A.59 Enhanced US Volume IOD
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## A.59 Enhanced US Volume IOD

### A.59.1 Enhanced US Volume IOD Description

Image objects of different types may be created from a 3D Ultrasound image acquisition, illustrated in Figure A.59-1. It can be seen that there are two different types of data related to 3D image acquisition: 3D volume data sets and several kinds of 2D image derived from the volume data set.

Figure A.59-1. Types of 3D Ultrasound Source and Derived Images (Informative)

The 3D volume data set (the diagonally shaded box in Figure A.59-1) contains a Cartesian volume or two or more temporally related Cartesian volumes. 3D volume data sets are exchanged using the Enhanced US Volume SOP Class, and are suitable for subsequent Multi-Planar Reconstruction and rendering operations. Within each Enhanced US Volume instance, each Cartesian volume consists of a set of parallel planes, and each plane consists of one or more frames each of a single data type. All Cartesian volumes have the same spacing between adjacent planes.

Most acquisition devices construct the Cartesian volume by resampling data from a different acquisition geometry. The method of generation of the Cartesian volume, its relationship to spatially-related 2D frames (whether the volume was created from spatially-related frames, or spatially-related frames extracted from the Cartesian volume), and the algorithms used for Multi-Planar Reconstruction and rendering operations are outside the scope of this standard.

The 2D image types represent collections of frames that are derived from the volume data set, namely 3D rendered views (projections), separate Multi-Planar Reconstructed (MPR) views, or sets of spatially-related source frames, either parallel or oblique (the cross-hatched boxes in Figure A.59-1). The Ultrasound Image and Ultrasound Multi-frame Image IODs are used to represent these derived images. See Section A.6 for the Ultrasound Image IOD description or Section A.7 for the Ultrasound Multi-frame Image IOD description.

### Note

See Chapter PP “3D Ultrasound Volumes (Informative)” in PS3.17 for an informative discussion on the use of these objects for the exchange of 3D ultrasound volume data.

### A.59.2 Enhanced US Volume IOD Entity-Relationship Model

The E-R Model in Section A.1.2 depicts those components of the DICOM Information Model that comprise the Enhanced US Volume IOD.

### A.59.3 Enhanced US Volume IOD Module Table

Table A.59-1. Enhanced US Volume IOD Modules

IE | Module | Reference | Usage
--- | --- | --- | ---
Patient | Patient | C.7.1.1 | M
Clinical Trial Subject | C.7.1.3 | U
Study | General Study | C.7.2.1 | M
Patient Study | C.7.2.2 | U
Clinical Trial Study | C.7.2.3 | U
Series | General Series | C.7.3.1 | M
Enhanced US Series | C.8.24.1 | M
Clinical Trial Series | C.7.3.2 | U
Frame of Reference | Frame of Reference | C.7.4.1 | M
Ultrasound Frame of Reference | C.8.24.2 | M
Synchronization | C.7.4.2 | M
Equipment | General Equipment | C.7.5.1 | M
Enhanced General Equipment | C.7.5.2 | M
Image | General Image | C.7.6.1 | M
Image Pixel | C.7.6.3 | M
Enhanced Contrast/Bolus | C.7.6.4b | C - Required if contrast media was applied. See Section A.59.3.1.2 for baseline context group ID.
Multi-frame Functional Groups | C.7.6.16 | M
Multi-frame Dimension | C.7.6.17 | M
Cardiac Synchronization | C.7.6.18.1 | C - Required if cardiac synchronization was applied.
Respiratory Synchronization | C.7.6.18.2 | C - Required if respiratory synchronization was applied.
Device | C.7.6.12 | U
Acquisition Context | C.7.6.14 | M
Specimen | C.7.6.22 | U
Enhanced Palette Color Lookup Table | C.7.6.23 | U
Enhanced US Image | C.8.24.3 | M
IVUS Image | C.8.24.4 | C - Required if Modality = IVUS
Excluded Intervals | C.8.24.5 | U
ICC Profile | C.11.15 | U
SOP Common | C.12.1 | M
Common Instance Reference | C.12.2 | U
Frame Extraction | C.12.3 | C - Required if the SOP Instance was created in response to a Frame-Level retrieve request

#### A.59.3.1 Enhanced US Volume IOD Content Constraints

##### A.59.3.1.1 Associated Physiological Waveforms

The Acquisition Time Synchronized attribute (0018,1800) shall have a value of 'Y' if associated physiological waveforms are linked to the Enhanced US Volume. As described in the Synchronization Module, the same value of Synchronization Frame of Reference UID (0020,0200) is shared between the Waveform and Enhanced US instances to indicate a common temporal frame of reference for Acquisition DateTime (0008,002A) values in the waveform and Enhanced US instances. Further, Frame Reference DateTime (0018,9151) may be used in optimizing alignment between the displayed image and displayed physiological waveforms.

In the case of gated acquisition in which information from multiple events (such as ECG beats) are used to create sub-volumes that are "spliced" or "interleaved" together to form the volume data set, the Excluded Intervals Module describes the timing of each of the constituent sub-volumes for correlation with the physio waveform.

### Note

It is recommended that the Waveform Annotation Module in the General ECG Waveform IOD be used to indicate the times of the R-wave events within the acquisition duration. This allows the viewing application to be able to mark those R-R intervals that contributed to the acquisition of the Enhanced US Volume.

##### A.59.3.1.2 Contrast

Baseline CID for the Contrast/Bolus Agent Sequence (0018,0012) in the Enhanced Contrast/Bolus Module is CID 12030 “Ultrasound Contrast/Bolus Agents”.

### A.59.4 Enhanced US Volume Functional Group Macros

Table A.59-2 specifies the use of the Functional Group Macros used in the Multi-frame Functional Groups Module for the Enhanced US Volume IOD.

Table A.59-2. Enhanced US Volume Functional Group Macros

Functional Group Macro | Section | Usage
--- | --- | ---
Frame Content | C.7.6.16.2.2 | M - May not be used as a Shared Functional Group.
Plane Position (Patient) | C.7.6.16.2.3 | U
Plane Orientation (Patient) | C.7.6.16.2.4 | U
Referenced Image | C.7.6.16.2.5 | U
Derivation Image | C.7.6.16.2.6 | C - Required if the image or frame has been derived from another SOP Instance.
Cardiac Synchronization | C.7.6.16.2.7 | C - Required if Cardiac Synchronization is used
Frame VOI LUT | C.7.6.16.2.10 | M
Real World Value Mapping | C.7.6.16.2.11 | U
Contrast/Bolus Usage | C.7.6.16.2.12 | C - Required if the Enhanced Contrast/Bolus Module is present
Patient Orientation in Frame | C.7.6.16.2.15 | U
Frame Display Shutter | C.7.6.16.2.16 | U
Respiratory Synchronization | C.7.6.16.2.17 | C - Required if Respiratory Synchronization is used
Plane Position (Volume) | C.7.6.16.2.21 | M - May not be used as a Shared Functional Group. See Section A.59.4.1.2.
Plane Orientation (Volume) | C.7.6.16.2.22 | M - May not be used as a Per-Frame Functional Group. See Section A.59.4.1.2.
Temporal Position | C.7.6.16.2.23 | C - Required if frames are temporally related and not temporally referenced to a Cardiac or Respiratory event
Image Data Type | C.7.6.16.2.24 | M
US Image Description | C.8.24.6.1 | M - May not be used as a Per-Frame Functional Group

#### A.59.4.1 Enhanced US Volume Functional Group Macros Content Constraints

##### A.59.4.1.1 US Image Description Macro

The value of Volumetric Properties (0008,9206) shall be VOLUME. The value of Volume Based Calculation Technique (0008,9207) shall be NONE.

##### A.59.4.1.2 Plane Position (Volume) and Plane Orientation (Volume) Macros

Image Position (Volume) (0020,9301) first value (X) shall be zero and second value (Y) shall be zero. Image Orientation (Volume) (0020,9302) values shall be 1\0\0\0\1\0. This ensures that the origins of each frame lies on the Volume Frame of Reference ZV axis, the rows of each frame are parallel to the Volume Frame of Reference XV axis, and the columns of each frame are parallel to the Volume Frame of Reference YV axis.

Adjacent planes in the volume shall be equally spaced in the Z direction.

### Note

1. More than one frame may be encoded for the same plane, for example, with a different temporal or cardiac cycle position.

2. Frames with the same value of Image Position (Volume) (0020,9301) will also have the same second value of Dimension Index Value (the spatial position Dimension); See Section C.8.24.3.3.

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