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

F.3.4 Example 4: Lung Nodule Detection in Chest Radiograph, Spatially Correlated With CT (Current)
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The patient in Example 3 is called back for CT to confirm the Lung Nodule found in Example 3. The patient undergoes CT of the Thorax and the initial chest radiograph and CT slices are sent to a more comprehensive CAD device for processing. Findings are detected and analyses are performed that correlate findings from the two collections of data. Portions of the prior CAD report (Example 3) are incorporated into this report.

Figure F.3-9. Chest Radiograph and CT slice as described in Example 4

Italicized entries (xxx) in the following table denote references to or by-value inclusion of Content Tree items reused from the prior Chest CAD SR instance (Example 3).

Node	Code Meaning of Concept Name	Code Meaning of Example Value	TID
1	Chest CAD Report		TID 4100
1.1	Language of Content Item and Descendants	English	TID 1204
1.2	Image Library		TID 4100
1.3	CAD Processing and Findings Summary	All algorithms succeeded; with findings	TID 4101
1.4	Summary of Detections	Succeeded	TID 4100
1.5	Summary of Analyses	Succeeded	TID 4100

While the Image Library contains references to Content Tree items reused from the prior Chest CAD SR instance, the images are actually used in the CAD analysis and are therefore not italicized as indicated above.

Node	Code Meaning of Concept Name	Code Meaning of Example Value	TID
1.2	Image Library		TID 4100
1.2.1		IMAGE 1	TID 4020
1.2.1.1	Image View	Postero-anterior	TID 4020
1.2.1.2	Study Date	20000101	TID 4020

Most recent examination content:

Node	Code Meaning of Concept Name	Code Meaning of Example Value	TID
1.3	CAD Processing and Findings Summary	All algorithms succeeded; with findings	TID 4101
1.3.1	Composite Feature	Abnormal opacity	TID 4102

Node	Code Meaning of Concept Name	Code Meaning of Example Value	TID
1.3.1	Composite Feature	Abnormal opacity	TID 4102
1.3.1.1	Composite Feature Modifier	Nodule	TID 4102
1.3.1.2	Rendering Intent	Presentation Required: …	TID 4102
1.3.1.3	Tracking Identifier	"Watchlist #1"	TID 4108
1.3.1.4	Algorithm Name	"Chest/CT Correlator"	TID 4019
1.3.1.5	Algorithm Version	"V2.1"	TID 4019
1.3.1.6	Composite type	Target Content Items are related spatially	TID 4103
1.3.1.7	Scope of Feature	Feature detected on images from multiple modalities	TID 4103
1.3.1.8	Diameter	4 cm	TID 1400
1.3.1.8.1	Path		TID 1400
1.3.1.8.1.1		IMAGE 3 [CT slice 104]	TID 1400
1.3.1.9	Volume estimated from single 2D region	3.2 cm3	TID 1402
1.3.1.9.1	Perimeter Outline		TID 1402
1.3.1.9.1.1		IMAGE 3 [CT slice 104]	TID 1402
1.3.1.10	Size Descriptor	Small	TID 4105
1.3.1.11	Border Shape	Lobulated	TID 4105
1.3.1.12	Location in Chest	Mid lobe	TID 4105
1.3.1.13	Laterality	Right	TID 4105
1.3.1.14	Composite Feature	Abnormal opacity	TID 4102
1.3.1.15	Single Image Finding	Abnormal opacity	TID 4104

Node	Code Meaning of Concept Name	Code Meaning of Example Value	TID
1.3.1.14	Composite Feature	Abnormal opacity	TID 4102
1.3.1.14.1	Composite Feature Modifier	Nodule	TID 4102
1.3.1.14.2	Rendering Intent	Presentation Required: …	TID 4102
1.3.1.14.3	Tracking Identifier	"Nodule #1"	TID 4108
1.3.1.14.4	Algorithm Name	"Nodule Builder"	TID 4019
1.3.1.14.5	Algorithm Version	"V1.4"	TID 4019
1.3.1.14.6	Composite type	Target Content Items are related spatially	TID 4103
1.3.1.14.7	Scope of Feature	Feature detected on multiple images	TID 4103
1.3.1.14.8	Diameter	4 cm	TID 1400
1.3.1.14.9	Volume estimated from single 2D region	3.2 cm3	TID 1402
1.3.1.14.10	Single Image Finding	Abnormal opacity	TID 4104
1.3.1.14.11	Single Image Finding	Abnormal opacity	TID 4104
1.3.1.14.12	Single Image Finding	Abnormal opacity	TID 4104

Node	Code Meaning of Concept Name	Code Meaning of Example Value	TID
1.3.1.14.10	Single Image Finding	Abnormal opacity	TID 4104
1.3.1.14.10.1	Single Image Finding Modifier	Nodule	TID 4104
1.3.1.14.10.2	Rendering Intent	Presentation Required: …	TID 4104
1.3.1.14.10.3	Tracking Identifier	"Detection #1"	TID 4108
1.3.1.14.10.4	Algorithm Name	"CT Nodule Detector"	TID 4019
1.3.1.14.10.5	Algorithm Version	"V2.5"	TID 4019
1.3.1.14.10.6	Center	POINT	TID 4107
1.3.1.14.10.6.1		IMAGE 2 [CT slice 103]	TID 4107
1.3.1.14.10.7	Outline	POLYLINE	TID 4107
1.3.1.14.10.7.1		IMAGE 2 [CT slice 103]	TID 4107

Node	Code Meaning of Concept Name	Code Meaning of Example Value	TID
1.3.1.14.11	Single Image Finding	Abnormal opacity	TID 4104
1.3.1.14.11.1	Single Image Finding Modifier	Nodule	TID 4104
1.3.1.14.11.2	Rendering Intent	Presentation Required: …	TID 4104
1.3.1.14.11.3	Tracking Identifier	"Detection #2"	TID 4108
1.3.1.14.11.4	Algorithm Name	"CT Nodule Detector"	TID 4019
1.3.1.14.11.5	Algorithm Version	"V2.5"	TID 4019
1.3.1.14.11.6	Center	POINT	TID 4107
1.3.1.14.11.6.1		IMAGE 3 [CT slice 104]	TID 4107
1.3.1.14.11.7	Outline	POLYLINE	TID 4107
1.3.1.14.11.7.1		IMAGE 3 [CT slice 104]	TID 4107

Node	Code Meaning of Concept Name	Code Meaning of Example Value	TID
1.3.1.14.12	Single Image Finding	Abnormal opacity	TID 4104
1.3.1.14.12.1	Single Image Finding Modifier	Nodule	TID 4104
1.3.1.14.12.2	Rendering Intent	Presentation Required: …	TID 4104
1.3.1.14.12.3	Tracking Identifier	"Detection #3"	TID 4108
1.3.1.14.12.4	Algorithm Name	"CT Nodule Detector"	TID 4019
1.3.1.14.12.5	Algorithm Version	"V2.5"	TID 4019
1.3.1.14.12.6	Center	POINT	TID 4107
1.3.1.14.12.6.1		IMAGE 4 [CT slice 105]	TID 4107
1.3.1.14.12.7	Outline	POLYLINE	TID 4107
1.3.1.14.12.7.1		IMAGE 4 [CT slice 105]	TID 4107

Node	Code Meaning of Concept Name	Code Meaning of Example Value	TID
1.3.1.15	Single Image Finding	Abnormal opacity	TID 4104
1.3.1.15.1	Single Image Finding Modifier	Nodule	TID 4104
1.3.1.15.2	Rendering Intent	Presentation Required: …	TID 4104
1.3.1.15.3	Tracking Identifier	"Watchlist #1"	TID 4108
1.3.1.15.4	[Observation Context Content Items]		TID 4022
1.3.1.15.5	Algorithm Name	"Lung Nodule Detector"	TID 4019
1.3.1.15.6	Algorithm Version	"V1.3"	TID 4019
1.3.1.15.7	Center	POINT	TID 4107
1.3.1.15.7.1		Reference to node 1.2.1	TID 4107
1.3.1.15.8	Outline	POLYLINE	TID 4107
1.3.1.15.8.1		Reference to node 1.2.1	TID 4107
1.3.1.15.9	Diameter	4 cm	TID 1400
1.3.1.15.9.1	Path	POLYLINE	TID 1400
1.3.1.15.9.1.1		Reference to Node 1.2.1	TID 1400

Node	Code Meaning of Concept Name	Code Meaning of Example Value	TID
1.4	Summary of Detections	Succeeded	TID 4100
1.4.1	Successful Detections		TID 4015
1.4.1.1	Detection Performed	Nodule	TID 4017
1.4.1.1.1	Algorithm Name	"CT Nodule Detector"	TID 4019
1.4.1.1.2	Algorithm Version	"V2.5"	TID 4019
1.4.1.1.3		IMAGE 2 [CT slice 103]	TID 4017
1.4.1.1.4		IMAGE 3 [CT slice 104]	TID 4017
1.4.1.1.5		IMAGE 4 [CT slice 105]	TID 4017
1.5	Summary of Analyses	Succeeded	TID 4100
1.5.1	Successful Analyses		TID 4016
1.5.1.1	Analysis Performed	"Spatial colocation analysis"	TID 4018
1.5.1.1.1	Algorithm Name	"Chest/CT Correlator"	TID 4019
1.5.1.1.2	Algorithm Version	"V2.1"	TID 4019
1.5.1.1.3		Reference to node 1.2.1	TID 4018
1.5.1.1.4		IMAGE 2 [CT slice 103]	TID 4018
1.5.1.1.5		IMAGE 3 [CT slice 104]	TID 4018
1.5.1.1.6		IMAGE 4 [CT slice 105]	TID 4018
1.5.1.2	Analysis Performed	"Spatial colocation analysis"	TID 4018
1.5.1.2.1	Algorithm Name	"Nodule Builder"	TID 4019
1.5.1.2.2	Algorithm Version	"V1.4"	TID 4019
1.5.1.2.3		IMAGE 2 [CT slice 103]	TID 4018
1.5.1.2.4		IMAGE 3 [CT slice 104]	TID 4018
1.5.1.2.5		IMAGE 4 [CT slice 105]	TID 4018

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