DICOM PS3.16 2021d - Content Mapping Resource

TID 3215 Angiographic Lesion Analysis (Current)
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### TID 3215 Angiographic Lesion Analysis

The Angiographic Lesion Analysis Template consists of a CONTAINER providing quantitative arterial analysis measurements derived for an obstruction in a total analyzed segment.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3215. Angiographic Lesion Analysis

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (300577008, SCT, "Lesion Finding") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (121151, DCM, "Lesion Identifier") | 1 | M |  |
3 | >> | HAS PROPERTIES | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | DCID 3604 “Arterial Lesion Locations”
4 | >>> | HAS CONCEPT MOD | CODE | EV (106233006, SCT, "Topographical modifier") | 1 | U |  | DCID 3019 “Cardiovascular Anatomic Location Modifiers”
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (397413000, SCT, "Vessel Luminal Diameter") $Derivation = EV (255605001, SCT, "Minimum") $Unit = DT (mm, UCUM, "mm")
6 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (397415007, SCT, "Vessel Lumen Cross-Sectional Area") $Method = DCID 3470 “Vessel Lumen Cross-sectional Area Calculation Methods” $Derivation = EV (255605001, SCT, "Minimum") $Unit = DT (mm2, UCUM, "mm2")
7 | > | CONTAINS | CODE | EV (122430, DCM, "Reference Method") | 1 | M |  | DCID 3465 “QA Reference Methods”
8 | > | CONTAINS | CONTAINER | EV (122438, DCM, "Reference Points") | 1 | U |  |
9 | >> | CONTAINS | NUM | EV (122337, DCM, "Relative Position") | 1-n | M |  | UNITS = DT (mm, UCUM, "mm")
10 | >>> | HAS PROPERTIES | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (397413000, SCT, "Vessel Luminal Diameter") $Unit = DT (mm, UCUM, "mm")
11 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (397413000, SCT, "Vessel Luminal Diameter") $TargetSite = (122382, DCM, "Site of Luminal Minimum") $Unit = DT (mm, UCUM, "mm")
12 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (397415007, SCT, "Vessel Lumen Cross-Sectional Area") $Derivation = EV (122404, DCM, "Reconstructed") $TargetSite = (122382, DCM, "Site of Luminal Minimum") $Unit = DT (mm2, UCUM, "mm2")
13 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (397413000, SCT, "Vessel Luminal Diameter") $Derivation = EV (258090004, SCT, "Calculated") $TargetSite = EV (122481, DCM, "Contour Start") $Unit = DT (mm, UCUM, "mm")
14 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (397413000, SCT, "Vessel Luminal Diameter") $Derivation = EV (258090004, SCT, "Calculated") $TargetSite = EV (122482, DCM, "Contour End") $Unit = DT (mm, UCUM, "mm")
15 | > | CONTAINS | INCLUDE | DTID 3218 “Position in Arterial Segment” | 1 | M |  |
16 | > | CONTAINS | CONTAINER | EV (122517, DCM, "Densitometric Luminal Cross-sectional Area Graph") | 1 | U |  |
17 | >> | CONTAINS | NUM | EV (122511, DCM, "Graph Increment") | 1 | M |  | Value = 1 UNITS = DT ({pixels}, UCUM, "pixels")
18 | >> | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | M |  | $Measurement = EV (397415007, SCT, "Vessel Lumen Cross-Sectional Area") $Unit = (mm2, UCUM, "mm2")
19 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (397415007, SCT, "Vessel Lumen Cross-Sectional Area") $Derivation = EV (258090004, SCT, "Calculated") $Method = EV (122474, DCM, "Densitometric method") $TargetSite = EV (122481, DCM, "Contour Start") $Unit = (mm2, UCUM, "mm2")
20 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (397415007, SCT, "Vessel Lumen Cross-Sectional Area") $Derivation = EV (258090004, SCT, "Calculated") $Method = EV (122474, DCM, "Densitometric method") $TargetSite = EV (122482, DCM, "Contour End") $Unit = (mm2, UCUM, "mm2")
21 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (408716009, SCT, "Stenotic Lesion Length") $Unit = DT (mm, UCUM, "mm")
22 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (408715008, SCT, "Lumen Diameter Stenosis") $Unit = DT (%, UCUM, "%")
23 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (408714007, SCT, "Lumen Area Stenosis") $Method = DCID 3470 “Vessel Lumen Cross-sectional Area Calculation Methods” $Unit = DT (%, UCUM, "%")
24 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (122372, DCM, "Lumen Volume") $Method = DCID 3470 “Vessel Lumen Cross-sectional Area Calculation Methods” $Unit = DT (mm3, UCUM, "mm3")
25 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122542, DCM, "Plaque Area") $Unit = DT (mm2, UCUM, "mm2")
26 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122376, DCM, "Total Plaque Volume") $Unit = DT (mm3, UCUM, "mm3")
27 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122544, DCM, "Diameter Symmetry") $Unit = DT ({ratio}, UCUM, "ratio")
28 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122545, DCM, "Area Symmetry") $Unit = DT ({ratio}, UCUM, "ratio")
29 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122546, DCM, "Inflow Angle") $Unit = DT (deg, UCUM, "deg")
30 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122547, DCM, "Outflow Angle") $Unit = DT (deg, UCUM, "deg")
31 | > | CONTAINS | INCLUDE | DTID 3216 “Stenotic Flow Reserve” | 1 | U |  |
32 | > | CONTAINS | IMAGE |  | 1 | U |  |

Content Item Descriptions

Row 8 | Set of user defined reference position for method that requires local reference position.
Row 9 | Distance of local reference position from an arbitrary landmark.
Row 10 | Diameter at a local reference position.
Row 11 | The reference diameter for the arterial lesion calculated with the applicable reference method
Row 12 | The reference area for the arterial lesion calculated with the applicable reference method
Row 13 | The diameter measurement at the start of the reconstruction line in the diameter graph (TID 3214 “Analyzed Segment” Row 14)
Row 14 | The diameter measurement at the end of the reconstruction line in the diameter graph (TID 3214 “Analyzed Segment” Row 14)
Row 15 | The positions of the lesion, borders of the lesion, etc.
Row 16 | The graph with the calculated cross sectional area results based on the densitometric method
Row 18 | The cross sectional area measurements calculated based on the densitometric method
Row 19 | The cross sectional area measurement at the start of the reconstruction line in the area graph
Row 20 | The cross sectional area measurement at the end of the reconstruction line in the area graph
Row 21 | Measured along the midline of the left and right contour
Row 22 | The diameter stenosis is calculated as follows: (Reference Luminal Diameter - Minimum Luminal Diameter / Reference Luminal Diameter) * 100%
Row 23 | The circular and the densitometric area stenosis are calculated respectively as: (Reference Vessel Lumen Cross-Sectional Area - Minimum Luminal Circular Area / Reference Vessel Lumen Cross-Sectional Area) * 100%(Reference Vessel Lumen Cross-Sectional Area - Minimum Luminal Densitometric Area / Reference Vessel Lumen Cross-Sectional Area) * 100%
Row 24 | Estimated lumen volume between proximal border and distal border of lesion (TID 3218 “Position in Arterial Segment”, row 1 and 2)
Row 32 | Secondary Capture image with obstruction analysis contour. No purpose of reference is specified.

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DICOM PS3.16 2021d - Content Mapping Resource