DICOM PS3.16 2024d - Content Mapping Resource

TID 3214 Analyzed Segment

The Analyzed Segment Template consists of a CONTAINER providing quantitative arterial analysis measurements derived from the angiographic images.

Type:

Extensible

Order:

Significant

Root:

No

Table TID 3214. Analyzed Segment

NL

Rel with Parent

VT

Concept Name

VM

Req Type

Condition

Value Set Constraint

1

CONTAINER

EV (59776-5, LN, "Findings")

1

M

2

>

HAS CONCEPT MOD

CODE

EV (363698007, SCT, "Finding Site")

1

M

DCID 3604 “Arterial Lesion Location”

3

>

CONTAINS

IMAGE

EV (121112, DCM, "Source of Measurement")

1

M

4

>

CONTAINS

INCLUDE

DTID 3205 “Calibration”

1

M

5

>

HAS ACQ CONTEXT

INCLUDE

DTID 3520 “Hemodynamic Clinical Context”

1

U

6

>

HAS ACQ CONTEXT

CODE

EV (129085009, SCT, "Catheterization Procedure Phase")

1

U

DCID 3651 “Hemodynamic Measurement Phase”

7

>

CONTAINS

SCOORD

EV (122507, DCM, "Left Contour")

1

M

GRAPHIC TYPE = {POLYLINE}

8

>>

R-SELECTED FROM

IMAGE

1

M

Must reference Row 3

9

>

CONTAINS

SCOORD

EV (122508, DCM, "Right Contour")

1

M

GRAPHIC TYPE = {POLYLINE}

10

>>

R-SELECTED FROM

IMAGE

1

M

Must reference Row 3

11

>

CONTAINS

INCLUDE

DTID 3219 “Segment Values”

1

M

12

>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1

M

$Measurement = EV (397413000, SCT, "Vessel Luminal Diameter")

$Derivation = EV (255605001, SCT, "Minimum")

$Units = DT (mm, UCUM, "mm")

13

>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1

M

$Measurement = EV (397413000, SCT, "Vessel Luminal Diameter")

$Derivation = EV (56851009, SCT, "Maximum")

$Units = DT (mm, UCUM, "mm")

14

>

CONTAINS

CONTAINER

EV (122509, DCM, "Diameter Graph")

1

U

15

>>

CONTAINS

NUM

EV (122511, DCM, "Graph Increment")

1

M

Value = 1

UNITS = DT ({pixels}, UCUM, "pixels")

16

>>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1-n

M

$Measurement = EV (397413000, SCT, "Vessel Luminal Diameter")

$Units = DT (mm, UCUM, "mm")

17

>

CONTAINS

NUM

EV (122382, DCM, "Site of Luminal Minimum")

1

U

UNITS = DT ({pixels}, UCUM, "pixels")

18

>

CONTAINS

NUM

EV (122516, DCM, "Site of Luminal Maximum")

1

U

UNITS = DT ({pixels}, UCUM, "pixels")

19

>

CONTAINS

INCLUDE

DTID 3215 “Angiographic Lesion Analysis”

1-n

U

20

>

CONTAINS

INCLUDE

DTID 3217 “Sub-segmental Data”

1-n

U

21

>

CONTAINS

IMAGE

1

U


Content Item Descriptions

Row 1

Observation DateTime (0040,A032) of container needs to be flagged with the time of the analysis

Row 7

Numeric coordinates (x,y) identifying the contour points from proximal to distal of left contour. Left is relative to the direction of the blood flow.

Row 9

Numeric coordinates (x,y) identifying the contour points from proximal to distal of right contour. Right is relative to the direction of the blood flow.

Rows 12, 13

Positions are relative to the midpoint between the first left and right contour points and measured along the midline between the left and right contour.

Row 14

The X-axis represents the pixel points of the midline of the vessel from proximal to distal. The points on the midline are not necessarily equidistant.

Row 16

For each point of the midline of the vessel a measurement value for the diameter is calculated.

Rows 17, 18

The positions in the graph are related to the points on the midline of the vessel.

Row 21

Secondary Capture image with Arterial Analysis contour. No purpose of reference is specified.

Definition of Left and Right defined by the direction of the blood flow as in Figure A-4b:

Direction of Blood Flow

Figure A-4b. Direction of Blood Flow


DICOM PS3.16 2024d - Content Mapping Resource