DICOM PS3.17 2021c - Explanatory Information

AAA.4 Implantation Plan SR Document Dental Drilling Template Example (Current)
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## AAA.4 Implantation Plan SR Document Dental Drilling Template Example

The following example shows the result of a planning activity for a dental implantation using a dental drilling template. The implant positioning is based on a CT-Scan during which the patient has been wearing a bite plate with 3 markers. In this example the markers (visible in the patient's CT images) are detected by the planning application. After the implants have been positioned, the bite plate, in combination with the registration information of the implants, can be used to produce the dental drilling template.

In the following example, two implants are inserted that are not assembled using Mating Points.

The markers of the bite plate are identified and stored as 3 Fiducials in one Fiducial Set. This Fiducial Set has its own Frame of Reference (1.2.3.4.100).

The Registration Object created by the planning application uses the patient's CT Frame of Reference as main Frame of Reference (see Figure AAA.4-1).

Figure AAA.4-1. Spatial Relations of Implant, Implant Template, Bite Plate and Patient CT

Table AAA.3-2. Dental Drilling Template Example

Node | Code Meaning of Concept Name | Code Meaning or Example Value | TID
--- | --- | --- | ---
1 | Implantation Plan |  | TID 7000
1.1 | Language of Content Item and Descendants | English | TID 1204
1.2 | Observation Context |  | TID 1001
1.2.1 | Person Observer Name | Dr. Michael Mueller | TID 1003
1.2.2 | Subject Name | John Smith | TID 1007
1.2.3 | Subject ID | 1.2.3.4.5.6.7.8.9 | TID 1007
1.2.4 | Subject Species | (337915000, SCT, "homo sapiens") | TID 1007
1.3 | Implant Component List |  | TID 7000
1.3.1 | Selected Implant Component |  | TID 7000
1.3.1.1 | Component ID | 1 | TID 7000
1.3.1.2 | Component Type | 112305 | TID 7000
1.3.1.3 |  | Reference to Implant Template "DI1000" (derived) | TID 7000
1.3.1.4 | Frame Of Reference UID | 1.2.3.4.1 | TID 7000
1.3.1.5 | Manufacturer Implant Template | Reference to Implant Template "DI1000" (original) | TID 7000
1.3.2 | Implant Component Selection |  | TID 7000
1.3.2.1 | Component ID | 2 | TID 7000
1.3.2.2 | Component Type | (112306, DCM, "Acetabular Cup Insert") | TID 7000
1.3.2.3 |  | Reference to Implant Template "DI2000" (derived) | TID 7000
1.3.2.4 | Frame Of Reference UID | 1.2.3.4.2 | TID 7000
1.3.2.5 | Manufacturer Implant Template | Reference to Implant Template "DI2000" (original) | TID 7000
1.4 | Information used for planning |  | TID 7000
1.4.1 | Patient Image | Reference to CT Image01 | TID 7000
1.4.1.2 | Horizontal Pixel Spacing | 0.3 mm/pixel | TID 7000
1.4.1.3 | Vertical Pixel Spacing | 0.3 mm/pixel | TID 7000
1.5 | Planning Information for Intraoperative Usage |  | TID 7000
1.5.1 | Derived Planning Images | Reference to Visualization01 | TID 7000
1.5.2 | Spatial Registration | Reference to Registration01 | TID 7000
1.5.2.1 | Frame Of Reference UID | 1.2.3.4.1 | TID 7000
1.5.2.2 | Frame Of Reference UID | 1.2.3.4.2 | TID 7000
1.5.2.3 | Frame Of Reference UID | 1.2.3.4.3 | TID 7000
1.5.2.4 | Frame Of Reference UID | 1.2.3.4.100 | TID 7000
1.5.3 | Derived Planning Data | Reference to Fiducial 01 | TID 7000
1.5.3.1 | Derived Fiducial | 1.2.3.4.3 | TID 7000
1.5.3.1.1 | Fiducial Intent | Bite Plate Marker | TID 7000
1.5.3.2 | Derived Fiducial | 1.2.3.4.4 | TID 7000
1.5.3.2.1 | Fiducial Intent | Bite Plate Marker | TID 7000
1.5.3.3 | Derived Fiducial | 1.2.3.4.5 | TID 7000
1.5.3.3.1 | Fiducial Intent | Bite Plate Marker | TID 7000

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DICOM PS3.17 2021c - Explanatory Information