DICOM PS3.16 2021e - Content Mapping Resource

TID 3215 Angiographic Lesion Analysis

The Angiographic Lesion Analysis Template consists of a CONTAINER providing quantitative arterial analysis measurements derived for an obstruction in a total analyzed segment.

Type:

Extensible

Order:

Significant

Root:

No

Table TID 3215. Angiographic Lesion Analysis

NL

Rel with Parent

VT

Concept Name

VM

Req Type

Condition

Value Set Constraint

1

CONTAINER

EV (300577008, SCT, "Lesion Finding")

1

M

2

>

CONTAINS

TEXT

EV (121151, DCM, "Lesion Identifier")

1

M

3

>>

HAS PROPERTIES

CODE

EV (363698007, SCT, "Finding Site")

1

M

DCID 3604 “Arterial Lesion Locations”

4

>>>

HAS CONCEPT MOD

CODE

EV (106233006, SCT, "Topographical modifier")

1

U

DCID 3019 “Cardiovascular Anatomic Location Modifiers”

5

>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1

M

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

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

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

6

>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1-n

U

$Measurement = EV (397415007, SCT, "Vessel Lumen Cross-Sectional Area")

$Method = DCID 3470 “Vessel Lumen Cross-sectional Area Calculation Methods”

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

$Unit = DT (mm2, UCUM, "mm2")

7

>

CONTAINS

CODE

EV (122430, DCM, "Reference Method")

1

M

DCID 3465 “QA Reference Methods”

8

>

CONTAINS

CONTAINER

EV (122438, DCM, "Reference Points")

1

U

9

>>

CONTAINS

NUM

EV (122337, DCM, "Relative Position")

1-n

M

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

10

>>>

HAS PROPERTIES

INCLUDE

DTID 300 “Measurement”

1

U

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

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

11

>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1

M

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

$TargetSite = (122382, DCM, "Site of Luminal Minimum")

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

12

>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1

U

$Measurement = EV (397415007, SCT, "Vessel Lumen Cross-Sectional Area")

$Derivation = EV (122404, DCM, "Reconstructed")

$TargetSite = (122382, DCM, "Site of Luminal Minimum")

$Unit = DT (mm2, UCUM, "mm2")

13

>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1

M

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

$Derivation = EV (258090004, SCT, "Calculated")

$TargetSite = EV (122481, DCM, "Contour Start")

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

14

>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1

M

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

$Derivation = EV (258090004, SCT, "Calculated")

$TargetSite = EV (122482, DCM, "Contour End")

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

15

>

CONTAINS

INCLUDE

DTID 3218 “Position in Arterial Segment”

1

M

16

>

CONTAINS

CONTAINER

EV (122517, DCM, "Densitometric Luminal Cross-sectional Area Graph")

1

U

17

>>

CONTAINS

NUM

EV (122511, DCM, "Graph Increment")

1

M

Value = 1

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

18

>>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1-n

M

$Measurement = EV (397415007, SCT, "Vessel Lumen Cross-Sectional Area")

$Unit = (mm2, UCUM, "mm2")

19

>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1

U

$Measurement = EV (397415007, SCT, "Vessel Lumen Cross-Sectional Area")

$Derivation = EV (258090004, SCT, "Calculated")

$Method = EV (122474, DCM, "Densitometric method")

$TargetSite = EV (122481, DCM, "Contour Start")

$Unit = (mm2, UCUM, "mm2")

20

>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1

U

$Measurement = EV (397415007, SCT, "Vessel Lumen Cross-Sectional Area")

$Derivation = EV (258090004, SCT, "Calculated")

$Method = EV (122474, DCM, "Densitometric method")

$TargetSite = EV (122482, DCM, "Contour End")

$Unit = (mm2, UCUM, "mm2")

21

>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1

M

$Measurement = EV (408716009, SCT, "Stenotic Lesion Length")

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

22

>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1

M

$Measurement = EV (408715008, SCT, "Lumen Diameter Stenosis")

$Unit = DT (%, UCUM, "%")

23

>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1-n

U

$Measurement = EV (408714007, SCT, "Lumen Area Stenosis")

$Method = DCID 3470 “Vessel Lumen Cross-sectional Area Calculation Methods”

$Unit = DT (%, UCUM, "%")

24

>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1-n

U

$Measurement = EV (122372, DCM, "Lumen Volume")

$Method = DCID 3470 “Vessel Lumen Cross-sectional Area Calculation Methods”

$Unit = DT (mm3, UCUM, "mm3")

25

>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1

U

$Measurement = EV (122542, DCM, "Plaque Area")

$Unit = DT (mm2, UCUM, "mm2")

26

>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1

U

$Measurement = EV (122376, DCM, "Total Plaque Volume")

$Unit = DT (mm3, UCUM, "mm3")

27

>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1

U

$Measurement = EV (122544, DCM, "Diameter Symmetry")

$Unit = DT ({ratio}, UCUM, "ratio")

28

>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1

U

$Measurement = EV (122545, DCM, "Area Symmetry")

$Unit = DT ({ratio}, UCUM, "ratio")

29

>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1

U

$Measurement = EV (122546, DCM, "Inflow Angle")

$Unit = DT (deg, UCUM, "deg")

30

>

CONTAINS

INCLUDE

DTID 300 “Measurement”

1

U

$Measurement = EV (122547, DCM, "Outflow Angle")

$Unit = DT (deg, UCUM, "deg")

31

>

CONTAINS

INCLUDE

DTID 3216 “Stenotic Flow Reserve”

1

U

32

>

CONTAINS

IMAGE

1

U


Content Item Descriptions

Row 8

Set of user defined reference position for method that requires local reference position.

Row 9

Distance of local reference position from an arbitrary landmark.

Row 10

Diameter at a local reference position.

Row 11

The reference diameter for the arterial lesion calculated with the applicable reference method

Row 12

The reference area for the arterial lesion calculated with the applicable reference method

Row 13

The diameter measurement at the start of the reconstruction line in the diameter graph (TID 3214 “Analyzed Segment” Row 14)

Row 14

The diameter measurement at the end of the reconstruction line in the diameter graph (TID 3214 “Analyzed Segment” Row 14)

Row 15

The positions of the lesion, borders of the lesion, etc.

Row 16

The graph with the calculated cross sectional area results based on the densitometric method

Row 18

The cross sectional area measurements calculated based on the densitometric method

Row 19

The cross sectional area measurement at the start of the reconstruction line in the area graph

Row 20

The cross sectional area measurement at the end of the reconstruction line in the area graph

Row 21

Measured along the midline of the left and right contour

Row 22

The diameter stenosis is calculated as follows:

(Reference Luminal Diameter - Minimum Luminal Diameter / Reference Luminal Diameter) * 100%

Row 23

The circular and the densitometric area stenosis are calculated respectively as:

(Reference Vessel Lumen Cross-Sectional Area - Minimum Luminal Circular Area / Reference Vessel Lumen Cross-Sectional Area) * 100%(Reference Vessel Lumen Cross-Sectional Area - Minimum Luminal Densitometric Area / Reference Vessel Lumen Cross-Sectional Area) * 100%

Row 24

Estimated lumen volume between proximal border and distal border of lesion (TID 3218 “Position in Arterial Segment”, row 1 and 2)

Row 32

Secondary Capture image with obstruction analysis contour. No purpose of reference is specified.

DICOM PS3.16 2021e - Content Mapping Resource