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>
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
TID 3900
1.1
Procedure Reported
Vascular MRI
1.2
Observer Name
John Doe
TID 1001
1.3
Language of Content Items and Descendents
English
TID 1204
1.4
Procedure Summary
TID 3901
1.4.1
Current Procedure Description
1.5
Findings
TID 3902
1.5.1
Analysis Performed
1.5.2
Artery of Abdomen
TID 3906
1.5.2.1
Laterality
Left
1.5.2.2
1.5.2.3.1
Finding Site
Gastric Artery
1.5.2.3.2
Vessel Lumen Diameter
2 mm
TID 3907
1.5.2.3.3
Vessel Lumen Cross Sectional Area
3.4 mm2
1.5.2.3.4
Lesion Finding
TID 3908
1.5.2.3.4.1
Identifier
1.5.2.3.4.2
Best Illustration of Findings (SCOORD)
<ROI specification>
TID 3909
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
TID 3912
1.5.2.3.4.5
Shape
Eccentric
1.5.2.3.4.6
1 mm
1.5.2.3.4.6.1
Qualifier Value
Minimum
1.5.2.3.4.7
1.5 mm
1.5.2.3.4.7.1
Maximum
1.5.2.3.4.8
1.2 mm
1.5.2.3.4.8.1
Mean
1.5.2.3.4.9
Vessel Lumen Cross-sectional Area
1 mm2
1.5.2.3.4.9.1
1.5.2.3.4.10
3 mm2
1.5.2.3.4.10.1
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
1.5.2.3.4.13
75 %
1.5.2.3.4.13.1
1.5.2.3.4.14
60 %
1.5.2.3.4.14.1
Qualifier