The following is a simple, non-comprehensive illustration of a report for a morphological examination with stenosis findings.
Example FF.3-1. Presentation of Report Example #1
Cardiovascular Analysis Report - Vascular MRI
Observer: John Doe
Procedure Description
Abdominal aorta-iliac angiography procedure
Vascular Morphological Analysis
Anatomic Region = Abdominal Artery, Left
Left Gastric Artery
Findings:
Vessel Lumen Diameter: 2 mm
Vessel Lumen Cross Sectional Area: 3.4 mm2
Lesion Finding #1
Best illustration of finding
<hyperlink to Image with ROI highlighted>
Associated Morphology: Stenosis
Stenosis type: Vasculitis
Shape: Eccentric
Minimum Vessel Lumen Diameter: 1 mm
Maximum Vessel Lumen Diameter: 1.5 mm
Mean Vessel Lumen Diameter: 1.2 mm
Minimum Vessel Lumen Cross-sectional Area: 1 mm2
Maximum Vessel Lumen Cross-sectional Area: 3 mm2
Stenotic Lesion Length: 5 mm
Minimum Lumen Area Stenosis: 45 %
Maximum Lumen Area Stenosis: 75 %
Mean Lumen Area Stenosis: 60%
Table FF.3-1. Example #1 Report Encoding
|
Nest |
Code Meaning of Concept Name |
Code Meaning or Example Value |
TID |
|---|---|---|---|
|
1 |
CT/MR Cardiovascular Analysis Report |
||
|
1.1 |
Procedure Reported |
Vascular MRI |
|
|
1.2 |
Observer Name |
John Doe |
|
|
1.3 |
Language of Content Items and Descendents |
English |
|
|
1.4 |
Procedure Summary |
||
|
1.4.1 |
Current Procedure Description |
Abdominal aorta-iliac angiography procedure |
|
|
1.5 |
Findings |
||
|
1.5.1 |
Analysis Performed |
Vascular Morphological Analysis |
|
|
1.5.2 |
Artery of Abdomen |
||
|
1.5.2.1 |
Laterality |
Left |
|
|
1.5.2.2 |
Findings |
||
|
1.5.2.3.1 |
Finding Site |
Gastric Artery |
|
|
1.5.2.3.2 |
Vessel Lumen Diameter |
2 mm |
|
|
1.5.2.3.3 |
Vessel Lumen Cross Sectional Area |
3.4 mm2 |
|
|
1.5.2.3.4 |
Lesion Finding |
||
|
1.5.2.3.4.1 |
Identifier |
1 |
|
|
1.5.2.3.4.2 |
Best Illustration of Findings (SCOORD) |
<ROI specification> |
|
|
1.5.2.3.4.2.1 |
<Image reference> |
||
|
1.5.2.3.4.3 |
Associated Morphology |
Stenosis |
|
|
1.5.2.3.4.4 |
Type |
Vasculitis |
|
|
1.5.2.3.4.5 |
Shape |
Eccentric |
|
|
1.5.2.3.4.6 |
Vessel Lumen Diameter |
1 mm |
|
|
1.5.2.3.4.6.1 |
Qualifier Value |
Minimum |
|
|
1.5.2.3.4.7 |
Vessel Lumen Diameter |
1.5 mm |
|
|
1.5.2.3.4.7.1 |
Qualifier Value |
Maximum |
|
|
1.5.2.3.4.8 |
Vessel Lumen Diameter |
1.2 mm |
|
|
1.5.2.3.4.8.1 |
Qualifier Value |
Mean |
|
|
1.5.2.3.4.9 |
Vessel Lumen Cross-sectional Area |
1 mm2 |
|
|
1.5.2.3.4.9.1 |
Qualifier Value |
Minimum |
|
|
1.5.2.3.4.10 |
Vessel Lumen Cross-sectional Area |
3 mm2 |
|
|
1.5.2.3.4.10.1 |
Qualifier Value |
Maximum |
|
|
1.5.2.3.3.11 |
Stenotic Lesion Length |
5 mm |
|
|
1.5.2.3.4.12 |
Lumen Area Stenosis |
45 % |
|
|
1.5.2.3.4.12.1 |
Qualifier Value |
Minimum |
|
|
1.5.2.3.4.13 |
Lumen Area Stenosis |
75 % |
|
|
1.5.2.3.4.13.1 |
Qualifier Value |
Maximum |
|
|
1.5.2.3.4.14 |
Lumen Area Stenosis |
60 % |
|
|
1.5.2.3.4.14.1 |
Qualifier |
Mean |