DICOM PS3.16 2021c - Content Mapping Resource

TID 3214 Analyzed Segment (Current)
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### TID 3214 Analyzed Segment

The Analyzed Segment Template consists of a CONTAINER providing quantitative arterial analysis measurements derived from the angiographic images.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3214. Analyzed Segment

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (59776-5, LN, "Findings") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | DCID 3604 “Arterial Lesion Locations”
3 | > | CONTAINS | IMAGE | EV (121112, DCM, "Source of Measurement") | 1 | M |  |
4 | > | CONTAINS | INCLUDE | DTID 3205 “Calibration” | 1 | M |  |
5 | > | HAS ACQ CONTEXT | INCLUDE | DTID 3520 “Hemodynamic Clinical Context” | 1 | U |  |
6 | > | HAS ACQ CONTEXT | CODE | EV (129085009, SCT, "Catheterization Procedure Phase") | 1 | U |  | DCID 3651 “Hemodynamic Measurement Phase”
7 | > | CONTAINS | SCOORD | EV (122507, DCM, "Left Contour") | 1 | M |  | GRAPHIC TYPE = {POLYLINE}
8 | >> | R-SELECTED FROM | IMAGE |  | 1 | M |  | Must reference Row 3
9 | > | CONTAINS | SCOORD | EV (122508, DCM, "Right Contour") | 1 | M |  | GRAPHIC TYPE = {POLYLINE}
10 | >> | R-SELECTED FROM | IMAGE |  | 1 | M |  | Must reference Row 3
11 | > | CONTAINS | INCLUDE | DTID 3219 “Segment Values” | 1 | M |  |
12 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (397413000, SCT, "Vessel Luminal Diameter") $Derivation = EV (255605001, SCT, "Minimum") $Unit = DT (mm, UCUM, "mm")
13 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (397413000, SCT, "Vessel Luminal Diameter") $Derivation = EV (56851009, SCT, "Maximum") $Unit = DT (mm, UCUM, "mm")
14 | > | CONTAINS | CONTAINER | EV (122509, DCM, "Diameter Graph") | 1 | U |  |
15 | >> | CONTAINS | NUM | EV (122511, DCM, "Graph Increment") | 1 | M |  | Value = 1 UNITS = DT ({pixels}, UCUM, "pixels")
16 | >> | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | M |  | $Measurement = EV (397413000, SCT, "Vessel Luminal Diameter") $Unit = DT (mm, UCUM, "mm")
17 | > | CONTAINS | NUM | EV (122382, DCM, "Site of Luminal Minimum") | 1 | U |  | UNITS = DT ({pixels}, UCUM, "pixels")
18 | > | CONTAINS | NUM | EV (122516, DCM, "Site of Luminal Maximum") | 1 | U |  | UNITS = DT ({pixels}, UCUM, "pixels")
19 | > | CONTAINS | INCLUDE | DTID 3215 “Angiographic Lesion Analysis” | 1-n | U |  |
20 | > | CONTAINS | INCLUDE | DTID 3217 “Sub-segmental Data” | 1-n | U |  |
21 | > | CONTAINS | IMAGE |  | 1 | U |  |

Content Item Descriptions

Row 1 | Observation DateTime (0040,A032) of container needs to be flagged with the time of the analysis
Row 7 | Numeric coordinates (x,y) identifying the contour points from proximal to distal of left contour. Left is relative to the direction of the blood flow.
Row 9 | Numeric coordinates (x,y) identifying the contour points from proximal to distal of right contour. Right is relative to the direction of the blood flow.
Row 12, 13 | Positions are relative to the midpoint between the first left and right contour points and measured along the midline between the left and right contour.
Row 14 | The X-axis represents the pixel points of the midline of the vessel from proximal to distal. The points on the midline are not necessarily equidistant.
Row 16 | For each point of the midline of the vessel a measurement value for the diameter is calculated.
Row 17, 18 | The positions in the graph are related to the points on the midline of the vessel.
Row 21 | Secondary Capture image with Arterial Analysis contour. No purpose of reference is specified.

Definition of Left and Right defined by the direction of the blood flow as in Figure A-4b:

Figure A-4b. Direction of Blood Flow

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DICOM PS3.16 2021c - Content Mapping Resource