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

E.3.2 Example 2: Calcification and Mass Detection With Findings (Current)
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A mammography CAD device processes a screening mammography case with four films and a mass in the left breast. Mammography CAD runs both density and calcification detection successfully. It finds two densities in the LCC, one density in the LMLO, a cluster of two calcifications in the RCC and a cluster of 20 calcifications in the RMLO. It performs two clustering algorithms. One identifies individual calcifications and then clusters them, and the second simply detects calcification clusters. It performs mass correlation and combines one of the LCC densities and the LMLO density into a mass; the other LCC density is flagged Not for Presentation, therefore not intended for display to the end-user. The mammograms resemble:

Figure E.3-2. Mammograms as Described in Example 2

The Content Tree structure in this example is complex. Structural illustrations of portions of the Content Tree are placed within the Content Tree table to show the relationships of data within the tree. Some Content Items are duplicated (and shown in boldface) to facilitate use of the diagrams.

Figure E.3-3. Content Tree Root of Example 2 Content Tree

Node	Code Meaning of Concept Name	Code Meaning or Example Value	TID
1	Mammography CAD Report		TID 4000
1.1	Image Library		TID 4000
1.2	CAD Processing and Findings Summary	All algorithms succeeded; with findings	TID 4001
1.3	Summary of Detections	Succeeded	TID 4000
1.4	Summary of Analyses	Succeeded	TID 4000

Figure E.3-4. Image Library Branch of Example 2 Content Tree

Node	Code Meaning of Concept Name	Code Meaning or Example Value	TID
1.1	Image Library		TID 4000
1.1.1		IMAGE 1	TID 4020
1.1.1.1	Image Laterality	Right	TID 4020
1.1.1.2	Image View	Cranio-caudal	TID 4020
1.1.1.3	Study Date	19990101	TID 4020
1.1.2		IMAGE 2	TID 4020
1.1.2.1	Image Laterality	Left	TID 4020
1.1.2.2	Image View	Cranio-caudal	TID 4020
1.1.2.3	Study Date	19990101	TID 4020
1.1.3		IMAGE 3	TID 4020
1.1.3.1	Image Laterality	Right	TID 4020
1.1.3.2	Image View	Medio-lateral oblique	TID 4020
1.1.3.3	Study Date	19990101	TID 4020
1.1.4		IMAGE 4	TID 4020
1.1.4.1	Image Laterality	Left	TID 4020
1.1.4.2	Image View	Medio-lateral oblique	TID 4020
1.1.4.3	Study Date	19990101	TID 4020

Figure E.3-5. CAD Processing and Findings Summary Bifurcation of Example 2 Content Tree

Node	Code Meaning of Concept Name	Code Meaning or Example Value	TID
1.2	CAD Processing and Findings Summary	All algorithms succeeded; with findings	TID 4001
1.2.1	Individual Impression/Recommendation		TID 4003
1.2.2	Individual Impression/Recommendation		TID 4003
1.2.3	Individual Impression/Recommendation		TID 4003
1.2.4	Individual Impression/Recommendation		TID 4003

Figure E.3-6. Individual Impression/Recommendation 1.2.1 from Example 2 Content Tree

Node	Code Meaning of Concept Name	Code Meaning or Example Value	TID
1.2.1	Individual Impression/Recommendation		TID 4003
1.2.1.1	Rendering Intent	Presentation Required	TID 4003
1.2.1.2	Composite Feature	Mass	TID 4004
1.2.1.2.1	Rendering Intent	Presentation Required	TID 4004
1.2.1.2.2	Composite type	Target Content Items are related spatially	TID 4005
1.2.1.2.3	Scope of Feature	Feature was detected on multiple images	TID 4005
1.2.1.2.4	Algorithm Name	"Mass Maker"	TID 4019
1.2.1.2.5	Algorithm Version	"V1.9"	TID 4019
1.2.1.2.6	Single Image Finding	Mammography breast density	TID 4006
1.2.1.2.7	Single Image Finding	Mammography breast density	TID 4006

Figure E.3-7. Single Image Finding Density 1.2.1.2.6 from Example 2 Content Tree

Node	Code Meaning of Concept Name	Code Meaning or Example Value	TID
1.2.1.2.6	Single Image Finding	Mammography breast density	TID 4006
1.2.1.2.6.1	Rendering Intent	Presentation Required	TID 4006
1.2.1.2.6.2	Algorithm Name	"Density Detector"	TID 4019
1.2.1.2.6.3	Algorithm Version	"V3.7"	TID 4019
1.2.1.2.6.4	Center	POINT	TID 4021
1.2.1.2.6.4.1		Reference to node 1.1.2	TID 4021
1.2.1.2.6.5	Outline	SCOORD	TID 4021
1.2.1.2.6.5.1		Reference to node 1.1.2	TID 4021

Figure E.3-8. Single Image Finding Density 1.2.1.2.7 from Example 2 Content Tree

Node	Code Meaning of Concept Name	Code Meaning or Example Value	TID
1.2.1.2.7	Single Image Finding	Mammography breast density	TID 4006
1.2.1.2.7.1	Rendering Intent	Presentation Required	TID 4006
1.2.1.2.7.2	Algorithm Name	"Density Detector"	TID 4019
1.2.1.2.7.3	Algorithm Version	"V3.7"	TID 4019
1.2.1.2.7.4	Center	POINT	TID 4021
1.2.1.2.7.4.1		Reference to node 1.1.4	TID 4021
1.2.1.2.7.5	Outline	SCOORD	TID 4021
1.2.1.2.7.5.1		Reference to node 1.1.4	TID 4021
1.2.1.2.7.6	Area of Defined Region	1 cm²	TID 1401
1.2.1.2.7.6.1	Area Outline	SCOORD	TID 1401
1.2.1.2.7.6.1.1		Reference to node 1.1.4	TID 1401

Figure E.3-9. Individual Impression/Recommendation 1.2.2 from Example 2 Content Tree

Node	Code Meaning of Concept Name	Code Meaning or Example Value	TID
1.2.2	Individual Impression/Recommendation		TID 4003
1.2.2.1	Rendering Intent	Not for Presentation	TID 4003
1.2.2.2	Single Image Finding	Mammography breast density	TID 4006
1.2.2.2.1	Rendering Intent	Not for Presentation	TID 4006
1.2.2.2.2	Algorithm Name	"Density Detector"	TID 4019
1.2.2.2.3	Algorithm Version	"V3.7"	TID 4019
1.2.2.2.4	Center	POINT	TID 4021
1.2.2.2.4.1		Reference to node 1.1.2	TID 4021
1.2.2.2.5	Outline	SCOORD	TID 4021
1.2.2.2.5.1		Reference to node 1.1.2	TID 4021

Figure E.3-10. Individual Impression/Recommendation 1.2.3 from Example 2 Content Tree

Node	Code Meaning of Concept Name	Code Meaning or Example Value	TID
1.2.3	Individual Impression/Recommendation		TID 4003
1.2.3.1	Rendering Intent	Presentation Required	TID 4003
1.2.3.2	Single Image Finding	Calcification Cluster	TID 4006
1.2.3.2.1	Rendering Intent	Presentation Required	TID 4006
1.2.3.2.2	Algorithm Name	"Calc Cluster Detector"	TID 4019
1.2.3.2.3	Algorithm Version	"V2.4"	TID 4019
1.2.3.2.4	Center	POINT	TID 4021
1.2.3.2.4.1		Reference to node 1.1.3	TID 4021
1.2.3.2.5	Outline	SCOORD	TID 4021
1.2.3.2.5.1		Reference to node 1.1.3	TID 4021
1.2.3.2.6	Number of Calcifications	20	TID 4010

Figure E.3-11. Individual Impression/Recommendation 1.2.4 from Example 2 Content Tree

Node	Code Meaning of Concept Name	Code Meaning or Example Value	TID
1.2.4	Individual Impression/Recommendation		TID 4003
1.2.4.1	Rendering Intent	Presentation Required	TID 4003
1.2.4.2	Single Image Finding	Calcification Cluster	TID 4006
1.2.4.2.1	Rendering Intent	Presentation Required	TID 4006
1.2.4.2.2	Algorithm Name	"Calc Clustering"	TID 4019
1.2.4.2.3	Algorithm Version	"V2.4"	TID 4019
1.2.4.2.4	Center	POINT	TID 4021
1.2.4.2.4.1		Reference to node 1.1.1	TID 4021
1.2.4.2.5	Outline	SCOORD	TID 4021
1.2.4.2.5.1		Reference to node 1.1.1	TID 4021
1.2.4.2.6	Number of Calcifications	2	TID 4010

Figure E.3-12. Single Image Finding 1.2.4.2.7 from Example 2 Content Tree

Node	Code Meaning of Concept Name	Code Meaning or Example Value	TID
1.2.4.2.7	Single Image Finding	Individual Calcification	TID 4006
1.2.4.2.7.1	Rendering Intent	Presentation Optional	TID 4006
1.2.4.2.7.2	Algorithm Name	"Calc Detector"	TID 4019
1.2.4.2.7.3	Algorithm Version	"V2.4"	TID 4019
1.2.4.2.7.4	Center	POINT	TID 4021
1.2.4.2.7.4.1		Reference to node 1.1.1	TID 4021
1.2.4.2.7.5	Outline	SCOORD	TID 4021
1.2.4.2.7.5.1		Reference to node 1.1.1	TID 4021

Figure E.3-13. Single Image Finding 1.2.4.2.8 from Example 2 Content Tree

Node	Code Meaning of Concept Name	Code Meaning or Example Value	TID
1.2.4.2.8	Single Image Finding	Individual Calcification	TID 4006
1.2.4.2.8.1	Rendering Intent	Presentation Optional	TID 4006
1.2.4.2.8.2	Algorithm Name	"Calc Detector"	TID 4019
1.2.4.2.8.3	Algorithm Version	"V2.4"	TID 4019
1.2.4.2.8.4	Center	POINT	TID 4021
1.2.4.2.8.4.1		Reference to node 1.1.1	TID 4021
1.2.4.2.8.5	Outline	SCOORD	TID 4021
1.2.4.2.8.5.1		Reference to node 1.1.1	TID 4021

Figure E.3-14. Summary of Detections Branch of Example 2 Content Tree

Node	Code Meaning of Concept Name	Code Meaning or Example Value	TID
1.3	Summary of Detections	Succeeded	TID 4000
1.3.1	Successful Detections		TID 4015
1.3.1.1	Detection Performed	Mammography breast density	TID 4017
1.3.1.1.1	Algorithm Name	"Density Detector"	TID 4019
1.3.1.1.2	Algorithm Version	"V3.7"	TID 4019
1.3.1.1.3		Reference to node 1.1.1	TID 4017
1.3.1.1.4		Reference to node 1.1.2	TID 4017
1.3.1.1.5		Reference to node 1.1.3	TID 4017
1.3.1.1.6		Reference to node 1.1.4	TID 4017
1.3.1.2	Detection Performed	Individual Calcification	TID 4017
1.3.1.2.1	Algorithm Name	"Calc Detector"	TID 4019
1.3.1.2.2	Algorithm Version	"V2.4"	TID 4019
1.3.1.2.3		Reference to node 1.1.1	TID 4017
1.3.1.2.4		Reference to node 1.1.2	TID 4017
1.3.1.2.5		Reference to node 1.1.3	TID 4017
1.3.1.2.6		Reference to node 1.1.4	TID 4017
1.3.1.3	Detection Performed	Calcification Cluster	TID 4017
1.3.1.3.1	Algorithm Name	"Calc Clustering"	TID 4019
1.3.1.3.2	Algorithm Version	"V2.4"	TID 4019
1.3.1.3.3		Reference to node 1.1.1	TID 4017
1.3.1.4	Detection Performed	Calcification Cluster	TID 4017
1.3.1.4.1	Algorithm Name	"Calc Cluster Detector"	TID 4019
1.3.1.4.2	Algorithm Version	"V2.4"	TID 4019
1.3.1.4.3		Reference to node 1.1.1	TID 4017
1.3.1.4.4		Reference to node 1.1.2	TID 4017
1.3.1.4.5		Reference to node 1.1.3	TID 4017
1.3.1.4.6		Reference to node 1.1.4	TID 4017

Figure E.3-15. Summary of Analyses Branch of Example 2 Content Tree

Node	Code Meaning of Concept Name	Code Meaning or Example Value	TID
1.4	Summary of Analyses	Succeeded	TID 4000
1.4.1	Successful Analyses		TID 4016
1.4.1.1	Analysis Performed	Mass Correlation	TID 4018
1.4.1.1.1	Algorithm Name	"Mass Maker"	TID 4019
1.4.1.1.2	Algorithm Version	"V1.9"	TID 4019
1.4.1.1.3		Reference to node 1.1.2	TID 4018
1.4.1.1.4		Reference to node 1.1.4	TID 4018