DICOM PS3.17 2018b - Explanatory Information

E.3.3 Example 3: Calcification and Mass Detection, Temporal Differencing With Findings
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### E.3.3 Example 3: Calcification and Mass Detection, Temporal Differencing With Findings

The patient in Example 2 returns for another mammogram. A more comprehensive mammography CAD device processes the current mammogram; analyses are performed that determine some content items for Overall and Individual Impression/Recommendations. Portions of the prior mammography CAD report (Example 2) are incorporated into this report. In the current mammogram the number of calcifications in the RCC has increased, and the size of the mass in the left breast has increased from 1 to 4 cm2.

Figure E.3-16. Mammograms as Described in Example 3

Italicized entries (xxx) in the following table denote references to or by-value inclusion of content tree items reused from the prior Mammography CAD SR instance (Example 2).

Node | Code Meaning of Concept Name | Code Meaning or Example Value | TID
--- | --- | --- | ---
1 | Mammography CAD Report |  | TID 4000

While the Image Library contains references to content tree items reused from the prior Mammography CAD SR instance, the images are actually used in the mammography CAD analysis and are therefore not italicized as indicated above.

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 | 20000101 | 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 | 20000101 | 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 | 20000101 | 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 | 20000101 | TID 4020
1.1.5 |  | IMAGE 5 | TID 4020
1.1.5.1 | Image Laterality | Right | TID 4020
1.1.5.2 | Image View | Cranio-caudal | TID 4020
1.1.5.3 | Study Date | 19990101 | TID 4020
1.1.6 |  | IMAGE 6 | TID 4020
1.1.6.1 | Image Laterality | Left | TID 4020
1.1.6.2 | Image View | Cranio-caudal | TID 4020
1.1.6.3 | Study Date | 19990101 | TID 4020
1.1.7 |  | IMAGE 7 | TID 4020
1.1.7.1 | Image Laterality | Right | TID 4020
1.1.7.2 | Image View | Medio-lateral oblique | TID 4020
1.1.7.3 | Study Date | 19990101 | TID 4020
1.1.8 |  | IMAGE 8 | TID 4020
1.1.8.1 | Image Laterality | Left | TID 4020
1.1.8.2 | Image View | Medio-lateral oblique | TID 4020
1.1.8.3 | Study Date | 19990101 | TID 4020

Current year content:

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 | Assessment Category | 4 - Suspicious abnormality, biopsy should be considered | TID 4002
1.2.2 | Recommend Follow-up Interval | 0 days | TID 4002
1.2.3 | Algorithm Name | "Mammogram Analyzer" | TID 4019
1.2.4 | Algorithm Version | "V1.0" | TID 4019
1.2.5 | Individual Impression/Recommendation |  | TID 4003
1.2.5.1 | Rendering Intent | Presentation Required | TID 4003
1.2.5.2 | Differential Diagnosis/Impression | Increase in size | TID 4002
1.2.5.3 | Impression Description | "Worrisome increase in size" | TID 4002
1.2.5.4 | Recommended Follow-up | Needle localization and biopsy | TID 4002
1.2.5.5 | Certainty of impression | 84% | TID 4002
1.2.5.6 | Algorithm Name | "Lesion Analyzer" | TID 4019
1.2.5.7 | Algorithm Version | "V1.0" | TID 4019
1.2.5.8 | Composite Feature | Mass | TID 4004
1.2.5.8.1 | Rendering Intent | Presentation Required | TID 4004
1.2.5.8.2 | Composite type | Target content items are related temporally | TID 4005
1.2.5.8.3 | Scope of Feature | Feature was detected on multiple images | TID 4005
1.2.5.8.4 | Algorithm Name | "Temporal Change" | TID 4019
1.2.5.8.5 | Algorithm Version | "V0.1" | TID 4019
1.2.5.8.6 | Certainty of Feature | 91% | TID 4005
1.2.5.8.7 | Probability of Cancer | 84% | TID 4005
1.2.5.8.8 | Pathology | Invasive lobular carcinoma | TID 4005
1.2.5.8.9 | Difference in Size | 3 cm2 | TID 4005
1.2.5.8.9.1 |  | Reference to node 1.2.5.8.13.7.6 | TID 4005
1.2.5.8.9.2 |  | Reference to node 1.2.5.8.14.8.6 | TID 4005
1.2.5.8.10 | Lesion Density | High density | TID 4005
1.2.5.8.11 | Shape | Lobular | TID 4005
1.2.5.8.12 | Margins | Microlobulated | TID 4005
1.2.5.8.13 | Composite Feature | Mass | TID 4004
1.2.5.8.13.1 | Rendering Intent | Presentation Required | TID 4004
1.2.5.8.13.2 | Composite type | Target content items are related spatially | TID 4005
1.2.5.8.13.3 | Scope of Feature | Feature was detected on multiple images | TID 4005
1.2.5.8.13.4 | Algorithm Name | "Mass Maker" | TID 4019
1.2.5.8.13.5 | Algorithm Version | "V1.9" | TID 4019
1.2.5.8.13.6 | Single Image Finding | Mammography breast density | TID 4006
1.2.5.8.13.6.1 | Rendering Intent | Presentation Required | TID 4006
1.2.5.8.13.6.2 | Algorithm Name | "Density Detector" | TID 4019
1.2.5.8.13.6.3 | Algorithm Version | "V3.7" | TID 4019
1.2.5.8.13.6.4 | Center | POINT | TID 4021
1.2.5.8.13.6.4.1 |  | Reference to node 1.1.2 | TID 4021
1.2.5.8.13.6.5 | Outline | SCOORD | TID 4021
1.2.5.8.13.6.5.1 |  | Reference to node 1.1.2 | TID 4021
1.2.5.8.13.7 | Single Image Finding | Mammography breast density | TID 4006
1.2.5.8.13.7.1 | Rendering Intent | Presentation Required | TID 4006
1.2.5.8.13.7.2 | Algorithm Name | "Density Detector" | TID 4019
1.2.5.8.13.7.3 | Algorithm Version | "V3.7" | TID 4019
1.2.5.8.13.7.4 | Center | POINT | TID 4021
1.2.5.8.13.7.4.1 |  | Reference to node 1.1.4 | TID 4021
1.2.5.8.13.7.5 | Outline | SCOORD | TID 4021
1.2.5.8.13.7.5.1 |  | Reference to node 1.1.4 | TID 4021
1.2.5.8.13.7.6 | Area of Defined Region | 4 cm2 | TID 1401
1.2.5.8.13.7.6.1 | Area Outline | SCOORD | TID 1401
1.2.5.8.13.7.6. 1.1 |  | Reference to node 1.1.4 | TID 1401

Included content from prior mammography CAD report (see Example 2, starting with node 1.2.1.2)

Node | Code Meaning of Concept Name | Code Meaning or Example Value | TID
--- | --- | --- | ---
1.2.5.8.14 | Composite Feature | Mass | TID 4004
1.2.5.8.14.1 | Rendering Intent | Presentation Required | TID 4004
1.2.5.8.14.2 | Composite type | Target content items are related spatially | TID 4005
1.2.5.8.14.3 | Scope of Feature | Feature was detected on multiple images | TID 4005
1.2.5.8.14.4 | Algorithm Name | "Mass Maker" | TID 4019
1.2.5.8.14.5 | Algorithm Version | "V1.9" | TID 4019
1.2.5.8.14.6 | [Observation Context content items] |  | TID 4022
1.2.5.8.14.7 | Single Image Finding | Mammography breast density | TID 4006
1.2.5.8.14.7.1 | Rendering Intent | Presentation Required | TID 4006
1.2.5.8.14.7.2 | Algorithm Name | "Density Detector" | TID 4019
1.2.5.8.14.7.3 | Algorithm Version | "V3.7" | TID 4019
1.2.5.8.14.7.4 | Center | POINT | TID 4021
1.2.5.8.14.7.4.1 |  | Reference to node 1.1.6 | TID 4021
1.2.5.8.14.7.5 | Outline | SCOORD | TID 4021
1.2.5.8.14.7.5.1 |  | Reference to node 1.1.6 | TID 4021
1.2.5.8.14.8 | Single Image Finding | Mammography breast density | TID 4006
1.2.5.8.14.8.1 | Rendering Intent | Presentation Required | TID 4006
1.2.5.8.14.8.2 | Algorithm Name | "Density Detector" | TID 4019
1.2.5.8.14.8.3 | Algorithm Version | "V3.7" | TID 4019
1.2.5.8.14.8.4 | Center | POINT | TID 4021
1.2.5.8.14.8.4.1 |  | Reference to node 1.1.8 | TID 4021
1.2.5.8.14.8.5 | Outline | SCOORD | TID 4021
1.2.5.8.14.8.5.1 |  | Reference to node 1.1.8 | TID 4021
1.2.5.8.14.8.6 | Area of Defined Region | 1 cm2 | TID 1401
1.2.5.8.14.8.6.1 | Area Outline | SCOORD | TID 1401
1.2.5.8.14.8.6.1.1 |  | Reference to node 1.1.8 | TID 1401

More current year content:

Node | Code Meaning of Concept Name | Code Meaning or Example Value | TID
--- | --- | --- | ---
1.2.6 | Individual Impression/Recommendation |  | TID 4003
1.2.6.1 | Rendering Intent | Not for Presentation | TID 4003
1.2.6.2 | Single Image Finding | Mammography breast density | TID 4006
1.2.6.2.1 | Rendering Intent | Not for Presentation | TID 4006
1.2.6.2.2 | Algorithm Name | "Density Detector" | TID 4019
1.2.6.2.3 | Algorithm Version | "V3.7" | TID 4019
1.2.6.2.4 | Center | POINT | TID 4021
1.2.6.2.4.1 |  | Reference to node 1.1.2 | TID 4021
1.2.6.2.5 | Outline | SCOORD | TID 4021
1.2.6.2.5.1 |  | Reference to node 1.1.2 | TID 4021
1.2.7 | Individual Impression/Recommendation | INDIVIDUAL | TID 4003
1.2.7.1 | Rendering Intent | Presentation Required | TID 4003
1.2.7.2 | Single Image Finding | Calcification Cluster | TID 4006
1.2.7.2.1 | Rendering Intent | Presentation Required | TID 4006
1.2.7.2.2 | Algorithm Name | "Calc Cluster Detector" | TID 4019
1.2.7.2.3 | Algorithm Version | "V2.4" | TID 4019
1.2.7.2.4 | Center | POINT | TID 4021
1.2.7.2.4.1 |  | Reference to node 1.1.3 | TID 4021
1.2.7.2.5 | Outline | SCOORD | TID 4021
1.2.7.2.5.1 |  | Reference to node 1.1.3 | TID 4021
1.2.7.2.6 | Number of Calcifications | 20 | TID 4010
1.2.8 | Individual Impression/Recommendation |  | TID 4003
1.2.8.1 | Rendering Intent | Presentation Required | TID 4003
1.2.8.2 | Differential Diagnosis/Impression | Increase in number of calcifications | TID 4002
1.2.8.3 | Impression Description | "Calcification cluster has increased in size" | TID 4002
1.2.8.4 | Recommended Follow-up | Magnification views | TID 4002
1.2.8.5 | Certainty of impression | 100% | TID 4002
1.2.8.6 | Algorithm Name | "Lesion Analyzer" | TID 4019
1.2.8.7 | Algorithm Version | "V1.0" | TID 4019
1.2.8.8 | Composite Feature | Calcification Cluster | TID 4004
1.2.8.8.1 | Rendering Intent | Presentation Required | TID 4004
1.2.8.8.2 | Composite type | Target content items are related temporally | TID 4005
1.2.8.8.3 | Scope of Feature | Feature was detected on multiple images | TID 4005
1.2.8.8.4 | Algorithm Name | "Lesion Analyzer" | TID 4019
1.2.8.8.5 | Algorithm Version | "V1.0" | TID 4019
1.2.8.8.6 | Certainty of Feature | 99% | TID 4005
1.2.8.8.7 | Probability of Cancer | 54% | TID 4005
1.2.8.8.8 | Pathology | Intraductal carcinoma, low grade | TID 4005
1.2.8.8.9 | Difference in Number of calcifications | 4 | TID 4005
1.2.8.8.9.1 |  | Reference to node 1.2.8.8.12.6 | TID 4005
1.2.8.8.9.2 |  | Reference to node 1.2.8.8.13.6 | TID 4005
1.2.8.8.10 | Calcification type | Fine, linear, branching (casting) | TID 4005
1.2.8.8.11 | Calcification distribution | Grouped or clustered | TID 4005
1.2.8.8.12 | Single Image Finding | Calcification Cluster | TID 4006
1.2.8.8.12.1 | Rendering Intent | Presentation Required | TID 4006
1.2.8.8.12.2 | Algorithm Name | "Calc Clustering" | TID 4019
1.2.8.8.12.3 | Algorithm Version | "V2.4" | TID 4019
1.2.8.8.12.4 | Center | POINT | TID 4021
1.2.8.8.12.4.1 |  | Reference to node 1.1.1 | TID 4021
1.2.8.8.12.5 | Outline | SCOORD | TID 4021
1.2.8.8.12.5.1 |  | Reference to node 1.1.1 | TID 4021
1.2.8.8.12.6 | Number of Calcifications | 6 | TID 4010
1.2.8.8.12.7 | Single Image Finding | Individual Calcification | TID 4006
1.2.8.8.12.7.1 | Rendering Intent | Presentation Optional | TID 4006
1.2.8.8.12.7.2 | Algorithm Name | "Calc Detector" | TID 4019
1.2.8.8.12.7.3 | Algorithm Version | "V2.4" | TID 4019
1.2.8.8.12.7.4 | Center | POINT | TID 4021
1.2.8.8.12.7.4.1 |  | Reference to node 1.1.1 | TID 4021
1.2.8.8.12.7.5 | Outline | SCOORD | TID 4021
1.2.8.8.12.7.5.1 |  | Reference to node 1.1.1 | TID 4021
1.2.8.8.12.8 | Single Image Finding | Individual Calcification | TID 4006
1.2.8.8.12.8.1 | Rendering Intent | Presentation Optional | TID 4006
1.2.8.8.12.8.2 | Algorithm Name | "Calc Detector" | TID 4019
1.2.8.8.12.8.3 | Algorithm Version | "V2.4" | TID 4019
1.2.8.8.12.8.4 | Center | POINT | TID 4021
1.2.8.8.12.8.4.1 |  | Reference to node 1.1.1 | TID 4021
1.2.8.8.12.8.5 | Outline | SCOORD | TID 4021
1.2.8.8.12.8.5.1 |  | Reference to node 1.1.1 | TID 4021
1.2.8.8.12.9 | Single Image Finding | Individual Calcification | TID 4006
1.2.8.8.12.9.1 | Rendering Intent | Presentation Optional | TID 4006
1.2.8.8.12.9.2 | Algorithm Name | "Calc Detector" | TID 4019
1.2.8.8.12.9.3 | Algorithm Version | "V2.4" | TID 4019
1.2.8.8.12.9.4 | Center | POINT | TID 4021
1.2.8.8.12.9.4.1 |  | Reference to node 1.1.1 | TID 4021
1.2.8.8.12.9.5 | Outline | SCOORD | TID 4021
1.2.8.8.12.9.5.1 |  | Reference to node 1.1.1 | TID 4021
1.2.8.8.12.10 | Single Image Finding | Individual Calcification | TID 4006
1.2.8.8.12.10.1 | Rendering Intent | Presentation Optional | TID 4006
1.2.8.8.12.10.2 | Algorithm Name | "Calc Detector" | TID 4019
1.2.8.8.12.10.3 | Algorithm Version | "V2.4" | TID 4019
1.2.8.8.12.10.4 | Center | POINT | TID 4021
1.2.8.8.12.10.4.1 |  | Reference to node 1.1.1 | TID 4021
1.2.8.8.12.10.5 | Outline | SCOORD | TID 4021
1.2.8.8.12.10.5.1 |  | Reference to node 1.1.1 | TID 4021
1.2.8.8.12.11 | Single Image Finding | Individual Calcification | TID 4006
1.2.8.8.12.11.1 | Rendering Intent | Presentation Optional | TID 4006
1.2.8.8.12.11.2 | Algorithm Name | "Calc Detector" | TID 4019
1.2.8.8.12.11.3 | Algorithm Version | "V2.4" | TID 4019
1.2.8.8.12.11.4 | Center | POINT | TID 4021
1.2.8.8.12.11.4.1 |  | Reference to node 1.1.1 | TID 4021
1.2.8.8.12.11.5 | Outline | SCOORD | TID 4021
1.2.8.8.12.11.5.1 |  | Reference to node 1.1.1 | TID 4021
1.2.8.8.12.12 | Single Image Finding | Individual Calcification | TID 4006
1.2.8.8.12.12.1 | Rendering Intent | Presentation Optional | TID 4006
1.2.8.8.12.12.2 | Algorithm Name | "Calc Detector" | TID 4019
1.2.8.8.12.12.3 | Algorithm Version | "V2.4" | TID 4019
1.2.8.8.12.12.4 | Center | POINT | TID 4021
1.2.8.8.12.12.4.1 |  | Reference to node 1.1.1 | TID 4021
1.2.8.8.12.12.5 | Outline | SCOORD | TID 4021
1.2.8.8.12.12.5.1 |  | Reference to node 1.1.1 | TID 4021

Included content from prior mammography CAD report (see Example 2, starting with node 1.2.4.2)

Node | Code Meaning of Concept Name | Code Meaning or Example Value | TID
--- | --- | --- | ---
1.2.8.8.13 | Single Image Finding | Calcification Cluster | TID 4006
1.2.8.8.13.1 | Rendering Intent | Presentation Required | TID 4006
1.2.8.8.13.2 | Algorithm Name | "Calc Clustering" | TID 4019
1.2.8.8.13.3 | Algorithm Version | "V2.4" | TID 4019
1.2.8.8.13.4 | Center | POINT | TID 4021
1.2.8.8.13.4.1 |  | Reference to node 1.1.5 | TID 4021
1.2.8.8.13.5 | Outline | SCOORD | TID 4021
1.2.8.8.13.5.1 |  | Reference to node 1.1.5 | TID 4021
1.2.8.8.13.6 | Number of Calcifications | 2 | TID 4010
1.2.8.8.13.7 | [Observation Context content items] |  | TID 4022
1.2.8.8.13.8 | Single Image Finding | Individual Calcification | TID 4006
1.2.8.8.13.8.1 | Rendering Intent | Presentation Optional | TID 4006
1.2.8.8.13.8.2 | Algorithm Name | "Calc Detector" | TID 4019
1.2.8.8.13.8.3 | Algorithm Version | "V2.4" | TID 4019
1.2.8.8.13.8.4 | Center | POINT | TID 4021
1.2.8.8.13.8.4.1 |  | Reference to node 1.1.5 | TID 4021
1.2.8.8.13.8.5 | Outline | SCOORD | TID 4021
1.2.8.8.13.8.5.1 |  | Reference to node 1.1.5 | TID 4021
1.2.8.8.13.9 | Single Image Finding | Individual Calcification | TID 4006
1.2.8.8.13.9.1 | Rendering Intent | Presentation Optional | TID 4006
1.2.8.8.13.9.2 | Algorithm Name | "Calc Detector" | TID 4019
1.2.8.8.13.9.3 | Algorithm Version | "V2.4" | TID 4019
1.2.8.8.13.9.4 | Center | POINT | TID 4021
1.2.8.8.13.9.4.1 |  | Reference to node 1.1.5 | TID 4021
1.2.8.8.13.9.4 | Outline | SCOORD | TID 4021
1.2.8.8.13.9.4.1 |  | Reference to node 1.1.5 | TID 4021

More current year content:

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
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
1.4.1.2 | Analysis Performed | Temporal Correlation | TID 4018
1.4.1.2.1 | Algorithm Name | "Temporal Change" | TID 4019
1.4.1.2.2 | Algorithm Version | "V0.1" | TID 4019
1.4.1.2.3 |  | Reference to node 1.1.2 | TID 4018
1.4.1.2.4 |  | Reference to node 1.1.4 | TID 4018
1.4.1.2.5 |  | Reference to node 1.1.6 | TID 4018
1.4.1.2.6 |  | Reference to node 1.1.8 | TID 4018
1.4.1.3 | Analysis Performed | Individual Impression / Recommendation Analysis | TID 4018
1.4.1.3.1 | Algorithm Name | "Lesion Analyzer" | TID 4019
1.4.1.3.2 | Algorithm Version | "V1.0" | TID 4019
1.4.1.3.3 |  | Reference to node 1.1.2 | TID 4018
1.4.1.3.4 |  | Reference to node 1.1.4 | TID 4018
1.4.1.3.5 |  | Reference to node 1.1.6 | TID 4018
1.4.1.3.6 |  | Reference to node 1.1.8 | TID 4018
1.4.1.4 | Analysis Performed | Overall Impression / Recommendation Analysis | TID 4018
1.4.1.4.1 | Algorithm Name | "Mammogram Analyzer" | TID 4019
1.4.1.4.2 | Algorithm Version | "V1.0" | TID 4019
1.4.1.4.3 |  | Reference to node 1.1.2 | TID 4018
1.4.1.4.4 |  | Reference to node 1.1.4 | TID 4018
1.4.1.4.5 |  | Reference to node 1.1.6 | TID 4018
1.4.1.4.6 |  | Reference to node 1.1.8 | TID 4018

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DICOM PS3.17 2018b - Explanatory Information