DICOM PS3.17 2026d - Explanatory Information

UUUU.5.2.2 Example of Enhanced RDSR for Cone Beam CT (CBCT)

The following is a simple example of a CBCT acquisition. The device acquires data by rotating a source around a table. There are simple assumptions about the filtration and attenuators present. Many optional entries, particularly legacy dose values, are not included in the interest of making it as simple as possible.

This example could apply to C-arm CBCT acquisitions, dental CBCT, on board imagers in RT, and standard CT scanners.

Table UUUU.5.2.2-1 illustrates one possible encoding of this example. Note that other alternative implementation patterns exist.

Table UUUU.5.2.2-1. Cone Beam CT (CBCT) Enhanced RDSR Example

Node

Code Meaning of Concept Name

Code or Example Value

TID

1

X-Ray Radiation Dose Report

TID 10040

1.1

Language of Content Item and Descendants

(en, RFC5646, "English")

TID 1204

1.2

Procedure reported

(702569007, SCT, "Cone Beam Acquisition")

TID 10040

1.2.1

Has Intent

(261004008, SCT, "Diagnostic Intent")

TID 10040

1.3

Observer Type

(121007, DCM, "Device")

TID 1002

1.4

Device Observer UID

2.999.1.2.3.4

TID 1004

1.5

Device Observer Manufacturer

Manufacturer X

TID 1004

1.6

Device Observer Model Name

Model Y

TID 1004

1.7

Device Observer Serial Number

123456789

TID 1004

1.8

Scope of Accumulation

(113014, DCM, "Study")

TID 10040

1.9

Accumulated Dose Data

TID 10041

1.9.1

Identification of the X-Ray Source

1

TID 10041

1.9.2

Reference Point Dosimetry

TID 10041

1.9.2.1

Reference Point Definition

(113860, DCM, "15cm from Isocenter toward Source")

TID 10041

1.9.2.2

Dose (RP) Total

85 mGy

TID 10041

1.10

Irradiation Event Summary Data

TID 10042

1.10.1

Irradiation Event UID

2.999.2.3.4

TID 10042

1.10.2

DateTime Started

20200101120000

TID 10042

1.10.3

DateTime Ended

20200101120030

TID 10042

1.10.4

Identification of the X-Ray Source

1

TID 10042

1.10.5

Irradiation Event Types

(113613, DCM, "Rotational Acquisition")

TID 10042

1.11

Irradiation Details

TID 10043

1.11.1

DateTime Started

20200101120000

TID 10043

1.11.2

DateTime Ended

20200101120030

TID 10043

1.11.3

Frame of Reference UID

2.999.1.2.3

TID 10043

1.11.4

RDSR Frame of Reference Origin

(130537, DCM, "Equipment Origin")

TID 10043

1.11.5

RDSR Frame of Reference Description

Equipment origin located on left-most, rear-most corner of gantry support when viewing equipment from the front. Y-axis is anti-gravity direction. Z-axis is along table travel direction into the gantry. X-axis is cross product of y and z axes (+y⨯ +z).

TID 10043

1.11.6

Radiation Source Characteristics

TID 10044

1.11.6.1

DateTime Started

20200101120000

TID 10044

1.11.6.2

DateTime Ended

20200101120030

TID 10044

1.11.6.3

Identification of the X-Ray Source

1

TID 10044

1.11.6.4

Focal Spot Size

1.2 mm

TID 10044

1.11.6.5

Anode Target Material

(26194003, SCT, "Tungsten")

TID 10044

1.11.6.6

Attenuator Characteristics

TID 10044

1.11.6.6.1

Equivalent Attenuator Material

(12503006, SCT, "Aluminum")

TID 10044

1.11.6.6.2

Equivalent Attenuator Thickness

2.5 mm

TID 10044

1.11.6.6.2.1

Reported Value Type

(117362005, SCT, "Nominal")

TID 10044

1.11.7

Radiation Technique

TID 10045

1.11.7.1

DateTime Started

20200101120000

TID 10045

1.11.7.2

DateTime Ended

20200101120030

TID 10045

1.11.7.3

Identification of the X-Ray Source

1

TID 10045

1.11.7.4

KVP

100 kV

TID 10045

1.11.7.5

X-Ray Tube Current

DateTime Started

X-Ray Tube Current (mA)

20200101120000

100.0

20200101120005

150.0

20200101120010

200.0

20200101120015

150.0

20200101120020

100.0

20200101120025

150.0

TID 10045

1.11.8

Filtration

TID 10046

1.11.8.1

DateTime Started

20200101120000

TID 10046

1.11.8.2

DateTime Ended

20200101120030

TID 10046

1.11.8.3

Identification of the X-Ray Source

1

TID 10046

1.11.8.4

Attenuator Characteristics

TID 10055

1.11.8.4.1

Identification of the Attenuator

1

TID 10055

1.11.8.4.2

Attenuator Category

(113771, DCM, "X-Ray Filters")

TID 10055

1.11.8.4.3

Filter Material

(66925006, SCT, "Copper")

TID 10055

1.11.8.4.4

Filter Type

(113653, DCM, "Flat Filter")

TID 10055

1.11.8.4.5

X-Ray Filter Thickness

0.3 mm

TID 10055

1.11.9

Attenuators

TID 10047

1.11.9.1

DateTime Started

20200101120000

TID 10047

1.11.9.2

DateTime Ended

20200101120030

TID 10047

1.11.9.3

Attenuator Characteristics

TID 10055

1.11.9.3.1

Identification of the Attenuator

2

TID 10055

1.11.9.3.2

Attenuator Category

(128459, DCM, "Table")

TID 10055

1.11.9.3.3

Filter Material

(256501007, SCT, "Carbon Fiber")

TID 10055

1.11.9.3.4

Filter Type

(113650, DCM, "Strip Filter")

TID 10055

1.11.9.3.5

X-Ray Filter Thickness

30 mm

TID 10055

1.11.10

Radiation Output

TID 10048

1.11.10.1

DateTime Started

20200101120000

TID 10048

1.11.10.2

DateTime Ended

20200101120030

TID 10048

1.11.10.3

Identification of the X-Ray Source

1

TID 10048

1.11.10.4

Air Kerma at Output Measurement Point

DateTime Ended

Air Kerma at Output Measurement Point (mGy)

20200101120005

10.0

20200101120010

15.0

20200101120015

20.0

20200101120020

15.0

20200101120025

10.0

20200101120030

15.0

TID 10048

1.11.11

Radiation Field Area

TID 10049

1.11.11.1

DateTime Started

20200101120000

TID 10049

1.11.11.2

DateTime Ended

20200101120030

TID 10049

1.11.11.3

Identification of the X-Ray Source

1

TID 10049

1.11.11.4

Radiation Field Outline

SCOORD3D POLYGON points

TID 10049

1.11.12

X-Ray Source Reference Coordinate System

TID 10050

1.11.12.1

DateTime Started

20200101120000

TID 10050

1.11.12.2

DateTime Ended

20200101120030

TID 10050

1.11.12.3

Identification of the X-Ray Source

1

TID 10050

1.11.12.4

Transformation Matrix

1.0

0.0

0.0

-40.0

0.0

1.0

0.0

20.0

0.0

0.0

1.0

-50.0

0.0

0.0

0.0

1.0

TID 10050

1.11.12.5

Center of Rotation

SCOORD3D POINT

TID 10050

1.11.12.6

Rotation Plane Normal Point

SCOORD3D POINT

TID 10050

1.11.12.7

Rotation Angle

DateTime Started

Rotation Angle (deg)

20200101120005

40.0

20200101120010

80.0

20200101120015

120.0

20200101120020

160.0

20200101120025

200.0

20200101120030

240.0

TID 10050

1.11.13

Beam Position

TID 10051

1.11.13.1

DateTime Started

20200101120000

TID 10051

1.11.13.2

DateTime Ended

20200101120030

TID 10051

1.11.13.3

Identification of the X-Ray Source

1

TID 10051

1.11.13.4

Output Measurement Point Position

SCOORD3D POINT

TID 10051

1.11.13.5

Reference Point Position

SCOORD3D POINT

TID 10051

1.11.13.6

X-Ray Beam Attenuator Model

TID 10051

1.11.13.6.1

Identification of the Attenuator

1

TID 10051

1.11.13.6.2

X-Ray Attenuator Model Data

2.999.3.4.5

TID 10051

1.11.13.6.6

Transformation Matrix

1.0

0.0

0.0

0.0

0.0

1.0

0.0

5.0

0.0

0.0

1.0

0.0

0.0

0.0

0.0

1.0

TID 10051

1.11.14

Attenuator Position

TID 10052

1.11.14.1

DateTime Started

20200101120000

TID 10052

1.11.14.2

DateTime Ended

20200101120030

TID 10052

1.11.14.3

X-Ray Beam Attenuator Model

TID 10052

1.11.14.3.1

Identification of the Attenuator

2

TID 10052

1.11.14.3.2

X-Ray Attenuator Model Data

2.999.4.5.6

TID 10052

1.11.14.3.3

Transformation Matrix

1.0

0.0

0.0

-40.0

0.0

1.0

0.0

60.0

0.0

0.0

1.0

-45.0

0.0

0.0

0.0

1.0

TID 10052

1.11.15

Procedure Characteristics

TID 10054

1.11.15.1

DateTime Started

20200101120000

TID 10054

1.11.15.2

DateTime Ended

20200101120030

TID 10054

1.11.15.3

Identification of the X-Ray Source

1

TID 10054

1.11.15.4

Acquisition Protocol

CBCT Acquisition

TID 10054

1.11.15.5

Patient Table Relationship

(102540008, SCT, "headfirst")

TID 10054

1.11.15.6

Patient Orientation

(102538003, SCT, "recumbent")

TID 10054

1.11.15.6.1

Patient Orientation Modifier

(40199007, SCT, "supine")

TID 10054

1.11.15.7

Distance Source to Detector

1200 mm

TID 10054

1.12

Source of Dose Information

(113856, DCM, "Automated Data Collection")

TID 10040


DICOM PS3.17 2026d - Explanatory Information