derivation by Applying A Square Root Transformation

FFF.2.5. Registration

FFF.2.5.1. Tracking An Object of Interest On Multiple 2d Images

FFF.2.5.1.1. User Scenario

FFF.2.5.1.2. Encoding Outline

FFF.2.5.1.3. Encoding Details

FFF.2.5.1.3.1. Image Pixel Module Recommendations

FFF.2.5.1.3.2. XA/XRF Acquisition Module Recommendations

FFF.2.5.1.3.3. X-Ray Detector Module Recommendations

FFF.2.5.1.3.4. X-Ray Field of View Macro Recommendations

FFF.2.5.1.3.5. X-Ray Isocenter Reference System Macro Recommendations

FFF.2.5.1.3.6. X-Ray Geometry Macro Recommendations

FFF.2.5.1.3.7. XA/XRF Frame Pixel Data Properties Macro Recommendations

FFF.2.5.1.4. Example

GGG. Unified Worklist and Procedure Step - UPS (Informative)

GGG.1. Introduction

GGG.2. Implementation Examples

GGG.2.1. Typical SOP Class Implementations

GGG.2.2. Typical Pull Workflow

GGG.2.3. Reporting Workflow With "hand-off"

GGG.2.4. Third Party Cancel

GGG.2.5. Radiation Therapy Dose Calculation Push Workflow

GGG.2.6. X-Ray Clinic Push Workflow

GGG.2.7. Other Examples

GGG.3. Other Features

GGG.3.1. What Was Scheduled Vs. What Was Performed

GGG.3.2. Complex Procedure Steps

GGG.3.3. Gift Subscriptions

HHH. Evolution of WADO to Web and Rest Services (Informative)

HHH.1. Request and Response Parameters

HHH.1.1. Request Parameters

HHH.1.2. Response Parameters

HHH.1.2.1. URI WADO-URI

HHH.1.2.2. WADO-WS

HHH.1.2.3. WADO-RS

HHH.1.2.4. STOW-RS

HHH.2. Web and Rest Services Implementation

HHH.3. Uses For WADO-WS, WADO-RS and STOW-RS Services

HHH.3.1. General Requirements

HHH.3.2. Analysis of Use Cases

HHH.3.3. Description of The Use Cases

HHH.3.3.1. URI Based WADO Use Case

HHH.3.3.2. DICOM (Encoded Content) Requester

HHH.3.3.3. Rendered (JPEG/PDF) Requester

HHH.3.3.4. Metadata (XML Without Pixel Data, Waveform Data, etc.) Requester

HHH.3.3.5. DICOM Requester

HHH.3.3.6. Frame Pixel Data Requester

HHH.3.3.7. Bulk Data Requester

HHH.3.3.8. Metadata Requester

HHH.3.3.9. DICOM Creator

HHH.3.3.10. Metadata and Bulk Data Creator

HHH.4. Uses For QIDO Services

HHH.4.1. General Requirements

HHH.4.2. Analysis of Use Cases

HHH.4.2.1. Search From EMR

HHH.4.2.2. Populating FHIR Resources

HHH.4.2.3. Worklist in Viewer

HHH.4.2.4. Multiple Systems Query

HHH.4.2.5. Clinical Reconstruction

HHH.4.2.6. Mobile Device Access

HHH.4.3. Description of The Use Cases

HHH.4.3.1. XML Study Search Use Case

HHH.4.3.2. XML Study, Series and Instance Search Use Case

HHH.4.3.3. JSON Use Case

HHH.5. IHE ITI Compatibility

HHH.6. Proxy Agent For Non-WS DICOM Archive

III. Ophthalmic Thickness Map Use Cases (Informative)

III.1. Introduction

III.2. Macular Retinal Thickness Example

III.3. RNFL Example

III.4. Diabetic Macular Edema Example

III.5. Glaucoma Example

III.6. Retinal Thickness Definition

III.7. Thickness Calculations Between Various Devices

JJJ. Optical Surface Scan

JJJ.1. General Information

JJJ.2. One Single Shot Without Texture Acquisition As Point Cloud

JJJ.3. One Single Shot With Texture Acquisition As Mesh

JJJ.4. Storing Modified Point Cloud With Texture As Mesh

JJJ.5. Multishot Without Texture As Point Clouds and Merged Mesh

JJJ.6. Multishot With Two Texture Per Point Cloud

JJJ.7. Using Colored Vertices Instead of Texture

JJJ.8. 4D Surface Data Analysis

JJJ.9. Referencing A Texture From Another Series

KKK. Use-cases For Conversion of Classic Single Frame Images to Legacy Converted Enhanced Multi-frame Images (Informative)

KKK.1. Introduction

KKK.2. Enhanced Legacy Converted Image Storage IODs

KKK.3. Heterogeneous Environment

KKK.4. Compatibility With Modality Association Negotiation

KKK.5. Query and Retrieval

KKK.6. Referential Integrity

KKK.7. Persistence and Determinism

KKK.8. Source References

KKK.9. Uncertainty Principle

LLL. Conversion of Single Frame Images to Legacy Converted Enhanced Multi-frame Images (Informative)

LLL.1. Introduction

LLL.2. Simple CT Example

LLL.2.1. Images

LLL.2.1.1. First Slice As Classic Image

LLL.2.1.2. Second Slice As Classic Image

LLL.2.1.3. Legacy Converted Enhanced Image Containing Both Slices

LLL.2.2. Presentation States

LLL.2.2.1. Presentation State Referencing Classic Image That Contains The First Slice

LLL.2.2.2. Presentation State Referencing First Slice in Legacy Converted Enhanced Image

MMM. Query and Retrieval of Legacy Converted Enhanced Multi-frame Images (Informative)

MMM.1. Introduction

MMM.2. CT Example with Images and Presentation States

MMM.2.1. C-FIND and C-MOVE At Study Level With Classic View

MMM.2.2. C-FIND and C-MOVE at Study Level with Enhanced View

NNN. Corneal Topography and Tomography Maps (Informative)

NNN.1. Introduction

NNN.2. Corneal Topography Scales and Color Palettes

NNN.3. Corneal Topography Examples

NNN.4. Contact Lens Fitting Examples

NNN.5. Wavefront Map Example