DICOM Conformance Statement - BEBIG · SagiPlan uses DICOM services to import images and structures and to export structures, treatment plans and dose information. Furthermore SagiPlan

SagiPlan 2.0

DICOM Conformance Statement

SagiPlan 2.0

Concerned Product: SagiPlan Version 2.0 Document Date: November 26, 2015 Document Version: 01

SagiPlan 2.0

TD25_015 / Rev. 01 / 11/2015 DICOM Conformance Statement Eckert & Ziegler BEBIG GmbH 2/179

Overview

SagiPlan is a software product to perform the dosimetry for the treatment of cancerous tissue with temporarily applied radioactive radiation sources, i.e. high dose rate (HDR) brachytherapy. SagiPlan uses DICOM services to import images and structures and to export structures, treatment plans and dose information. Furthermore SagiPlan allows to Query/Retrieve other DICOM compliant applications for specific DICOM Objects. SagiPlan imports the images and structures from DICOM Media Files, which may be lo-cated on local disk or on exchangeable media such as CD or DVD. A TCP/IP Network Handler (called SagiPlanDS) can be set up to handle the import of images and structures from remote applications to the SagiPlan Application via network. This TCP/IP Handler acts as a receiver for DICOM Objects from network and stores these incoming files as DICOM Media Files on local disk. Once saved, these Files may be accessed by the Sagi-Plan application. SagiPlan exports the structures, treatment plans and dose information to DICOM Media Files or transfers these information objects to other systems via network by launching the Store SCU service.

SagiPlan 2.0


1 Table Of Contents

OVERVIEW ........................................................................................................................ 2

1 TABLE OF CONTENTS ............................................................................................... 3

2 INTRODUCTION .......................................................................................................... 9

2.1 REVISION HISTORY .................................................................................................... 9

2.2 AUDIENCE ................................................................................................................. 9

2.3 REMARKS ................................................................................................................. 9

2.4 LEGAL AND COPYRIGHT INFORMATION ....................................................................... 10

2.5 TERMS AND DEFINITIONS ......................................................................................... 10

2.6 BASICS OF DICOM COMMUNICATION ........................................................................ 12

2.7 ABBREVIATIONS ...................................................................................................... 13

2.8 REFERENCES ..................................................................................................... 13

3 NETWORKING ........................................................................................................... 14

3.1 IMPLEMENTATION MODEL ......................................................................................... 14 3.1.1 Application Data Flow Diagram ....................................................................... 14

3.1.2 Functional Definition of AE’s ........................................................................... 16 3.1.2.1 Functional Definition of SagiPlanDS ...................................................................................................... 16 3.1.2.2 Functional Definition of SagiPlan ........................................................................................................... 16

3.1.3 Sequencing of Real World Activities ............................................................... 16

3.2 AE SPECIFICATIONS ................................................................................................ 16

3.2.1 SagiPlanDS Application Entity ........................................................................ 16 3.2.1.1 SOP Classes ......................................................................................................................................... 16 3.2.1.2 Association Policies ............................................................................................................................... 19

3.2.1.2.1 General............................................................................................................................................ 19 3.2.1.2.2 Number of Associations .................................................................................................................. 19 3.2.1.2.3 Asynchronous Nature ...................................................................................................................... 20 3.2.1.2.4 Implementation Identifying Information ........................................................................................... 20

3.2.1.3 Association Initiation Policy ................................................................................................................... 20 3.2.1.4 Association Acceptance Policy .............................................................................................................. 20

3.2.1.4.1 Real World Activity “Remote Storage SCU” .................................................................................... 20 3.2.2 SagiPlan Application Entity ............................................................................. 21

3.2.2.1 SOP Classes ......................................................................................................................................... 21 3.2.2.2 Association Policies ............................................................................................................................... 23

3.2.2.2.1 General............................................................................................................................................ 23 3.2.2.2.2 Number of Associations .................................................................................................................. 23 3.2.2.2.3 Asynchronous Nature ...................................................................................................................... 24 3.2.2.2.4 Implementation Identifying Information ........................................................................................... 24

3.2.2.3 Association Initiation Policy ................................................................................................................... 24 3.2.2.3.1 Activity Send Files (Store SCU) / Export RT files ............................................................................ 24 3.2.2.3.2 Activity Query/Retrieve .................................................................................................................... 25

3.2.2.4 Association Acceptance Policy .............................................................................................................. 28

3.3 NETWORK INTERFACES ............................................................................................ 28

3.3.1 Physical Network Interface .............................................................................. 29 3.3.1.1 Supported communication stacks .......................................................................................................... 29

3.3.1.1.1 TCP/IP stack ................................................................................................................................... 29 3.3.1.1.2 Physical media support ................................................................................................................... 29

3.4 CONFIGURATION ..................................................................................................... 29 3.4.1 AE Title/Presentation Address Mapping .......................................................... 29

SagiPlan 2.0


3.4.1.1 Local AE Titles ....................................................................................................................................... 29 3.4.1.2 Remote AE Title/Presentation Address Mapping .................................................................................. 29

3.4.1.2.1 SagiPlanDS ..................................................................................................................................... 29 3.4.1.2.2 SagiPlan Storage SCU .................................................................................................................... 29 3.4.1.2.3 SagiPlan Query/Retrieve SCU – Find ............................................................................................. 30

3.4.2 Parameters ..................................................................................................... 30

4 MEDIA INTERCHANGE ............................................................................................. 31

4.1 IMPLEMENTATION MODEL ......................................................................................... 31 4.1.1 Application Data Flow Diagram ....................................................................... 31 4.1.2 Functional definitions of AE’s .......................................................................... 31

4.1.3 Sequencing of Real World Activities ............................................................... 32 4.1.4 File Meta Information for Implementation Class and Version .......................... 32

4.2 AE SPECIFICATIONS ................................................................................................ 32 4.2.1 Application Entity SagiPlan ............................................................................. 32

4.2.1.1 File Meta Information for the “SagiPlan” Application Entity ................................................................... 32 4.2.1.2 Real-World Activities.............................................................................................................................. 33

4.2.1.2.1 Real-World Activity “Export DICOM RT Files” ................................................................................. 33 4.2.1.2.2 Real-World Activity “Import DIOCOM RT Struct” ............................................................................ 33 4.2.1.2.3 Real-World Activity “Import DICOM Images”................................................................................... 34

4.3 AUGMENTED AND PRIVATE APPLICATION PROFILES .................................................... 35

4.4 MEDIA CONFIGURATION ........................................................................................... 35

5 SUPPORT OF CHARACTER SETS ........................................................................... 37

6 SECURITY .................................................................................................................. 38

6.1 SECURITY PROFILES ................................................................................................ 38

6.2 ASSOCIATION LEVEL SECURITY ................................................................................ 38

6.3 APPLICATION LEVEL SECURITY ................................................................................. 38

7 ANNEXES .................................................................................................................. 39

7.1 IOD CONTENTS ...................................................................................................... 39

7.1.1 Created SOP Instances .................................................................................. 39 7.1.1.1 RT Plan IOD .......................................................................................................................................... 39 7.1.1.2 RT Structure Set IOD............................................................................................................................. 39 7.1.1.3 RT Dose IOD ......................................................................................................................................... 40 7.1.1.4 Patient Module ....................................................................................................................................... 41 7.1.1.5 General Study Module ........................................................................................................................... 44 7.1.1.6 Frame Of Reference Module ................................................................................................................. 46 7.1.1.7 General Equipment Module ................................................................................................................... 46 7.1.1.8 General Image Module .......................................................................................................................... 48 7.1.1.9 Image Plane Module .............................................................................................................................. 55 7.1.1.10 Image Pixel Module ........................................................................................................................... 56 7.1.1.11 Multi Frame Module ........................................................................................................................... 61 7.1.1.12 RT Series Module .............................................................................................................................. 62 7.1.1.13 RT Dose Module ................................................................................................................................ 62

7.1.1.13.1 Dose Summation Type .................................................................................................................. 68 7.1.1.13.2 Referenced Fraction Group Sequence ......................................................................................... 68

7.1.1.14 RT DVH Module................................................................................................................................. 69 7.1.1.15 Structure Set Module ......................................................................................................................... 71

7.1.1.15.1 Structure Set Module for the RT Structure Set IOD: ..................................................................... 71 7.1.1.15.2 Structure Set Module for the RT Dose IOD: .................................................................................. 74

7.1.1.16 ROI Contour Module .......................................................................................................................... 76 7.1.1.16.1 Structure Set Module for the RT Structure Set IOD: ..................................................................... 76 7.1.1.16.2 Structure Set Module for the Dose IOD: ....................................................................................... 78

7.1.1.17 RT Dose ROI Module ........................................................................................................................ 80 7.1.1.17.1 Dose Value .................................................................................................................................... 81

7.1.1.18 RT ROI Observations Module............................................................................................................ 81

SagiPlan 2.0


7.1.1.19 RT General Plan Module ................................................................................................................... 85 7.1.1.20 RT Fraction Scheme Module ............................................................................................................. 87 7.1.1.21 RT Brachy Application Setups Module .............................................................................................. 93 7.1.1.22 SOP Common Module ..................................................................................................................... 101 7.1.1.23 Approval Module .............................................................................................................................. 111 7.1.1.24 RT Prescription Module ................................................................................................................... 111

7.1.2 Usage of Attributes from received IOD’s ....................................................... 114 7.1.2.1 Computed Tomography Image IOD .................................................................................................... 114 7.1.2.2 Magnetic Resonance Image IOD ........................................................................................................ 114 7.1.2.3 Positron Emission Tomography Image IOD ........................................................................................ 115 7.1.2.4 RT Image IOD...................................................................................................................................... 116 7.1.2.5 Secondary Capture Image IOD ........................................................................................................... 116 7.1.2.6 Ultrasound Image IOD ......................................................................................................................... 117 7.1.2.7 Computed Radiography Image IOD .................................................................................................... 117 7.1.2.8 X-Ray RF Image IOD........................................................................................................................... 118 7.1.2.9 X-Ray Angiographic Image IOD .......................................................................................................... 119 7.1.2.10 Digital X-Ray Image IOD ................................................................................................................. 120 7.1.2.11 Patient Module ................................................................................................................................. 121 7.1.2.12 General Study Module ..................................................................................................................... 125 7.1.2.13 General Series Module .................................................................................................................... 127 7.1.2.14 Frame Of Reference Module ........................................................................................................... 130 7.1.2.15 General Image Module .................................................................................................................... 130 7.1.2.16 Image Plane Module ........................................................................................................................ 137 7.1.2.17 Image Pixel Module ......................................................................................................................... 138 7.1.2.18 CT Image Module ............................................................................................................................ 143 7.1.2.19 SOP Common Module ..................................................................................................................... 147 7.1.2.20 RT Series Module ............................................................................................................................ 154 7.1.2.21 RT Image Module ............................................................................................................................ 154 7.1.2.22 SC Image Module ............................................................................................................................ 164 7.1.2.23 CR Image Module ............................................................................................................................ 165 7.1.2.24 X-Ray Image Module ....................................................................................................................... 167 7.1.2.25 X-Ray Acquisition Module................................................................................................................ 170 7.1.2.26 DX Detector Module ........................................................................................................................ 172 7.1.2.27 DX Image Module ............................................................................................................................ 174

7.2 DATA DICTIONARY OF PRIVATE ATTRIBUTES ............................................................ 178

SagiPlan 2.0


List Of Tables Table 3-1 SOP CLASSes for “SagiPlanDS” ...................................................................... 17 Table 3-2 Number of Associations as an association acceptor for “SagiPlanDS” ............. 20 Table 3-3 DICOM Implementation Class and Version for “SagiPlanDS” ........................... 20

Table 3-4 SagiPlanDS accepted Presentation Contexts ................................................... 21 Table 3-5 Storage C-STORE Response Status ................................................................ 21

Table 3-6 SOP Classes for SagiPlan Storage SCU .......................................................... 21 Table 3-7 SOP Classes for SagiPlan Query/Retrieve SCU ............................................... 23 Table 3-8 Number of Associations as an association initiator for “SagiPlan” .................... 23

Table 3-9 DICOM Implementation Class and Version for “SagiPlan” ................................ 24 Table 3-10 Proposed Presentation Contexts for SagiPlan AE as Store SCU ................... 24

Table 3-11 SagiPlan AE as Store SCU Response Status Handling .................................. 25 Table 3-12 Proposed Presentation Contexts for SagiPlan AE as Query/Retrieve SCU .... 26 Table 3-13 SagiPlan AE as Query/Retrieve SCU Response Status Handling for C-FIND

Requests ................................................................................................................... 27 Table 3-14 SagiPlan AE as Query/Retrieve SCU Response Status Handling For C-MOVE

Requests ................................................................................................................... 28

Table 3-15 AE Title Configuration Table ........................................................................... 29 Table 3-16 Configuration Parameters Table for SagiPlanDS Application Entity................ 30

Table 4-1 File Meta Information for Implementation Class and Version ............................ 32 Table 4-2 AE Related Application Profiles, Real-World Activities, and Roles ................... 32 Table 4-3 Supported SOP Classes and Transfer Syntaxes for “Export DICOM RT Files” 33

Table 4-4 Supported SOP Classes and Transfer Syntaxes for “Import DICOM RT Struct” .................................................................................................................................. 34

Table 4-5 Supported SOP Classes and Transfer Syntaxes for “Import DIOCOM Images” 34 Table 7-1 RT PLAN IOD MODULES................................................................................. 39 Table 7-2 RT STRUCTURE SET IOD MODULES ............................................................ 39

Table 7-3 RT DOSE IOD MODULES ................................................................................ 40 Table 7-4 PATIENT MODULE ATTRIBUTES ................................................................... 41

Table 7-5 GENERAL STUDY MODULE ATTRIBUTES .................................................... 44 Table 7-6 FRAME OF REFERENCE MODULE ATTRIBUTES ......................................... 46 Table 7-7 GENERAL EQUIPMENT MODULE ATTRIBUTES ........................................... 46

Table 7-8 GENERAL IMAGE MODULE ATTRIBUTES ..................................................... 48 Table 7-9 IMAGE PLANE MODULE ATTRIBUTES .......................................................... 55

Table 7-10 IMAGE PIXEL MODULE ATTRIBUTES .......................................................... 56 Table 7-11 MULTI-FRAME MODULE ATTRIBUTES ........................................................ 61

Table 7-12 RT SERIES MODULE ATTRIBUTES ............................................................. 62

Table 7-13 RT DOSE MODULE ATTRIBUTES ................................................................ 62 Table 7-14 Dose Summation Type ................................................................................... 68 Table 7-15 Referenced Fraction Group Sequence ........................................................... 68

Table 7-16 RT DVH MODULE ATTRIBUTES ................................................................... 69 Table 7-17 STRUCTURE SET MODULE ATTRIBUTES .................................................. 71

Table 7-18 STRUCTURE SET MODULE ATTRIBUTES .................................................. 74 Table 7-19 ROI CONTOUR MODULE ATTRIBUTES ....................................................... 76 Table 7-20 ROI CONTOUR MODULE ATTRIBUTES ....................................................... 78

Table 7-21 RT DOSE ROI MODULE ATTRIBUTES ....................................................... 80

Table 7-22 RT ROI OBSERVATIONS MODULE ATTRIBUTES ....................................... 81

Table 7-23 RT GENERAL PLAN MODULE ATTRIBUTES ............................................... 85

Table 7-24 RT FRACTION SCHEME MODULE ATTRIBUTES ........................................ 87

Table 7-25 RT BRACHY APPLICATION SETUPS MODULE ATTRIBUTES .................... 93 Table 7-26 SOP COMMON MODULE ATTRIBUTES ..................................................... 101

SagiPlan 2.0


Table 7-27 Approval MODULE ATTRIBUTES ................................................................ 111 Table 7-28 Approval MODULE ATTRIBUTES ................................................................ 111

Table 7-29 CT IMAGE IOD MODULES .......................................................................... 114 Table 7-30 MR IMAGE IOD MODULES .......................................................................... 114 Table 7-31 PET IMAGE IOD MODULES ........................................................................ 115

Table 7-32 RT IMAGE IOD MODULES .......................................................................... 116 Table 7-33 SC IMAGE IOD MODULES .......................................................................... 116

Table 7-34 US IMAGE IOD MODULES .......................................................................... 117 Table 7-35 CR IMAGE IOD MODULES .......................................................................... 118 Table 7-36 XRF IMAGE IOD MODULES ........................................................................ 118

Table 7-37 X-RAY ANGIOGRAPHIC IMAGE IOD MODULES ........................................ 119 Table 7-38 DIGITAL X-RAY IMAGE IOD MODULES ..................................................... 121

Table 7-39 PATIENT MODULE ATTRIBUTES ............................................................... 121 Table 7-40 GENERAL STUDY MODULE ATTRIBUTES ................................................ 125 Table 7-41 GENERAL SERIES MODULE ATTRIBUTES ............................................... 127

Table 7-42 FRAME OF REFERENCE MODULE ATTRIBUTES ..................................... 130 Table 7-43 GENERAL IMAGE MODULE ATTRIBUTES ................................................. 130 Table 7-44 IMAGE PLANE MODULE ATTRIBUTES ...................................................... 137

Table 7-45 IMAGE PIXEL MODULE ATTRIBUTES ........................................................ 138 Table 7-46 CT IMAGE MODULE ATTRIBUTES ............................................................. 143

Table 7-47 SOP COMMON MODULE ATTRIBUTES ..................................................... 148 Table 7-48 Table C.8-37 - RT SERIES MODULE ATTRIBUTES .................................... 154 Table 7-49 Table C.8-38—RT IMAGE MODULE ATTRIBUTES ..................................... 154

Table 7-50 SC IMAGE MODULE ATTRIBUTES ............................................................. 164 Table 7-51 BASIC PIXEL SPACING CALIBRATION MACRO ATTRIBUTES ................. 164

Table 7-52 CR IMAGE MODULE ATTRIBUTES ............................................................. 165 Table 7-53 X-RAY IMAGE MODULE ATTRIBUTES ....................................................... 167 Table 7-54 X-RAY ACQUISITION MODULE ATTRIBUTES ........................................... 170

Table 7-55 DX DETECTOR MODULE ATTRIBUTES ..................................................... 172 Table 7-56 DX IMAGE MODULE ATTRIBUTES ............................................................. 174

Table 7-57 DATA DICTIONARY OF PRIVATE ATTRIBUTES ........................................ 178

SagiPlan 2.0


List of Figures Figure 3-1 Application Data Flow Diagram ....................................................................... 15 Figure 4-1 APPLICATION DATA FLOW DIAGRAM ......................................................... 31

SagiPlan 2.0


2 Introduction

2.1 Revision History

SagiPlan Version 2.0:

Rev 01 September 29, 2015

2.2 Audience

This document is written for users that need to understand how SagiPlan will integrate into their healthcare facility. This includes both those responsible for overall imaging network policy and architecture, as well as integrators who need to have a detailed understanding of the DICOM features of the product. This document contains some basic DICOM defini-tions so that any reader may understand how this product implements DICOM features. However, integrators are expected to fully understand all the DICOM terminology, how the tables in this document relate to the product’s functionality, and how that functionality inte-grates with other devices that support compatible DICOM features.

2.3 Remarks

The scope of this DICOM Conformance Statement is to facilitate integration between SagiPlan and other DICOM products. The Conformance Statement should be read and understood in conjunction with the DICOM Standard. DICOM by itself does not guarantee interoperability. The Conformance Statement does, however, facilitate a first-level compar-ison for interoperability between different applications supporting compatible DICOM func-tionality. This Conformance Statement is not supposed to replace validation with other DICOM equipment to ensure proper exchange of intended information. In fact, the user should be aware of the following important issues:

The comparison of different Conformance Statements is just the first step towards assessing interconnectivity and interoperability between the product and other DICOM conformant equipment.

Test procedures should be defined and executed to validate the required level of in-teroperability with specific compatible DICOM equipment, as established by the healthcare facility. It is the responsibility of the user (or the user’s agent) to verify DICOM connectivity within the environment in which the SagiPlan application shall be used.

It is the responsibility of the user to specify the appropriate test suite and to carry out the additional validation tests.

Another device matching this Conformance Statement based on the comparison with its own Conformance Statement, will have a chance, but no guarantee that they will interop-erate. DICOM only deals with communication, it is not a standard which specifies what is needed for certain applications to run on a device.

SagiPlan 2.0


2.4 Legal and Copyright Information

This document and the information therein are proprietary to Eckert & Ziegler BEBIG GmbH, Robert-Rössle-Str.10, 13125 Berlin, Germany. The document and the information therein shall not be reproduced in whole or in part without the express written permission of Eckert & Ziegler BEBIG GmbH. The information in this document may be altered or modified at any time without prior notice to the user. Eckert & Ziegler BEBIG GmbH does not assume any responsibility for any kind of errors in this manual or for any kind of dam-ages caused by such errors.

2.5 Terms and Definitions

Informal definitions are provided for the following terms used in this Conformance State-ment. The DICOM Standard is the authoritative source for formal definitions of these terms. Abstract Syntax – the information agreed to be exchanged between applications, gener-ally equivalent to a Service/Object Pair (SOP) Class. Examples : Verification SOP Class, Modality Worklist Information Model Find SOP Class, Computed Radiography Image Storage SOP Class. Application Entity (AE) – an end point of a DICOM information exchange, including the DICOM network or media interface software; i.e., the software that sends or receives DICOM information objects or messages. A single device may have multiple Application Entities. Application Entity Title – the externally known name of an Application Entity, used to identify a DICOM application to other DICOM applications on the network. Application Context – the specification of the type of communication used between Ap-plication Entities. Example: DICOM network protocol. Association – a network communication channel set up between Application Entities. Attribute – – a unit of information in an object definition; a data element identified by a tag. The information may be a complex data structure (Sequence), itself composed of lower level data elements. Examples: Patient ID (0010,0020), Accession Number (0008,0050), Photometric Interpretation (0028,0004), Procedure Code Sequence (0008,1032). Information Object Definition (IOD) – the specified set of Attributes that comprise a type of data object; does not represent a specific instance of the data object, but rather a class of similar data objects that have the same properties. The Attributes may be specified as Mandatory (Type 1), Required but possibly unknown (Type 2), or Optional (Type 3), and there may be conditions associated with the use of an Attribute (Types 1C and 2C). Ex-amples: MR Image IOD, CT Image IOD, Print Job IOD. Media Application Profile – the specification of DICOM information objects and encoding exchanged on removable media (e.g., CDs)

SagiPlan 2.0


Module – a set of Attributes within an Information Object Definition that are logically relat-ed to each other. Example: Patient Module includes Patient Name, Patient ID, Patient Birth Date, and Patient Sex. Negotiation – first phase of Association establishment that allows Application Entities to agree on the types of data to be exchanged and how that data will be encoded. Presentation Context – the set of DICOM network services used over an Association, as negotiated between Application Entities; includes Abstract Syntaxes and Transfer Syntax-es. Protocol Data Unit (PDU) – a packet (piece) of a DICOM message sent across the net-work. Devices must specify the maximum size packet they can receive for DICOM mes-sages. Security Profile – a set of mechanisms, such as encryption, user authentication, or digital signatures, used by an Application Entity to ensure confidentiality, integrity, and/or availa-bility of exchanged DICOM data Service Class Provider (SCP) – role of an Application Entity that provides a DICOM net-work service; typically, a server that performs operations requested by another Application Entity (Service Class User). Examples: Picture Archiving and Communication System (im-age storage SCP, and image query/retrieve SCP), Radiology Information System (modali-ty worklist SCP). Service Class User (SCU) – role of an Application Entity that uses a DICOM network ser-vice; typically, a client. Examples: imaging modality (image storage SCU, and modality worklist SCU), imaging workstation (image query/retrieve SCU) Service/Object Pair (SOP) Class – the specification of the network or media transfer (service) of a particular type of data (object); the fundamental unit of DICOM interoperabil-ity specification. Examples: Ultrasound Image Storage Service, Basic Grayscale Print Management. Service/Object Pair (SOP) Instance – an information object; a specific occurrence of in-formation exchanged in a SOP Class. Examples: a specific x-ray image. Tag – a 32-bit identifier for a data element, represented as a pair of four digit hexadecimal numbers, the “group” and the “element”. If the “group” number is odd, the tag is for a pri-vate (manufacturer-specific) data element. Examples: (0010,0020) [Patient ID], (07FE,0010) [Pixel Data], (0019,0210) [private data element] Transfer Syntax – the encoding used for exchange of DICOM information objects and messages. Examples: JPEG compressed (images), little endian explicit value representa-tion. Unique Identifier (UID) – a globally unique “dotted decimal” string that identifies a specific object or a class of objects; an ISO-8824 Object Identifier. Examples: Study Instance UID, SOP Class UID, SOP Instance UID.

SagiPlan 2.0


Value Representation (VR) – the format type of an individual DICOM data element, such as text, an integer, a person’s name, or a code. DICOM information objects can be transmitted with either explicit identification of the type of each data element (Explicit VR), or without explicit identification (Implicit VR); with Implicit VR, the receiving application must use a DICOM data dictionary to look up the format of each data element.

2.6 Basics of DICOM Communication

This section describes terminology used in this Conformance Statement for the non-specialist. The key terms used in the Conformance Statement are highlighted in italics be-low. This section is not a substitute for training about DICOM, and it makes many simplifi-cations about the meanings of DICOM terms. Two Application Entities (devices) that want to communicate with each other over a net-work using DICOM protocol must first agree on several things during an initial network “handshake”. One of the two devices must initiate an Association (a connection to the oth-er device), and ask if specific services, information, and encoding can be supported by the other device (Negotiation). DICOM specifies a number of network services and types of information objects, each of which is called an Abstract Syntax for the Negotiation. DICOM also specifies a variety of methods for encoding data, denoted Transfer Syntaxes. The Negotiation allows the initiat-ing Application Entity to propose combinations of Abstract Syntax and Transfer Syntax to be used on the Association; these combinations are called Presentation Contexts. The receiving Application Entity accepts the Presentation Contexts it supports. For each Presentation Context, the Association Negotiation also allows the devices to agree on Roles – which one is the Service Class User (SCU - client) and which is the Ser-vice Class Provider (SCP - server). Normally the device initiating the connection is the SCU, i.e., the client system calls the server, but not always. The Association Negotiation finally enables exchange of maximum network packet (PDU) size, security information, and network service options (called Extended Negotiation in-formation). The Application Entities, having negotiated the Association parameters, may now com-mence exchanging data. Common data exchanges include queries for worklists and lists of stored images, transfer of image objects and analyses (structured reports), and sending images to film printers. Each exchangeable unit of data is formatted by the sender in ac-cordance with the appropriate Information Object Definition, and sent using the negotiated Transfer Syntax. There is a Default Transfer Syntax that all systems must accept, but it may not be the most efficient for some use cases. Each transfer is explicitly acknowl-edged by the receiver with a Response Status indicating success, failure, or that query or retrieve operations are still in process. Two Application Entities may also communicate with each other by exchanging media (such as a CD-R). Since there is no Association Negotiation possible, they both use a Media Application Profile that specifies “pre-negotiated” exchange media format, Abstract Syntax, and Transfer Syntax.

SagiPlan 2.0


2.7 Abbreviations

AE Application Entity AET Application Entity Title CD-R Compact Disk Recordable CR Computed Radiography CT Computed Tomography DICOM Digital Imaging and Communications in Medicine FSC File-Set Creator FSU File-Set Updater FSR File-Set Reader IOD Information Object Definition LUT Look-up Table MPEG Moving Picture Experts Group MR Magnetic Resonance Imaging NTP Network Time Protocol PET Positron Emission Tomography RT Radiotherapy SC Secondary Capture SCP Service Class Provider SCU Service Class User SOP Service-Object Pair TCP/IP Transmission Control Protocol/Internet Protocol U Unique (Key Attribute) US Ultrasound VL Visible Light

2.8 REFERENCES

1. NEMA “The DICOM Standard” Digital Imaging and Communications in Medicine (DICOM) Standard, available free at http://medical.nema.org/

2. SagiPlan-2.0.chm

SagiPlan User’s Guide

http://medical.nema.org/

SagiPlan 2.0


3 Networking

3.1 Implementation Model

3.1.1 Application Data Flow Diagram

The diagram below illustrates the Data Flow Diagram of the SagiPlan and SagiPlanDS Application Entities.

SagiPlan 2.0


Figure ‎3-1

Application Data Flow Diagram

Application Entity

SagiPlanDS (Storage SCP)

Remote Storage

SCU

DICOM Standard Interface

DICOM Media File (Temporary Object Storage on local

disk for later import to the SagiPlan Ap-

plication Entity)

Application Entity

SagiPlan

Remote Storage

SCP

Real World Activity

‚Send Files’ and ‚Export

RT files‘

DICOM Media File (probably created by invoking the Export Functionality of the

SagiPlan Application Entity)

Remote Query / Retrieve

SCP

Real World Activity ‚Query / Retrieve’

SagiPlan 2.0


3.1.2 Functional Definition of AE’s

3.1.2.1 Functional Definition of SagiPlanDS

The SagiPlanDS Application Entity implements a Service Class Provider (SCP) for the Storage Service Class. It listens on a specific TCP/IP port for incoming association re-quests from a Storage SCU and can receive images and other DICOM Information Ob-jects according to the Storage Service Class. Received objects will be stored as DICOM Media Files on local disk, from which they can be imported later on to the SagiPlan Appli-cation. The SagiPlanDS Application Entity also supports the Verification Service Class as an SCP. The SagiPlanDS runs continuously as a service and may be setup via the SagiPlan appli-cation.

3.1.2.2 Functional Definition of SagiPlan

The SagiPlan Application Entity implements the following functions:

A Service Class User (SCU) for the Storage Service Class. In this role it initiates an association to a Remote AE as a Storage Service Class Provider to send DICOM Information Objects. If the remote AE accepts the association, SagiPlan will send the selected Information Object(s) by invoking a C-STORE request for each object on the same association.

A Service Class User (SCU) for the Query / Retrieve Service Class. In this role it initiates an association to a Remote AE to Query for a list of DICOM objects. If the remote AE accepts the association, SagiPlan will send C-FIND requests to the re-mote AE to query for certain Patients, Studies or Series. Once the responses are received and the user has selected one or more of these Patients, Studies or Se-ries, the SagiPlan AE will send C-MOVE requests to the remote AE to transfer the DICOM objects to a Store SCP. SagiPlan can be configured to choose the Sagi-PlanDS AE as the Store SCP destination of the C-MOVE requests.

3.1.3 Sequencing of Real World Activities

Not applicable.

3.2 AE Specifications

3.2.1 SagiPlanDS Application Entity

3.2.1.1 SOP Classes

The SagiPlanDS AE provides Standard Conformance to the following SOP Classes:

SagiPlan 2.0


Table ‎3-1

SOP CLASSes for “SagiPlanDS”

SOP Class Name SOP Class UID SCU SCP

Verification SOP Class 1.2.840.10008.1.1 No Yes

Stored Print Storage 1.2.840.10008.5.1.1.27 No Yes

Hardcopy Grayscale Image Storage 1.2.840.10008.5.1.1.29 No Yes

Hardcopy Color Image Storage 1.2.840.10008.5.1.1.30 No Yes

Computed Radiography Image Storage 1.2.840.10008.5.1.4.1.1.1 No Yes

Digital X-Ray Image Storage - For Presentation

1.2.840.10008.5.1.4.1.1.1.1 No Yes

Digital X-Ray Image Storage - For Pro-cessing

1.2.840.10008.5.1.4.1.1.1.1.1 No Yes

Digital Mammography X-Ray Image Storage – For Presentation

1.2.840.10008.5.1.4.1.1.1.2 No Yes

Digital Mammography X-Ray Image Storage – For Processing

1.2.840.10008.5.1.4.1.1.1.2.1 No Yes

Digital Intra Oral X-Ray Image Storage – For Presentation

1.2.840.10008.5.1.4.1.1.1.3 No Yes

Digital Intra Oral X-Ray Image Storage – For Processing

1.2.840.10008.5.1.4.1.1.1.3.1 No Yes

Standalone Modality LUT Storage 1.2.840.10008.5.1.4.1.1.10 No Yes

Encapsulated PDF Storage 1.2.840.10008.5.1.4.1.1.104.1

No Yes

Standalone VOI LUT Storage 1.2.840.10008.5.1.4.1.1.11 No Yes

Grayscale Softcopy Presentation State Storage

1.2.840.10008.5.1.4.1.1.11.1 No Yes

Color Softcopy Presentation State Sto-rage

1.2.840.10008.5.1.4.1.1.11.2 No Yes

Pseudo Color Softcopy Presentation State Storage

1.2.840.10008.5.1.4.1.1.11.3 No Yes

Blending Softcopy Presentation State Storage

1.2.840.10008.5.1.4.1.1.11.4 No Yes

X-Ray Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.12.1 No Yes

Enhanced XA Image Storage 1.2.840.10008.5.1.4.1.1.12.1.1

No Yes

X-Ray Fluoroscopy Image Storage 1.2.840.10008.5.1.4.1.1.12.2 No Yes

Enhanced XRF Image Storage 1.2.840.10008.5.1.4.1.1.12.2.1

No Yes

PET Image Storage 1.2.840.10008.5.1.4.1.1.128 No Yes

PET Curve Storage 1.2.840.10008.5.1.4.1.1.129 No Yes

CT Image Storage 1.2.840.10008.5.1.4.1.1.2 No Yes

Enhanced CT Image Storage 1.2.840.10008.5.1.4.1.1.2.1 No Yes

SagiPlan 2.0


Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.20 No Yes

Ultrasound Multiframe Image Storage 1.2.840.10008.5.1.4.1.1.3.1 No Yes

MR Image Storage 1.2.840.10008.5.1.4.1.1.4 No Yes

Enhanced MR Image Storage 1.2.840.10008.5.1.4.1.1.4.1 No Yes

MR Spectroscopy Storage 1.2.840.10008.5.1.4.1.1.4.2 No Yes

RT Image Storage 1.2.840.10008.5.1.4.1.1.481.1

No Yes

RT Dose Storage 1.2.840.10008.5.1.4.1.1.481.2

No Yes

RT Structure Set Storage 1.2.840.10008.5.1.4.1.1.481.3

No Yes

RT Beams Treatment Record Storage 1.2.840.10008.5.1.4.1.1.481.4

No Yes

RT Plan Storage 1.2.840.10008.5.1.4.1.1.481.5

No Yes

RT Brachy Treatment Record Storage 1.2.840.10008.5.1.4.1.1.481.6

No Yes

RT Treatment Summary Record Stora-ge

1.2.840.10008.5.1.4.1.1.481.7

No Yes

Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1 No Yes

Raw Data Storage 1.2.840.10008.5.1.4.1.1.66 No Yes

Spatial Registration Storage 1.2.840.10008.5.1.4.1.1.66.1 No Yes

Spatial Fiducials Storage 1.2.840.10008.5.1.4.1.1.66.2 No Yes

Real World Value Mapping Storage 1.2.840.10008.5.1.4.1.1.67 No Yes

Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 No Yes

Multiframe Single Bit Secondary Cap-ture Image Storage

1.2.840.10008.5.1.4.1.1.7.1 No Yes

Multiframe Grayscale Byte Secondary Capture Image Storage

1.2.840.10008.5.1.4.1.1.7.2 No Yes

Multiframe Grayscale Word Secondary Capture Image Storage

1.2.840.10008.5.1.4.1.1.7.3 No Yes

Multiframe True Color Secondary Cap-ture Image Storage

1.2.840.10008.5.1.4.1.1.7.4 No Yes

VL Endoscopic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.1

No Yes

Video Endoscopic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.1.1

No Yes

VL Microscopic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.2

No Yes

Video Microscopic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.2.1

No Yes

VL Slide Coordinates Microscopic Image Storage

1.2.840.10008.5.1.4.1.1.77.1.3

No Yes

SagiPlan 2.0


VL Photographic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.4

No Yes

Video Photographic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.4.1

No Yes

Ophthalmic Photography 8 Bit Image Storage

1.2.840.10008.5.1.4.1.1.77.1.5.1

No Yes

Ophthalmic Photography 16 Bit Image Storage

1.2.840.10008.5.1.4.1.1.77.1.5.2

No Yes

Stereometric Relationship Storage 1.2.840.10008.5.1.4.1.1.77.1.5.3

No Yes

Standalone Overlay Storage 1.2.840.10008.5.1.4.1.1.8 No Yes

Basic Text SR 1.2.840.10008.5.1.4.1.1.88.11

No Yes

Enhanced SR 1.2.840.10008.5.1.4.1.1.88.22

No Yes

Comprehensive SR 1.2.840.10008.5.1.4.1.1.88.33

No Yes

Procedure Log Storage 1.2.840.10008.5.1.4.1.1.88.40

No Yes

Mammography CAD SR Storage 1.2.840.10008.5.1.4.1.1.88.50

No Yes

Key Object Selection Document 1.2.840.10008.5.1.4.1.1.88.59

No Yes

Chest CAD SR Storage 1.2.840.10008.5.1.4.1.1.88.65

No Yes

X-Ray Radiation Dose SR Storage 1.2.840.10008.5.1.4.1.1.88.67

No Yes

Standalone Curve Storage 1.2.840.10008.5.1.4.1.1.9 No Yes

Twelve Lead ECG Waveform Storage 1.2.840.10008.5.1.4.1.1.9.1.1 No Yes

General ECG Waveform Storage 1.2.840.10008.5.1.4.1.1.9.1.2 No Yes

Ambulatory ECG Waveform Storage 1.2.840.10008.5.1.4.1.1.9.1.3 No Yes

Hemodynamic Waveform Storage 1.2.840.10008.5.1.4.1.1.9.2.1 No Yes

Cardiac Electrophysiology Waveform Storage

1.2.840.10008.5.1.4.1.1.9.3.1 No Yes

Basic Voice Audio Waveform Storage 1.2.840.10008.5.1.4.1.1.9.4.1 No Yes

Notice: Although the SagiPlanDS supports many SOP Classes, only some of them are supported by the SagiPlan application via the SagiPlan Application Entity for later import (see ‎4.2.1 Application Entity ).

3.2.1.2 Association Policies

3.2.1.2.1 General

The maximum PDU length of the AE is 16 384 bytes. The AE does not support any SOP class extended negotiations.

SagiPlan 2.0


3.2.1.2.2 Number of Associations

Table ‎3-2

Number of Associations as an association acceptor for “SagiPlanDS”

Maximum number of simultaneous associa-tions

SagiPlanDS will attempt only one association at a time.

3.2.1.2.3 Asynchronous Nature

Asynchronous mode of operation is not supported.

3.2.1.2.4 Implementation Identifying Information

Table ‎3-3

DICOM Implementation Class and Version for “SagiPlanDS”

Implementation Class UID 1.2.826.0.1.3680043.9.5562.3

Implementation Version Name SagiPlanDS

3.2.1.3 Association Initiation Policy

The SagiPlanDS Application Entity never initiates associations.

3.2.1.4 Association Acceptance Policy

When SagiPlanDS accepts an association, it will answer a C-ECHO request or receive any DICOM Information Objects transmitted on that association and store the Objects on disk. It places no limitations on how may connect to it.

3.2.1.4.1 Real World Activity “Remote Storage SCU”

3.2.1.4.1.1 Description and Sequencing of Activities

Not applicable.

3.2.1.4.1.2 Accepted Presentation Contexts

SagiPlan 2.0


The SagiPlanDS Application Entity will accept presentation contexts for all of the above mentioned supported SOP Classes using any of the transfer syntaxes:

Table ‎3-4

SagiPlanDS accepted Presentation Contexts

Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID

See note

See note

Explicit VR Little Endian

1.2.840.10008.1.2.1 SCP None

See note

See note

Explicit VR Big Endian

1.2.840.10008.1.2.2 SCP None

See note

See note

Implicit VR Little Endian

1.2.840.10008.1.2 SCP None

Note: This applies to all supported Storage Abstract Syntaxes, i.e. to all supported SOP Classes The SagiPlanDS prefers the transfer syntaxes in the following order:

1. Explicit VR Little Endian 2. Implicit VR Little Endian 3. Explicit VR Big Endian

The SagiPlanDS application does not support extended negotiation.

3.2.1.4.1.3 SOP Specific Conformance for SOP Classes

Table ‎3-5

Storage C-STORE Response Status

Service Status

Further Mean-ing

Error Code Reason

Failure Refused: Out of Resources

A700 Application out of memory, file system or

database write error (e. g. file system full)

Error: Data Set does not match SOP Class

A900 SOP class or instance UID in C-STORE-RQ

does not match UIDs in the received dataset

Error: Cannot un-derstand

C000 Received dataset without SOP class or instance UID; received Presentation State that failed syntax check; internal application error

Success Success 0000 All o.k.

SagiPlan 2.0


3.2.2 SagiPlan Application Entity

3.2.2.1 SOP Classes

The SagiPlan AE as a Storage SCU provides Standard Conformance to the following SOP Classes:

Table ‎3-6

SOP Classes for SagiPlan Storage SCU

SOP Class Name SOP Class UID

Computed Radiography Image Storage 1.2.840.10008.5.1.4.1.1.1

Digital XRay Image Storage For Presentation 1.2.840.10008.5.1.4.1.1.1.1

Digita lXRay Image Storage For Processing 1.2.840.10008.5.1.4.1.1.1.1.1

Digital Mammography XRay Image Storage For Presentation

1.2.840.10008.5.1.4.1.1.1.2

Digital Mammography XRay Image Storage For Pro-cessing

1.2.840.10008.5.1.4.1.1.1.2.1

Digital Intra Oral XRay Image Storage For Presenta-tion

1.2.840.10008.5.1.4.1.1.1.3

Digital Intra Oral XRay Image Storage For Proces-sing

1.2.840.10008.5.1.4.1.1.1.3.1

Encapsulated PDF Storage 1.2.840.10008.5.1.4.1.1.104.1

Grayscale Softcopy Presentation State Storage 1.2.840.10008.5.1.4.1.1.11.1

Color Softcopy Presentation State Storage 1.2.840.10008.5.1.4.1.1.11.2

Pseudo Color Softcopy Presentation State Storage 1.2.840.10008.5.1.4.1.1.11.3

Blending Softcopy Presentation State Storage 1.2.840.10008.5.1.4.1.1.11.4

XRay Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.12.1

Enhanced XA Image Storage 1.2.840.10008.5.1.4.1.1.12.1.1

XRay Fluoroscopy Image Storage 1.2.840.10008.5.1.4.1.1.12.2

Enhanced XRF Image Storage 1.2.840.10008.5.1.4.1.1.12.2.1

PET Image Storage 1.2.840.10008.5.1.4.1.1.128

PET Curve Storage 1.2.840.10008.5.1.4.1.1.129

CT Image Storage 1.2.840.10008.5.1.4.1.1.2

Enhanced CT Image Storage 1.2.840.10008.5.1.4.1.1.2.1

Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.20

Ultrasound Multiframe Image Storage 1.2.840.10008.5.1.4.1.1.3.1

MR Image Storage 1.2.840.10008.5.1.4.1.1.4

Enhanced MR Image Storage 1.2.840.10008.5.1.4.1.1.4.1

MR Spectroscopy Storage 1.2.840.10008.5.1.4.1.1.4.2

RT Image Storage 1.2.840.10008.5.1.4.1.1.481.1

RT Dose Storage 1.2.840.10008.5.1.4.1.1.481.2

RT Structure Set Storage 1.2.840.10008.5.1.4.1.1.481.3

RT Beams Treatment Record Storage 1.2.840.10008.5.1.4.1.1.481.4

RT Plan Storage 1.2.840.10008.5.1.4.1.1.481.5

RT Brachy Treatment Record Storage 1.2.840.10008.5.1.4.1.1.481.6

RT Treatment Summary Record Storage 1.2.840.10008.5.1.4.1.1.481.7

Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1

Raw Data Storage 1.2.840.10008.5.1.4.1.1.66

Spatial Registration Storage 1.2.840.10008.5.1.4.1.1.66.1

SagiPlan 2.0


Spatial Fiducials Storage 1.2.840.10008.5.1.4.1.1.66.2

Real World Value Mapping Storage 1.2.840.10008.5.1.4.1.1.67

Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7

Multiframe Single Bit Secondary Capture Image Sto-rage

1.2.840.10008.5.1.4.1.1.7.1

Multiframe Grayscale Byte Secondary Capture Image Storage

1.2.840.10008.5.1.4.1.1.7.2

Multiframe Grayscale Word Secondary Capture Image Storage

1.2.840.10008.5.1.4.1.1.7.3

Multiframe True Color Secondary Capture Image Sto-rage

1.2.840.10008.5.1.4.1.1.7.4

VL Endoscopic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.1

VL Microscopic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.2

VL Slide Coordinates Microscopic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.3

VL Photographic Image Storage 1.2.840.10008.5.1.4.1.1.77.1.4

Ophthalmic Photography 8 Bit Image Storage 1.2.840.10008.5.1.4.1.1.77.1.5.1

Ophthalmic Photography 16 Bit Image Storage 1.2.840.10008.5.1.4.1.1.77.1.5.2

Stereometric Relationship Storage 1.2.840.10008.5.1.4.1.1.77.1.5.3

Basic Text SR 1.2.840.10008.5.1.4.1.1.88.11

Enhanced SR 1.2.840.10008.5.1.4.1.1.88.22

Comprehensive SR 1.2.840.10008.5.1.4.1.1.88.33

Procedure Log Storage 1.2.840.10008.5.1.4.1.1.88.40

Mammography CAD SR 1.2.840.10008.5.1.4.1.1.88.50

Key Object Selection Document 1.2.840.10008.5.1.4.1.1.88.59

Chest CAD SR 1.2.840.10008.5.1.4.1.1.88.65

XRay Radiation Dose SR 1.2.840.10008.5.1.4.1.1.88.67

Twelve Lead ECG Waveform Storage 1.2.840.10008.5.1.4.1.1.9.1.1

General ECG Waveform Storage 1.2.840.10008.5.1.4.1.1.9.1.2

Ambulatory ECG Waveform Storage 1.2.840.10008.5.1.4.1.1.9.1.3

Hemodynamic Waveform Storage 1.2.840.10008.5.1.4.1.1.9.2.1

Cardiac Electrophysiology Waveform Storage 1.2.840.10008.5.1.4.1.1.9.3.1

Basic Voice Audio Waveform Storage 1.2.840.10008.5.1.4.1.1.9.4.1

The SagiPlan AE as a Query / Retrieve SCU provides Standard Conformance to the fol-lowing SOP Classes:

Table ‎3-7

SOP Classes for SagiPlan Query/Retrieve SCU

SOP Class Name SOP Class UID

Study Root Query/Retrieve Information Model – FIND 1.2.840.10008.5.1.4.1.2.2.1

Patient Root Query/Retrieve Information Model – MOVE 1.2.840.10008.5.1.4.1.2.1.2

Study Root Query/Retrieve Information Model – MOVE 1.2.840.10008.5.1.4.1.2.2.2

3.2.2.2 Association Policies

3.2.2.2.1 General

The maximum PDU length of the AE is 16 384 bytes. The AE does not support any SOP class extended negotiations.

SagiPlan 2.0


3.2.2.2.2 Number of Associations

Table ‎3-8

Number of Associations as an association initiator for “SagiPlan”

Maximum number of simultaneous associa-tions

SagiPlan will attempt only one association at a time.

3.2.2.2.3 Asynchronous Nature

Asynchronous mode of operation is not supported.

3.2.2.2.4 Implementation Identifying Information

Table ‎3-9

DICOM Implementation Class and Version for “SagiPlan”


Implementation Version Name SagiPlan

3.2.2.3 Association Initiation Policy

3.2.2.3.1 Activity Send Files (Store SCU) / Export RT files


The user can select one or more DICOM information objects to be transferred via the Store SCU service to another DICOM AE. The information objects might be DICOM Media files stored on hard disc or DICOM RT Plan, RT Dose and RT Struct information objects directly created from the plan data of a SagiPlan study. The SagiPlan AE as a Storage SCU will try to initiate an association to a remote Storage SCP. The user has to select a destination DICOM peer for that. If multiple objects shall be transferred then multiple C-STORE requests will be issued over the association.

3.2.2.3.1.2 Proposed Presentation Contexts

Table ‎3-10

Proposed Presentation Contexts for SagiPlan AE as Store SCU

Abstract Syntax Transfer Syntax Role Extended Negotiation Name UID Name UID

See note

See note


1.2.840.10008.1.2.1 SCU None

SagiPlan 2.0


See note

See note


1.2.840.10008.1.2.2 SCU None

See note

See note


1.2.840.10008.1.2 SCU None

Note: This applies to all supported Storage Abstract Syntaxes, i.e. to all supported SOP Classes


Table ‎3-11

SagiPlan AE as Store SCU Response Status Handling

Service

Status

Further Mean-

ing Error Code Behaviour


A7xx The user is informed that the C-STORE request has failed. All outstanding C-STORE requests are can-celled.

Error: Data Set does not match SOP

Class

A9xx

Error: Cannot un-derstand

Cxxx

Warning Coercion of Data Elements

B000 The SCP has stored the SOP Instance. The user is informed that the C-STORE request has been per-formed with warnings.

Data Set does not match SOP Class

B007

Elements Discard-ed

B006

Success Success 0000 The SCP has successfully stored the SOP Instance. The user is informed that the C-STORE request has been performed successfully.

3.2.2.3.2 Activity Query/Retrieve


The user may enter values into a search mask for querying a Query/Retrieve SCP. The search mask is based on entries for Patient Names, Patient Registration Numbers, Patient Birthdates, Study IDs or Study Dates. After the user invokes the ‘Query’ command, an as-sociation will be initiated to a remote Query/Retrieve SCP. The user has to define/select the AE Address, AE Title and port of the remote Query/Retrieve SCP. After association establishment a C-FIND request will be performed at the STUDY Level for querying all Studies which attributes match those of the search mask. For every received response at STUDY level a new C-FIND request will be performed at the SERIES Level for querying all Series of the related Study. All responses are arranged and displayed in a hierarchical list (Patient with one or more studies, consisting of one or more series). The user has to select at least one Patient, Study or Series in this list in order to invoke the ‘Transfer’ command. After that an association to the remote Query/Retrieve SCP will be initiated. For every selected patient a C-MOVE request at PATIENT level will be per-

SagiPlan 2.0


formed, for every selected Study a C-MOVE request at STUDY level and for every select-ed series a C-MOVE request at SERIES level. The AE Title of the move destination has to be selected by the user. It is even possible to select the SagiPlanDS AE as the move des-tination in order to make the transferred objects accessible by the SagiPlan application.

3.2.2.3.2.2 Proposed Presentation Contexts

Table ‎3-12

Proposed Presentation Contexts for SagiPlan AE as Query/Retrieve SCU

Abstract Syntax Transfer Syntax Ro-le

Ex-ten-ded Negotiati-on

Name UID Name UID

Study Root Query/Retrieve Information Model FIND

1.2.840.10008.5.1.4.1.2.2.1


1.2.840.10008.1.2.1 SCU

None


1.2.840.10008.5.1.4.1.2.2.1


1.2.840.10008.1.2.2 SCU

None


1.2.840.10008.5.1.4.1.2.2.1


1.2.840.10008.1.2 SCU

None

Patient Root Query/Retrieve Information Model MOVE

1.2.840.10008.5.1.4.1.2.1.2


1.2.840.10008.1.2.1 SCU

None


1.2.840.10008.5.1.4.1.2.1.2


1.2.840.10008.1.2.2 SCU

None


1.2.840.10008.5.1.4.1.2.1.2


1.2.840.10008.1.2 SCU

None

Study Root Query/Retrieve Information Model MOVE

1.2.840.10008.5.1.4.1.2.2.2


1.2.840.10008.1.2.1 SCU

None

Study Root 1.2.840.10008.5.1.4.1.2.2. Explicit 1.2.840.10008.1.2.2 SC None

SagiPlan 2.0


Query/Retrieve Information Model MOVE

2 VR Big Endian

U

Study Root Query/Retrieve Information Model MOVE

1.2.840.10008.5.1.4.1.2.2.2


1.2.840.10008.1.2 SCU

None


Table ‎3-13

SagiPlan AE as Query/Retrieve SCU Response Status Handling for C-FIND Requests

Service Status

Further Mean-ing

Error Code Behaviour


A700 The user is informed that the C-FIND requ-est has failed. No results are displayed in the Query/Retrieve results list. Identifier does

not match SOP Class

A900

Unable to pro-cess

Cxxx

Cancel Matching termi-nated due to Cancel request

FE00 No more results are displayed.

Success Matching is complete – No final Identifier is supplied.

0000 The SCP has completed the matches. Re-sults are displayed in the Query/Retrieve results list.

Pending Matches are continuing – Current Match is supplied and any Optional Keys were sup-ported in the same manner as Required Keys.

FF00 The result transferred with this C-FIND Response is collected for display in the Query/Retrieve results list once the C-FIND operation is completed.

Matches are continuing – Warning that one or more Optional Keys were not sup-

FF01

SagiPlan 2.0


ported for exis-tence and/or matching for this Identifier.

A C-CANCEL-FIND request is issued after 1000 responses per C-FIND request have been received. Relational-queries are not supported.

Table ‎3-14

SagiPlan AE as Query/Retrieve SCU Response Status Handling For C-MOVE Requests

Service Status

Further Mean-ing

Error Code Behaviour

Failure Refused: Out of Resources – Una-ble to calculate

number of mat-ches

A701 None of the requested SOP Instances could be transferred (moved). The user will be informed about the failure.

Refused: Out of Resources – Una-ble to perform

sub-operations

A702

Refused: Move Destination unknown

A801

Identifier does not match SOP Class

A900

Unable to Pro-cess

Cxxx

Cancel Sub-operations terminated due to Cancel Indi-cation

FE00 No more SOP Instances are transferred.

Warning Sub-operations Complete – One or more Failures

B000 Some or all SOP Instances have not been transmitted successfully. The user will be informed about the Warning response.

Success Sub-operations Complete – No Failures

0000 All SOP Instances have successfully been transmitted. The user is informed that all objects have been retrieved successfully.

Pending Sub-operations are continuing

FF00 Transferring requested SOP Instances is continuing.

No C-CANCEL-MOVE requests are ever issued.

SagiPlan 2.0


3.2.2.4 Association Acceptance Policy

The SagiPlan Application Entity as a Query/Retrieve SCU never accepts associations.

3.3 Network Interfaces

3.3.1 Physical Network Interface

3.3.1.1 Supported communication stacks

The Application provides TCP/IP Network Communication Support as defined in PS 3.8 (part 8 of the DICOM standard).

3.3.1.1.1 TCP/IP stack

The Application uses the TCP/IP stack of Microsoft Windows Operating System, which is the underlying operating system of the application.

3.3.1.1.2 Physical media support

The Application can run on any physical network media that is supported by the underlying hardware and operating system (i.e. standard PCs and Windows operating system).

3.4 Configuration

3.4.1 AE Title/Presentation Address Mapping

3.4.1.1 Local AE Titles

The local AE Titles for the SagiPlan as well as the SagiPlanDS Application Entities are configurable. The configuration is performed via the SagiPlan Setup Dialog and via the SagiPlanDS Service Controller Window, respectively.

Table ‎3-15

AE Title Configuration Table

Application Entity Default AE Title Default TCP/IP

Port

SagiPlan SagiPlan Not Applicable

SagiPlanDS SagiPlanDS 104 (configurable)

SagiPlan 2.0


3.4.1.2 Remote AE Title/Presentation Address Mapping

3.4.1.2.1 SagiPlanDS

Not Applicable.

3.4.1.2.2 SagiPlan Storage SCU

The TCP/IP Address, the AE Title and the Port Number of the remote Storage SCP are configurable. Multiple configurations can be prepared via the corresponding SagiPlan set-up menu. These can then be selected in the subsequent ‘Send Files’ requests.

3.4.1.2.3 SagiPlan Query/Retrieve SCU – Find

The TCP/IP Address, the AE Title and the Port Number of the remote Query/Retrieve SCP are configurable. Multiple configurations can be prepared via the appropriate SagiPlan setup menu. These can then be selected in the subsequent ‘Query’ requests. The AE Title of the move destination for the Query/Retrieve Move request is configurable too. Multiple AE Titles can be prepared via the appropriate SagiPlan setup menu. These can then be selected for the subsequent ‘Transfer’ requests.

3.4.2 Parameters

The following table shows DICOM relevant configuration parameters.

Table ‎3-16

Configuration Parameters Table for SagiPlanDS Application Entity

Parameter Configurable (Yes/No)

Default Value

General Parameters

Time-out waiting for acceptance or rejection Response to an Association Open Request. (Application Level

timeout)

No 30 seconds

General DIMSE level time-out values No Unlimited

Time-out waiting for response to TCP/IP connect

request. (Low-level timeout) No Unlimited

Max PDU Size No 16384

SagiPlan 2.0


4 Media Interchange

4.1 Implementation Model

4.1.1 Application Data Flow Diagram

Figure ‎4-1

APPLICATION DATA FLOW DIAGRAM

4.1.2 Functional definitions of AE’s

The SagiPlan Application Entity is responsible for the import of DICOM Information objects (images and structure sets) to the SagiPlan application. It is also responsible for the export of DICOM Information Objects (treatment plans, dose information and structure sets) to other applications. Those functions are operated by the user invoking the Import / Export commands in the SagiPlan application. The SagiPlan Application Entity acts as a FSC for the export of DICOM Information Ob-jects and as a FSR for the import of DICOM Information Objects. The SagiPlan Application Entity can write DICOM RT Plan, RT Dose and RT Struct Infor-mation Objects to any attached Windows Volume as a DICOM File which conforms to the

Application Entity

SagiPlan

Export DICOM RT Files

DICOM Media File (on any

Windows Vol-ume)

FSC

DICOM Standard Interface

Application Entity

SagiPlan

Import DICOM Images

DICOM Media File (on any

Windows Vol-ume)

FSR

Import DICOM

RT Struct

SagiPlan 2.0


DICOM File Format as described in PS 3.10 of the DICOM standard. It can read DICOM Files (which conforms to the DICOM File Format) from any Windows Volume.

4.1.3 Sequencing of Real World Activities

All FSR and FSC activities are sequentially initiated in the user interface of the SagiPlan application, and another activity may not be initiated until the prior activity has completed.

4.1.4 File Meta Information for Implementation Class and Version

Table ‎4-1

File Meta Information for Implementation Class and Version

File Meta Information Version 00, 01


Implementation Version Name Not Implemented

4.2 AE Specifications

The SagiPlan AE provides standard conformance to the DICOM Interchange Option of the Media Storage Service Class.

4.2.1 Application Entity SagiPlan

Table ‎4-2

AE Related Application Profiles, Real-World Activities, and Roles

Supported Application Profile Real-World Activity Roles

STD-GEN-CD STD-GEN-DVD-RAM

Export DICOM RT Files FSC

Import DICOM RT Struct FSR

Import DICOM Images FSR

4.2.1.1 File Meta Information for the “SagiPlan” Application Entity

The SagiPlan Application Entity Title is not stored.

SagiPlan 2.0


4.2.1.2 Real-World Activities

The SagiPlan Application Entity is used for the following real world activities:

Export DICOM RT Files

Import DICOM RT Struct

Import DICOM Images

4.2.1.2.1 Real-World Activity “Export DICOM RT Files”

4.2.1.2.1.1 Media Storage Application Profile

The SagiPlan Application Entity supports the STD-GEN-CD and the STD-GEN-DVD-RAM Application Profile. Furthermore the export of DICOM RT Files is not restricted to CD or DVD Media but is also possible to any other Windows volume.

4.2.1.2.1.1.1 Options

The following SOP Classes and Transfer Syntaxes are supported:

Table ‎4-3

Supported SOP Classes and Transfer Syntaxes for “Export DICOM RT Files”

Information Object Defi-

nition

SOP Class UID Transfer Syntax And UID

RT Dose Storage 1.2.840.10008.5.1.4.1.1.481.2 Explicit VR Little Endian 1.2.840.10008.1.2.1

RT Structure Set Storage 1.2.840.10008.5.1.4.1.1.481.3 Explicit VR Little Endian 1.2.840.10008.1.2.1

RT Plan Storage 1.2.840.10008.5.1.4.1.1.481.5 Explicit VR Little Endian 1.2.840.10008.1.2.1

4.2.1.2.2 Real-World Activity “Import DIOCOM RT Struct”


The SagiPlan Application Entity supports the STD-GEN-CD and the STD-GEN-DVD-RAM Application Profile. Furthermore the DICOM RT Struct Files can not only be imported from CD or DVD Media but also from any other Windows volume. The read of DICOMDIR is not supported.

4.2.1.2.2.1.1 Options


SagiPlan 2.0


Table ‎4-4

Supported SOP Classes and Transfer Syntaxes for “Import DICOM RT Struct”

Information Object Defi-nition

SOP Class UID Transfer Syntax And UID

RT Structure Set Storage 1.2.840.10008.5.1.4.1.1.481.3 Explicit VR Little Endian 1.2.840.10008.1.2.1 Implicit VR Little Endian 1.2.840.10008.1.2 Explicit VR Big Endian 1.2.840.10008.1.2.2

4.2.1.2.3 Real-World Activity “Import DICOM Images”


The SagiPlan Application Entity supports the STD-GEN-CD and the STD-GEN-DVD-RAM Application Profile. Furthermore the DICOM RT Image Files can not only be imported from CD or DVD Media but also from any other Windows volume. The read of DICOMDIR is not supported.

4.2.1.2.3.1.1 Options


Table ‎4-5

Supported SOP Classes and Transfer Syntaxes for “Import DIOCOM Images”

Information Object Definition SOP Class UID Transfer Syntax And UID

CT Image Storage 1.2.840.10008.5.1.4.1.1.2 Explicit VR Little Endian

1.2.840.10008.1.2.1


1.2.840.10008.1.2


1.2.840.10008.1.2.2

MR Image Storage 1.2.840.10008.5.1.4.1.1.4 Explicit VR Little Endian

1.2.840.10008.1.2.1


1.2.840.10008.1.2


1.2.840.10008.1.2.2

PET Image Storage 1.2.840.10008.5.1.4.1.1.128 Explicit VR Little Endian

1.2.840.10008.1.2.1


1.2.840.10008.1.2


1.2.840.10008.1.2.2

RT Image Storage 1.2.840.10008.5.1.4.1.1.481.1 Explicit VR Little Endian

SagiPlan 2.0


1.2.840.10008.1.2.1


1.2.840.10008.1.2


1.2.840.10008.1.2.2

Secondary Capture Image Storage

1.2.840.10008.5.1.4.1.1.7 Explicit VR Little Endian

1.2.840.10008.1.2.1


1.2.840.10008.1.2


1.2.840.10008.1.2.2

Ultrasound Image Storage

1.2.840.10008.5.1.4.1.1.6.1 Explicit VR Little Endian

1.2.840.10008.1.2.1


1.2.840.10008.1.2


1.2.840.10008.1.2.2

Computed Radiography Image Storage

1.2.840.10008.5.1.4.1.1.1 Explicit VR Little Endian

1.2.840.10008.1.2.1


1.2.840.10008.1.2


1.2.840.10008.1.2.2

X-Ray Radiofluoroscopic Image

Storage


1.2.840.10008.1.2.1


1.2.840.10008.1.2


1.2.840.10008.1.2.2

X-Ray Angiographic Image Stor-age


1.2.840.10008.1.2.1


1.2.840.10008.1.2


1.2.840.10008.1.2.2

Digital X-Ray Image Storage – For Presentation


1.2.840.10008.1.2.1


1.2.840.10008.1.2


1.2.840.10008.1.2.2

4.3 Augmented and Private Application Profiles

SagiPlan does not support any augmented or private application profiles.

SagiPlan 2.0


4.4 Media Configuration

SagiPlan has no DICOM configuration for Media Interchange.

SagiPlan 2.0


5 Support of Character Sets

SagiPlan supports the following character sets:

Character Set Description Defined Term

Default DICOM character repertoire ISO 2022 IR 6

Unicode in UTF-8 ISO_IR 192

SagiPlan does not validate that characters received conform to the DICOM default charac-ter set.

SagiPlan 2.0


6 Security

6.1 Security Profiles

None supported.

6.2 Association Level Security

None supported.

6.3 Application Level Security

None supported.

SagiPlan 2.0


7 Annexes

7.1 IOD Contents

7.1.1 Created SOP Instances

7.1.1.1 RT Plan IOD

Table ‎7-1

RT PLAN IOD MODULES

IE Module Reference Presence Of Module

Patient Patient ‎7.1.1.4 Always

Clinical Trial Subject Not supported

Study General Study ‎7.1.1.5 Always

Patient Study Not supported

Clinical Trial Study Not supported

Series RT Series ‎7.1.1.12 Always

Clinical Trial Series Not supported

Frame of Reference

Frame of Reference ‎7.1.1.6 Always

Equipment General Equipment ‎7.1.1.7 Always

Plan RT General Plan ‎7.1.1.19 Always

RT Prescription ‎7.1.1.24 Always

RT Tolerance Tables Not supported

RT Patient Setup Not supported

RT Fraction Scheme ‎7.1.1.20 Always

RT Beams Not supported

RT Brachy Application Setups

‎7.1.1.21 Always

Approval ‎7.1.1.23 Always

SOP Common ‎7.1.1.22 Always

7.1.1.2 RT Structure Set IOD

Table ‎7-2

RT STRUCTURE SET IOD MODULES








SagiPlan 2.0




Structure Set

Structure Set ‎7.1.1.15 Always

ROI Contour ‎7.1.1.16 Always

RT ROI Observations ‎7.1.1.18 Always

Approval ‎7.1.1.22 Not Supported


7.1.1.3 RT Dose IOD

Table ‎7-3

RT DOSE IOD MODULES









Frame of Reference

Frame of Reference ‎7.1.1.6 Always


Dose General Image ‎7.1.1.8 Always

Image Plane ‎7.1.1.9 Always

Image Pixel ‎7.1.1.10 Always

Multi-Frame ‎7.1.1.11 Always

Overlay Plane Not supported

Multi-Frame Overlay Not supported

Modality LUT Not supported

RT Dose ‎7.1.1.13 Always

RT DVH ‎7.1.1.14 Always

Structure Set ‎7.1.1.15.2 Always if there is a control point group with name ‘Ve-rifyHDR’

ROI Contour ‎7.1.1.16.2 Always if there is a control point group with name ‘Ve-rifyHDR’

RT Dose ROI ‎7.1.1.17 Always if there is a control point group with name ‘Ve-rifyHDR’


Common Instance Re-ference

Not supported

Frame Extraction Not supported

SagiPlan 2.0


7.1.1.4 Patient Module

Table ‎7-4

PATIENT MODULE ATTRIBUTES

Attribute Name Tag Type Attribute Description Comment

Patient's Name (0010,0010) 2 Patient's full name. Always. Read from Patient “Last Name” and Patient “First Name”

Patient ID (0010,0020) 2 Primary hospital identi-fication number or code for the patient.

Always. Read from “Patient ID”

Issuer of Patient ID (0010,0021) 3 Identifier of the Assig-ning Authority that issued the Patient ID.

Not provided

Patient's Birth Date (0010,0030) 2 Birth date of the patient. Always. Read from “Date Of Birth”

Patient's Sex 2 Sex of the named pati-ent. Enumerated Values: M = male F = female O = other

Always. Read from Patient “Gender”

Referenced Patient Sequence

(0008,1120) 3 A sequence that provi-des reference to a Pati-ent SOP Class/Instance pair. Only a single Item shall be permitted in this Sequence.

Not provided

Patient's Birth Time (0010,0032 3 Birth time of the Pati-ent.

Not provided

Other Patient IDs (0010,1000) 3 Other identification numbers or codes used to identify the patient.

Not provided

Other Patient IDs Sequence

(0010,1002 3 A sequence of identifi-cation numbers or codes used to identify the patient, which may or may not be human readable, and may or may not have been ob-tained from an implan-ted or attached device such as an RFID or barcode. If present, shall contain one or more items.

Not provided

SagiPlan 2.0


>Patient ID (0010,0020) 1 An identification num-ber or code used to identify the patient.

>Issuer of Patient ID (0010,0021) 1 Identifier of the Assig-ning Authority that issued the Patient ID.

>Type of Patient ID (0010,0022) 1 The type of identifier in this item. Defined Terms: TEXT RFID BARCODE

Note: The identifier is coded as a string regardless of the type, not as a bina-ry value.

Other Patient Na-mes

(0010,1001) 3 Other names used to identify the patient.

Not provided

Ethnic Group (0010,2160) 3 Ethnic group or race of the patient.

Not provided

Patient Comments (0010,4000) 3 User-defined additional information about the patient.

Not provided

Patient Species Description

(0010,2201) 1C The species of the pati-ent. Required if the patient is an animal and if Pati-ent Species Code Se-quence (0010,2202) is not present. May be present otherwise.

Not provided

Patient Species Code Sequence

(0010,2202) 1C The species of the pati-ent. One Item shall be present. Required if the patient is an animal and if Pati-ent Species Description (0010,2201) is not present. May be present otherwise.

Not provided

Patient Breed Description

(0010,2292) 2C The breed of the pati-ent. Required if the patient is an animal and if Pati-ent Breed Code Se-quence (0010,2293) is empty. May be present otherwise.

Not provided

Patient Breed Code Sequence

(0010,2293) 2C The breed of the pati-ent.

Not provided

SagiPlan 2.0


Zero or more Items shall be present. Required if the patient is an animal.

Breed Registration Sequence

(0010,2294) 2C Information identifying an animal within a breed registry. Zero or more Items shall be present. Required if the patient is an animal.

Not provided

>Breed Registration Number

(0010,2295) 1 Identification number of an animal within the registry.

>Breed Registry Code Sequence

(0010,2296) 1 Identification of the or-ganization with which an animal is registered. One Item shall be present.

Responsible Person (0010,2297) 2C Name of person with medical decision ma-king authority for the patient. Required if the patient is an animal. May be present otherwise.

Not provided

Responsible Person Role

(0010,2298) 1C Relationship of Responsible Person to the patient. Defined Terms: OWNER Required if Responsible Person is present and has a value.

Not provided

Responsible Orga-nization

(0010,2299) 2C Name of organization with medical decision making authority for the patient. Required if patient is an animal. May be present otherwise.

Not provided

Patient Identity Re-moved

(0012,0062) 3 The true identity of the patient has been remo-ved from the Attributes and the Pixel Data Enumerated Values: YES NO

Not provided

De-identification Method

(0012,0063) 1C A description or label of the mechanism or me-thod use to remove the

Not provided

SagiPlan 2.0


patient’s identity. May be multi-valued if suc-cessive de-identification steps have been per-formed.

Note: This may be used to describe the ex-tent or thorough-ness of the de-identification, for example whether or not the de-identification is for a “Limited Data Set” (as per HIPAA Privacy Rule).

Required if Patient Identity Removed (0012,0062) is present and has a value of YES and De-identification Method Code Se-quence (0012,0064) is not present.

De-identification Method Code Se-quence

(0012,0064) 1C A code describing the mechanism or method use to remove the pati-ent’s identity. One or more Items shall be present. Multiple items are used if successive de-identification steps have been performed Required if Patient Identity Removed (0012,0062) is present and has a value of YES and De-identification Method (0012,0063) is not present.

Not provided

7.1.1.5 General Study Module

Table ‎7-5

GENERAL STUDY MODULE ATTRIBUTES


Study Instance UID (0020,000D) 1 Unique identifier for the Study.

Always

Study Date (0008,0020) 2 Date the Study started. Date of study creati-

SagiPlan 2.0


on

Study Time (0008,0030) 2 Time the Study started. Time of study creati-on

Referring Physici-an's Name

(0008,0090) 2 Name of the patient's referring physician

Read from Study Da-ta “Physician”

Referring Physician Identification Se-quence

(0008,0096) 3 Identification of the pa-tient's referring physici-an. Only a single item shall be permitted in this sequence.

Not provided

Study ID (0020,0010) 2 User or equipment ge-nerated Study identifi-er.

Name of study

Accession Number (0008,0050) 2 A RIS generated num-ber that identifies the order for the Study.

Empty

Study Description (0008,1030) 3 Institution-generated description or classifi-cation of the Study (component) perfor-med.

Not provided

Physician(s) of Re-cord

(0008,1048) 3 Names of the physici-an(s) who are respon-sible for overall patient care at time of Study (see Section C.7.3.1 for Performing Physician)

Not provided

Physician(s) of Re-cord Identification Sequence

(0008,1049) 3 Identification of the physician(s) who are responsible for overall patient care at time of Study. One or more items shall be included in this sequence. If mo-re than one Item, the number and order shall correspond to the value of Physician(s) of Re-cord (0008,1048), if present.

Not provided

Name of Physici-an(s) Reading Study

(0008,1060) 3 Names of the physici-an(s) reading the Stu-dy.

Not provided

Physician(s) Rea-ding Study Identifi-cation Sequence

(0008,1062) 3 Identification of the physician(s) reading the Study. One or more items shall be included in this sequence. If mo-re than one Item, the number and order shall correspond to the value

Not provided

SagiPlan 2.0


of Name of Physici-an(s) Reading Study (0008,1060), if present.

Referenced Study Sequence

(0008,1110) 3 A sequence that provi-des reference to a Stu-dy SOP Class/Instance pair. The sequence may have zero or more Items.

Not provided

Procedure Code Sequence

(0008,1032) 3 A Sequence that conveys the type of procedure performed. One or more Items may be included in this Se-quence.

Not provided

7.1.1.6 Frame Of Reference Module

Table ‎7-6

FRAME OF REFERENCE MODULE ATTRIBUTES


Frame of Reference UID

(0020,0052) 1 Uniquely identifies the frame of reference for a Series. See C.7.4.1.1.1 for further explanation.

Always

Position Reference Indicator

(0020,1040) 2 Part of the patient's anatomy used as a re-ference, such as the iliac crest, orbital-medial, sternal notch, symphysis pubis, xiphoid, lower coastal margin, external audito-ry meatus. See C.7.4.1.1.2 for further explanation.

Always empty

7.1.1.7 General Equipment Module

Table ‎7-7

GENERAL EQUIPMENT MODULE ATTRIBUTES


Manufacturer (0008,0070) 2 Manufacturer of the equipment that pro-duced the composite instances.

“SagiPlan Eckert & Ziegler BEBIG”

SagiPlan 2.0


Institution Name (0008,0080) 3 Institution where the equipment that pro-duced the composite instances is located.

Read from “Institution And Team -> Institu-tion”

Institution Address (0008,0081) 3 Mailing address of the institution where the equipment that pro-duced the composite instances is located.

Read from “Institution And Team -> Address”

Station Name (0008,1010) 3 User defined name identifying the machine that produced the com-posite instances.

Not provided

Institutional De-partment Name

(0008,1040) 3 Department in the insti-tution where the equipment that pro-duced the composite instances is located.

Not provided

Manufacturer's Mo-del Name

(0008,1090) 3 Manufacturer’s model name of the equipment that produced the com-posite instances.

Not provided

Device Serial Num-ber

(0018,1000) 3 Manufacturer’s serial number of the equipment that pro-duced the composite instances.

Note: This identifier cor-responds to the device that actually created the imag-es, such as a CR plate reader or a CT console, and may not be suffi-cient to identify all of the equipment in the imaging chain, such as the gener-ator or gantry or plate.

Instance Serial Num-ber of SagiPlan ap-plication instance

Software Versions (0018,1020) 3 Manufacturer’s desig-nation of software ver-sion of the equipment that produced the com-posite instances.

“SagiPlan Software Version”

Gantry ID (0018,1008) 3 Identifier of the gantry or positioner.

Not provided

Spatial Resolution (0018,1050) 3 The inherent limiting resolution in mm of the acquisition equipment for high contrast ob-jects for the data gathe-ring and reconstruction

Not provided

SagiPlan 2.0


technique chosen. If variable across the images of the series, the value at the image center.

Date of Last Calib-ration

(0018,1200) 3 Date when the image acquisition device calib-ration was last changed in any way. Multiple entries may be used for additional calibrations at other times. See C.7.5.1.1.1 for further explanation.

Not provided

Time of Last Calib-ration

(0018,1201) 3 Time when the image acquisition device calib-ration was last changed in any way. Multiple entries may be used. See C.7.5.1.1.1 for further explanation.

Not provided

Pixel Padding Value (0028,0120) 1C Single pixel value or one limit (inclusive) of a range of pixel values used in animage to pad to rectangular format or to signal background that may be suppres-sed. See C.7.5.1.1.2 for further explanation. Required if Pixel Pad-ding Range Limit (0028,0121) is present. May be present other-wise.

Note: The Value Repre-sentation of this At-tribute is deter-mined by the value of Pixel Represen-tation (0028,0103).

Not provided

7.1.1.8 General Image Module

The Image Plane Module is used in the context of the RT Dose IOD for the export of the dose grid.

Table ‎7-8

GENERAL IMAGE MODULE ATTRIBUTES


SagiPlan 2.0


Instance Number (0020,0013) 2 A number that identifies this image.

Note: This Attribute was named Image Number in earlier versions of this Standard.

Always “1”

Patient Orientation (0020,0020) 2C Patient direction of the rows and columns of the image. Required if image does not require Image Orientation (Pa-tient) (0020,0037) and Image Position (Pati-ent) (0020,0032). See C.7.6.1.1.1 for further explanation.

Note: IOD’s may have at-tributes other than Patient Orientation, Image Orientation, or Image Position (Patient) to de-scribe orientation in which case this at-tribute will be zero length.

Not provided

Content Date (0008,0023) 2C The date the image pixel data creation started. Required if image is part of a series in which the images are temporally related.

Note: This Attribute was formerly known as Image Date.

Date of IOD creation

Content Time (0008,0033) 2C The time the image pi-xel data creation started. Required if image is part of a series in which the images are temporally related.

Time of IOD creation

Image Type (0008,0008) 3 Image identification characteristics. See C.7.6.1.1.2 for Defined Terms and further ex-planation.

Not provided

Acquisition Number (0020,0012) 3 A number identifying the single continuous gathering of data over a period of time that re-sulted in this image.

Not provided

Acquisition Date (0008,0022) 3 The date the acquisition of data that resulted in this image started

Not provided

SagiPlan 2.0


Acquisition Time (0008,0032) 3 The time the acquisition of data that resulted in this image started

Not provided

Acquisition DateTi-me

(0008,002A) 3 The date and time that the acquisition of data that resulted in this image started.

Note: The synchroniza-tion of this time with an external clock is specified in the Synchroniza-tion Module in Ac-quisition Time Syn-chronized (0018,1800).

Not provided

Referenced Image Sequence

(0008,1140) 3 A sequence that refe-rences other images significantly related to this image (e.g. post-localizer CT image or Mammographic biopsy or partial view images). One or more Items may be included in this se-quence.

Not provided

>Include ‘Image SOP Instance Reference Macro’ Table 10-3

>Purpose of Refe-rence Code Se-quence

(0040,A170) 3 Describes the purpose for which the reference is made. Only a single Item shall be permitted in this sequence.

>>Include ‘Code Sequence Macro’ Table 8.8-1

Defined Context ID is 7201.

Derivation Descripti-on

(0008,2111) 3 A text description of how this image was derived. See C.7.6.1.1.3 for further explanation.

Not provided

Derivation Code Se-quence

(0008,9215) 3 A coded description of how this image was derived. See C.7.6.1.1.3 for further explanation. One or more Items may be in-cluded in this Se-quence. More than one Item indicates that suc-cessive derivation steps have been applied.

Not provided

>Include ‘Code Sequence Macro’ Table 8.8-1


Source Image Se- (0008,2112) 3 A Sequence that identi- Not provided.

SagiPlan 2.0


quence fies the set of Image SOP Class/Instance pairs of the Images that were used to derive this Image. Zero or more Items may be included in this Sequence.

See C.7.6.1.1.4 for further explanation



(0040,A170) 3 Describes the purpose for which the reference is made, that is what role the source image or frame(s) played in the derivation of this image. Only a single Item shall be permitted in this sequence.



>Spatial Locations Preserved

(0028,135A) 3 The extent to which the spatial locations of all pixels are preserved during the processing of the source image that resulted in the cur-rent image Enumerated Values: YES NO REORIENTED_ONLY - A projection radiograph that has been flipped, and/or rotated by a mul-tiple of 90 degrees

Notes: 1. This applies not only to images with a known relation-ship to a 3D space, but also to projec-tion images. For example, a projec-tion radiograph such as a mammo-gram that is pro-cessed by a point image processing operation such as contrast enhance-ment, or a smooth-ing or edge en-hancing convolu-tion, would have a value of YES for

SagiPlan 2.0


this attribute. A pro-jection radiograph that had been magnified or warped geometri-cally would have a value of NO for this attribute. A projec-tion radiograph that has been flipped, and/or rotated by a multiple of 90 de-grees, such that transformation of pixel locations is possible by com-parison of the val-ues of Patient Ori-entation (0020,0020) would have a value of REORIENTED_ONLY. This attribute is typically of im-portance in relating images with Presentation Intent Type (0008,0068) values of FOR PROCESSING and FOR PRESENTATION.

2. When the value of this attribute is NO, it is not possi-ble to locate on the current image any pixel coordinates that are referenced relative to the source image, such as for example, might be required for rendering CAD findings derived from a referenced FOR PROCESSING im-age on the current FOR PRESENTATION image.

>Patient Orientation (0020,0020) 1C The Patient Orientation values of the source image. Required if the value of Spatial Locations Pre-served (0028,135A) is REORIENTED_ONLY.

Referenced Instance Sequence

(0008,114A) 3 A sequence which pro-vides reference to a set of non-image SOP Class/Instance pairs significantly related to

Not provided.

SagiPlan 2.0


this Image, including waveforms that may or may not be temporally synchronized with this image . One or more Items may be included in this se-quence

>Include SOP Instance Reference Macro Table 10-11


(0040,A170) 1 Code describing the purpose of the refe-rence to the In-stance(s). Only a single Item shall be permitted in this sequence.

>>Include 'Code Sequence Macro' Table 8.8-1

Defined Context ID is CID 7004 for referenced wave-forms.

Images in Acquisiti-on

(0020,1002) 3 Number of images that resulted from this ac-quisition of data

Not provided

Image Comments (0020,4000) 3 User-defined comments about the image

Not provided

Quality Control Image

(0028,0300) 3 Indicates whether or not this image is a qua-lity control or phantom image. Enumerated Values: YES NO If this Attribute is ab-sent, then the image may or may not be a quality control or phan-tom image. The phan-tom device in the image can be described using the Device Module. See C.7.6.12

Not provided

Burned In Annotati-on

(0028,0301) 3 Indicates whether or not image contains suf-ficient burned in anno-tation to identify the patient and date the image was acquired. Enumerated Values: YES NO If this Attribute is ab-sent, then the image may or may not contain

Not provided

SagiPlan 2.0


burned in annotation.

Lossy Image Com-pression

(0028,2110) 3 Specifies whether an Image has undergone lossy compression. Enumerated Values:

00 = Image has NOT been subjected to lossy com-pression.

01 = Image has been subjected to los-sy compression.

See C.7.6.1.1.5

Not provided

Lossy Image Com-pression Ratio

(0028,2112) 3 Describes the approxi-mate lossy compressi-on ratio(s) that have been applied to this image. See C.7.6.1.1.5 for further explanation. May be multivalued if successive lossy com-pression steps have been applied.

Notes: 1. For example, a compression ratio of 30:1 would be described in this Attribute with a sin-gle value of 30.

2. For historical reasons, the lossy compression ratio may also be de-scribed in Deriva-tion Description (0008,2111).

Not provided

Lossy Image Com-pression Method

(0028,2114) 3 A label for the lossy compression method(s) that have been applied to this image. See C.7.6.1.1.5 for further explanation. May be multivalued if successive lossy com-pression steps have been applied; the value order shall correspond to the values of Lossy Image Compression Ratio (0028,2112).

Note: For historical rea-sons, the lossy compression meth-od may also be de-scribed in Deriva-

Not provided

SagiPlan 2.0


tion Description (0008,2111).

Icon Image Se-quence

(0088,0200) 3 This icon image is re-presentative of the Image. Only a single Item shall be permitted in this Sequence.

Not provided

> Include ‘Image Pixel Macro’ Table C.7-11b

See C.7.6.1.1.6 for further explanation.

Presentation LUT Shape

(2050,0020) 3 When present, spe-cifies an identity trans-formation for the Presentation LUT such that the output of all grayscale transforma-tions, if any, are defined to be in P-Values. Enumerated Values are: IDENTITY - output is in P-Values - shall be used if Photometric In-terpretation (0028,0004) is MONOCHROME2 or any color photometric interpretation. INVERSE - output after inversion is in P-Values - shall be used if Pho-tometric Interpretation (0028,0004) is MONOCHROME1. When this attribute is used with a color pho-tometric interpretation then the luminance component is in P-Values.

Not provided

Irradiation Event UID

(0008,3010) 3 Unique identification of the irradiation event(s) associated with the ac-quisition of this image. See C.7.6.1.1.7.

Not provided

7.1.1.9 Image Plane Module

The Image Plane Module is used in the context of the RT Dose IOD for the export of the dose grid.

SagiPlan 2.0


Table ‎7-9

IMAGE PLANE MODULE ATTRIBUTES


Pixel Spacing (0028,0030) 1 Physical distance in the patient between the center of each pixel, specified by a numeric pair - adjacent row spacing (delimiter) ad-jacent column spacing in mm. See 10.7.1.3 for further explanation.

Dose matrix raster in x- and y-direction

Image Orientation (Patient)

(0020,0037) 1 The direction cosines of the first row and the first column with respect to the patient. See C.7.6.2.1.1 for further explanation.

Direction cosines of the dose matrix with respect to the DICOM patient sys-tem

Image Position (Pa-tient)

(0020,0032) 1 The x, y, and z coordi-nates of the upper left hand corner (center of the first voxel transmit-ted) of the image, in mm. See C.7.6.2.1.1 for further explanation.

Position of the upper left hand corner of the dose matrix with respect to the DICOM patient sys-tem

Slice Thickness (0018,0050) 2 Nominal slice thick-ness, in mm.

Dose matrix raster in z-direction

Slice Location (0020,1041) 3 Relative position of the image plane expressed in mm. C.7.6.2.1.2 for further explanation.

Not provided

7.1.1.10 Image Pixel Module

The Image Pixel Module is used in the context of the RT Dose IOD for the export of the dose grid. The transferred dose values are related to the transferred dwell times, which are specified in the referenced RT Plan IOD or the referenced fraction group within the referenced RT Plan IOD. Important notice: The dose values are limited to the maximum value of 15,000.00 Gray (fifteen thousand Gray).

SagiPlan 2.0


Table ‎7-10

IMAGE PIXEL MODULE ATTRIBUTES


Samples per Pixel (0028,0002) 1 Number of samples (planes) in this image. See C.7.6.3.1.1 for further explanation.

See RT Dose Module

Photometric Inter-pretation

(0028,0004) 1 Specifies the intended interpretation of the pi-xel data. See C.7.6.3.1.2 for further explanation.

See RT Dose Module

Rows (0028,0010) 1 Number of rows in the image.

Resolution of dose matrix in y-direction

Columns (0028,0011) 1 Number of columns in the image

Resolution of dose matrix in x-direction

Bits Allocated (0028,0100) 1 Number of bits allo-cated for each pixel sample. Each sample shall have the same number of bits allo-cated. See PS 3.5 for further explanation.

See RT Dose Module

Bits Stored (0028,0101) 1 Number of bits stored for each pixel sample. Each sample shall have the same number of bits stored. See PS 3.5 for further explanation.

See RT Dose Module

High Bit (0028,0102) 1 Most significant bit for pixel sample data. Each sample shall have the same high bit. See PS 3.5 for further explana-tion.

See RT Dose Module

Pixel Representati-on

(0028,0103) 1 Data representation of the pixel samples. Each sample shall have the same pixel representa-tion. Enumerated Valu-es: 0000H = unsig-ned integer. 0001H = 2's complement

See RT Dose Module

Pixel Data (7FE0,0010) 1C A data stream of the pixel samples that comprise the Image. See C.7.6.3.1.4 for further explanation. Required if Pixel Data

Dose values of the dose matrix. (The values are limited to the maximum value of 15,000.00 Gray).

SagiPlan 2.0


Provider URL (0028,7FE0) is not present.

Planar Configurati-on

(0028,0006) 1C Indicates whether the pixel data are sent co-lor-by-plane or color-by-pixel. Required if Samp-les per Pixel (0028,0002) has a va-lue greater than 1. See C.7.6.3.1.3 for further explanation.

Not provided

Pixel Aspect Ratio (0028,0034) 1C Ratio of the vertical size and horizontal size of the pixels in the image specified by a pair of integer values where the first value is the ver-tical pixel size, and the second value is the ho-rizontal pixel size. Re-quired if the aspect ratio values do not have a ratio of 1:1 and the physical pixel spacing is not specified by Pixel Spacing (0028,0030), or Imager Pixel Spacing (0018,1164) or Nominal Scanned Pixel Spacing (0018,2010), either for the entire Image or per-frame in a Functional Group Macro. See C.7.6.3.1.7.

Not provided

Smallest Image Pi-xel Value

(0028,0106) 3 The minimum actual pixel value encountered in this image.

Not provided

Largest Image Pixel Value

(0028,0107) 3 The maximum actual pixel value encountered in this image.

Not provided

Red Palette Color Lookup Table Descriptor

(0028,1101) 1C Specifies the format of the Red Palette Color Lookup Table Data (0028,1201) Required if Photometric Interpreta-tion (0028,0004) has a value of PALETTE COLOR or Pixel Presentation (0008,9205) at the

Not provided

SagiPlan 2.0


image level equals COLOR or MIXED. See C.7.6.3.1.5 for further explanation.

Green Palette Color Lookup Table Descriptor

(0028,1102) 1C Specifies the format of the Green Palette Color Lookup Table Data (0028,1202) Required if Photometric Interpreta-tion (0028,0004) has a value of PALETTE COLOR or Pixel Presentation (0008,9205) at the image level equals COLOR or MIXED. See C.7.6.3.1.5 for further explanation.

Not provided

Blue Palette Color Lookup Table Descriptor

(0028,1103) 1C Specifies the format of the Blue Palette Color Lookup Table Data (0028,1203) Required if Photometric Interpreta-tion (0028,0004) has a value of PALETTE COLOR or Pixel Presentation (0008,9205) at the image level equals COLOR or MIXED. See C.7.6.3.1.5 for further explanation.

Not provided

Red Palette Color Lookup Table Data

(0028,1201) 1C Red Palette Color Lookup Table Data. Required if Photometric Interpretation (0028,0004) has a va-lue of PALETTE COLOR or Pixel Presentation (0008,9205) at the image level equals COLOR or MIXED. See C.7.6.3.1.6 for further explanation.

Not provided

Green Palette Color Lookup Table Data

(0028,1202) 1C Green Palette Color Lookup Table Data. Required if Photometric Interpretation (0028,0004) has a va-lue of PALETTE

Not provided

SagiPlan 2.0


COLOR or Pixel Presentation (0008,9205) at the image level equals COLOR or MIXED. See C.7.6.3.1.6 for further explanation.

Blue Palette Color Lookup Table Data

(0028,1203) 1C Blue Palette Color Lookup Table Data. Required if Photometric Interpretation (0028,0004) has a va-lue of PALETTE COLOR or Pixel Presentation (0008,9205) at the image level equals COLOR or MIXED. See C.7.6.3.1.6 for further explanation.

Not provided

ICC Profile (0028,2000) 3 An ICC Profile encoding the transformation of device-dependent color stored pixel values into PCS-Values. See Section C.11.15.1.1.1. When present, defines the color space of color Pixel Data (7FE0,0010) values, and the output of Palette Color Lookup Table Data (0028,1201-1203).

Note: The profile applies only to the Pixel Data (7FE0,0010) attribute at the same level of the dataset and not to any icons nested within sequences, which may or may not have their own ICC profile speci-fied.

Not provided

Pixel Data Provider URL (0028,7FE0) 1C A URL of a provider service that supplies the pixel data of the Image. Required if the image is to be transferred in one of the following presen-tation contexts identifi-

Not provided

SagiPlan 2.0


ed by Transfer Syntax UID: 1.2.840.10008.1.2.4.94 (DICOM JPIP Refe-renced Transfer Syn-tax) 1.2.840.10008.1.2.4.95 (DICOM JPIP Refe-renced Deflate Transfer Syntax)

Pixel Padding Range Limit

(0028,0121) 1C Pixel value that re-presents one limit (in-clusive) of a range of padding values used together with Pixel Padding Value (0028,0120) as defined in the General Equipment Module. See C.7.5.1.1.2 for further explanation. Required if pixel pad-ding is to be defined as a range rather than a single value. Notes: 1. The Value Representation of this Attribute is determined by the value of Pixel Representation (0028,0103). 2. Pixel Padding Value (0028,0120) is also required when this Attribute is present.

Not provided

7.1.1.11 Multi Frame Module

The Multi Frame Module is used in the context of the RT Dose IOD for the export of the dose grid.

Table ‎7-11

MULTI-FRAME MODULE ATTRIBUTES

Attribute Name Tag Ty-pe

Attribute Description Comment

Number of Frames (0028,0008) 1 Number of frames in a Multi-frame Image. See C.7.6.6.1.1 for further explanation.

Resolution of dose matrix in z-direction

SagiPlan 2.0


Frame Increment Pointer

(0028,0009) 1 Contains the Data Element Tag of the attribute that is used as the frame increment in Multi-frame pixel data. See C.7.6.6.1.1 for further explanation.

Always Tag (3004,000C)

7.1.1.12 RT Series Module

Table ‎7-12

RT SERIES MODULE ATTRIBUTES


Modality (0008,0060) 1 Type of equipment that originally acquired the data. Enumerated Va-lues: RTIMAGE = RT Image RTDOSE = RT Dose RTSTRUCT = RT Structure Set RTPLAN = RT Plan RTRECORD = RT Tre-atment Record See C.8.8.1.1.

RTDOSE, RTSTRUCT or RTPLAN

Series Instance UID (0020,000E) 1 Unique identifier of the series.

Always

Series Number (0020,0011) 2 A number that identifies this series.

Always

Series Description (0008,103E) 3 User provided descrip-tion of the series.

Not provided

Referenced Perfor-med Procedure Step Sequence

(0008,1111) 3 Uniquely identifies the Performed Procedure Step SOP Instance to which the Series is rela-ted (e.g. a Modality or General-Purpose Per-formed Procedure Step SOP Instance). One or more items may be in-cluded in this se-quence.

Not provided

Request Attributes Sequence

(0040,0275) 3 Sequence that contains attributes from the Ima-ging Service Request. The sequence may ha-ve one or more Items.

Not provided

SagiPlan 2.0


7.1.1.13 RT Dose Module

Table ‎7-13

RT DOSE MODULE ATTRIBUTES


Samples per Pixel (0028,0002) 1C Number of samples (planes) in this image. See C.8.8.3.4.1 for specialization. Requi-red if Pixel Data (7FE0,0010) is present.

Always 1


(0028,0004) 1C Specifies the intended interpretation of the pixel data. See C.8.8.3.4.2 for speciali-zation. Required if Pixel Data (7FE0,0010) is present.

Always MONOCHROME2

Bits Allocated (0028,0100) 1C Number of bits allo-cated for each pixel sample. Each sample shall have the same number of bits allo-cated. See C.8.8.3.4.3 for specialization. Re-quired Pixel Data (7FE0,0010) is present.

Always 32

Bits Stored (0028,0101) 1C Number of bits stored for each pixel sample. Each sample shall ha-ve the same number of bits stored. See C.8.8.3.4.4 for speciali-zation. Required if Pixel Data (7FE0,0010) is present.

Always 32

High Bit (0028,0102) 1C Most significant bit for each pixel sample. Each sample shall ha-ve the same high bit. See C.8.8.3.4.5 for specialization. Requi-red if Pixel Data (7FE0,0010) is present.

Always 31

Pixel Representati- (0028,0103) 1C Data representation of Always 0

SagiPlan 2.0


on the pixel samples. Each sample shall ha-ve the same pixel re-presentation. See C.8.8.3.4.6 for speciali-zation. Required Pixel Data (7FE0,0010) is present.

Dose Units (3004,0002) 1 Units used to describe dose. Enumerated Values: GY = Gray RELATIVE = dose rela-tive to implicit reference value

Always GY

Dose Type (3004,0004) 1 Type of dose. Defined Terms: PHYSICAL = physical dose EFFECTIVE = physical dose after correction for biological effect u-sing user-defined mo-deling technique ERROR = difference between desired and planned dose

Always PHYSICAL

Instance Number (0020,0013) 3 A number that identifies this object instance.

Not provided

Dose Comment (3004,0006) 3 User-defined com-ments for dose data.

Not provided

Normalization Point (3004,0008) 3 Coordinates (x, y, z) of normalization point in the patient based coor-dinate system descri-bed in C.7.6.2.1.1 (mm). See C.8.8.3.1.

Not provided

Dose Summation Type

(3004,000A) 1 Type of dose summati-on. Defined Terms: PLAN = dose calcula-ted for entire RT Plan FRACTION = dose cal-culated for a single Fraction Group within RT Plan BEAM = dose calcula-ted for one or more Beams within RT Plan BRACHY = dose calcu-lated for one or more

Depends on the SagiPlan “Treatment -> Fractions” set-tings: See ‎7.1.1.13.1Dose Summation Type

SagiPlan 2.0


Brachy Application Setups within RT Plan CONTROL_POINT = dose calculated for one or more Control Points within a Beam

Referenced RT Plan Sequence

(300C,0002) 1C Introduces sequence of one Class/Instance pair describing RT Plan associated with dose. Required if Dose Summation Type (3004,000A) is PLAN, FRACTION, BEAM, BRACHY or CONTROL_POINT. Only a single item shall be permitted in this se-quence. See Note 1.

Sequence with one single item. The item includes the refe-rence to the corres-ponding RT Plan IOD, which is ex-ported at the same time as the RT Dose IOD.

>Include ‘SOP Instance Reference Macro' Table 10-11

>Referenced Frac-tion Group Se-quence

(300C,0020) 1C Sequence of one Fraction Group containing beams or brachy application setups con-tributing to dose. Required if Dose Summation Type (3004,000A) is FRACTION, BEAM, BRACHY, FRACTION_SESSION, BEAM_SESSION, BRACHY_SESSION or CONTROL_POINT. Only a single Item shall be included in this Se-quence. See Note 1.

Depends on the SagiPlan “Treatment -> Fractions” set-tings: See ‎7.1.1.13.2Referenced Fraction Group Se-quence

>>Referenced Frac-tion Group Number

(300C,0022) 1 Uniquely identifies Fraction Group spe-cified by Fraction Group Number (300A,0071) in Fraction Group Sequence of RT Fraction Scheme Mo-dule within RT Plan referenced in Refe-renced RT Plan Se-quence (300C,0002).

Not provided or 1

>>Referenced Beam Sequence

(300C,0004) 1C Introduces sequence of Beams in current Frac-tion Group contributing to dose. Required if Dose Summation Type (3004,000A) is BEAM or CONTROL_POINT. One or more items may

Not provided

SagiPlan 2.0


be included in this se-quence.

>>>Referenced Beam Number

(300C,0006) 1 Uniquely identifies Beam specified by Beam Number (300A,00C0) in Beam Sequence of RT Beams Module within RT Plan referenced in Referenced RT Plan Sequence (300C,0002).

Not provided

>>>Referenced Control Point Se-quence

(300C,00F2) 1C Sequence defining the Control Points in cur-rent Beam contributing to dose. Required if Dose Summation Type (3004,000A) is CONTROL_POINT. Only a single item shall be present in this se-quence.

Not provided

>>>>Referenced Start Control Point Index

(300C,00F4) 1 Identifies Control Point specified by Control Point Index (300A,0112) within Beam referenced by Referenced Beam Number (300C,0006). This is the first of the two Control Points from which the Dose contri-bution to the Control Point can be calcula-ted.

Not provided

>>>>Referenced Stop Control Point Index

(300C,00F6) 1 Identifies Control Point specified by Control Point Index (300A,0112) within Beam referenced by Referenced Beam Number (300C,0006). This is the second of the two Control Points from which the Dose contribution to the Con-trol Point can be calcu-lated. The Control Point Index (300A,0112) refe-

Not provided

SagiPlan 2.0


renced by Referenced Stop Control Point In-dex (300C,00F6) shall be the Control Point Index (300A,0112) im-mediately following the Control Point Index (300A,0112) refe-renced by Referenced Start Control Point In-dex (300C,00F4) within the Referenced Beam Number (300C,0006).

>>Referenced Brachy Application Setup Sequence

(300C,000A) 1C Introduces sequence of Brachy Application Setups in current Frac-tion Group contributing to dose. Required if Dose Summation Type (3004,000A) is BRACHY. One or more items may be included in this sequence.

Not provided

>>>Referenced Brachy Application Setup Number

(300C,000C) 1 Uniquely identifies Brachy Application Setup specified by Brachy Application Setup Number (300A,0234) in Brachy Application Setup Se-quence (300A,0230) of RT Brachy Application Setups Module within RT Plan referenced in Referenced RT Plan Sequence (300C,0002).

Not provided

Grid Frame Offset Vector

(3004,000C) 1C An array which con-tains the dose image plane offsets (in mm) of the dose image frames in a multi-frame dose. Required if multi-frame pixel data are present and Frame Increment Pointer (0028,0009) points to Grid Frame Offset Vector (3004,000C). See C.8.8.3.2.

Always

Dose Grid Scaling (3004,000E) 1 Scaling factor that Always 1e-4

SagiPlan 2.0


when multiplied by the dose grid data found in the Pixel Data (7FE0,0010) attribute of the Image Pixel Mo-dule, yields grid doses in the dose units as specified by Dose Units (3004,0002).

Tissue Heterogenei-ty Correction

(3004,0014) 3 Specifies a list of pati-ent heterogeneity cha-racteristics used for calculating dose. This Atttibute shall be multi-valued if beams used to compute the dose have differing correc-tion techniques. Enu-merated Values: IMAGE = image data ROI_OVERRIDE = one or more ROI densities override image or water values where they exist WATER = entire volume treated as wa-ter equivalent

Always WATER

7.1.1.13.1 Dose Summation Type

Table ‎7-14

Dose Summation Type

SagiPlan “Treatment -> Frac-tions” settings

Dose Summation Type

Comment

Planned Dose for All Fractions Number Of Fractions = N

PLAN The dose values represent the summation of all N fractions.

Planned Dose for One Fraction On-ly Number Of Fractions = N

FRACTION_SESSION

The dose values represent one fraction only.

7.1.1.13.2 Referenced Fraction Group Sequence

SagiPlan 2.0


Table ‎7-15

Referenced Fraction Group Sequence

SagiPlan “Treatment -> Fractions” settings Referenced Fraction Group Sequence

Planned Dose for All Fractions Not provided

Planned Dose for One Fraction The Sequence consists of one single item. The item references the first and only fraction group of the referenced RT Plan, i.e. tag “Referenced Fraction Group Number” is always 1.

7.1.1.14 RT DVH Module

Table ‎7-16

RT DVH MODULE ATTRIBUTES


Referenced Structure Set Sequence

(300C,0060) 1 Introduces sequence of one class/instance pair describing Structure Set containing structures which are used to calcu-late Dose-Volume Histo-grams (DVHs). Only a single item shall be per-mitted in this sequence. See C.8.8.4.1.

Reference to the cor-responding RT Struc-ture Set IOD, which was exported simulta-neously

>Include ‘SOP In-stance Reference Macro' Table 10-11

DVH Normalization Point

(3004,0040) 3 Coordinates (x, y, z) of common DVH normali-zation point in the patient based coordinate system described in C.7.6.2.1.1 (mm).

Not provided

DVH Normalization Dose Value

(3004,0042) 3 Dose Value at DVH Normalization Point (3004,0040) used as reference for individual DVHs when Dose Units (3004,0002) is RELATIVE.

Not provided

DVH Sequence (3004,0050) 1 Introduces sequence of DVHs. One or more

Sequence, consisting of one item for each structure with a structure volume

SagiPlan 2.0


items may be included in this sequence.

greater than zero

>DVH Referenced ROI Sequence

(3004,0060) 1 Introduces sequence of referenced ROIs used to calculate DVH. One or more items may be in-cluded in this sequence.

Sequence with one item. Reference to the corre-sponding structure

>>Referenced ROI Number

(3006,0084) 1 Uniquely identifies ROI used to calculate DVH specified by ROI Num-ber (3006,0022) in Struc-ture Set ROI Sequence (3006,0020) in Structure Set Module within RT Structure Set referenced by referenced RT Plan in Referenced RT Plan Se-quence (300C,0002) in RT Dose Module.

Number in the range 0..12

>>DVH ROI Contribu-tion Type

(3004,0062) 1 Specifies whether volu-me within ROI is in-cluded or excluded in DVH. See C.8.8.4.2. Enumerated Values: INCLUDED, EXCLUDED.

Always INCLUDED

>DVH Type (3004,0001) 1 Type of DVH. Enumerated Values: DIFFERENTIAL = diffe-rential dose-volume his-togram CUMULATIVE = cumula-tive dose-volume histo-gram NATURAL = natural do-se volume histogram

Always CUMULATIVE

>Dose Units (3004,0002) 1 Dose axis units. Enumerated Values: GY = Gray RELATIVE = dose relati-ve to reference value specified in DVH Norma-lization Dose Value (3004,0042)

Always GY

>Dose Type (3004,0004) 1 Type of dose. Defined Terms: PHYSICAL = physical dose EFFECTIVE = physical dose after correction for biological effect using

Always PHYSICAL

SagiPlan 2.0


user-defined modeling technique ERROR = difference between desired and planned dose

>DVH Dose Scaling (3004,0052) 1 Scaling factor that when multiplied by the dose bin widths found in DVH Data (3004,0058), yields dose bin widths in the dose units as specified by Dose Units (3004,0002).

Always 1.0

>DVH Volume Units (3004,0054) 1 Volume axis units. Defined Terms: CM3 = cubic centimeters PERCENT = percent PER_U= volume per u with u(dose)=dose-3/2. See C.8.8.4.3.

Always CM3

>DVH Number of Bins (3004,0056) 1 Number of bins n used to store DVH Data (3004,0058).

Always 256

>DVH Data (3004,0058) 1 A data stream describing the dose bin widths Dn

and associated volumes Vn in DVH Volume Units

(3004,0054) in the order D1V1, D2V2, ... DnVn.

Note: DVH Data arrays may not be properly encoded if Explicit-VR transfer syntax is used and the VL of this attribute ex-ceeds 65534 bytes.

Always

>DVH Minimum Dose (3004,0070) 3 Minimum calculated do-se to ROI(s) described by DVH Referenced ROI Sequence (3004,0060).

Always

>DVH Maximum Dose (3004,0072) 3 Maximum calculated dose to ROI(s) described by DVH Referenced ROI Sequence (3004,0060).

Always

>DVH Mean Dose (3004,0074) 3 Mean calculated dose to ROI(s) described by DVH Referenced ROI Sequence (3004,0060).

Not provided

SagiPlan 2.0


7.1.1.15 Structure Set Module

7.1.1.15.1 Structure Set Module for the RT Structure Set IOD:

Table ‎7-17

STRUCTURE SET MODULE ATTRIBUTES


Structure Set Label (3006,0002) 1 User-defined label for Structure Set.

Always “SagiPlan 2.0 RT”

Structure Set Name (3006,0004) 3 User-defined name for Structure Set.

Not provided

Structure Set Description

(3006,0006) 3 User-defined description for Structure Set.

Not provided


Not provided

Structure Set Date (3006,0008) 2 Date at which Structure Set was last modified.


Structure Set Time (3006,0009) 2 Time at which Structure Set was last modified.


Referenced Frame of Reference Sequence

(3006,0010) 3 Introduces sequence of items describing Frames of Reference in which the ROIs are defined. One or more items may be included in this se-quence. See C.8.8.5.1.

Always.

>Frame of Reference UID

(0020,0052) 1 Uniquely identifies Fra-me of Reference within Structure Set.

Always

>RT Referenced Study Sequence

(3006,0012) 3 Sequence of Studies con-taining series to be refer-

enced.

One or more Items are permitted in this Se-

quence.

See Section C.8.8.5.4.

In case the related Frame of Reference is derived from a DICOM

image series.

>>Include Table 10-11 “SOP Instance Reference Macro Attributes” In case the related Frame of Reference is

derived from a DICOM image series.

>>RT Referenced Se-ries Sequence

(3006,0014) 1 Sequence describing se-ries of images within the referenced study that are

used in defining the Struc-ture Set.

One or more Items shall be included in this Se-

quence.


image series.

>>>Series Instance

UID

(0020,000E) 1 Unique identifier for the

series containing the im-ages.

In case the related

Frame of Reference is derived from a DICOM

SagiPlan 2.0


image series.

>>>Contour Image Sequence

(3006,0016) 1 Sequence of items de-scribing images in a given series used in defining the

Structure Set (typically CT or MR images).

One or more Items shall be included in this Se-

quence.


image series.

>>>>Include ‘Image SOP Instance Reference Macro’ Table 10-3 In case the related Frame of Reference is derived from a DICOM image series.

Structure Set ROI Sequence

(3006,0020) 3 Introduces sequence of ROIs for current Struc-ture Set. One or more items may be included in this sequence.

Always. The sequence consists of one item for each structure with a structure volume greater than zero, one item for each applica-tor and one item to specify the isocenter for orthogonal studies.

>ROI Number (3006,0022) 1 Identification number of the ROI. The value of ROI Number (3006,0022) shall be unique within the Struc-ture Set in which it is created.

Always.

>Referenced Frame of Reference UID

(3006,0024) 1 Uniquely identifies Fra-me of Reference in which ROI is defined, specified by Frame of Reference UID (0020,0052) in Refe-renced Frame of Refe-rence Sequence (3006,0010).

Always

>ROI Name (3006,0026) 2 User-defined name for ROI.

Structure name or ap-plicator name

>ROI Description (3006,0028) 3 User-defined description for ROI.

Structure Comment or applicator type description

>ROI Volume (3006,002C) 3 Volume of ROI (cubic centimeters).

If ROI describes a structure, the volume will be sent. Otherwise the tag is not provided.

>ROI Generation Al-gorithm

(3006,0036) 2 Type of algorithm used to generate ROI. Defined Terms: AUTOMATIC = calcula-

Always empty

SagiPlan 2.0


ted ROI SEMIAUTOMATIC = ROI calculated with user as-sistance MANUAL = user-entered ROI

>ROI Generation Description

(3006,0038) 3 User-defined description of technique used to ge-nerate ROI.

Not provided

>Derivation Code Se-

quence

(0008,9215) 3 A coded description of

how this ROI was derived.


quence.

See Section C.8.8.5.3 for

further explanation.

Not provided

>>Include Table 8.8-1 “Code Sequence Macro

Attributes”.

Enumerated Value (113085, DCM, "Spatial resampling").

Predecessor Structure Set Sequence

(3006,0018) 3 The Structure Set that has been used to derive the current Structure Set.

Only a single item is per-mitted in this Sequence.

Not provided

>Include Table 10-11 “SOP Instance Refer-

ence Macro Attributes”

>Derivation Code Se-quence

(0008,9215) 3 A coded description of how this ROI was derived.


quence.

See Section C.8.8.5.3 for further explanation.

7.1.1.15.2 Structure Set Module for the RT Dose IOD:

Note: The Module is used in the context of the RT Dose IOD to specify dose control points.

Table ‎7-18

STRUCTURE SET MODULE ATTRIBUTES


Structure Set Label (3006,0002) 1 User-defined label for Structure Set.

Always “DSPoints”

Structure Set Name (3006,0004) 3 User-defined name for Structure Set.

Not provided

Structure Set Description

(3006,0006) 3 User-defined description for Structure Set.

Not provided

SagiPlan 2.0



Not provided

Structure Set Date (3006,0008) 2 Date at which Structure Set was last modified.


Structure Set Time (3006,0009) 2 Time at which Structure Set was last modified.


Referenced Frame of Reference Sequence

(3006,0010) 3 Introduces sequence of items describing Frames of Reference in which the ROIs are defined. One or more items may be included in this se-quence. See C.8.8.5.1.

Always

>Frame of Reference UID

(0020,0052) 1 Uniquely identifies Fra-me of Reference within Structure Set.

Always

>RT Referenced Study Sequence

(3006,0012) 3 Sequence of Studies con-taining series to be refer-

enced.


quence.

See Section C.8.8.5.4.

Not provided

>>Include Table 10-11 “SOP Instance Reference Macro Attributes”

>>RT Referenced Series Sequence

(3006,0014) 1 Sequence describing series of images within the referenced study that are used in defining the Structure Set.

One or more Items shall be in-cluded in this Sequence.

>>>Series Instance UID (0020,000E) 1 Unique identifier for the series containing the images.

>>>Contour Image Se-quence

(3006,0016) 1 Sequence of items describing images in a given series used in defining the Structure Set (typi-cally CT or MR images).

One or more Items shall be in-cluded in this Sequence.

>>>>Include Table 10-3 “Image SOP Instance Reference Macro Attri-butes”

Structure Set ROI Sequence

(3006,0020) 3 Introduces sequence of ROIs for current Struc-ture Set. One or more items may be included in this sequence.

Always. The sequence consists of one item for each dose specifi-cation point

>ROI Number (3006,0022) 1 Identification number of the ROI. The value of ROI Number (3006,0022) shall be unique within the Struc-ture Set in which it is

Always, starting with 1.

SagiPlan 2.0


created.

>Referenced Frame of Reference UID

(3006,0024) 1 Uniquely identifies Fra-me of Reference in which ROI is defined, specified by Frame of Reference UID (0020,0052) in Refe-renced Frame of Refe-rence Sequence (3006,0010).

Always

>ROI Name (3006,0026) 2 User-defined name for ROI.

Always

>ROI Description (3006,0028) 3 User-defined description for ROI.

Not provided

>ROI Volume (3006,002C) 3 Volume of ROI (cubic centimeters).

Not provided

>ROI Generation Al-gorithm

(3006,0036) 2 Type of algorithm used to generate ROI. Defined Terms: AUTOMATIC = calcula-ted ROI SEMIAUTOMATIC = ROI calculated with user as-sistance MANUAL = user-entered ROI

Always empty

>ROI Generation Description

(3006,0038) 3 User-defined description of technique used to ge-nerate ROI.

Not provided

>Derivation Code Se-quence

(0008,9215) 3 A coded description of how this ROI was derived.


quence.

See Section C.8.8.5.3 for further explanation.

Not provided

>>Include Table 8.8-1 “Code Sequence Macro Attributes”.

Enumerated Value (113085, DCM, "Spatial

resampling").

Predecessor Structure Set Sequence

(3006,0018) 3 The Structure Set that has been used to derive the

current Structure Set.

Only a single item is per-mitted in this Sequence.

>Include Table 10-11 “SOP Instance Reference Macro Attributes”

7.1.1.16 ROI Contour Module

7.1.1.16.1 Structure Set Module for the RT Structure Set IOD:

SagiPlan 2.0


Table ‎7-19

ROI CONTOUR MODULE ATTRIBUTES


ROI Contour Se-quence

(3006,0039) 1 Introduces sequence of Contour Sequences de-fining ROIs. One or more items may be included in this sequence.

Always. The sequence consists of one item for each structure with a structure volume greater than zero, one item for each applica-tor and one item to specify the isocenter in orthogonal studies.

>Referenced ROI Number

(3006,0084) 1 Uniquely identifies the referenced ROI descri-bed in the Structure Set ROI Sequence (3006,0020).

Always

>ROI Display Color (3006,002A) 3 RGB triplet color re-presentation for ROI, specified using the range 0-255.

RGB Color of the con-tour or applicator as defined in SagiPlan

>Contour Sequence (3006,0040) 3 Introduces sequence of Contours defining ROI. One or more items may be included in this se-quence.

Always.

>>Contour Number (3006,0048) 3 Identification number of the contour. The value of Contour Number (3006,0048) shall be unique within the Con-tour Sequence (3006,0040) in which it is defined. No semantics or ordering shall be inferred from this attribute.

Always

>>Attached Contours (3006,0049) 3 List of Contour Number (3006,0048) defining lo-wer-numbered contour(s) to which the current con-tour is connected.

Not provided

>>Contour Image Sequence

(3006,0016) 3 Introduces sequence of images containing the contour. One or more items may be included in this sequence.

Not provided

>>>Include ‘Image SOP Instance Reference Macro’ Table 10-3

>>Contour Geometric Type

(3006,0042) 1 Geometric type of con-tour. See C.8.8.6.1.

CLOSED_PLANAR for contours.

SagiPlan 2.0


Enumerated Values: POINT = single point OPEN_PLANAR = open contour containing co-planar points OPEN_NONPLANAR = open contour containing non-coplanar points CLOSED_PLANAR = closed contour (polygon) containing coplanar points

OPEN_NONPLANAR for applicators. POINT for the isocen-ter.

>>Contour Slab Thickness

(3006,0044) 3 Thickness of slab (in mm) represented by con-tour, where the Contour Data (3006,0050) defi-nes a plane in the center of the slab, offset by the Contour Offset Vector (3006,0045) if it is present. See C.8.8.6.2.

Not provided

>>Contour Offset Vector

(3006,0045) 3 Vector (x,y,z) in the the patient based coordinate system described in C.7.6.2.1.1 which is normal to plane of Con-tour Data (3006,0050), describing direction and magnitude of the offset (in mm) of each point of the central plane of a contour slab from the corresponding original point of Contour Data (3006,0050). See C.8.8.6.2.

Not provided

>>Number of Con-tour Points

(3006,0046) 1 Number of points (triplets) in Contour Data (3006,0050).

Always

>>Contour Data (3006,0050) 1 Sequence of (x,y,z) triplets defining a contour in the patient based coordinate system described in C.7.6.2.1.1 (mm). See C.8.8.6.1 and C.8.8.6.3. Note: Contour Data may not be properly encoded if Explicit-VR transfer syntax is used and the VL of this attribute

Always

SagiPlan 2.0


exceeds 65534 bytes.

7.1.1.16.2 Structure Set Module for the Dose IOD:

Note: The Module is used in the context of the RT Dose IOD to specify dose control points.

Table ‎7-20

ROI CONTOUR MODULE ATTRIBUTES


ROI Contour Se-quence

(3006,0039) 1 Introduces sequence of Contour Sequences de-fining ROIs. One or more items may be included in this sequence.

Always. The sequence consists of one item for each dose specifi-cation point.



Always

>ROI Display Color (3006,002A) 3 RGB triplet color re-presentation for ROI, specified using the range 0-255.

RGB Color of the dose specification point as defined in SagiPlan

>Contour Sequence (3006,0040) 3 Introduces sequence of Contours defining ROI. One or more items may be included in this se-quence.

Always.

>>Contour Number (3006,0048) 3 Identification number of the contour. The value of Contour Number (3006,0048) shall be unique within the Con-tour Sequence (3006,0040) in which it is defined. No semantics or ordering shall be inferred from this attribute.

Always

>>Attached Contours (3006,0049) 3 List of Contour Number (3006,0048) defining lo-wer-numbered contour(s) to which the current con-tour is connected.

Not provided

>>Contour Image Sequence

(3006,0016) 3 Introduces sequence of images containing the contour. One or more items may be included in this sequence.

Not provided

SagiPlan 2.0


>>>Include ‘Image SOP Instance Reference Macro’ Table 10-3

>>Contour Geometric Type

(3006,0042) 1 Geometric type of con-tour. See C.8.8.6.1. Enumerated Values: POINT = single point OPEN_PLANAR = open contour containing co-planar points OPEN_NONPLANAR = open contour containing non-coplanar points CLOSED_PLANAR = closed contour (polygon) containing coplanar points

Always POINT

>>Contour Slab Thickness

(3006,0044) 3 Thickness of slab (in mm) represented by con-tour, where the Contour Data (3006,0050) defi-nes a plane in the center of the slab, offset by the Contour Offset Vector (3006,0045) if it is present. See C.8.8.6.2.

Not provided

>>Contour Offset Vector

(3006,0045) 3 Vector (x,y,z) in the the patient based coordinate system described in C.7.6.2.1.1 which is normal to plane of Con-tour Data (3006,0050), describing direction and magnitude of the offset (in mm) of each point of the central plane of a contour slab from the corresponding original point of Contour Data (3006,0050). See C.8.8.6.2.

Not provided

>>Number of Con-tour Points

(3006,0046) 1 Number of points (triplets) in Contour Data (3006,0050).

Always 1

>>Contour Data (3006,0050) 1 Sequence of (x,y,z) triplets defining a contour in the patient based coordinate system described in C.7.6.2.1.1 (mm). See C.8.8.6.1 and C.8.8.6.3. Note: Contour Data may not be properly encoded

Coordinates of the dose specification point with respect to the coordinate system of the referenced Frame of Reference.

SagiPlan 2.0


if Explicit-VR transfer syntax is used and the VL of this attribute exceeds 65534 bytes.

7.1.1.17 RT Dose ROI Module

Table ‎7-21

RT DOSE ROI MODULE ATTRIBUTES


RT Dose ROI Se-quence

(3004,0010) 1 Introduces sequence of items specifying dose levels for isodose curves or dose points described in the ROI module. One or more items may be included in this se-quence. See C.8.8.7.1.

Always. The sequence consists of one item for each dose specifi-cation point


(3006,0084) 1 Uniquely identifies the referenced ROI within the current RT Dose. See Note 1 and C.8.8.7.2.

Supported

>Dose Units (3004,0002) 1 Units used for ROI Dose. Enumerated Values: GY = Gray RELATIVE = dose relati-ve to implicit reference value

Always GY

>Dose Value (3004,0012) 1 Dose value for ROI, in units defined by Dose Units (3004,0002). See C.8.8.7.3.

Dose of the dose spe-cification point. See ‎7.1.1.17.1Dose Value

7.1.1.17.1 Dose Value

The transferred dose values are the dose for one fraction or for multiple fractions depend-ent on the setting for tag (3004, 000A) Dose Summation Type:

FRACTION_SESSION: Dose is for one fraction only

PLAN: Dose is for multiple fractions.

7.1.1.18 RT ROI Observations Module

SagiPlan 2.0


Table ‎7-22

RT ROI OBSERVATIONS MODULE ATTRIBUTES


RT ROI Observations Sequence

(3006,0080) 1 Introduces sequence of observations related to ROIs defined in the ROI Module. One or more items may be included in this sequence.

Always. The sequence consists of one item for each structure with a structure volume greater than zero, one item for each applica-tor and one item to specify the isocenter in orthogonal studies.

>Observation Num-ber

(3006,0082) 1 Identification number of the Observation. The value of Observation Number (3006,0082) shall be unique within the RT ROI Observations Sequence (3006,0080).

Always



Always

>ROI Observation Label

(3006,0085) 3 User-defined label for ROI Observation.

Not Provided

>ROI Observation Description

(3006,0088) 3 User-defined description for ROI Observation.

Not Provided

>RT Related ROI Sequence

(3006,0030) 3 Introduces sequence of significantly related ROIs, e.g. CTVs contai-ned within a PTV. One or more items may be in-cluded in this sequence.

Not Provided

>>Referenced ROI Number

(3006,0084) 1 Uniquely identifies the related ROI described in the Structure Set ROI Sequence (3006,0020).

>>RT ROI Relations-hip

(3006,0033) 3 Relationship of refe-renced ROI with respect to referencing ROI. Defined Terms: SAME = ROIs represent the same entity ENCLOSED = refe-renced ROI completely encloses referencing ROI ENCLOSING = referen-cing ROI completely en-closes referenced ROI

SagiPlan 2.0


>RT ROI Identificati-on Code Sequence

(3006,0086) 3 Introduces sequence containing Code used to identify ROI. If this se-quence is included, only one item shall be present. Baseline Context ID Number = 96. See Section 5.3 for further explanation.

Not Provided


Baseline Context ID is 96 .

>Related RT ROI Observations Se-quence

(3006,00A0) 3 Introduces sequence of related ROI Observati-ons. One or more items may be included in this sequence.

Not Provided

>>Observation Num-ber

(3006,0082) 1 Uniquely identifies a rela-ted ROI Observation.

>RT ROI Interpreted Type

(3006,00A4) 2 Type of ROI. See C.8.8.8.1. Defined Terms: EXTERNAL = external patient contour PTV = Planning Target Volume (as defined in ICRU50) CTV = Clinical Target Volume (as defined in ICRU50) GTV = Gross Tumor Vo-lume (as defined in ICRU50) TREATED_VOLUME = Treated Volume (as defi-ned in ICRU50) IRRAD_VOLUME = Irra-diated Volume (as defi-ned in ICRU50) BOLUS = patient bolus to be used for external beam therapy AVOIDANCE = region in which dose is to be mi-nimized ORGAN = patient organ MARKER = patient mar-ker or marker on a locali-zer REGISTRATION = re-gistration ROI ISOCENTER = treatment

PTV for the PTV struc-ture, BRACHY_SRC_APP for the applicators, ISOCENTER for the isocenter, otherwise empty

SagiPlan 2.0


isocenter to be used for external beam therapy CONTRAST_AGENT = volume into which a con-trast agent has been in-jected CAVITY = patient ana-tomical cavity BRACHY_CHANNEL = brachytherapy channel BRACHY_ACCESSORY = brachytherapy acces-sory device BRACHY_SRC_APP = brachytherapy source applicator BRACHY_CHNL_SHLD = brachytherapy channel shield SUPPORT = external patient support device FIXATION = external patient fixation or immo-bilisation device DOSE_REGION = ROI to be used as a dose reference CONTROL = ROI to be used in control of dose optimization and calcula-tion

>ROI Interpreter (3006,00A6) 2 Name of person perfor-ming the interpretation.

Empty

>Material ID (300A,00E1) 3 User-supplied identifier for ROI material.

Not provided

>ROI Physical Pro-perties Sequence

(3006,00B0) 3 Introduces sequence describing physical pro-perties associated with current ROI interpretati-on. One or more items may be included in this sequence.

Not provided

>>ROI Physical Pro-perty

(3006,00B2) 1 Physical property spe-cified by ROI Physical Property Value (3006,00B4). Defined Terms: REL_MASS_DENSITY = mass density relative to water REL_ELEC_DENSITY =

SagiPlan 2.0


electron density relative to water EFFECTIVE_Z = effecti-ve atomic number EFF_Z_PER_A = ratio of effective atomic number to mass (AMU-1) REL_STOP_RATIO = linear stopping power ratio relative to water ELEM_FRACTION = elemental composition of the material

>>ROI Elemental Composition Se-quence

(3006,00B6) 1C The elemental composi-tion of the ROI and the atomic mass fraction of the elements in the ROI. Required if ROI Physical Property (3006,00B2) equals ELEM_FRACTION. One or more items may be included in this se-quence.

>>>ROI Elemental Composition Atomic Number

(3006,00B7) 1 The atomic number of the element for which the ROI Elemental Composi-tion Sequence (3006,00B6) is sent.

>>>ROI Elemental Composition Atomic Mass Fraction

(3006,00B8) 1 The fractional weight of the element for which the ROI Elemental Composi-tion Sequence (3006,00B6) is sent. The sum of all ROI Ele-mental Composition Atomic Mass Fractions (3006,00B8) sent in the ROI Elemental Composi-tion Sequence (3006,00B6) shall equal 1.0 within acceptable limits of floating point precision.

>>ROI Physical Pro-perty Value

(3006,00B4) 1 User-assigned value for physical property.

7.1.1.19 RT General Plan Module

SagiPlan 2.0


Table ‎7-23

RT GENERAL PLAN MODULE ATTRIBUTES


RT Plan Label (300A,0002) 1 User-defined label for treatment plan.

Study unique id (He-xadecimal Number with 4 digits)

RT Plan Name (300A,0003) 3 User-defined name for treatment plan.

Study Name

RT Plan Description (300A,0004) 3 User-defined description of treatment plan.

Not provided


Not provided

RT Plan Date (300A,0006) 2 Date treatment plan was last modified.


RT Plan Time (300A,0007) 2 Time treatment plan was last modified.


Treatment Protocols (300A,0009) 3 Planned treatment proto-cols.

Not provided

Plan Intent (300A,000A) 3 Intent of this plan. Defined Terms: CURATIVE = curative therapy on patient PALLIATIVE = palliative therapy on patient PROPHYLACTIC = pre-ventative therapy on pa-tient VERIFICATION = verifi-cation of patient plan using phantom MACHINE_QA= Quality assurance of the delivery machine (independently of a specific patient) RESEARCH = Research project SERVICE = Machine repair or maintenance operation

Not provided

Treatment Sites (300A,000B) 3 Planned treatment sites. Not provided

RT Plan Geometry (300A,000C) 1 Describes whether RT Plan is based on patient or treatment device ge-ometry. See C.8.8.9.1. Defined Terms: PATIENT = RT Structure Set exists TREATMENT_DEVICE = RT Structure Set does not exist

Always PATIENT

SagiPlan 2.0


Referenced Structure Set Sequence

(300C,0060) 1C Introduces sequence of one Class/Instance pair describing instance of RT Structure Set on which the RT Plan is ba-sed. Only a single item shall be permitted in this sequence. Required if RT Plan Geometry (300A,000C) is PATIENT.

Reference to the cor-responding RT Struc-ture Set IOD, which was exported simulta-neously.


Referenced Dose Sequence

(300C,0080) 3 Introduces sequence of related SOP Class/Instance pairs describing related in-stances of RT Dose (for grids and named/unnamed point doses). One or more items may be included in this sequence. See Note 1.

Reference to the cor-responding RT Dose IOD, which was ex-ported simultaneously


Referenced RT Plan Sequence

(300C,0002) 3 Introduces sequence of related SOP Class/Instance pairs describing related in-stances of RT Plan. One or more items may be included in this se-quence.

Not provided


>RT Plan Relations-hip

(300A,0055) 1 Relationship of refe-renced plan with respect to current plan. Defined Terms: PRIOR = plan delivered prior to current treatment ALTERNATIVE = alter-native plan prepared for current treatment PREDECESSOR = plan used in derivation of cur-rent plan VERIFIED_PLAN = plan which is verified using the current plan. This value shall only be used if Plan Intent (300A,000A) is present

Not provided

SagiPlan 2.0


and has a value of VERIFICATION.

7.1.1.20 RT Fraction Scheme Module

Table ‎7-24

RT FRACTION SCHEME MODULE ATTRIBUTES


Fraction Group Se-quence

(300A,0070) 1 Introduces sequence of Fraction Groups in cur-rent Fraction Scheme. One or more items may be included in this se-quence.

Always. The sequence always consists of one single item.

>Fraction Group Number

(300A,0071) 1 Identification number of the Fraction Group. The value of Fraction Group Number (300A,0071) shall be unique within the RT Plan in which it is created.

Always

>Fraction Group Description

(300A,0072) 3 The user defined description for the frac-tion group.

Not provided

>Referenced Dose Sequence

(300C,0080) 3 Introduces sequence of related SOP Class/Instance pairs describing related in-stances of RT Dose (for grids, isodose curves and named/unnamed point doses). One or mo-re items may be included in this sequence. See Note 1.

Reference to the cor-responding RT Dose IOD, which was ex-ported simultaneously.

>>Include ‘SOP Instance Reference Macro' Table 10-11

>Referenced Dose Reference Sequence

(300C,0050) 3 Introduces sequence of Dose References for the current Fraction Group. One or more items may be included in this se-quence.

Always.

>>Referenced Dose Reference Number

(300C,0051) 1C Uniquely identifies Dose Reference specified by Dose Reference Number (300A,0012) within Dose Reference Sequence (300A,0010) in RT

Always.

SagiPlan 2.0


Prescription Module. Re-quired if Referenced Do-se Reference Sequence (300C,0050) is sent.

>>Constraint Weight (300A,0021) 3 Relative importance of satisfying constraint, where high values re-present more important constraints.

Not provided.

>>Delivery Warning Dose

(300A,0022) 3 The dose (in Gy) which when reached or excee-ded should cause some action to be taken.

Not provided.

>>Delivery Maximum Dose

(300A,0023) 3 The maximum dose (in Gy) which can be delive-red to the dose refe-rence.

Not provided.

>>Target Minimum Dose

(300A,0025) 3 Minimum permitted dose (in Gy) to Dose Refe-rence if Dose Reference Type (300A,0020) of re-ferenced Dose Refe-rence is TARGET.

Not provided.

>>Target Prescription Dose

(300A,0026) 3 Prescribed dose (in Gy) to Dose Reference if Do-se Reference Type (300A,0020) of refe-renced Dose Reference is TARGET.

Not provided.

>>Target Maximum Dose

(300A,0027) 3 Maximum permitted dose (in Gy) to Dose Refe-rence if Dose Reference Type (300A,0020) of re-ferenced Dose Refe-rence is TARGET.

Not provided.

>>Target Underdose Volume Fraction

(300A,0028) 3 Maximum permitted frac-tion (in percent) of Target to receive less than the Target Prescription Dose (300A,0027) if Dose Re-ference Type (300A,0020) of refe-renced Dose Reference is TARGET and Dose Reference Structure Ty-pe (300A,0014) of refe-renced Dose Reference is VOLUME.

Not provided.

>>Organ at Risk Full-volume Dose

(300A,002A) 3 Maximum dose (in Gy) to entire Dose Reference if Dose Reference Type

Not provided.

SagiPlan 2.0


(300A,0020) of refe-renced Dose Reference is ORGAN_AT_RISK and Dose Reference Structure Type (300A,0014) of refe-renced Dose Reference is VOLUME.

>>Organ at Risk Limit Dose

(300A,002B) 3 Maximum permitted dose (in Gy) to any part of Do-se Reference if Dose Reference Type (300A,0020) of refe-renced Dose Reference is ORGAN_AT_RISK and Dose Reference Structure Type (300A,0014) of refe-renced Dose Reference is VOLUME.

Not provided.

>>Organ at Risk Ma-ximum Dose

(300A,002C) 3 Maximum dose (in Gy) to non-overdosed part of Dose Reference if Dose Reference Type (300A,0020) of refe-renced Dose Reference is ORGAN_AT_RISK and Dose Reference Structure Type (300A,0014) of refe-renced Dose Reference is VOLUME.

Not provided.

>>Organ at Risk Overdose Volume Fraction

(300A,002D) 3 Maximum permitted frac-tion (in percent) of Organ at Risk to receive more than the Organ at Risk Maximum Dose if Dose Reference Type (300A,0020) of refe-renced Dose Reference is ORGAN_AT_RISK and Dose Reference Structure Type (300A,0014) of refe-renced Dose Reference is VOLUME.

Not provided.

>Number of Fractions Planned

(300A,0078) 2 Total number of treat-ments (Fractions) prescribed for current Fraction Group.

Always. Read from Treatment->Fractions->Number of Fractions

>Number of Fraction (300A,0079) 3 Number of digits in Frac- Not provided

SagiPlan 2.0


Pattern Digits Per Day

tion Pattern (300A,007B) used to represent one day. See Note 2.

>Repeat Fraction Cycle Length

(300A,007A) 3 Number of weeks nee-ded to describe treat-ment pattern. See Note 2.

Not provided

>Fraction Pattern (300A,007B) 3 String of 0's (no treat-ment) and 1's (treatment) describing treatment pat-tern. Length of string is 7 x Number of Fraction Pattern Digits Per Day x Repeat Fraction Cycle Length. Pattern shall start on a Monday. See Note 2.

Not provided

>Number of Beams (300A,0080) 1 Number of Beams in cur-rent Fraction Group. If Number of Beams is greater then zero, Num-ber of Brachy Application Setups (300A,00A0) shall equal zero.

Always 0

>Referenced Beam Sequence

(300C,0004) 1C Introduces sequence of treatment beams in cur-rent Fraction Group. Re-quired if Number of Beams (300A,0080) is greater than zero. One or more items may be in-cluded in this sequence.

Not provided

>>Referenced Beam Number

(300C,0006) 1C Uniquely identifies Beam specified by Beam Num-ber (300A,00C0) within Beam Sequence (300A,00B0) in RT Beams Module. Requi-red if Referenced Beam Sequence (300C,0004) is sent.

>>Beam Dose Spe-cification Point

(300A,0082) 3 Coordinates (x,y,z) of point at which Beam Do-se is specified in the pa-tient based coordinate system described in C.7.6.2.1.1 (mm). See Note 3.

>>Beam Dose (300A,0084) 3 Dose (in Gy) at Beam Dose Specification Point (300A,0082) due to cur-

SagiPlan 2.0


rent Beam.

>>Beam Dose Point Depth

(300A,0088) 3 The depth (in mm) in the patient along a ray from the source to the dose point specified by the Beam Dose Specification Point (300A,0082).

>>Beam Dose Point Equivalent Depth

(300A,0089) 3 The radiological depth in mm (water-equivalent depth, taking tissue hete-rogeneity into account) in the patient along a ray from the source to the dose point specified by the Beam Dose Specifi-cation Point (300A,0082).

>>Beam Dose Point SSD

(300A,008A) 3 Source to patient surface distance along a ray from the source to the dose point specified by the Beam Dose Specification Point (300A,0082).

>>Beam Meterset (300A,0086) 3 Machine setting to be delivered for current Beam, specified in Moni-tor Units (MU) or minutes as defined by Primary Dosimeter Unit (300A,00B3) (in RT Beams Module) for refe-renced Beam. See Note 4.

>Number of Brachy Application Setups

(300A,00A0) 1 Number of Brachy Appli-cation Setups in current Fraction Group. If Num-ber of Brachy Application Setups is greater then zero, Number of Beams (300A,0080) shall equal zero.

Always 1

>Referenced Brachy Application Setup Sequence

(300C,000A) 1C Introduces sequence of treatment Brachy Appli-cation Setups in current Fraction Group. Requi-red if Number of Brachy Application Setups (300A,00A0) is greater than zero. One or more items may be included in this sequence.

Always. Sequence with one single item

SagiPlan 2.0


>>Referenced Brachy Application Setup Number

(300C,000C) 1C Uniquely identifies Brachy Application Setup specified by Brachy Ap-plication Setup Number (300A,0234) within Brachy Application Setup Sequence (300A,0230) in RT Brachy Application Setups Module. Requi-red if Referenced Brachy Application Setup Se-quence (300C,000A) is sent.

Always 0

>>Brachy Application Setup Dose Specifi-cation Point

(300A,00A2) 3 Coordinates (x,y,z) of point in the patient based coordinate system described in C.7.6.2.1.1 at which Brachy Applica-tion Setup Dose (300A,00A4) is specified (mm).

Not provided

>>Brachy Application Setup Dose

(300A,00A4) 3 Dose (in Gy) at Brachy Application Setup Dose Specification Point (300A,00A2) due to cur-rent Brachy Application Setup.

Not provided

7.1.1.21 RT Brachy Application Setups Module

Table ‎7-25 RT BRACHY APPLICATION SETUPS MODULE ATTRIBUTES

SagiPlan 2.0


Attribute Name Tag Type Attribute Description

Brachy Treatment Tech-nique

(300A,0200) 1 Type of brachytherapy treat-ment technique. Enumerated Values:

INTRALUMENARY

INTRACAVITARY

INTERSTITIAL

CONTACT

INTRAVASCULAR

PERMANENT

See C.8.8.15.1.

Always

Brachy Treatment Type (300A,0202) 1 Type of brachytherapy treat-ment.

Defined Terms:

MANUAL = manually posi-tioned

HDR = High dose rate

MDR = Medium dose rate

LDR = Low dose rate

PDR = Pulsed dose rate

Always HDR

Treatment Machine Se-quence

(300A,0206) 1 Introduces single item se-quence describing treatment machine to be used for treat-ment delivery. Only one item may be included in this se-quence.

Always

>Treatment Machine Name

(300A,00B2) 2 User-defined name identifying treatment machine to be used for treatment delivery.

Always. Read from plan-ning settings. Either ‘Sagi-Plan’ or ‘Multisource’.

>Manufacturer (0008,0070) 3 Manufacturer of the equip-ment to be used for treatment delivery.

“Eckert & Ziegler BEBIG GmbH”

>Institution Name (0008,0080) 3 Institution where the equip-ment is located that is to be used for treatment delivery.

Read from “Institution and Team -> Institution”

>Institution Address (0008,0081) 3 Mailing address of the institu-tion where the equipment is located that is to be used for treatment delivery.

Not provided

>Institutional Department Name

(0008,1040) 3 Department in the institution where the equipment is locat-ed that is to be used for treatment delivery.

Read from “Institution and Team -> Department”

>Manufacturer's Model Name

(0008,1090) 3 Manufacturer's model name of the equipment that is to be used for treatment delivery.

Not provided

>Device Serial Number (0018,1000) 3 Manufacturer's serial number of the equipment that is to be used for treatment delivery.

Not provided

Source Sequence (300A,0210) 1 Introduces sequence of Sources to be used within Application Setups. One or more items may be included in this sequence.

Always. Sequence with one single item.

SagiPlan 2.0


>Source Number (300A,0212) 1 Identification number of the Source. The value of Source Number (300A,0212) shall be unique within the RT Plan in which it is created.

Always 0

>Source Serial Number (3008,0105) 3 Identifier for the Source In-stance. Identifies the actual source instance of the source, to which Source Strength Reference Date (300A,022C) and Source Strength Refer-ence Time (300A,022E) refer.

Always. Read from Source Editor -> Serial Number.

>Source Model ID (300A,021B) 3 Identifier for the Source Mod-el. Identifies the model, the source instance belongs to.

Always. Read from Source Editor -> Model Name.

>Source Description (300A,021C) 3 Description of the source. Not provided.

>Source Type (300A,0214) 1 Type of Source. Defined Terms:

POINT

LINE

CYLINDER

SPHERE

Always

>Source Manufacturer (300A,0216) 3 Manufacturer of Source. Always. Read from “Source Editor -> Manufacturer”

>Active Source Diameter (300A,0218) 3 Diameter of active Source (mm).

Not provided

>Active Source Length (300A,021A) 3 Length of active Source (mm). Always. Read from “Source Editor -> Activity Length”

>Material ID (300A,00E1) 3 User-supplied identifier for encapsulation material of ac-tive Source.

Not provided

>Source Encapsulation Nominal Thickness

(300A,0222) 3 Nominal thickness of wall of encapsulation (mm). See C.8.8.15.12.

Not provided

>Source Encapsulation Nominal Transmission

(300A,0224) 3 Nominal transmission through wall of encapsulation (be-tween 0 and 1). See C.8.8.15.12

Not provided

>Source Isotope Name (300A,0226) 1 Name of Isotope. Always. Read from “Source Editor -> Isotope”

>Source Isotope Half Life (300A,0228) 1 Half-life of Isotope (days). Always. Read from “Source Editor -> Half Life [days]”.

>Source Strength Units (300A,0229) 1C Measurement unit of Source Strength.

Required if the source is not a gamma-emitting (photon) source. May be present oth-erwise.

Enumerated Values:

AIR_KERMA_RATE = Air Kerma Rate if Source is Gamma emitting Isotope.

DOSE_RATE_WATER = Dose Rate in Water if Source

Not provided

SagiPlan 2.0


is Beta emitting Isotope.

>Reference Air Kerma Rate

(300A,022A) 1 Air Kerma Rate in air of Iso-tope specified at Air Kerma Rate Reference Date (300A,022C) and Air Kerma Rate Reference Time (300A,022E) (in µGy h

-1 at 1

m). Value shall be zero for non-gamma sources.

Always.

>Source Strength (300A,022B) 1C Source Strength of Isotope at Source Strength Reference Date (300A,022C) and Source Strength Reference Time (300A,022E), in units speci-fied in Source Strength Units (300A,0229).

Required if the source is not a gamma-emitting (photon) source. See C.8.8.15.13.

Not provided

>Source Strength Refer-ence Date

(300A,022C) 1 Reference date for Reference Air Kerma Rate (300A,022A) or Source Strength (300A,022B) of Isotope.

Always. Read from “Setup -> Planning Activity -> Ac-tivity for Planning -> Date”

>Source Strength Rate Reference Time

(300A,022E) 1 Reference time for Air Kerma Rate (300A,022A) or Source Strength (300A,022B) of Iso-tope.

Always. Read from “Setup -> Planning Activity -> Ac-tivity for Planning -> Time”

Application Setup Se-quence

(300A,0230) 1 Introduces sequence of Appli-cation Setups for current RT Plan. One or more items may be included in this sequence.

Always. Sequence with one single item.

>Application Setup Type (300A,0232) 1 Type of Application Setup. Defined Terms:

FLETCHER_SUIT

DELCLOS

BLOEDORN

JOSLIN_FLYNN

CHANDIGARH

MANCHESTER

HENSCHKE

NASOPHARYNGEAL

OESOPHAGEAL

ENDOBRONCHIAL

SYED_NEBLETT

ENDORECTAL

PERINEAL

Always.

>Application Setup Num-ber

(300A,0234) 1 Identification number of the Application Setup. The value of Application Setup Number (300A,0234) shall be unique within the RT Plan in which it is created.

Always 0

>Application Setup Name (300A,0236) 3 User-defined name for Appli-cation Setup.

Not provided

>Application Setup Manu- (300A,0238) 3 Manufacturer of Application Not provided

SagiPlan 2.0


facturer Setup.

>Template Number (300A,0240) 3 Identification number of the Template. The value of Tem-plate Number (300A,0240) shall be unique within the Application Setup in which it is created.

Not provided

>Template Type (300A,0242) 3 User-defined type for Tem-plate Device.

Not provided

>Template Name (300A,0244) 3 User-defined name for Tem-plate Device.

Not provided

>Referenced Reference Image Sequence

(300C,0042) 3 Introduces sequence of refer-ence images used for valida-tion of current Application Setup. One or more items may be included in this se-quence.

Not provided

>>Include ‘SOP Instance Reference Macro' Table 10-11

>Total Reference Air Kerma

(300A,0250) 1 Total Reference Air Kerma for current Application Setup, i.e. the product of Air Kerma Rate of all Sources in all Channels with their respective Channel Times (µGy at 1 m). Value shall be zero for non-gamma sources.

Always

>Brachy Accessory De-vice Sequence

(300A,0260) 3 Introduces sequence of Brachy Accessory Devices associated with current Appli-cation Setup. One or more items may be included in this sequence.

Not provided

>>Brachy Accessory De-vice Number

(300A,0262) 2C Identification number of the Brachy Accessory Device. The value of Brachy Accesso-ry Device Number (300A,0262) shall be unique within the Application Setup in which it is created. Required if Brachy Accessory Device Sequence (300A,0260) is sent.

>>Brachy Accessory De-vice ID

(300A,0263) 2C User or machine supplied identifier for Brachy Accessory Device. Required if Brachy Accessory Device Sequence (300A,0260) is sent.

>>Brachy Accessory De-vice Type

(300A,0264) 1C Type of Brachy Accessory Device. Required if Brachy Accessory Device Sequence (300A,0260) is sent. Defined Terms:

SHIELD

DILATATION

MOLD

PLAQUE

SagiPlan 2.0


FLAB

>>Brachy Accessory De-vice Name

(300A,0266) 3 User-defined name for Brachy Accessory Device.

>>Material ID (300A,00E1) 3 User-supplied identifier for material of Brachy Accessory Device. See Note.

>> Brachy Accessory Device Nominal Thick-ness

(300A,026A) 3 Nominal thickness of Brachy Accessory Device (mm). See C.8.8.15.12.

>> Brachy Accessory Device Nominal Trans-mission

(300A,026C) 3 Nominal Transmission through Brachy Accessory Device (between 0 and 1). See C.8.8.15.12.

>>Referenced ROI Num-ber

(3006,0084) 2C Uniquely identifies ROI repre-senting the Brachy Accessory specified by ROI Number (3006,0022) in Structure Set ROI Sequence (3006,0020) in Structure Set Module within RT Structure Set referenced by Referenced RT Structure Set Sequence (300C,0060) in RT General Plan Module. Required if Brachy Accessory Device Sequence (300A,0260) is sent. See C.8.8.15.2.

>Channel Sequence (300A,0280) 1 Introduces sequence of Channels for current Applica-tion Setup. One or more items may be included in this se-quence.

Always. One item for each applicator in current Sagi-Plan study that is contain-ing at least one active dwell position with a dwell time greater than zero.

>>Channel Number (300A,0282) 1 Identification number of the Channel. The value of Chan-nel Number (300A,0282) shall be unique within the Applica-tion Setup in which it is creat-ed.

Always

>>Channel Length (300A,0284) 2 Length of Channel (mm). See C.8.8.15.3.

Always if transfer tube length (“Applicator proper-ties -> Tube Length”) is defined by the user, other-wise empty.

The Channel Length is calculated as the sum of the Source Applicator Length (300A,0296) and the Transfer Tube Length(300A,02A4).

>>Channel Total Time (300A,0286) 1 Total amount of time between first and final Control Points of the Brachy Control Point Se-quence (300A,02D0) for cur-rent Channel (sec). Channel Total Time calculation is based upon the Reference Air Kerma Rate (300A,022A) of

Always

SagiPlan 2.0


the Referenced Source Num-ber (300C,000E).

>>Source Movement Type

(300A,0288) 1 Type of Source movement. See C.8.8.15.4. Defined Terms:

STEPWISE

FIXED

OSCILLATING

UNIDIRECTIONAL

Always STEPWISE

>>Number of Pulses (300A,028A) 1C Number of Pulses per fraction for current Channel. Required if Brachy Treatment Type (300A,0202) is puls.

Not provided

>>Pulse Repetition Inter-val

(300A,028C) 1C Pulse repetition interval (sec) for current Channel. Required if Brachy Treatment Type (300A,0202) is PDR.

Not provided

>>Source Applicator Number

(300A,0290) 3 Identification number of the Source Applicator. The value of Source Applicator Number (300A,0290) shall be unique within the Channel in which it is created.

Always 1

>>Source Applicator ID (300A,0291) 2C User or machine supplied identifier for Source Applica-tor. Required if Source Appli-cator Number (300A,0290) is sent.

Always. Read from “Appli-cator properties -> Type”

>>Source Applicator Type (300A,0292) 1C Type of Source Applicator. Required if Source Applicator Number (300A,0290) is sent. Defined Terms:

FLEXIBLE

RIGID

Always. Read from “Appli-cator properties -> Rigid or Flexible”

>>Source Applicator Name

(300A,0294) 3 User-defined name for Source Applicator.

Always. Read from “Appli-cator properties -> Name”

>>Source Applicator Length

(300A,0296) 1C Length of Source Applicator (mm), defined as the distance between the connector of the applicator and the distal-most position of the source. Re-quired if Source Applicator Number (300A,0290) is sent.

Always

>>Source Applicator Manufacturer

(300A,0298) 3 Manufacturer of Source Appli-cator.

Always “Eckert & Ziegler BEBIG GmbH”

>>Material ID (300A,00E1) 3 User-supplied identifier for material of Source Applicator wall. See Note.

Always. Supported values:

Stainless steel

Plastic

Titanium

>> Source Applicator Wall Nominal Thickness

(300A,029C) 3 Nominal Thickness of Source Applicator wall (mm). See C.8.8.15.12.

Not provided

>> Source Applicator Wall Nominal Transmission

(300A,029E) 3 Nominal Transmission through Source Applicator wall (between 0 and 1). See

Always. Read form “Appli-cator properties -> Atten-uation”

SagiPlan 2.0


C.8.8.15.12.

>>Source Applicator Step Size

(300A,02A0) 1C Distance of path along chan-nel (in mm) between adjacent (potential) dwell positions. Required if Source Movement Type (300A,0288) is STEPWISE.

Always. Read form “Appli-cator properties -> Dwell Point Separation [cm]”

>>Referenced ROI Num-ber

(3006,0084) 2C Uniquely identifies ROI repre-senting the Source Applicator specified by ROI Number (3006,0022) in Structure Set ROI Sequence (3006,0020) in Structure Set Module within RT Structure Set referenced by Referenced RT Structure Set Sequence (300C,0060) in RT General Plan Module. Required if Source Applicator Number (300A,0290) is sent. See C.8.8.15.2.

Always

>>Transfer Tube Number (300A,02A2) 2 Identification number of the Transfer Tube. The value of Transfer Tube Number (300A,02A2) shall be unique within the Channel in which it is created.


>>Transfer Tube Length (300A,02A4) 2C Length of Transfer Tube of current afterloading Channel (mm). Required if value Transfer Tube Number (300A,02A2) is non-null.


>>Channel Shield Se-quence

(300A,02B0) 3 Introduces sequence of Channel Shields associated with current Channel. One or more items may be included in this sequence. See C.8.8.15.5.

Not provided

>>>Channel Shield Num-ber

(300A,02B2) 1C Identification number of the Channel Shield. The value of Channel Shield Number (300A,02B2) shall be unique within the Channel in which it is created. Required if Chan-nel Shield Sequence (300A,02B0) is sent.

>>>Channel Shield ID (300A,02B3) 2C User or machine supplied identifier for Channel Shield. Required if Channel Shield Sequence (300A,02B0) is sent.

>>>Channel Shield Name (300A,02B4) 3 User-defined name for Chan-nel Shield.

>>>Material ID (300A,00E1) 3 User-supplied identifier for material of Channel Shield. See Note.

>>>Channel Shield Nom-inal Thickness

(300A,02B8) 3 Nominal Thickness of Chan-nel Shield (mm). See

SagiPlan 2.0


C.8.8.15.12.

>>>Channel Shield Nom-inal Transmission

(300A,02BA) 3 Nominal Transmission of Channel Shield (between 0 and 1). See C.8.8.15.12.

>>>Referenced ROI Number

(3006,0084) 2C Uniquely identifies ROI repre-senting the Channel Shield specified by ROI Number (3006,0022) in Structure Set ROI Sequence (3006,0020) in Structure Set Module within RT Structure Set referenced by Referenced RT Structure Set Sequence (300C,0060) in RT General Plan Module. Required if Channel Shield Sequence (300A,02B0) is sent. See C.8.8.15.2.

>>Referenced Source Number

(300C,000E) 1 Uniquely identifies the refer-enced Source within the Source Sequence (300A,0210) for current Appli-cation Setup.

Always 0

>>Number of Control Points

(300A,0110) 1 Number of control points in Channel. For an N-segment Channel there will be 2N (stepwise movement) or N+1 (continuous movement) con-trol points.

Always

>>Final Cumulative Time Weight

(300A,02C8) 1C Value of Cumulative Time Weight (300A,02D6) for final Control Point in Brachy Con-trol Point Sequence (300A,02D0). Required if Cu-mulative Time Weight (300A,02D6) is non-null in Control Points specified within Brachy Control Point Se-quence (300A,02D0). See C.8.8.15.6.

Always. Set to the Channel Total Time multiplied by a factor of 1000

>>Brachy Control Point Sequence

(300A,02D0) 1 Introduces sequence of ma-chine configurations describ-ing this Channel. Two or more items may be included in this sequence. See C.8.8.15.7.

Always

>>>Control Point Index (300A,0112) 1 Index of current Control Point, starting at 0 for first Control Point.

Always

>>>Cumulative Time Weight

(300A,02D6) 2 Cumulative time weight to current Control Point (where the weighting is proportional to time values delivered). Cu-mulative Time Weight for first item in Brachy Control Point Sequence (300A,02D0) is always zero. See C.8.8.15.6 and C.8.8.15.8.

Always. Equal to the time values delivered, multiplied by a factor of 1000

>>>Control Point Relative Position

(300A,02D2) 1 Distance between current Control Point Position and the

Always

SagiPlan 2.0


distal-most possible Source position in current Channel (mm). See C.8.8.15.9.

>>>Control Point 3D Po-sition

(300A,02D4) 3 Coordinates (x, y, z) of Con-trol Point in the patient based coordinate system described in C.7.6.2.1.1 (mm). See C.8.8.15.10.

Always

>>>Control Point Orienta-tion

(300A,0412) 3 (x,y,z) component of the direc-tion vector of the brachy source or seed at the Control Point 3D Position (300A,02D4). See C.8.8.15.14.

Always

>>>Brachy Referenced Dose Reference Se-quence

(300C,0055) 3 Introduces a sequence of Dose References for current Channel. One or more items may be included in this se-quence.

Not provided

>>>>Referenced Dose Reference Number

(300C,0051) 1C Uniquely identifies Dose Ref-erence described in Dose Reference Sequence. (300A,0010) within RT Pre-scription Module of current RT Plan. Required if Brachy Ref-erenced Dose Reference Se-quence (300C,0055) is sent.

>>>>Cumulative Dose Reference Coefficient

(300A,010C) 1C Coefficient used to calculate cumulative dose contribution from this Source to the refer-enced Dose Reference at the current Control Point. Re-quired if Brachy Referenced Dose Reference Sequence (300C,0055) is sent. See C.8.8.15.11.

7.1.1.22 SOP Common Module

Table ‎7-26

SOP COMMON MODULE ATTRIBUTES


SOP Class UID (0008,0016) 1 Uniquely identifies the SOP Class. See C.12.1.1.1 for further explanation. See also PS 3.4.

Always

SOP Instance UID (0008,0018) 1 Uniquely identifies the SOP Instance. See C.12.1.1.1 for further explanation. See also PS 3.4.

Always

Specific Character Set (0008,0005) 1C Character Set that expands or replaces the Basic Graphic Set.

Either not provided or “ISO_IR_192’, dependent on setup of SagiPlan.

SagiPlan 2.0


Required if an expanded or replacement character set is used.

See C.12.1.1.2 for Defined Terms.

Instance Creation Time (0008,0013) 3 Time the SOP Instance was created.

This is the time that the SOP Instance UID was assigned, and does not change during subsequent coercion of the instance.

Not provided

Instance Creation Date (0008,0012) 3 Date the SOP Instance was created.

Not provided

Instance Coercion DateTime (0008,0015) 3 Date and time that the SOP In-stance was last coerced by a Storage SCP (see PS3.4).

Not provided

Instance Creator UID (0008,0014) 3 Uniquely identifies device which created the SOP In-stance.

Not provided

Related General SOP Class UID

(0008,001A) 3 Uniquely identifies a Related General SOP Class for the SOP Class of this Instance. See PS 3.4.

Not provided

Original Specialized SOP Class UID

(0008,001B) 3 The SOP Class in which the Instance was originally en-coded, but which has been replaced during a fall-back conversion to the current Re-lated General SOP Class. See PS 3.4.

Not provided

Coding Scheme Identifi-cation Sequence

(0008,0110) 3 Sequence of items that map values of Coding Scheme Designator (0008,0102) to an external coding system regis-tration, or to a private or local coding scheme. One or more items may be present in the sequence.

Not provided

>Coding Scheme Desig-nator

(0008,0102) 1 The value of a Coding Scheme Designator, used in this SOP Instance, which is being mapped.

>Coding Scheme Regis-try

(0008,0112) 1C The name of the external reg-istry where further definition of the identified coding scheme may be obtained. Required if coding scheme is registered.

Defined term: HL7

>Coding Scheme UID (0008,010C) 1C The coding scheme UID iden-tifier. Required if coding scheme is identified by an ISO 8824 object identifier compat-ible with the UI VR.

>Coding Scheme Exter-nal ID

(0008,0114) 2C The coding scheme identifier as defined in an external reg-

SagiPlan 2.0


istry. Required if coding scheme is registered and Coding Scheme UID (0008,010C) is not present.

>Coding Scheme Name (0008,0115) 3 The coding scheme full com-mon name

>Coding Scheme Version (0008,0103) 3 The coding scheme version associated with the Coding Scheme Designator (0008,0102).

>Coding Scheme Re-sponsible Organization

(0008,0116) 3 Name of the organization responsible for the Coding Scheme. May include organi-zational contact information.

Timezone Offset From UTC

(0008,0201) 3 Contains the offset from UTC to the timezone for all DA and TM Attributes present in this SOP Instance, and for all DT Attributes present in this SOP Instance that do not contain an explicitly encoded time-zone offset.

Encoded as an ASCII string in the format “&ZZXX”. The components of this string, from left to right, are & = “+” or “-”, and ZZ = Hours and XX = Minutes of offset. Leading space characters shall not be present.

The offset for UTC shall be +0000; -0000 shall not be used.

Notes: 1. This encoding is the same as de-scribed in PS 3.5 for the offset component of the DT Value Rep-resentation.

2. This Attribute does not apply to values with a DT Value Rep-resentation, that con-tains an explicitly en-coded timezone off-set.

3. The corrected time may cross a 24 hour boundary. For exam-ple, if Local Time = 1.00 a.m. and Offset = +0200, then UTC = 11.00 p.m. (23.00) the day before.

4. The “+” sign may not be omitted.

Time earlier than UTC is ex-pressed as a negative offset.

Note: For example:

UTC = 5.00 a.m.

Not provided

SagiPlan 2.0


Local Time = 3.00 a.m.

Offset = -0200

The local timezone offset is undefined if this Attribute is absent.

Contributing Equipment Sequence

(0018,A001) 3 Sequence of Items containing descriptive attributes of relat-ed equipment which has con-tributed to the acquisition, creation or modification of the composite instance.

One or more Items may be included in this Sequence.

See C.12.1.1.5 for further explanation.

Not provided

>Purpose of Reference Code Sequence

(0040,A170) 1 Describes the purpose for which the related equipment is being reference. Only a single Item shall be permitted in this sequence.


>>Include ‘Code Sequence Macro’ Table 8.8-1 Defined Context ID 7005.

>Manufacturer (0008,0070) 1 Manufacturer of the equip-ment that contributed to the composite instance.

>Institution Name (0008,0080) 3 Institution where the equip-ment that contributed to the composite instance is located.

>Institution Address (0008,0081) 3 Address of the institution where the equipment that contributed to the composite instance is located.

>Station Name (0008,1010) 3 User defined name identifying the machine that contributed to the composite instance.


(0008,1040) 3 Department in the institution where the equipment that contributed to the composite instance is located.

>Manufacturer’s Model Name

(0008,1090) 3 Manufacturer’s model name of the equipment that contributed to the composite instance.

>Device Serial Number (0018,1000) 3 Manufacturer’s serial number of the equipment that contrib-uted to the composite in-stance.

>Software Versions (0018,1020) 3 Manufacturer’s designation of the software version of the equipment that contributed to the composite instance.

>Spatial Resolution (0018,1050) 3 The inherent limiting resolu-tion in mm of the acquisition equipment for high contrast

SagiPlan 2.0


objects for the data gathering and reconstruction technique chosen. If variable across the images of the series, the val-ue at the image center.

>Date of Last Calibration (0018,1200) 3 Date when the image acquisi-tion device calibration was last changed in any way. Multiple entries may be used for addi-tional calibrations at other times. See C.7.5.1.1.1 for further explanation.

>Time of Last Calibration (0018,1201) 3 Time when the image acquisi-tion device calibration was last changed in any way. Multiple entries may be used. See C.7.5.1.1.1 for further expla-nation.

>Contribution DateTime (0018,A002) 3 The Date & Time when the equipment contributed to the composite instance.

>Contribution Description (0018,A003) 3 Description of the contribution the equipment made to the composite instance.

Instance Number (0020,0013) 3 A number that identifies this Composite object instance.

Not provided

SOP Instance Status (0100,0410) 3 A flag that indicates the stor-age status of the SOP In-stance. Not Specified (NS) implies that this SOP Instance has no special storage status, and hence no special actions need be taken. Original (OR) implies that this is the primary SOP instance for the purpose of storage, but that it has not yet been authorized for diag-nostic use. Authorized Origi-nal (AO) implies that this is the primary SOP instance for the purpose of storage, which has been authorized for diag-nostic use. Any copies of an Authorized Original should be given the status of Authorized Copy. Authorized Copy (AC) implies that this is a copy of an Authorized Original SOP Instance.

Enumerated Values: NS, OR, AO, AC

Note: Proper use of these flags is specified in Security Profiles. Implementations that do not conform to such Secu-rity Profiles may not neces-sarily handle these flags properly.

Not provided

SagiPlan 2.0


SOP Authorization Date and Time

(0100,0420) 3 The date and time when the SOP Instance Status (0100,0410) was set to AO.

Not provided

SOP Authorization Com-ment

(0100,0424) 3 Any comments associated with the setting of the SOP Instance Status (0100,0410) to AO.

Not provided

Authorization Equipment Certification Number

(0100,0426) 3 The certification number is-sued to the Application Entity that set the SOP Instance Status (0100,0410) to AO.

Not provided

Include ‘Digital Signatures Macro’ Table C.12-6

Encrypted Attributes Se-quence

(0400,0500) 1C Sequence of Items containing encrypted DICOM data. One or more Items shall be pre-sent. Required if application level confidentiality is needed and certain recipients are allowed to decrypt all or por-tions of the Encrypted Attrib-utes Data Set. See C.12.1.1.4.1.

>Encrypted Content Transfer Syntax UID

(0400,0510) 1 Transfer Syntax used to en-code the encrypted content. Only Transfer Syntaxes that explicitly include the VR and use Little Endian encoding shall be used.

>Encrypted Content (0400,0520) 1 Encrypted data. See C.12.1.1.4.2.

Original Attributes Se-quence

(0400,0561) 3 Sequence of Items containing all attributes that were re-moved or replaced by other values in the main dataset.

One or more Items may be permitted in this sequence.

Not provided

>Source of Previous Val-ues

(0400,0564) 2 The source that provided the SOP Instance prior to the removal or replacement of the values. For example, this might be the Institution from which imported SOP Instanc-es were received.

>Attribute Modification DateTime

(0400,0562) 1 Date and time the attributes were removed and/or re-placed.

>Modifying System (0400,0563) 1 Identification of the system which removed and/or re-placed the attributes.

>Reason for the Attribute Modification

(0400,0565) 1 Reason for the attribute modi-fication. Defined terms are:

COERCE = Replace values of attributes such as Patient Name, ID, Accession Number, for example, during import of media from an external institu-

SagiPlan 2.0


tion, or reconciliation against a master patient index.

CORRECT = Replace incor-rect values, such as Patient Name or ID, for example, when incorrect worklist item was chosen or operator input error.

>Modified Attributes Se-quence

(0400,0550) 1 Sequence containing a single item that contains all the At-tributes, with their previous values, that were modified or removed from the main data set.

>>Any Attribute from the main data set that was modified or removed; may include Sequence Attributes and their Items.

HL7 Structured Document Reference Sequence

(0040,A390) 1C Sequence of items defining mapping and/or access mechanism for HL7 Struc-tured Documents referenced from the current SOP In-stance. One or more Items may be included in this se-quence.

See C.12.1.1.6.

Required if HL7 Structured Documents are referenced within the Instance.

Not provided

>Referenced SOP Class UID

(0008,1150) 1 Unique identifier for the class of HL7 Structured Document.

>Referenced SOP In-stance UID

(0008,1155) 1 Unique identifier for the HL7 Structured Document as used in DICOM instance refer-ences.

>HL7 Instance Identifier (0040,E001) 1 Instance Identifier of the ref-erenced HL7 Structured Doc-ument, encoded as a UID (OID or UUID), concatenated with a caret (“^”) and Exten-sion value (if Extension is present in Instance Identifier).

>Retrieve URI (0040,E010) 3 Retrieval access path to HL7 Structured Document. In-cludes fully specified scheme, authority, path, and query in accordance with RFC 2396

Longitudinal Temporal Information Modified

(0028,0303) 3 Indicates whether or not the date and time attributes in the instance have been modified during de-identification.

Enumerated Values:

UNMODIFIED

MODIFIED

REMOVED

See PS3.15.

Not provided

SagiPlan 2.0


Query/Retrieve View (0008,0053) 1C The view requested during the C-MOVE operation that re-sulted in the transfer of this instance.

Enumerated Values:

CLASSIC

ENHANCED

Required if the instance has ever been converted from its source form as the result of a C-MOVE operation with a specific view.

Not provided

Conversion Source At-tributes Sequence

(0020,9172) 1C The set of images or other composite SOP Instances that were converted to this in-stance.

If this instance was converted from a specific frame in the source instance, the reference shall include the Frame Num-ber.

One or more Items shall be included in this Sequence.

Required if this instance was created by conversion, and Conversion Source Attributes Sequence (0020,9172) is not present in an Item of Shared Functional Groups Sequence (5200,9229) or Per-Frame Functional Groups Sequence (5200,9230).

Not provided

>Include Table 10-3 “Im-age SOP Instance Refer-ence Macro Attributes”

Content Qualification (0018,9004) 3 Content Qualification Indicator

Enumerated Values:

PRODUCT

RESEARCH

SERVICE

See Section C.8.13.2.1.1 for further explanation.

Not provided

Private Data Element Characteristics Sequence

(0008,0300) 3 Characteristics of Private Data Elements within the current SOP Instance

Not provided

>Private Group Refer-ence

(0008,0301) 1 Odd group number within which the Private Data Ele-ment block is reserved.

>Private Creator Refer-ence

(0008,0302) 1 The value of the Private Crea-tor Data Element value used to reserve the block of Private Data Elements whose charac-teristics are described in this Item.

SagiPlan 2.0


Note

Private blocks are identified by their Private Creator Data Element value, rather than their numeric block number, since instances may be modi-fied and numeric block num-bers reassigned but the Pri-vate Creator Data Element value, which is required to be unique within a Group of Pri-vate Data Elements, will be preserved.

>Block Identifying Infor-mation Status

(0008,0303) 1 Specifies whether some or all of the Private Data Elements in the block are safe from identity leakage as defined by PS3.15 Section E.3.10 Retain Safe Private Option.

Enumerated Values:

SAFE no data elements within the block contain identi-fying information

UNSAFE all data ele-ments within the block may contain identifying information

MIXED some data elements within the block may contain identifying information

>Nonidentifying Private Elements

(0008,0304) 1C List of Private Data Elements in block that do not contain identifying information (are safe from identity leakage).

Elements are identified by the lowest 8-bits of the attribute tag (i.e. with a value from 0000H to 00FFH) within the block, stored as an unsigned short integer. Multiple values shall be in increasing order and a given value shall be listed at most once.

Required if Block Identifying Information Status (0008,0303) equals MIXED.

>Deidentification Action Sequence

(0008,0305) 3 Actions to be performed on element within the block that are not safe from identify leakage.

>>Identifying Private El-ements

(0008,0306) 1 List of Private Data Elements in block that may contain iden-tifying information (are unsafe from identity leakage)..

Elements are identified by the lowest 8-bits of the attribute tag (i.e. with a value from 0000H to 00FFH) within the block, stored as an unsigned

SagiPlan 2.0


short integer. Multiple values shall be in increasing order and a given value shall be listed at most once.

>>Deidentification Action (0008,0307) 1 Recommended action to be performed during de-identification on elements listed in Identifying Private Elements (0008,0306) within this Item.

Note

A specific type of action is suggested in order to mini-mize the impact of de-identification on the behavior of recipients that use the Pri-vate Data Elements.

Enumerated Values:

D replace with a non-zero length value that may be a dummy value and consistent with the VR

Z replace with a zero length value, or a non-zero length value that may be a dummy value and consistent with the VR

X remove

U replace with a non-zero length UID that is inter-nally consistent within a set of Instance

Note

No C (clean) action is speci-fied, since replacement with values of similar meaning known not to contain identify-ing information and consistent with the VR requires an un-derstanding of the meaning of the value of the element. Whether or not to clean rather than remove or replace values is at the discretion of the im-plementer.

No suggested dummy value is provided, since the encoding of the value would depend on the VR of the data element.

Further explanation of these actions can be found in PS3.15 Section E.3.1 Clean Pixel Data Option.

SagiPlan 2.0


7.1.1.23 Approval Module

Table ‎7-27

Approval MODULE ATTRIBUTES


Approval Status (300E,0002) 1 Approval status at the time the SOP Instance was created.

Enumerated Values:

APPROVED Reviewer recorded that object met an implied criterion

UNAPPROVED No review of object has been recorded

REJECTED Reviewer recorded that object failed to meet an implied criterion

Always

Review Date (300E,0004) 2C Date on which object was reviewed. Required if Approv-al Status (300E,0002) is APPROVED or REJECTED.

VNAP

Review Time (300E,0005) 2C Time at which object was reviewed. Required if Approv-al Status (300E,0002) is APPROVED or REJECTED.

VNAP

Reviewer Name (300E,0008) 2C Name of person who reviewed object. Required if Approval Status (300E,0002) is APPROVED or REJECTED.

Always

7.1.1.24 RT Prescription Module

Table ‎7-28

Approval MODULE ATTRIBUTES


Prescription Description (300A,000E) 3 User-defined description of treatment prescription.

Not provided

Dose Reference Se-quence

(300A,0010) 3 Sequence of Dose Refer-ences.

One or more Items are permit-ted in this Sequence.

Always

>Dose Reference Num-ber

(300A,0012) 1 Identification number of the Dose Reference. The value of Dose Reference Number (300A,0012) shall be unique within the RT Plan in which it is created.

Always 0

>Dose Reference UID (300A,0013) 3 A unique identifier for a Dose Reference that can be used to link the same entity across multiple RT Plan objects.

Not provided

>Dose Reference Struc-ture Type

(300A,0014) 1 Structure type of Dose Refer-ence.

Defined Terms:

Always SITE

SagiPlan 2.0


POINT dose reference point specified as ROI

VOLUME dose refer-ence volume specified as ROI

COORDINATES point specified by Dose Reference Point Coordinates (300A,0018)

SITE dose reference clinical site

>Dose Reference De-scription

(300A,0016) 3 User-defined description of Dose Reference.

Not provided

>Referenced ROI Num-ber

(3006,0084) 1C Uniquely identifies ROI repre-senting the dose reference specified by ROI Number (3006,0022) in Structure Set ROI Sequence (3006,0020) in Structure Set Module within RT Structure Set in Refer-enced Structure Set Se-quence (300C,0060) in RT General Plan Module. Re-quired if Dose Reference Structure Type (300A,0014) is POINT or VOLUME.

Not provided

>Dose Reference Point Coordinates

(300A,0018) 1C Coordinates (x,y,z) of Refer-ence Point in the patient based coordinate system de-scribed in Section C.7.6.2.1.1 (mm). Required if Dose Ref-erence Structure Type (300A,0014) is COORDINATES.

Not provided

>Nominal Prior Dose (300A,001A) 3 Dose (in Gy) from prior treat-ment to this Dose Reference (e.g., from a previous course of treatment).

Not provided

>Dose Reference Type (300A,0020) 1 Type of Dose Reference.

Defined Terms:

TARGET treatment target (corresponding to GTV, PTV, or CTV in ICRU50)

ORGAN_AT_RISK Organ at Risk (as defined in ICRU50)

Always TARGET

>Constraint Weight (300A,0021) 3 Relative importance of satisfy-ing constraint, where high values represent more im-portant constraints.

Not provided

>Delivery Warning Dose (300A,0022) 3 The dose (in Gy) that when reached or exceeded should cause some action to be tak-en.

Not provided

>Delivery Maximum Dose (300A,0023) 3 The maximum dose (in Gy) that can be delivered to the dose reference.

Not provided

>Target Minimum Dose (300A,0025) 3 Minimum permitted dose (in Gy) to Dose Reference if

Not provided

SagiPlan 2.0


Dose Reference Type (300A,0020) is TARGET.

>Target Prescription Dose

(300A,0026) 3 Prescribed dose (in Gy) to Dose Reference if Dose Ref-erence Type (300A,0020) is TARGET.

Always. Read from ‘Treat-ment->Isodoses Plan Rx’

>Target Maximum Dose (300A,0027) 3 Maximum permitted dose (in Gy) to Dose Reference if Dose Reference Type (300A,0020) is TARGET.

Not provided

>Target Underdose Vol-ume Fraction

(300A,0028) 3 Maximum permitted fraction (in percent) of Target to re-ceive less than the Target Prescription Dose if Dose Reference Type (300A,0020) is TARGET and Dose Refer-ence Structure Type (300A,0014) is VOLUME. See Section C.8.8.10.1.

Not provided

>Organ at Risk Full-volume Dose

(300A,002A) 3 Maximum dose (in Gy) to entire Dose Reference if Dose Reference Type (300A,0020) is ORGAN_AT_RISK and Dose Reference Structure Type (300A,0014) is VOLUME.

Not provided

>Organ at Risk Limit Dose

(300A,002B) 3 Maximum permitted dose (in Gy) to any part of Dose Ref-erence if Dose Reference Type (300A,0020) is ORGAN_AT_RISK and Dose Reference Structure Type (300A,0014) is VOLUME.

Not provided

>Organ at Risk Maximum Dose

(300A,002C) 3 Maximum dose (in Gy) to non-overdosed part of Dose Ref-erence if Dose Reference Type (300A,0020) is ORGAN_AT_RISK and Dose Reference Structure Type (300A,0014) is VOLUME.

Not provided

>Organ at Risk Overdose Volume Fraction

(300A,002D) 3 Maximum permitted fraction (in percent) of the Organ at Risk to receive more than the Organ at Risk Maximum Dose if Dose Reference Type (300A,0020) is ORGAN_AT_RISK and Dose Reference Structure Type (300A,0014) is VOLUME.

Not provided

7.1.2 Usage of Attributes from received IOD’s

SagiPlan 2.0


7.1.2.1 Computed Tomography Image IOD

Table ‎7-29

CT IMAGE IOD MODULES

IE Module Reference Comment / Constraint

Patient Patient ‎7.1.2.11

Clinical Trial Subject Not evaluated

Study General Study ‎7.1.2.12

Patient Study Not evaluated

Clinical Trial Study Not evaluated

Series General Series ‎7.1.2.13

Clinical Trial Series Not evaluated

Frame of Ref-erence

Frame of Reference ‎7.1.2.14

Equipment General Equipment Not evaluated

Image General Image ‎7.1.2.15

Image Plane ‎7.1.2.16

Image Pixel ‎7.1.2.17

Contrast/bolus Not evaluated

Device Not evaluated

CT Image ‎7.1.2.18

Overlay Plane Not evaluated

VOI LUT Not evaluated

SOP Common ‎7.1.2.19

7.1.2.2 Magnetic Resonance Image IOD

Table ‎7-30

MR IMAGE IOD MODULES









Frame of Ref-erence





SagiPlan 2.0





MR Image Not evaluated




7.1.2.3 Positron Emission Tomography Image IOD

Table ‎7-31

PET IMAGE IOD MODULES









PET Series Not evaluated

PET Isotope Not evaluated

PET Multi-gated Acquisition Not evaluated

NM/PET Patient Orientation Not evaluated.

Frame of Ref-erence






Device Not evaluated.

PET Image Not evaluated

Overlay Plane Not evaluated.

VOI LUT Not evaluated.

Acquisition Context Not evaluated.


7.1.2.4 RT Image IOD

SagiPlan 2.0


Table ‎7-32

RT IMAGE IOD MODULES







Series RT Series ‎7.1.2.20


Frame of Ref-erence






Cine Not evaluated

Multi-Frame Not evaluated


RT Image ‎7.1.2.21

Modality LUT Not evaluated


Approval Not evaluated


7.1.2.5 Secondary Capture Image IOD

Table ‎7-33

SC IMAGE IOD MODULES










SC Equipment Not evaluated




SC Image ‎7.1.2.22


SagiPlan 2.0





7.1.2.6 Ultrasound Image IOD

Table ‎7-34

US IMAGE IOD MODULES









Frame of Ref-erence


Synchronization Not evaluated





Palette Color Lookup Table Not evaluated


US Region Calibration Not evaluated

US Image Not evaluated




7.1.2.7 Computed Radiography Image IOD

Table ‎7-35

CR IMAGE IOD MODULES



SagiPlan 2.0







CR Series Not evaluated






Display Shutter Not evaluated


CR Image ‎7.1.2.23



VOILUT Not evaluated


7.1.2.8 X-Ray RF Image IOD

Table ‎7-36

XRF IMAGE IOD MODULES









Frame of Ref-erence






Cine Not evaluated


Frame Pointers Not evaluated

Mask Not evaluated

X-Ray Image ‎7.1.2.24

SagiPlan 2.0


X-Ray Acquisition ‎7.1.2.25

X-Ray Collimator Not evaluated



Intervention Not evaluated

X-Ray Table Not evaluated

XRF Positioner Not evaluated

X-Ray Tomo Acquisition Not evaluated

DX Detector ‎7.1.2.26


Multi-frame Overlay Not evaluated




7.1.2.9 X-Ray Angiographic Image IOD

Table ‎7-37

X-RAY ANGIOGRAPHIC IMAGE IOD MODULES









Frame of Ref-erence





Contrast/Bolus Not evaluated

Cine Not evaluated


Frame Pointers Not evaluated

Mask Not evaluated




X-Ray Image ‎7.1.2.24

SagiPlan 2.0


X-Ray Acquisition ‎7.1.2.25


X-Ray Table Not evaluated

XA Positioner Not evaluated



Multi-Frame Overlay Not evaluated.




7.1.2.10 Digital X-Ray Image IOD

SagiPlan 2.0


Table ‎7-38

DIGITAL X-RAY IMAGE IOD MODULES



Specimen Identification Not evaluated







DX Series Not evaluated

Frame of Ref-erence

Frame of Reference Not evaluated




Contrast/Bolus Not evaluated




DX Anatomy Imaged Not evaluated

DX Image



DX Positioning Not evaluated

X-Ray Tomo Acquisition Not evaluated

X-Ray Acquisition Dose Not evaluated

X-Ray Generation Not evaluated

X-Ray Filtration Not evaluated

X-Ray Grid Not evaluated



Image Histogram Not evaluated

Acquisition Context Not evaluated


7.1.2.11 Patient Module

Table ‎7-39

PATIENT MODULE ATTRIBUTES


Patient's Name (0010,0010) 2 Patient's full name. Written to Patient

SagiPlan 2.0


“Last Name” and Patient “First Name”

Patient ID (0010,0020) 2 Primary hospital identi-fication number or code for the patient.

Written to “Registra-tion No.”

Issuer of Patient ID (0010,0021) 3 Identifier of the Assig-ning Authority that issued the Patient ID.

Not evaluated

Patient's Birth Date (0010,0030) 2 Birth date of the patient. Written to “Date Of Birth”

Patient's Sex (0010,0040) 2 Sex of the named pati-ent. Enumerated Values: M = male F = female O = other

Written to Patient “Gender”

Referenced Patient Sequence

(0008,1120) 3 A sequence that provi-des reference to a Pati-ent SOP Class/Instance pair. Only a single Item shall be permitted in this Sequence.

Not evaluated

Patient's Birth Time (0010,0032) 3 Birth time of the Pati-ent.

Not evaluated

Other Patient IDs (0010,1000) 3 Other identification numbers or codes used to identify the patient.

Not evaluated

Other Patient IDs Sequence

(0010,1002) 3 A sequence of identifi-cation numbers or codes used to identify the patient, which may or may not be human readable, and may or may not have been ob-tained from an implan-ted or attached device such as an RFID or barcode. If present, shall contain one or more items.

Not evaluated

>Patient ID (0010,0020) 1 An identification num-ber or code used to identify the patient.

>Issuer of Patient ID (0010,0021) 1 Identifier of the Assig-ning Authority that issued the Patient ID.

>Type of Patient ID (0010,0022) 1 The type of identifier in this item. Defined Terms: TEXT RFID

SagiPlan 2.0


BARCODE Note: The identifier is

coded as a string regardless of the type, not as a bina-ry value.

Other Patient Na-mes

(0010,1001) 3 Other names used to identify the patient.

Not evaluated

Ethnic Group (0010,2160) 3 Ethnic group or race of the patient.

Not evaluated

Patient Comments (0010,4000) 3 User-defined additional information about the patient.

Not evaluated

Patient Species Description

(0010,2201) 1C The species of the pati-ent. Required if the patient is an animal and if Pati-ent Species Code Se-quence (0010,2202) is not present. May be present otherwise.

Not evaluated

Patient Species Code Sequence

(0010,2202) 1C The species of the pati-ent. One Item shall be present. Required if the patient is an animal and if Pati-ent Species Description (0010,2201) is not present. May be present otherwise.

Not evaluated

Patient Breed Description

(0010,2292) 2C The breed of the pati-ent. Required if the patient is an animal and if Pati-ent Breed Code Se-quence (0010,2293) is empty. May be present otherwise.

Not evaluated

Patient Breed Code Sequence

(0010,2293) 2C The breed of the pati-ent. Zero or more Items shall be present. Required if the patient is an animal.

Not evaluated

Breed Registration Sequence

(0010,2294) 2C Information identifying an animal within a breed registry. Zero or more Items shall be present. Required if the patient is an animal.

Not evaluated

SagiPlan 2.0


>Breed Registration Number

(0010,2295) 1 Identification number of an animal within the registry.

>Breed Registry Code Sequence

(0010,2296) 1 Identification of the or-ganization with which an animal is registered. One Item shall be present.

Responsible Person (0010,2297) 2C Name of person with medical decision ma-king authority for the patient. Required if the patient is an animal. May be present otherwise.

Not evaluated

Responsible Person Role

(0010,2298) 1C Relationship of Responsible Person to the patient. Defined Terms: OWNER Required if Responsible Person is present and has a value.

Not evaluated

Responsible Orga-nization

(0010,2299) 2C Name of organization with medical decision making authority for the patient. Required if patient is an animal. May be present otherwise.

Not evaluated

Patient Identity Re-moved

(0012,0062) 3 The true identity of the patient has been remo-ved from the Attributes and the Pixel Data Enumerated Values: YES NO

Not evaluated

De-identification Method

(0012,0063) 1C A description or label of the mechanism or me-thod use to remove the patient’s identity. May be multi-valued if suc-cessive de-identification steps have been per-formed.

Note: This may be used to describe the ex-tent or thorough-ness of the de-identification, for example whether or not the de-identification is for

Not evaluated

SagiPlan 2.0


a “Limited Data Set” (as per HIPAA Privacy Rule).

Required if Patient Identity Removed (0012,0062) is present and has a value of YES and De-identification Method Code Se-quence (0012,0064) is not present.

De-identification Method Code Se-quence

(0012,0064) 1C A code describing the mechanism or method use to remove the pati-ent’s identity. One or more Items shall be present. Multiple items are used if successive de-identification steps have been performed Required if Patient Identity Removed (0012,0062) is present and has a value of YES and De-identification Method (0012,0063) is not present.

Not evaluated

7.1.2.12 General Study Module

Table ‎7-40

GENERAL STUDY MODULE ATTRIBUTES


Study Instance UID (0020,000D) 1 Unique identifier for the Study.

Evaluated

Study Date (0008,0020) 2 Date the Study started. Not evaluated

Study Time (0008,0030) 2 Time the Study started. Not evaluated

Referring Physici-an's Name

(0008,0090) 2 Name of the patient's referring physician

Not evaluated

Referring Physician Identification Se-quence

(0008,0096) 3 Identification of the pa-tient's referring physici-an. Only a single item shall be permitted in this sequence.

Not evaluated

Study ID (0020,0010) 2 User or equipment ge-nerated Study identifi-er.

Not evaluated

SagiPlan 2.0


Accession Number (0008,0050) 2 A RIS generated num-ber that identifies the order for the Study.

Not evaluated

Study Description (0008,1030) 3 Institution-generated description or classifi-cation of the Study (component) perfor-med.

Not evaluated

Physician(s) of Re-cord

(0008,1048) 3 Names of the physici-an(s) who are respon-sible for overall patient care at time of Study (see Section C.7.3.1 for Performing Physician)

Not evaluated

Physician(s) of Re-cord Identification Sequence

(0008,1049) 3 Identification of the physician(s) who are responsible for overall patient care at time of Study. One or more items shall be included in this sequence. If mo-re than one Item, the number and order shall correspond to the value of Physician(s) of Re-cord (0008,1048), if present.

Not evaluated

Name of Physici-an(s) Reading Study

(0008,1060) 3 Names of the physici-an(s) reading the Stu-dy.

Not evaluated

Physician(s) Rea-ding Study Identifi-cation Sequence

(0008,1062) 3 Identification of the physician(s) reading the Study. One or more items shall be included in this sequence. If mo-re than one Item, the number and order shall correspond to the value of Name of Physici-an(s) Reading Study (0008,1060), if present.

Not evaluated

Referenced Study Sequence

(0008,1110) 3 A sequence that provi-des reference to a Stu-dy SOP Class/Instance pair. The sequence may have zero or more Items.

Not evaluated

Procedure Code Sequence

(0008,1032) 3 A Sequence that conveys the type of procedure performed. One or more Items may

Not evaluated

SagiPlan 2.0


be included in this Se-quence.

7.1.2.13 General Series Module

Table ‎7-41

GENERAL SERIES MODULE ATTRIBUTES


Modality (0008,0060) 1 Type of equipment that orig-inally acquired the data used to create the images in this Series. See C.7.3.1.1.1 for Defined Terms.

Evaluated

Series Instance UID (0020,000E) 1 Unique identifier of the Se-ries.

Evaluated

Series Number (0020,0011) 2 A number that identifies this Series.

Not evaluated

Laterality (0020,0060) 2C Laterality of (paired) body part examined. Required if the body part examined is a paired structure and Image Laterality (0020,0062) or Frame Laterality (0020,9072) are not sent. Enumerated Values: R = right L = left

Note: Some IODs sup-port Image Later-ality (0020,0062) at the Image level or Frame Laterali-ty(0020,9072) at the Frame level in the Frame Anato-my functional group macro, which can provide a more compre-hensive mecha-nism for specifying the laterality of the body part(s) being examined.

Not evaluated

Series Date (0008,0021) 3 Date the Series started. Not evaluated

Series Time (0008,0031) 3 Time the Series started. Not evaluated

Performing Physicians’ Name

(0008,1050) 3 Name of the physician(s) administering the Series.

Not evaluated

Performing Physician Identification Sequence

(0008,1052) 3 Identification of the physi-cian(s) administering the Series. One or more items shall be included in this sequence. If more than one Item, the number and order

Not evaluated

SagiPlan 2.0


shall correspond to the val-ue of Performing Physi-cians’ Name (0008,1050), if present.

>Include ‘Person Identification Macro’ Table 10-1 Not evaluated

Protocol Name (0018,1030) 3 User-defined description of the conditions under which the Series was performed.

Note: This attribute con-veys series-specific protocol identification and may or may not be identical to the one presented in the Performed Protocol Code Sequence (0040,0260).

Not evaluated

Series Description (0008,103E) 3 User provided description of the Series

Not evaluated

Operators' Name (0008,1070) 3 Name(s) of the operator(s) supporting the Series.

Not evaluated

Operator Identification Sequence

(0008,1072) 3 Identification of the opera-tor(s) supporting the Series. One or more items shall be included in this sequence. If more than one Item, the number and order shall correspond to the value of Operators’ Name (0008,1070), if present.

Not evaluated

>Include ‘Person Identification Macro’ Table 10-1

Referenced Performed Procedure Step Se-quence

(0008,1111) 3 Uniquely identifies the Per-formed Procedure Step SOP Instance to which the Series is related (e.g. a Modality or General-Purpose Performed Proce-dure Step SOP Instance). The Sequence shall have zero or one Item.

Not evaluated


Related Series Se-quence

(0008,1250) 3 Identification of Series sig-nificantly related to this Se-ries. Zero or more Items may be present.

Notes: 1. For example, for a combined CT and PET acquisi-tion, the CT imag-es and PET imag-es would be in separate series that could cross-reference each other with multiple purpose of refer-ence codes mean-ing same anatomy, simultaneously ac-

Not evaluated

SagiPlan 2.0


quired and same indication.

2. The related se-ries may have dif-ferent Frames of Reference and hence require some sort of regis-tration before spa-tial coordinates can be directly com-pared.

3. This attribute is not intended for conveying localizer reference infor-mation, for which Referenced Image Sequence (0008,1140) should be used.

>Study Instance UID (0020,000D) 1 Instance UID of Study to which the related Series belongs

>Series Instance UID (0020,000E) 1 Instance UID of Related Series


(0040,A170) 2 Describes the purpose for which the reference is made. Zero or more Items may be present.

When absent, implies that the reason for the reference is unknown.

>>Include Code Sequence Macro Table 8.8-1

DCID 7210

Body Part Examined (0018,0015) 3 Text description of the part of the body examined. See PS 3.16 Annex on Corre-spondence of Anatomic Region Codes and Body Part Examined for Defined Terms

Note: Some IODs sup-port the Anatomic Region Sequence (0008,2218), which can provide a more comprehensive mechanism for specifying the body part being exam-ined.

Not evaluated

Patient Position (0018,5100) 2C Patient position descriptor relative to the equipment. Required for CT and MR images; shall not be present if Patient Orientation Code Sequence (0054,0410) is present; may be present otherwise. See C.7.3.1.1.2 for Defined Terms and fur-

Not evaluated

SagiPlan 2.0


ther explanation.

Smallest Pixel Value in Series

(0028,0108) 3 The minimum value of all images in this Series.

Not evaluated

Largest Pixel Value in Series

(0028,0109) 3 The maximum value of all images in this Series.

Not evaluated

Request Attributes Se-quence

(0040,0275) 3 Sequence that contains attributes from the Imaging Service Request.

The sequence may have one or more Items.

Not evaluated

>Include Request Attributes Macro Table 10-9

No Baseline Context IDs defined

Include Performed Procedure Step Summary Macro Table 10-16

No Baseline Context IDs defined

7.1.2.14 Frame Of Reference Module

Table ‎7-42

FRAME OF REFERENCE MODULE ATTRIBUTES


Frame of Reference UID

(0020,0052) 1 Uniquely identifies the frame of reference for a Series. See C.7.4.1.1.1 for further explanation.

Evaluated

Position Reference Indicator

(0020,1040) 2 Part of the patient's anatomy used as a re-ference, such as the iliac crest, orbital-medial, sternal notch, symphysis pubis, xiphoid, lower coastal margin, external audito-ry meatus. See C.7.4.1.1.2 for further explanation.

Not evaluated

7.1.2.15 General Image Module

Table ‎7-43

GENERAL IMAGE MODULE ATTRIBUTES


Instance Number (0020,0013) 2 A number that identifies this image.

Note: This Attribute was

Evaluated (only for display)

SagiPlan 2.0


named Image Number in earlier versions of this Standard.

Patient Orientation (0020,0020) 2C Patient direction of the rows and columns of the image. Required if image does not require Image Orientation (Pa-tient) (0020,0037) and Image Position (Pati-ent) (0020,0032). See C.7.6.1.1.1 for further explanation.

Note: IOD’s may have at-tributes other than Patient Orientation, Image Orientation, or Image Position (Patient) to de-scribe orientation in which case this at-tribute will be zero length.

Not evaluated

Content Date (0008,0023) 2C The date the image pixel data creation started. Required if image is part of a series in which the images are temporally related.

Note: This Attribute was formerly known as Image Date.

Not evaluated

Content Time (0008,0033) 2C The time the image pi-xel data creation started. Required if image is part of a series in which the images are temporally related.

Not evaluated

Image Type (0008,0008) 3 Image identification characteristics. See C.7.6.1.1.2 for Defined Terms and further ex-planation.

Not evaluated

Acquisition Number (0020,0012) 3 A number identifying the single continuous gathering of data over a period of time that re-sulted in this image.

Not evaluated

Acquisition Date (0008,0022) 3 The date the acquisition of data that resulted in this image started

Not evaluated

Acquisition Time (0008,0032) 3 The time the acquisition of data that resulted in

Not evaluated

SagiPlan 2.0


this image started

Acquisition DateTi-me

(0008,002A) 3 The date and time that the acquisition of data that resulted in this image started.

Note: The synchroniza-tion of this time with an external clock is specified in the Synchroniza-tion Module in Ac-quisition Time Syn-chronized (0018,1800).

Not evaluated

Referenced Image Sequence

(0008,1140) 3 A sequence that refe-rences other images significantly related to this image (e.g. post-localizer CT image or Mammographic biopsy or partial view images). One or more Items may be included in this se-quence.

Not evaluated



(0040,A170) 3 Describes the purpose for which the reference is made. Only a single Item shall be permitted in this sequence.



Derivation Descripti-on

(0008,2111) 3 A text description of how this image was derived. See C.7.6.1.1.3 for further explanation.

Not evaluated

Derivation Code Se-quence

(0008,9215) 3 A coded description of how this image was derived. See C.7.6.1.1.3 for further explanation. One or more Items may be in-cluded in this Se-quence. More than one Item indicates that suc-cessive derivation steps have been applied.

Not evaluated

>Include ‘Code Sequence Macro’ Table 8.8-1


Source Image Se-quence

(0008,2112) 3 A Sequence that identi-fies the set of Image SOP Class/Instance

Not evaluated

SagiPlan 2.0


pairs of the Images that were used to derive this Image. Zero or more Items may be included in this Sequence.

See C.7.6.1.1.4 for further explanation



(0040,A170) 3 Describes the purpose for which the reference is made, that is what role the source image or frame(s) played in the derivation of this image. Only a single Item shall be permitted in this sequence.



>Spatial Locations Preserved

(0028,135A) 3 The extent to which the spatial locations of all pixels are preserved during the processing of the source image that resulted in the cur-rent image Enumerated Values: YES NO REORIENTED_ONLY - A projection radiograph that has been flipped, and/or rotated by a mul-tiple of 90 degrees

Notes: 1. This applies not only to images with a known relation-ship to a 3D space, but also to projec-tion images. For example, a projec-tion radiograph such as a mammo-gram that is pro-cessed by a point image processing operation such as contrast enhance-ment, or a smooth-ing or edge en-hancing convolu-tion, would have a value of YES for this attribute. A pro-jection radiograph that had been

SagiPlan 2.0


magnified or warped geometri-cally would have a value of NO for this attribute. A projec-tion radiograph that has been flipped, and/or rotated by a multiple of 90 de-grees, such that transformation of pixel locations is possible by com-parison of the val-ues of Patient Ori-entation (0020,0020) would have a value of REORIENTED_ONLY. This attribute is typically of im-portance in relating images with Presentation Intent Type (0008,0068) values of FOR PROCESSING and FOR PRESENTATION.

2. When the value of this attribute is NO, it is not possi-ble to locate on the current image any pixel coordinates that are referenced relative to the source image, such as for example, might be required for rendering CAD findings derived from a referenced FOR PROCESSING im-age on the current FOR PRESENTATION image.

>Patient Orientation (0020,0020) 1C The Patient Orientation values of the source image. Required if the value of Spatial Locations Pre-served (0028,135A) is REORIENTED_ONLY.

Referenced Instance Sequence

(0008,114A) 3 A sequence which pro-vides reference to a set of non-image SOP Class/Instance pairs significantly related to this Image, including waveforms that may or

Not evaluated

SagiPlan 2.0


may not be temporally synchronized with this image . One or more Items may be included in this se-quence



(0040,A170) 1 Code describing the purpose of the refe-rence to the In-stance(s). Only a single Item shall be permitted in this sequence.

>>Include 'Code Sequence Macro' Table 8.8-1

Defined Context ID is CID 7004 for referenced wave-forms.

Images in Acquisiti-on

(0020,1002) 3 Number of images that resulted from this ac-quisition of data

Not evaluated

Image Comments (0020,4000) 3 User-defined comments about the image

Not evaluated

Quality Control Image

(0028,0300) 3 Indicates whether or not this image is a qua-lity control or phantom image. Enumerated Values: YES NO If this Attribute is ab-sent, then the image may or may not be a quality control or phan-tom image. The phan-tom device in the image can be described using the Device Module. See C.7.6.12

Not evaluated

Burned In Annotati-on

(0028,0301) 3 Indicates whether or not image contains suf-ficient burned in anno-tation to identify the patient and date the image was acquired. Enumerated Values: YES NO If this Attribute is ab-sent, then the image may or may not contain burned in annotation.

Not evaluated

Lossy Image Com- (0028,2110) 3 Specifies whether an Not evaluated

SagiPlan 2.0


pression Image has undergone lossy compression. Enumerated Values:

00 = Image has NOT been subjected to lossy com-pression.

01 = Image has been subjected to los-sy compression.

See C.7.6.1.1.5

Lossy Image Com-pression Ratio

(0028,2112) 3 Describes the approxi-mate lossy compressi-on ratio(s) that have been applied to this image. See C.7.6.1.1.5 for further explanation. May be multivalued if successive lossy com-pression steps have been applied.

Notes: 1. For example, a compression ratio of 30:1 would be described in this Attribute with a sin-gle value of 30.

2. For historical reasons, the lossy compression ratio may also be de-scribed in Deriva-tion Description (0008,2111).

Not evaluated

Lossy Image Com-pression Method

(0028,2114) 3 A label for the lossy compression method(s) that have been applied to this image. See C.7.6.1.1.5 for further explanation. May be multivalued if successive lossy com-pression steps have been applied; the value order shall correspond to the values of Lossy Image Compression Ratio (0028,2112).

Note: For historical rea-sons, the lossy compression meth-od may also be de-scribed in Deriva-tion Description (0008,2111).

Not evaluated

SagiPlan 2.0


Icon Image Se-quence

(0088,0200) 3 This icon image is re-presentative of the Image. Only a single Item shall be permitted in this Sequence.

Not evaluated

> Include ‘Image Pixel Macro’ Table C.7-11b


Presentation LUT Shape

(2050,0020) 3 When present, spe-cifies an identity trans-formation for the Presentation LUT such that the output of all grayscale transforma-tions, if any, are defined to be in P-Values. Enumerated Values are: IDENTITY - output is in P-Values - shall be used if Photometric In-terpretation (0028,0004) is MONOCHROME2 or any color photometric interpretation. INVERSE - output after inversion is in P-Values - shall be used if Pho-tometric Interpretation (0028,0004) is MONOCHROME1. When this attribute is used with a color pho-tometric interpretation then the luminance component is in P-Values.

Not evaluated

Irradiation Event UID

(0008,3010) 3 Unique identification of the irradiation event(s) associated with the ac-quisition of this image. See C.7.6.1.1.7.

Not evaluated

7.1.2.16 Image Plane Module

Table ‎7-44

IMAGE PLANE MODULE ATTRIBUTES


SagiPlan 2.0


Pixel Spacing (0028,0030) 1 Physical distance in the patient between the center of each pixel, specified by a numeric pair - adjacent row spacing (delimiter) ad-jacent column spacing in mm. See 10.7.1.3 for further explanation.

Evaluated

Image Orientation (Patient)

(0020,0037) 1 The direction cosines of the first row and the first column with respect to the patient. See C.7.6.2.1.1 for further explanation.

Evaluated

Image Position (Pa-tient)

(0020,0032) 1 The x, y, and z coordi-nates of the upper left hand corner (center of the first voxel transmit-ted) of the image, in mm. See C.7.6.2.1.1 for further explanation.

Evaluated

Slice Thickness (0018,0050) 2 Nominal slice thick-ness, in mm.

Evaluated

Slice Location (0020,1041) 3 Relative position of the image plane expressed in mm. C.7.6.2.1.2 for further explanation.

Evaluated (only for display)

7.1.2.17 Image Pixel Module

Table ‎7-45

IMAGE PIXEL MODULE ATTRIBUTES


Samples per Pixel (0028,0002) 1 Number of samples (planes) in this image. See C.7.6.3.1.1 for further explanation.

Evaluated


(0028,0004) 1 Specifies the intended interpretation of the pi-xel data. See C.7.6.3.1.2 for further explanation.

Evaluated

Rows (0028,0010) 1 Number of rows in the image.

Evaluated

Columns (0028,0011) 1 Number of columns in the image

Evaluated

SagiPlan 2.0


Bits Allocated (0028,0100) 1 Number of bits allo-cated for each pixel sample. Each sample shall have the same number of bits allo-cated. See PS 3.5 for further explanation.

Evaluated

Bits Stored (0028,0101) 1 Number of bits stored for each pixel sample. Each sample shall have the same number of bits stored. See PS 3.5 for further explanation.

Evaluated

High Bit (0028,0102) 1 Most significant bit for pixel sample data. Each sample shall have the same high bit. See PS 3.5 for further explana-tion.

Evaluated

Pixel Representati-on

(0028,0103) 1 Data representation of the pixel samples. Each sample shall have the same pixel representa-tion. Enumerated Valu-es: 0000H = unsig-ned integer. 0001H = 2's complement

Evaluated

Pixel Data (7FE0,0010) 1C A data stream of the pixel samples that comprise the Image. See C.7.6.3.1.4 for further explanation. Required if Pixel Data Provider URL (0028,7FE0) is not present.

Evaluated

Planar Configurati-on

(0028,0006) 1C Indicates whether the pixel data are sent co-lor-by-plane or color-by-pixel. Required if Samp-les per Pixel (0028,0002) has a va-lue greater than 1. See C.7.6.3.1.3 for further explanation.

Evaluated

Pixel Aspect Ratio (0028,0034) 1C Ratio of the vertical size and horizontal size of the pixels in the image specified by a pair of

Not evaluated

SagiPlan 2.0


integer values where the first value is the ver-tical pixel size, and the second value is the ho-rizontal pixel size. Re-quired if the aspect ratio values do not have a ratio of 1:1 and the physical pixel spacing is not specified by Pixel Spacing (0028,0030), or Imager Pixel Spacing (0018,1164) or Nominal Scanned Pixel Spacing (0018,2010), either for the entire Image or per-frame in a Functional Group Macro. See C.7.6.3.1.7.

Smallest Image Pi-xel Value

(0028,0106) 3 The minimum actual pixel value encountered in this image.

Not evaluated

Largest Image Pixel Value

(0028,0107) 3 The maximum actual pixel value encountered in this image.

Not evaluated

Red Palette Color Lookup Table Descriptor

(0028,1101) 1C Specifies the format of the Red Palette Color Lookup Table Data (0028,1201) Required if Photometric Interpreta-tion (0028,0004) has a value of PALETTE COLOR or Pixel Presentation (0008,9205) at the image level equals COLOR or MIXED. See C.7.6.3.1.5 for further explanation.

Not evaluated

Green Palette Color Lookup Table Descriptor

(0028,1102) 1C Specifies the format of the Green Palette Color Lookup Table Data (0028,1202) Required if Photometric Interpreta-tion (0028,0004) has a value of PALETTE COLOR or Pixel Presentation (0008,9205) at the image level equals COLOR or MIXED. See

Not evaluated

SagiPlan 2.0


C.7.6.3.1.5 for further explanation.

Blue Palette Color Lookup Table Descriptor

(0028,1103) 1C Specifies the format of the Blue Palette Color Lookup Table Data (0028,1203) Required if Photometric Interpreta-tion (0028,0004) has a value of PALETTE COLOR or Pixel Presentation (0008,9205) at the image level equals COLOR or MIXED. See C.7.6.3.1.5 for further explanation.

Not evaluated

Red Palette Color Lookup Table Data

(0028,1201) 1C Red Palette Color Lookup Table Data. Required if Photometric Interpretation (0028,0004) has a va-lue of PALETTE COLOR or Pixel Presentation (0008,9205) at the image level equals COLOR or MIXED. See C.7.6.3.1.6 for further explanation.

Evaluated

Green Palette Color Lookup Table Data

(0028,1202) 1C Green Palette Color Lookup Table Data. Required if Photometric Interpretation (0028,0004) has a va-lue of PALETTE COLOR or Pixel Presentation (0008,9205) at the image level equals COLOR or MIXED. See C.7.6.3.1.6 for further explanation.

Evaluated

Blue Palette Color Lookup Table Data

(0028,1203) 1C Blue Palette Color Lookup Table Data. Required if Photometric Interpretation (0028,0004) has a va-lue of PALETTE COLOR or Pixel Presentation (0008,9205) at the

Evaluated

SagiPlan 2.0


image level equals COLOR or MIXED. See C.7.6.3.1.6 for further explanation.

ICC Profile (0028,2000) 3 An ICC Profile encoding the transformation of device-dependent color stored pixel values into PCS-Values. See Section C.11.15.1.1.1. When present, defines the color space of color Pixel Data (7FE0,0010) values, and the output of Palette Color Lookup Table Data (0028,1201-1203).

Note: The profile applies only to the Pixel Data (7FE0,0010) attribute at the same level of the dataset and not to any icons nested within sequences, which may or may not have their own ICC profile speci-fied.

Not evaluated

Pixel Data Provider URL (0028,7FE0) 1C A URL of a provider service that supplies the pixel data of the Image. Required if the image is to be transferred in one of the following presen-tation contexts identifi-ed by Transfer Syntax UID: 1.2.840.10008.1.2.4.94 (DICOM JPIP Refe-renced Transfer Syn-tax) 1.2.840.10008.1.2.4.95 (DICOM JPIP Refe-renced Deflate Transfer Syntax)

Not evaluated

Pixel Padding Range Limit

(0028,0121) 1C Pixel value that re-presents one limit (in-clusive) of a range of padding values used together with Pixel Padding Value

Not evaluated

SagiPlan 2.0


(0028,0120) as defined in the General Equipment Module. See C.7.5.1.1.2 for further explanation. Required if pixel pad-ding is to be defined as a range rather than a single value. Notes: 1. The Value Representation of this Attribute is determined by the value of Pixel Representation (0028,0103). 2. Pixel Padding Value (0028,0120) is also required when this Attribute is present.

7.1.2.18 CT Image Module

Table ‎7-46

CT IMAGE MODULE ATTRIBUTES


Image Type (0008,0008) 1 Image identification charac-teristics. See C.8.2.1.1.1 for specialization.

Not evaluated

Samples per Pixel (0028,0002) 1 Number of samples (planes) in this image. See C.8.2.1.1.2 for specializa-tion.

Evaluated

Photometric Interpreta-tion

(0028,0004) 1 Specifies the intended in-terpretation of the pixel data. See C.8.2.1.1.3 for specialization.

Evaluated

Bits Allocated (0028,0100) 1 Number of bits allocated for each pixel sample. Each sample shall have the same number of bits allocated. See C.8.2.1.1.4 for speciali-zation.

Evaluated

Bits Stored (0028,0101) 1 Number of bits stored for each pixel sample. Each sample shall have the same number of bits stored. See C.8.2.1.1.5 for specializa-tion.

Evaluated

High Bit (0028,0102) 1 Most significant bit for pixel sample data. Each sample

Evaluated

SagiPlan 2.0


shall have the same high bit. See C.8.2.1.1.6 for spe-cialization.

Rescale Intercept (0028,1052) 1 The value b in relationship between stored values (SV) and Hounsfield (HU). HU = m*SV+b

Evaluated

Rescale Slope (0028,1053) 1 m in the equation specified in Rescale Intercept (0028,1052).

Evaluated

KVP (0018,0060) 2 Peak kilo voltage output of the x-ray generator used

Not evaluated

Acquisition Number (0020,0012) 2 A number identifying the single continuous gathering of data over a period of time which resulted in this image

Not evaluated

Scan Options (0018,0022) 3 Parameters of scanning sequence.

Not evaluated

Data Collection Diame-ter

(0018,0090) 3 The diameter in mm of the region over which data were collected

Not evaluated

Data Collection Center (Patient)

(0018,9313) 3 The x, y, and z coordinates (in the patient coordinate system) in mm of the center of the region in which data were collected. See C.8.15.3.6.1.

Not evaluated

Reconstruction Diame-ter

(0018,1100) 3 Diameter in mm of the re-gion from within which data were used in creating the reconstruction of the image. Data may exist outside this region and portions of the patient may exist outside this region.

Not evaluated

Reconstruction Target Center (Patient)

(0018,9318) 3 The x, y, and z coordinates (in the patient coordinate system) of the reconstruc-tion center target point as used for reconstruction in mm. See C.8.15.3.6.1.

Note: If the reconstruct-ed image is not magnified or panned the value corresponds with the Data Collection Center (Patient) (0018,9313) attrib-ute.

Not evaluated

Distance Source to Detector

(0018,1110) 3 Distance in mm from source to detector center.

Note: This value is tradi-tionally referred to as Source Image Receptor Distance (SID).

Not evaluated

Distance Source to (0018,1111) 3 Distance in mm from source Not evaluated

SagiPlan 2.0


Patient to isocenter (center of field of view).

Note: This value is tradi-tionally referred to as Source Object Distance (SOD).

Gantry/Detector Tilt (0018,1120) 3 Nominal angle of tilt in de-grees of the scanning gan-try. Not intended for math-ematical computations.

Not evaluated

Table Height (0018,1130) 3 The distance in mm of the top of the patient table to the center of rotation; below the center is positive.

Not evaluated

Rotation Direction (0018,1140) 3 Direction of rotation of the source when relevant, about nearest principal axis of equipment. Enumerated Values:

CW = clockwise CC = counter clockwise

Not evaluated

Exposure Time (0018,1150) 3 Time of x-ray exposure in msec

Not evaluated

X-Ray Tube Current (0018,1151) 3 X-Ray Tube Current in mA. Not evaluated

Exposure (0018,1152) 3 The exposure expressed in mAs, for example calculated from Exposure Time and X-Ray Tube Current.

Not evaluated

Exposure in As (0018,1153) 3 The exposure expressed in µAs, for example calculated from Exposure Time and X-Ray Tube Current.

Not evaluated

Filter Type (0018,1160) 3 Label for the type of filter inserted into the x-ray beam.

Not evaluated

Generator Power (0018,1170) 3 Power in kW to the x-ray generator.

Not evaluated

Focal Spot (0018,1190) 3 Size of the focal spot in mm. For devices with variable focal spot or multiple focal spots, small dimension fol-lowed by large dimension.

Not evaluated

Convolution Kernel (0018,1210) 3 A label describing the con-volution kernel or algorithm used to reconstruct the data

Not evaluated

Revolution Time (0018,9305) 3 The time in seconds of a complete revolution of the source around the gantry orbit.

Not evaluated

Single Collimation Width

(0018,9306) 3 The width of a single row of acquired data (in mm).

Note: Adjacent physical detector rows may have been com-bined to form a

Not evaluated

SagiPlan 2.0


single effective ac-quisition row.

Total Collimation Width (0018,9307) 3 The width of the total colli-mation (in mm) over the area of active x-ray detec-tion.

Note: This will be equal the number of ef-fective detector rows multiplied by single collimation width.

Not evaluated

Table Speed (0018,9309) 3 The distance in mm that the table moves in one second during the gathering of data that resulted in this image.

Not evaluated

Table Feed per Rotation (0018,9310) 3 Motion of the table (in mm) during a complete revolution of the source around the gantry orbit.

Not evaluated

Spiral Pitch Factor (0018,9311) 3 Ratio of the Table Feed per Rotation (0018,9310) to the Total Collimation Width (0018,9307).

Not evaluated

Exposure Modulation Type

(0018,9323) 3 A label describing the type of exposure modulation used for the purpose of limiting the dose.

Defined Terms:

NONE

Not evaluated

Estimated Dose Saving (0018,9324) 3 A percent value of dose saving due to the use of Exposure Modulation Type (0018,9323). A negative percent value of dose sav-ings reflects an increase of exposure.

Not evaluated

CTDIvol (0018,9345) 3 Computed Tomography Dose Index (CTDIvol), im mGy according to IEC 60601-2-44, Ed.2.1 (Clause 29.1.103.4), The Volume CTDIvol. It describes the average dose for this image for the selected CT condi-tions of operation.

Not evaluated

CTDI Phantom Type Code Sequence

(0018,9346) 3 The type of phantom used for CTDI measurement ac-cording to IEC 60601-2-44. Only a single Item shall be permitted in this Sequence.

Not evaluated

>Include Code Sequence Macro Table 8.8-1 DCID 4052

Include 'General Anatomy Optional Macro' Table 10-7

Defined Context ID for the Anatomic Region Sequence is 4030.

Calcium Scoring Mass Factor Patient

(0018,9351) 3 The calibration factor for the calcium mass score. These factors incorporate the ef-

Not evaluated

SagiPlan 2.0


fects of

KV value of the CT image

the patient size.

machine specific corrections

See C.8.2.1.1.7.

Calcium Scoring Mass Factor Device

(0018,9352) 3 The calibration factors for the calcium mass score of the device. These factors incorporate the effects of

KV value of the CT image

machine specific corrections

This a multi-value attribute, the first value specifies the mass factor for a small pa-tient size, the second value for a medium patient size and the third value for a large patient size.

See C.8.2.1.1.7.

Not evaluated

CT Additional X-Ray Source Sequence

(0018,9360) 3 Contains the attributes de-fining the data acquisition in a multiple X-Ray source system beyond the primary source. The primary X-Ray source is specified in other attributes of this module.

One or more items may be present.

Not evaluated

>kVP (0018,0060) 1 Peak kilo voltage output of the X-Ray generator used.

>X-Ray Tube Current in mA

(0018,9330) 1 Nominal X-Ray tube current in milliamperes.

>Data Collection Di-ameter

(0018,0090) 1 The diameter in mm of the region over which data were collected.

>Focal Spot(s) (0018,1190) 1 Used nominal size of the focal spot in mm.

>Filter Type(s) (0018,1160) 1 Type of filter(s) inserted into the X-Ray beam.

>Filter Material (0018,7050) 1 The X-Ray absorbing mate-rial used in the filter.

7.1.2.19 SOP Common Module

SagiPlan 2.0


Table ‎7-47

SOP COMMON MODULE ATTRIBUTES


SOP Class UID (0008,0016) 1 Uniquely identifies the SOP Class. See C.12.1.1.1 for further explanation. See also PS 3.4.

Evaluated

SOP Instance UID (0008,0018) 1 Uniquely identifies the SOP Instance. See C.12.1.1.1 for further explanation. See also PS 3.4.

Evaluated

Specific Character Set (0008,0005) 1C Character Set that expands or replaces the Basic Graphic Set.

Required if an expanded or replacement character set is used.

See C.12.1.1.2 for Defined Terms.

Not evaluated

Instance Creation Date (0008,0012) 3 Date the SOP Instance was created.

Not evaluated

Instance Creation Time (0008,0013) 3 Time the SOP Instance was created.

Not evaluated

Instance Creator UID (0008,0014) 3 Uniquely identifies device which created the SOP In-stance.

Not evaluated

Related General SOP Class UID

(0008,001A) 3 Uniquely identifies a Related General SOP Class for the SOP Class of this Instance. See PS 3.4.

Not evaluated

Original Specialized SOP Class UID

(0008,001B) 3 The SOP Class in which the Instance was originally en-coded, but which has been replaced during a fall-back conversion to the current Re-lated General SOP Class. See PS 3.4.

Not evaluated

Coding Scheme Identifi-cation Sequence

(0008,0110) 3 Sequence of items that map values of Coding Scheme Designator (0008,0102) to an external coding system regis-tration, or to a private or local coding scheme. One or more items may be present in the sequence.

Not evaluated

>Coding Scheme Desig-nator

(0008,0102) 1 The value of a Coding Scheme Designator, used in this SOP Instance, which is being mapped.

>Coding Scheme Regis-try

(0008,0112) 1C The name of the external reg-istry where further definition of the identified coding scheme may be obtained. Required if coding scheme is registered.

Defined term: HL7

>Coding Scheme UID (0008,010C) 1C The coding scheme UID iden-

SagiPlan 2.0


tifier. Required if coding scheme is identified by an ISO 8824 object identifier compat-ible with the UI VR.

>Coding Scheme Exter-nal ID

(0008,0114) 2C The coding scheme identifier as defined in an external reg-istry. Required if coding scheme is registered and Coding Scheme UID (0008,010C) is not present.

>Coding Scheme Name (0008,0115) 3 The coding scheme full com-mon name

>Coding Scheme Version (0008,0103) 3 The coding scheme version associated with the Coding Scheme Designator (0008,0102).

>Coding Scheme Re-sponsible Organization

(0008,0116) 3 Name of the organization responsible for the Coding Scheme. May include organi-zational contact information.

Timezone Offset From UTC

(0008,0201) 3 Contains the offset from UTC to the timezone for all DA and TM Attributes present in this SOP Instance, and for all DT Attributes present in this SOP Instance that do not contain an explicitly encoded time-zone offset.

Encoded as an ASCII string in the format “&ZZXX”. The components of this string, from left to right, are & = “+” or “-”, and ZZ = Hours and XX = Minutes of offset. Leading space characters shall not be present.

The offset for UTC shall be +0000; -0000 shall not be used.

Notes: 1. This encoding is the same as de-scribed in PS 3.5 for the offset component of the DT Value Rep-resentation.

2. This Attribute does not apply to values with a DT Value Rep-resentation, that con-tains an explicitly en-coded timezone off-set.

3. The corrected time may cross a 24 hour boundary. For exam-ple, if Local Time = 1.00 a.m. and Offset = +0200, then UTC = 11.00 p.m. (23.00) the day before.

Not evaluated

SagiPlan 2.0


4. The “+” sign may not be omitted.

Time earlier than UTC is ex-pressed as a negative offset.

Note: For example:

UTC = 5.00 a.m.

Local Time = 3.00 a.m.

Offset = -0200

The local timezone offset is undefined if this Attribute is absent.

Contributing Equipment Sequence

(0018,A001) 3 Sequence of Items containing descriptive attributes of relat-ed equipment which has con-tributed to the acquisition, creation or modification of the composite instance.



Not evaluated


(0040,A170) 1 Describes the purpose for which the related equipment is being reference. Only a single Item shall be permitted in this sequence.


>>Include ‘Code Sequence Macro’ Table 8.8-1 Defined Context ID 7005.

>Manufacturer (0008,0070) 1 Manufacturer of the equip-ment that contributed to the composite instance.

>Institution Name (0008,0080) 3 Institution where the equip-ment that contributed to the composite instance is located.

>Institution Address (0008,0081) 3 Address of the institution where the equipment that contributed to the composite instance is located.

>Station Name (0008,1010) 3 User defined name identifying the machine that contributed to the composite instance.


(0008,1040) 3 Department in the institution where the equipment that contributed to the composite instance is located.

>Manufacturer’s Model Name

(0008,1090) 3 Manufacturer’s model name of the equipment that contributed to the composite instance.

>Device Serial Number (0018,1000) 3 Manufacturer’s serial number of the equipment that contrib-uted to the composite in-stance.

SagiPlan 2.0


>Software Versions (0018,1020) 3 Manufacturer’s designation of the software version of the equipment that contributed to the composite instance.

>Spatial Resolution (0018,1050) 3 The inherent limiting resolu-tion in mm of the acquisition equipment for high contrast objects for the data gathering and reconstruction technique chosen. If variable across the images of the series, the val-ue at the image center.

>Date of Last Calibration (0018,1200) 3 Date when the image acquisi-tion device calibration was last changed in any way. Multiple entries may be used for addi-tional calibrations at other times. See C.7.5.1.1.1 for further explanation.

>Time of Last Calibration (0018,1201) 3 Time when the image acquisi-tion device calibration was last changed in any way. Multiple entries may be used. See C.7.5.1.1.1 for further expla-nation.

>Contribution DateTime (0018,A002) 3 The Date & Time when the equipment contributed to the composite instance.

>Contribution Description (0018,A003) 3 Description of the contribution the equipment made to the composite instance.

Instance Number (0020,0013) 3 A number that identifies this Composite object instance.

Not evaluated

SOP Instance Status (0100,0410) 3 A flag that indicates the stor-age status of the SOP In-stance. Not Specified (NS) implies that this SOP Instance has no special storage status, and hence no special actions need be taken. Original (OR) implies that this is the primary SOP instance for the purpose of storage, but that it has not yet been authorized for diag-nostic use. Authorized Origi-nal (AO) implies that this is the primary SOP instance for the purpose of storage, which has been authorized for diag-nostic use. Any copies of an Authorized Original should be given the status of Authorized Copy. Authorized Copy (AC) implies that this is a copy of an Authorized Original SOP Instance.

Enumerated Values: NS, OR, AO, AC

Not evaluated

SagiPlan 2.0


Note: Proper use of these flags is specified in Security Profiles. Implementations that do not conform to such Secu-rity Profiles may not neces-sarily handle these flags properly.

SOP Authorization Date and Time

(0100,0420) 3 The date and time when the SOP Instance Status (0100,0410) was set to AO.

Not evaluated

SOP Authorization Com-ment

(0100,0424) 3 Any comments associated with the setting of the SOP Instance Status (0100,0410) to AO.

Not evaluated

Authorization Equipment Certification Number

(0100,0426) 3 The certification number is-sued to the Application Entity that set the SOP Instance Status (0100,0410) to AO.

Not evaluated

Include ‘Digital Signatures Macro’ Table C.12-6

Encrypted Attributes Se-quence

(0400,0500) 1C Sequence of Items containing encrypted DICOM data. One or more Items shall be pre-sent. Required if application level confidentiality is needed and certain recipients are allowed to decrypt all or por-tions of the Encrypted Attrib-utes Data Set. See C.12.1.1.4.1.

Not evaluated

>Encrypted Content Transfer Syntax UID

(0400,0510) 1 Transfer Syntax used to en-code the encrypted content. Only Transfer Syntaxes that explicitly include the VR and use Little Endian encoding shall be used.

>Encrypted Content (0400,0520) 1 Encrypted data. See C.12.1.1.4.2.

Original Attributes Se-quence

(0400,0561) 3 Sequence of Items containing all attributes that were re-moved or replaced by other values in the main dataset.

One or more Items may be permitted in this sequence.

Not evaluated

>Source of Previous Val-ues

(0400,0564) 2 The source that provided the SOP Instance prior to the removal or replacement of the values. For example, this might be the Institution from which imported SOP Instanc-es were received.

>Attribute Modification DateTime

(0400,0562) 1 Date and time the attributes were removed and/or re-placed.

>Modifying System (0400,0563) 1 Identification of the system which removed and/or re-placed the attributes.

SagiPlan 2.0


>Reason for the Attribute Modification

(0400,0565) 1 Reason for the attribute modi-fication. Defined terms are:

COERCE = Replace values of attributes such as Patient Name, ID, Accession Number, for example, during import of media from an external institu-tion, or reconciliation against a master patient index.

CORRECT = Replace incor-rect values, such as Patient Name or ID, for example, when incorrect worklist item was chosen or operator input error.

>Modified Attributes Se-quence

(0400,0550) 1 Sequence containing a single item that contains all the At-tributes, with their previous values, that were modified or removed from the main data set.

>>Any Attribute from the main data set that was modified or removed; may include Sequence Attributes and their Items.

HL7 Structured Document Reference Sequence

(0040,A390) 1C Sequence of items defining mapping and/or access mechanism for HL7 Struc-tured Documents referenced from the current SOP In-stance. One or more Items may be included in this se-quence.

See C.12.1.1.6.

Required if HL7 Structured Documents are referenced within the Instance.

Not evaluated

>Referenced SOP Class UID

(0008,1150) 1 Unique identifier for the class of HL7 Structured Document.

>Referenced SOP In-stance UID

(0008,1155) 1 Unique identifier for the HL7 Structured Document as used in DICOM instance refer-ences.

>HL7 Instance Identifier (0040,E001) 1 Instance Identifier of the ref-erenced HL7 Structured Doc-ument, encoded as a UID (OID or UUID), concatenated with a caret (“^”) and Exten-sion value (if Extension is present in Instance Identifier).

>Retrieve URI (0040,E010) 3 Retrieval access path to HL7 Structured Document. In-cludes fully specified scheme, authority, path, and query in accordance with RFC 2396

SagiPlan 2.0


7.1.2.20 RT Series Module

Table ‎7-48

Table C.8-37 - RT SERIES MODULE ATTRIBUTES


Modality (0008,0060) 1 Type of equipment that origi-nally acquired the data. Enu-merated Values:

RTIMAGE = RT Image

RTDOSE = RT Dose

RTSTRUCT = RT Structure Set

RTPLAN = RT Plan

RTRECORD = RT Treatment Record

See C.8.8.1.1.

Evaluated

Series Instance UID (0020,000E) 1 Unique identifier of the series. Evaluated

Series Number (0020,0011) 2 A number that identifies this series.

Not evaluated

Series Description (0008,103E) 3 User provided description of the series.

Not evaluated

Referenced Performed Procedure Step Se-quence

(0008,1111) 3 Uniquely identifies the Per-formed Procedure Step SOP Instance to which the Series is related (e.g. a Modality or General-Purpose Performed Procedure Step SOP In-stance). One or more items may be included in this se-quence.

Not evaluated


Request Attributes Se-quence

(0040,0275) 3 Sequence that contains attrib-utes from the Imaging Service Request.

The sequence may have one or more Items.

Not evaluated

>Include Request Attributes Macro Table 10-9 No Baseline Context IDs defined

Include Performed Procedure Step Summary Macro Table 10-16 No Baseline Context IDs defined

7.1.2.21 RT Image Module

Table ‎7-49

Table C.8-38—RT IMAGE MODULE ATTRIBUTES


Samples per Pixel (0028,0002) 1 Number of samples (planes) in this image. See C.8.8.2.6.1 for specialization.

Evaluated

Photometric Interpretation (0028,0004) 1 Specifies the intended inter- Evaluated

SagiPlan 2.0


pretation of the pixel data. See C.8.8.2.6.2 for specializa-tion.

Bits Allocated (0028,0100) 1 Number of bits allocated for each pixel sample. Each sample shall have the same number of bits allocated. See C.8.8.2.6.3 for specialization.

Evaluated

Bits Stored (0028,0101) 1 Number of bits stored for each pixel sample. Each sample shall have the same number of bits stored. See C.8.8.2.6.4 for specialization.

Evaluated

High Bit (0028,0102) 1 Most significant bit for each pixel sample. Each sample shall have the same high bit. See C.8.8.2.6.5 for specializa-tion.

Evaluated

Pixel Representation (0028,0103) 1 Data representation of the pixel samples. Each sample shall have the same pixel representation. See C.8.8.2.6.6 for specialization.

Evaluated

Pixel Intensity Relation-ship

(0028,1040) 3 The relationship between the Pixel sample values and the X-Ray beam intensity.

Enumerated Values:

LIN = Linearly proportional to X-Ray beam intensity

LOG = Logarithmically propor-tional to X-Ray beam intensity


Not evaluated

Pixel Intensity Relation-ship Sign

(0028,1041) 1C The sign of the relationship between the Pixel sample values stored in Pixel Data (7FE0,0010) and the X-Ray beam intensity.

Required if Pixel Intensity Relationship (0028,1040) is present.

Enumerated Values;

1 = Lower pixel values corre-spond to less X-Ray beam intensity

-1 = Higher pixel values corre-spond to less X-Ray beam intensity


Not evaluated

RT Image Label (3002,0002) 1 User-defined label for RT Image.

Not evaluated

RT Image Name (3002,0003) 3 User-defined name for RT Image.

Not evaluated

RT Image Description (3002,0004) 3 User-defined description of RT Image.

Not evaluated

SagiPlan 2.0


Operators’ Name (0008,1070) 2 Name of operator(s) acquiring or creating RT Image.

Not evaluated

Image Type (0008,0008) 1 Image identification character-istics (see Section C.7.6.1.1.2). RT Images shall use one of the following De-fined Terms for Value 3:

DRR = digitally reconstructed radiograph

PORTAL = digital portal image or portal film image

SIMULATOR = conventional simulator image

RADIOGRAPH = radiographic image

BLANK = image pixels set to background value

FLUENCE = fluence map

Not evaluated

Conversion Type (0008,0064) 2 Describes the kind of image conversion. Defined Terms:

DV = Digitized Video

DI = Digital Interface

DF = Digitized Film

WSD = Workstation

Not evaluated

Reported Values Origin (3002,000A) 2C Describes the origin of the parameter values reported in the image. Required if Value 3 of Image Type (0008,0008) is SIMULATOR or PORTAL.

Enumerated Values:

OPERATOR = manually en-tered by operator

PLAN = planned parameter values

ACTUAL = electronically rec-orded

Not evaluated

RT Image Plane (3002,000C) 1 Describes whether or not im-age plane is normal to beam axis.

Enumerated Values:

NORMAL = image plane nor-mal to beam axis

NON_NORMAL = image plane non-normal to beam axis

Must be NORMAL

X-Ray Image Receptor Translation

(3002,000D) 3 Position in (x,y,z) coordinates of origin of IEC X-RAY IMAGE RECEPTOR System in the IEC GANTRY coordinate sys-tem (mm). See Note 2.

X-Ray Image Receptor Angle

(3002,000E) 2 X-Ray Image Receptor Angle i.e. orientation of IEC X-RAY IMAGE RECEPTOR coordi-nate system with respect to IEC GANTRY coordinate sys-tem (degrees). See C.8.8.2.2.

Not evaluated

SagiPlan 2.0


RT Image Orientation (3002,0010) 2C The direction cosines of the first row and the first column with respect to the IEC X-RAY IMAGE RECEPTOR coordi-nate system. Required if RT Image Plane (3002,000C) is NON_NORMAL. May be pre-sent otherwise.

Not evaluated

Image Plane Pixel Spac-ing

(3002,0011) 2 Physical distance (in mm) between the center of each image pixel, specified by a numeric pair - adjacent row spacing (delimiter) adjacent column spacing. See C.8.8.2.3 and 10.7.1.3 for further explanation.

Evaluated

RT Image Position (3002,0012) 2 The x and y coordinates (in mm) of the upper left hand corner of the image, in the IEC X-RAY IMAGE RECEPTOR coordinate sys-tem. This is the center of the first pixel transmitted. See C.8.8.2.7.

Not evaluated

Radiation Machine Name (3002,0020) 2 User-defined name identifying radiation machine used in acquiring or computing image (i.e. name of conventional simulator, electron accelera-tor, X-Ray device, or machine modeled when calculating DRR).

Not evaluated

Primary Dosimeter Unit (300A,00B3) 2 Measurement unit of machine dosimeter.

Enumerated Values:

MU = Monitor Unit

MINUTE = minute

Not evaluated

Radiation Machine SAD (3002,0022) 2 Radiation source to Gantry rotation axis distance of radia-tion machine used in acquiring or computing image (mm).

Evaluated

Radiation Machine SSD (3002,0024) 3 Source to patient surface dis-tance (in mm) of radiation machine used in acquiring or computing image.

Not evaluated

RT Image SID (3002,0026) 2 Distance from radiation ma-chine source to image plane (in mm) along radiation beam axis. See C.8.8.2.3.

Evaluated

Source to Reference Object Distance

(3002,0028) 3 Source to reference object distance (in mm), as used for magnification calculation of RADIOGRAPH and SIMULATOR images.

Not evaluated

Referenced RT Plan Se-quence

(300C,0002) 3 Introduces sequence of one Class/Instance pair describing RT Plan associated with im-

Not evaluated

SagiPlan 2.0


age. Only a single item shall be permitted in this sequence.

Include ‘SOP Instance Reference Macro' Table 10-11

Referenced Beam Num-ber

(300C,0006) 3 Uniquely identifies the corre-sponding N-segment treat-ment beam specified by Beam Number (300A,00C0) within Beam Sequence in RT Beams Module within the RT Plan referenced in Referenced RT Plan Sequence (300C,0002).

Not evaluated

Referenced Fraction Group Number

(300C,0022) 3 Identifier of Fraction Group within RT Plan referenced in Referenced RT Plan Se-quence (300C,0002).

Not evaluated

Fraction Number (3002,0029) 3 Fraction Number of fraction during which image was ac-quired, within Fraction Group referenced by Referenced Fraction Group Number (300C,0022) within RT Plan referenced in Referenced RT Plan Sequence (300C,0002).

Not evaluated

Start Cumulative Meter-set Weight

(300C,0008) 3 Cumulative Meterset Weight within Beam referenced by Referenced Beam Number (300C,0006) at which image acquisition starts.

Not evaluated

End Cumulative Meterset Weight

(300C,0009) 3 Cumulative Meterset Weight within Beam referenced by Referenced Beam Number (300C,0006) at which image acquisition ends.

Not evaluated

Exposure Sequence (3002,0030) 3 Introduces sequence of Expo-sure parameter sets, corre-sponding to exposures used in generating the image. One or more items may be includ-ed in this sequence. See C.8.8.2.4.

Not evaluated

>Referenced Frame Number

(0008,1160) 1C Identifies corresponding im-age frame in multi-frame im-age. Required if there is more than one item in Exposure Sequence (3002,0030), and image is a multi-frame image.

>KVP (0018,0060) 2C Peak kilo voltage output (kV) of X-Ray generator used to acquire image. Required if Value 3 of Image Type (0008,0008) is PORTAL, SIMULATOR or RADIOGRAPH.

>X-Ray Tube Current (0018,1151) 2C Imaging device X-Ray Tube Current (mA). Required if Value 3 of Image Type (0008,0008) is SIMULATOR

SagiPlan 2.0


or RADIOGRAPH.

>Exposure Time (0018,1150) 2C Time of X-Ray exposure (msec). Required if Value 3 of Image Type (0008,0008) is SIMULATOR or RADIOGRAPH.

>Meterset Exposure (3002,0032) 2C Treatment machine Meterset duration over which image has been acquired, specified in Monitor units (MU) or minutes as defined by Primary Dosimeter Unit (300A,00B3). Required if Value 3 of Image Type (0008,0008) is PORTAL.

>Diaphragm Position (3002,0034) 3 Positions of diaphragm jaw pairs (in mm) in IEC BEAM LIMITING DEVICE coordinate axis in the IEC order X1, X2, Y1, Y2.

>Beam Limiting Device Sequence

(300A,00B6) 3 Introduces sequence of beam limiting device (collimator) jaw or leaf (element) positions for given exposure. One or more items may be included in this sequence.

>>RT Beam Limiting Device Type

(300A,00B8) 1 Type of beam limiting device (collimator).

Enumerated Values:

X = symmetric jaw pair in IEC X direction

Y = symmetric jaw pair in IEC Y direction

ASYMX = asymmetric jaw pair in IEC X direction

ASYMY = asymmetric pair in IEC Y direction

MLCX = multileaf (multi-element) jaw pair in IEC X direction

MLCY = multileaf (multi-element) jaw pair in IEC Y direction

>>Source to Beam Limit-ing Device Distance

(300A,00BA) 3 Radiation source to beam limiting device (collimator) distance (mm).

>>Number of Leaf/Jaw Pairs

(300A,00BC) 1 Number of leaf (element) or jaw pairs (equal to 1 for standard beam limiting device jaws).

>>Leaf Position Bounda-ries

(300A,00BE) 2C Boundaries (in mm) of beam limiting device (collimator) leaves (elements) in IEC BEAM LIMITING DEVICE coordinate axis appropriate to RT Beam Limiting Device Type (300A,00B8), i.e. X-axis for MLCY, Y-axis for MLCX.

SagiPlan 2.0


Contains N+1 values, where N is the Number of Leaf/Jaw Pairs (300A,00BC), starting from Leaf (Element) Pair 1. Required if RT Beam Limiting Device Type (300A,00B8) is MLCX or MLCY.

>>Leaf/Jaw Positions (300A,011C) 1 Positions of beam limiting device (collimator) leaf or jaw (element) pairs (in mm) in IEC BEAM LIMITING DEVICE coordinate axis appropriate to RT Beam Limiting Device Type (300A,00B8), e.g. X-axis for MLCX, Y-axis for MLCY). Contains 2N values, where N is the Number of Leaf/Jaw Pairs (300A,00BC), in IEC leaf (element) subscript order 101, 102, ... 1N, 201, 202, ... 2N.

>Applicator Sequence (300A,0107) 3 Introduces sequence of Appli-cators associated with Beam. Only a single item shall be permitted in this sequence.

>>Applicator ID (300A,0108) 1 User or machine supplied identifier for Applicator.

>>Applicator Type (300A,0109) 1 Type of Applicator.

Defined Terms:

ELECTRON_SQUARE = square electron applicator

ELECTRON_RECT = rectan-gular electron applicator

ELECTRON_CIRC = circular electron applicator

ELECTRON_SHORT = short electron applicator

ELECTRON_OPEN = open (dummy) electron applicator

INTRAOPERATIVE = in-traoperative (custom) applica-tor

STEREOTACTIC = stereotac-tic applicator

>>Applicator Description (300A,010A) 3 User-defined description for Applicator.

>Number of Blocks (300A,00F0) 1 Number of shielding blocks associated with Beam.

>Block Sequence (300A,00F4) 2C Introduces sequence of blocks associated with Beam. Re-quired if Number of Blocks (300A,00F0) is non-zero. Zero or more items may be includ-ed in this sequence.

>>Block Tray ID (300A,00F5) 3 User-supplied identifier for block tray.

>>Source to Block Tray (300A,00F6) 2 Radiation Source to attach-

SagiPlan 2.0


Distance ment edge of block tray as-sembly (mm).

>>Block Type (300A,00F8) 1 Type of block.

Enumerated Values:

SHIELDING = blocking mate-rial is inside contour

APERTURE = blocking mate-rial is outside contour

>>Block Divergence (300A,00FA) 2 Indicates presence or other-wise of geometrical diver-gence

Enumerated Values:

PRESENT = block edges are shaped for beam divergence

ABSENT = block edges are not shaped for beam diver-gence

>>Block Mounting Posi-tion

(300A,00FB) 3 Indicates on which side of the Block Tray the block is mounted.

Enumerated Values:

PATIENT_SIDE = the block is mounted on the side of the Block Tray which is towards the patient. SOURCE_SIDE = the block is mounted on the side of the Block Tray which is towards the radiation source.

>>Block Number (300A,00FC) 1 Identification Number of the Block. The value of Block Number (300A,00FC) shall be unique within the Beam in which it is created.

>>Block Name (300A,00FE) 3 User-defined name for block.

>>Material ID (300A,00E1) 2 User-supplied identifier for material used to manufacture Block.

>>Block Thickness (300A,0100) 3 Physical thickness of block (in mm) parallel to radiation beam axis.

>>Block Number of Points

(300A,0104) 2 Number of (x,y) pairs defining the block edge.

>>Block Data (300A,0106) 2 A data stream of (x,y) pairs which comprise the block edge. The number of pairs shall be equal to Block Num-ber of Points (300A,0104), and the vertices shall be in-terpreted as a closed polygon. Coordinates are projected onto the machine isocentric plane in the IEC BEAM LIMITING DEVICE coordinate system (mm).

Fluence Map Sequence (3002,0040) 1C A Sequence of data describ- Not evaluated

SagiPlan 2.0


ing the fluence map attributes for a radiotherapy beam.

Only one item may be includ-ed in this sequence.

Required if the third value of Image Type (0008,0008) is FLUENCE.

>Fluence Data Source (3002,0041) 1 Source of fluence data.

Enumerated Values:

CALCULATED = Calculated by a workstation

MEASURED=Measured by exposure to a film or detector.

>Fluence Data Scale (3002,0042) 3 The meterset corresponding with a fluence map cell value of 1.0 expressed in units specified by Primary Dosime-ter Units (300A,00B3). This is the meterset value used for treatment, not the meterset used to expose the film as defined by Meterset Exposure (3002,0032).

Gantry Angle (300A,011E) 3 Treatment machine gantry angle, i.e. orientation of IEC GANTRY coordinate system with respect to IEC FIXED REFERENCE coordinate sys-tem (degrees).

Evaluated

Gantry Pitch Angle (300A,014A) 3 Gantry Pitch Angle. i.e. the rotation of the IEC GANTRY coordinate system about the X-axis of the IEC GANTRY coordinate system (degrees). See C.8.8.25.6.5.

Not evaluated, assumed to be zero

Beam Limiting Device Angle

(300A,0120) 3 Treatment machine beam limiting device (collimator) angle, i.e. orientation of IEC BEAM LIMITING DEVICE coordinate system with re-spect to IEC GANTRY coordi-nate system (degrees).

Not evaluated

Patient Support Angle (300A,0122) 3 Patient Support angle, i.e. orientation of IEC PATIENT SUPPORT coordinate system with respect to IEC FIXED REFERENCE coordinate sys-tem (degrees).


Table Top Eccentric Axis Distance

(300A,0124) 3 Distance (positive) from the IEC PATIENT SUPPORT vertical axis to the IEC TABLE TOP ECCENTRIC vertical axis (mm).

Not evaluated

Table Top Eccentric An-gle

(300A,0125) 3 Table Top (non-isocentric) angle, i.e. orientation of IEC TABLE TOP ECCENTRIC coordinate system with re-


SagiPlan 2.0


spect to IEC PATIENT SUPPORT system (degrees).

Table Top Pitch Angle (300A,0140) 3 Table Top Pitch Angle, i.e. the rotation of the IEC TABLE TOP coordinate system about the X-axis of the IEC TABLE TOP coordinate system (de-grees). See C.8.8.25.6.2.


Table Top Roll Angle (300A,0144) 3 Table Top Roll Angle, i.e. the rotation of the IEC TABLE TOP coordinate system about the Y-axis of the IEC TABLE TOP coordinate system (de-grees). See C.8.8.25.6.2.


Table Top Vertical Posi-tion

(300A,0128) 3 Table Top Vertical position in IEC TABLE TOP coordinate system (mm).

Not evaluated

Table Top Longitudinal Position

(300A,0129) 3 Table Top Longitudinal posi-tion in IEC TABLE TOP coor-dinate system (mm).

Not evaluated

Table Top Lateral Posi-tion

(300A,012A) 3 Table Top Lateral position in IEC TABLE TOP coordinate system (mm).

Not evaluated

Isocenter Position (300A,012C) 3 Isocenter coordinates (x,y,z), in mm. Specifies the location of the machine isocenter in the patient-based coordinate system associated with the Frame of Reference. It allows transformation from the equipment-based IEC coordi-nate system to the patient-based coordinate system.

Not evaluated

Patient Position (0018,5100) 1C Patient position descriptor relative to the patient support device.

Required if Isocenter Position (300A,012C) is present. May be present otherwise.

See Section C.8.8.12.1.2 for Defined Terms and further explanation.

Note: The orientation of the patient relative to the patient support de-vice is denoted in the same manner as in the RT Patient Setup module. It defines the relation of the pa-tient-based DICOM coordinate system identified by the frame of reference module of the RT Image to the IEC co-ordinate system and together with the Iso-center Position (300A,012C) allows

Not evaluated

SagiPlan 2.0


the RT Image to be placed into the pa-tient frame of refer-ence. It also allows a system using an RT Image to verify that the patient is setup in a similar position rel-ative to the patient support device.

7.1.2.22 SC Image Module

Table ‎7-50

SC IMAGE MODULE ATTRIBUTES


Date of Secondary Cap-ture

(0018,1012) 3 The date the Secondary Cap-ture Image was captured.

Not Evaluated

Time of Secondary Cap-ture

(0018,1014) 3 The time the Secondary Cap-ture Image was captured.

Not Evaluated

Nominal Scanned Pixel Spacing

(0018,2010) 3 Physical distance on the me-dia being digitized or scanned between the center of each pixel, specified by a numeric pair - adjacent row spacing (delimiter) adjacent column spacing in mm. See 10.7.1.3 for further explanation of the value order.

Shall be consistent with Pixel Aspect Ratio (0028,0034), if present.

Evaluated

Include Basic Pixel Spacing Calibration Macro Evaluated

(see Table ‎7-51

BASIC PIXEL SPACING CALIBRATION MACRO ATTRIBUTES)

Note: The tag (0018,2010) ‘Nominal Scanned Pixel Spacing’ is evaluated in order to de-termine the pixel sizes of the image. If this tag is missing, the tag (0028,0030) ‘Pixel Spac-ing’ in the Basic Pixel Spacing Macro is evaluated. If none of the two tags is present, a default value is assigned.

Table ‎7-51 BASIC PIXEL SPACING CALIBRATION MACRO ATTRIBUTES

Pixel Spacing (0028,0030) 1C Physical distance in the pa-tient between the center of each pixel, specified by a numeric pair - adjacent row spacing (delimiter) adjacent

Evaluated

SagiPlan 2.0


column spacing in mm. See 10.7.1.1 and 10.7.1.3. Re-quired if the image has been calibrated. May be present otherwise.

Pixel Spacing Calibration Type

(0028,0A02) 3 The type of correction for the effect of geometric magnifica-tion or calibration against an object of known size, if any. See 10.7.1.2.

Not Evaluated

Pixel Spacing Calibration Description

(0028,0A04) 1C A free text description of the type of correction or calibra-tion performed.

Notes: 1. In the case of cor-rection, the text might include description of the assumptions made about the body part and geometry and depth within the patient.

2. in the case of cali-bration, the text might include a de-scription of the fidu-cial and where it is located (e.g., “XYZ device applied to the skin over the greater trochanter”).

3. Though it is not required, the Device Module may be used to describe the spe-cific characteristics and size of the cali-bration device.

Required if Pixel Spacing Calibration Type (0028,0A02) is present.

Not Evaluated

7.1.2.23 CR Image Module

Table ‎7-52

CR IMAGE MODULE ATTRIBUTES


Photometric Interpreta-tion

(0028,0004) 1 Specifies the intended inter-pretation of the pixel data. Shall have one of the follow-ing Enumerated Values:

MONOCHROME1

MONOCHROME2

Evaluated

KVP (0018,0060) 3 Peak kilo voltage output of the x-ray generator used

Not Evaluated

Plate ID (0018,1004) 3 The ID or serial number of the sensing plate upon which the

Not Evaluated

SagiPlan 2.0


image was acquired

Distance Source to De-tector

(0018,1110) 3 Distance in mm from source to detector center.

Note: This value is tradi-tionally referred to as Source Image Re-ceptor Distance (SID).

Evaluated. Used as default for Focus to Film distance.

Distance Source to Pa-tient

(0018,1111) 3 Distance in mm from source to isocenter (center of field of view) .

Note: This value is tradi-tionally referred to as Source Object Dis-tance (SOD).

Evaluated. Used as default for Focus to Isocenter distance

Exposure Time (0018,1150) 3 Time of x-ray exposure in msec

Not Evaluated

X-Ray Tube Current (0018,1151) 3 X-Ray Tube Current in mA. Not Evaluated

Exposure (0018,1152) 3 The exposure expressed in mAs, for example calculated from Exposure Time and X-Ray Tube Current.

Not Evaluated

Exposure in As (0018,1153) 3 The exposure expressed in µAs, for example calculated from Exposure Time and X-Ray Tube Current.

Not Evaluated

Imager Pixel Spacing (0018,1164) 3 Physical distance measured at the front plane of the Image Receptor housing between the center of each pixel. Specified by a numeric pair - row spacing value (delimiter) column spacing value - in mm.

In the case of CR, the front plane is defined to be the external surface of the CR plate closest to the patient and radiation source.

Evaluated. Used for pixel sizes.

Include Basic Pixel Spacing Calibration Macro (Table 10-10) Evaluated

Generator Power (0018,1170) 3 Power in kW to the x-ray gen-erator.

Not Evaluated

Acquisition Device Pro-cessing Description

(0018,1400) 3 Describes device-specific processing associated with the image (e.g. Organ De-scription)

Not Evaluated

Acquisition Device Pro-cessing Code

(0018,1401) 3 Code representing the de-vice-specific processing as-sociated with the image (e.g. CR Organ Filtering code)

Not Evaluated

Cassette Orientation (0018,1402) 3 Orientation of cassette, used to properly position the image for display. Enumerated Values:

LANDSCAPE PORTRAIT

Not Evaluated

SagiPlan 2.0


Cassette Size (0018,1403) 3 Size of cassette. Defined Terms:

18CMX24CM 8INX10IN 24CMX30CM 10INX12IN 30CMX35CM 30CMX40CM 11INX14IN 35CMX35CM 14INX14IN 35CMX43CM 14INX17IN

Not Evaluated

Exposures on Plate (0018,1404) 3 Total number of x-ray expo-sures that have been made on the plate identified in Plate ID (0018,1004)

Not Evaluated

Relative X-Ray Exposure (0018,1405) 3 Relative x-ray exposure on the plate. Meaning of values is implementation specific. May be used to adjust the dynamic range of the plate digitizer (scanner).

Not Evaluated

Sensitivity (0018,6000) 3 Read out sensitivity. Not Evaluated


Defined Context ID for the Anatomic Region Sequence is 4009.

Not Evaluated

Note: The tag (0018,1164) ‘Imager Pixel Spacing’ is evaluated in order to determine the pixel sizes of the image. If this tag is missing, the tag (0028,0030) ‘Pixel Spacing’ in the Basic Pixel Spacing Macro is evaluated. If none of the two tags are present, a default val-ue is assigned.

7.1.2.24 X-Ray Image Module

Table ‎7-53

X-RAY IMAGE MODULE ATTRIBUTES


Frame Increment Pointer (0028,0009) 1C Required if Multi-Frame Im-age.

Contains the Data Element Tag of the attribute that is used as the Frame increment in Multi-frame image pixel data (See C.7.6.6). Special-ized for X-Ray as Enumerat-ed Value:

00181063H = Frame Time (0018,1063); 00181065H = Frame Time Vector (0018,1065).

Not supported. Multi-Frame Images are not supported at all.

SagiPlan 2.0


Lossy Image Compres-sion

(0028,2110) 1C Specifies whether an Image has undergone lossy com-pression. Enumerated Val-ues:

00 = Image has NOT been subjected to lossy compres-sion.

01 = Image has been subjected to lossy compression.

See C.7.6.1.1.5

Required if Lossy Compres-sion has been performed on the Image.

Not Evaluated

Image Type (0008,0008) 1 Image identification charac-teristics.

See C.8.7.1.1.1 for speciali-zation.

Not Evaluated

Pixel Intensity Relation-ship

(0028,1040) 1 The relationship between the Pixel sample values and the X-Ray beam intensity.

See Section C.8.7.1.1.2.

Samples per Pixel (0028,0002) 1 Number of samples (color planes) in this image shall have a value of 1.

Evaluated

Photometric Interpretation (0028,0004) 1 Specifies the intended inter-pretation of the pixel data. Only MONOCHROME2 may be used.

Evaluated

Bits Allocated (0028,0100) 1 Number of bits allocated for each pixel sample.


Evaluated

Bits Stored (0028,0101) 1 Number of bits stored for each pixel sample.


Evaluated

High Bit (0028,0102) 1 Most significant bit for pixel sample data.


Evaluated

Pixel Representation (0028,0103) 1 Data representation of the pixel samples.

Shall have the value:

0000H = Unsigned In-teger.

Evaluated

Scan Options (0018,0022) 3 Parameters of scanning se-quence.

See Section C. 8.7.1.1.4.

Not Evaluated


No Context ID for the Ana-tomic Region Sequence is defined.

Not Evaluated

R Wave Pointer (0028,6040) 3 Marks the location(s) of the R Wave in the cardiac cycles by referencing frame num-bers; frame numbers begin

Not Evaluated

SagiPlan 2.0


with 1.

Referenced Image Se-quence

(0008,1140) 1C A sequence which provides reference to a set of Image SOP Class/Instance identify-ing other images significantly related to this image. Shall be present if Image Type (0008,0008) Value 3 is BIPLANE A or BIPLANE B. May be present otherwise. One or more items may be included in this sequence..


Not Evaluated



(0040,A170) 3 Describes the purpose for which the reference is made. Only a single Item shall be permitted in this Sequence.

>>Include Code Sequence Macro Table 8.8-1 Defined Context ID 7201

Derivation Description (0008,2111) 3 A text description of how this image was derived.


Not Evaluated


(0018,1400) 3 Indicates any visual pro-cessing performed on the images prior to exchange.


Not Evaluated

Frame Label Vector (0018,2002) 3 A multi-valued attribute that contains a descriptive label for each of the image frames. The number of values shall equal the number of frames.

Not Evaluated

Frame Dimension Pointer (0028,000A) 3 Contains the Data Element Tags of one or more attrib-utes that vary or increment for the frames of a multi-frame image. See C.8.7.1.1.12.

Shall not be present if it would contain only one value and that value would be Frame Time (0018,1063) or Frame Time Vector (0018,1065).

Not Evaluated

Calibration Image (0050,0004) 3 Indicates whether a reference object (phantom) of known size is present in the image and was used for calibration. Enumerated Values:

YES

NO

Device is identified using the Device module. See C.7.6.12.

Not Evaluated

SagiPlan 2.0


7.1.2.25 X-Ray Acquisition Module

Table ‎7-54

X-RAY ACQUISITION MODULE ATTRIBUTES


KVP (0018,0060) 2 Peak kilo voltage output of the X-Ray generator used.

Not Evaluated

Radiation Setting (0018,1155) 1 Identify the general level of X-Ray dose exposure. Enumer-ated values are:

SC = low dose exposure gen-erally corresponding to fluoro-scopic settings (e.g. prepara-tion for diagnostic quality im-age acquisition);

GR = high dose for diagnostic quality image acquisition (also called digital spot or cine);

Not Evaluated

X-Ray Tube Current (0018,1151) 2C X-Ray Tube Current in mA. Required if Exposure (0018,1152) is not present. May be present otherwise.

Not Evaluated

X-Ray Tube Current in A (0018,8151) 3 X-Ray Tube Current in A. Not Evaluated

Exposure Time (0018,1150) 2C Duration of X-Ray exposure in msec. See 8.7.2.1.1. Required if Exposure (0018,1152) is not present. May be present oth-erwise.

Not Evaluated

Exposure Time in S (0018,8150) 3 Duration of X-Ray exposure in

sec.

Not Evaluated

Exposure (0018,1152) 2C The exposure expressed in mAs, for example calculated from Exposure Time and X-Ray Tube Current. Required if either Exposure Time (0018,1150) or X-Ray Tube Current (0018,1151) are not present. May be present oth-erwise.

Not Evaluated

Exposure in As (0018,1153) 3 The exposure expressed in

As, for example calculated from Exposure Time and X-Ray Tube Current.

Not Evaluated

Grid (0018,1166) 3 Identify the grid. Only a single value shall be present. De-fined Terms are:

IN = A Grid is posi-tioned;

NONE = No Grid is used.

Not Evaluated

Average Pulse Width (0018,1154) 3 Average width of X-Ray pulse in msec.

Not Evaluated

SagiPlan 2.0


Radiation Mode (0018,115A) 3 Specifies X-Ray radiation mode. Defined Terms:

CONTINUOUS

PULSED

Not Evaluated

Type of Filters (0018,1161) 3 Type of filter(s) inserted into the X-Ray beam (e.g. wedg-es).

Not Evaluated

Intensifier Size (0018,1162) 3 Diameter of X-Ray intensifier in mm

Evaluated

Field of View Shape (0018,1147) 3 Shape of the Image Intensifier Field of View. See C.8.7.2.1.2. Defined Terms are:

ROUND

RECTANGLE

Not Evaluated

Field of View Dimension(s) (0018,1149) 3 Dimensions of the Image In-tensifier Field of View in mm. If Rectangle, row dimension followed by column; if Round, diameter.

Evaluated

Imager Pixel Spacing (0018,1164) 3 Physical distance measured at the front plane of the Image Receptor housing between the center of each pixel specified by a numeric pair - row spac-ing value(delimiter) column spacing value in mm. See 10.7.1.3 for further explanation of the value order.

The value of this attribute shall never be adjusted to account for correction for the effect of geometric magnification or calibration against an object of known size; Pixel Spacing (0028,0030) is specified for that purpose.

Evaluated

Include Basic Pixel Spacing Calibration Macro (Table 10-10) Not Evaluated

Focal Spot (0018,1190) 3 Nominal focal spot size in mm used to acquire this image.

Not Evaluated

Image and Fluoroscopy Area Dose Product

(0018,115E) 3 X-Ray dose, measured in dGy*cm*cm, to which the pa-tient was exposed for the ac-quisition of this image plus any non-digitally recorded fluoros-copy which may have been performed to prepare for the acquisition of this image.

Note: The sum of the area dose product of all images of a Series or a Study may not re-sult in the total area dose product to which the patient was ex-posed.

Not Evaluated

SagiPlan 2.0


Note: The tag (0018,1164) ‘Imager Pixel Spacing’ is evaluated in order to determine the pixels sizes of the image. If tag (0018,1164) ‘Imager Pixel Spacing’ is missing, the tags are evaluated in the order listed below and the first found tag is evaluated:

(0018,1149) ‘Field of View Dimension(s). The pixel sizes are calculated by dividing the ‘Field of View Dimensions’ by the image rows respectively image columns (i.e. tags (0028,0010 ‘Rows’ and (0028,0011) ‘Columns’).

(0018,1162) ‘Intensifier Size’. The pixel sizes are calculated by dividing the ‘Intensifier Size’ by the image rows respectively image columns (i.e. tags (0028,0010 ‘Rows’ and (0028,0011) ‘Columns’).

(0028,0030) ‘Pixel Spacing’ in the Basic Pixel Spacing Macro.

7.1.2.26 DX Detector Module

Table ‎7-55

DX DETECTOR MODULE ATTRIBUTES


Include ‘Digital X-Ray Detector Macro’ Table C.8-71b Not evaluated

Detector Active Time (0018,7014) 3 Time in mSec that the detec-tor is active during acquisition of this image.

Note: This activation win-dow overlaps the time of the X-Ray exposure as defined by Exposure Time (0018,1150) and De-tector Activation Off-set From Exposure (0018,7016).

Not evaluated

Detector Activation Offset From Exposure

(0018,7016) 3 Offset time in mSec that the detector becomes active after the X-Ray beam is turned on during acquisition of this im-age. May be negative.

Not evaluated

Field of View Shape (0018,1147) 3 Shape of the Field of View, that is the image pixels stored in Pixel Data (7FE0,0010).

Enumerated Values:

RECTANGLE ROUND HEXAGONAL

Not evaluated

Field of View Dimen-sion(s)

(0018,1149) 3 Dimensions in mm of the Field of View, that is the image pixels stored in Pixel Data (7FE0,0010). If Field of View Shape (0018,1147) is:

RECTANGLE: row dimension followed by column.

ROUND: diameter.

HEXAGONAL: diameter of a circumscribed circle.

Not evaluated

Field of View Origin (0018,7030) 1C Offset of the TLHC of a rec-tangle circumscribing the

Not evaluated

SagiPlan 2.0


Field of View, that is the im-age pixels stored in Pixel Data (7FE0,0010), before rotation or flipping, from the TLHC of the physical detector area measured in physical detector pixels as a row offset followed by a column offset.

Required if Field of View Ro-tation (0018,7032) or Field of View Horizontal Flip (0018,7034) is present.


Field of View Rotation (0018,7032) 1C Clockwise rotation in degrees of Field of View, that is the image pixels stored in Pixel Data (7FE0,0010), relative to the physical detector.

Enumerated Values:

0, 90, 180, 270

Required if Field of View Hori-zontal Flip (0018,7034) is present.


Not evaluated

Field of View Horizontal Flip

(0018,7034) 1C Whether or not a horizontal flip has been applied to the Field of View, that is the im-age pixels stored in Pixel Data (7FE0,0010), after rotation relative to the physical detec-tor as described in Field of View Rotation (0018,7032).

Enumerated Values:

NO YES

Required if Field of View Ro-tation (0018,7032) is present.


Not evaluated

Imager Pixel Spacing (0018,1164) 1 Physical distance measured at the front plane of the detec-tor housing between the cen-ter of each image pixel speci-fied by a numeric pair - row spacing value(delimiter) col-umn spacing value in mm. See 10.7.1.3 for further ex-planation of the value order.

The value of this attribute shall never be adjusted to account for correction for the effect of geometric magnifica-tion or calibration against an object of known size; Pixel Spacing (0028,0030) is speci-fied for that purpose.

Evaluated

SagiPlan 2.0


Include Basic Pixel Spacing Calibration Macro Evaluated

(see Table ‎7-51

BASIC PIXEL SPACING CALIBRATION MACRO ATTRIBUTES)

Cassette ID (0018,1007) 3 Identifier of the cassette that contains the photostimulable phosphor plate, for CR acqui-sitions.

Not evaluated

Plate ID (0018,1004) 3 Identifier of the photostimula-ble phosphor plate, for CR acquisitions.

Not evaluated

7.1.2.27 DX Image Module

Table ‎7-56

DX IMAGE MODULE ATTRIBUTES


Image Type (0008,0008) 1 Image identification character-istics.

See C.8.11.3.1.1 for speciali-zation.

Evaluated

Samples per Pixel (0028,0002) 1 Number of samples in this image. Shall have an Enu-merated Value of 1.

Evaluated

Photometric Interpretation (0028,0004) 1 Specifies the intended inter-pretation of the pixel data.

Enumerated Values:

MONOCHROME1 MONOCHROME2

Evaluated

Bits Allocated (0028,0100) 1 Number of bits allocated for each pixel sample.

Enumerated Values: 8, 16

Evaluated

Bits Stored (0028,0101) 1 Number of bits stored for each pixel sample.

Enumerated Values: 6 to 16

Evaluated

High Bit (0028,0102) 1 Most significant bit for pixel sample data.

Shall have an Enumerated Value of one less than the value in Bit Stored (0028,0101).

Evaluated

Pixel Representation (0028,0103) 1 Data representation of the pixel samples.

Shall have the Enumerated Value:

0000H = Unsigned In-

Evaluated

SagiPlan 2.0


teger.

Pixel Intensity Relationship (0028,1040) 1 The relationship between the Pixel sample values and the X-Ray beam intensity.

Enumerated Values:

LIN = Linearly proportional to X-Ray beam intensity LOG = Logarithmically propor-tional to X-Ray beam intensity


Not evaluated

Pixel Intensity Relationship Sign

(0028,1041) 1 The sign of the relationship between the Pixel sample values stored in Pixel Data (7FE0,0010) and the X-Ray beam intensity.

Enumerated Values;

1 = Lower pixel values corre-spond to less X-Ray beam intensity

-1 = Higher pixel values cor-respond to less X-Ray beam intensity


Not evaluated

Rescale Intercept (0028,1052) 1 The value b in the relationship between stored values (SV) in Pixel Data (7FE0,0010) and the output units specified in Rescale Type (0028,1054).

Output units = m*SV + b.

Enumerated Value: 0


Not evaluated

Rescale Slope (0028,1053) 1 m in the equation specified by Rescale Intercept (0028,1052).

Enumerated Value: 1


Not evaluated

Rescale Type (0028,1054) 1 Specifies the output units of Rescale Slope (0028,1053) and Rescale Intercept (0028,1052).

Enumerated Value: US = Unspecified


Not evaluated

Presentation LUT Shape (2050,0020) 1 Specifies an identity transfor-mation for the Presentation LUT, other than to account for the value of Photometric In-terpretation (0028,0004), such that the output of all grayscale transformations defined in the IOD containing this Module

Not evaluated

SagiPlan 2.0


are defined to be P-Values.

Enumerated Values:

IDENTITY - output is in P-Values - shall be used if Pho-tometric Interpretation (0028,0004) is MONOCHROME2.

INVERSE - output after inver-sion is in P-Values - shall be used if Photometric Interpreta-tion (0028,0004) is MONOCHROME1.


Lossy Image Compression (0028,2110) 1 Specifies whether an Image has undergone lossy com-pression. Enumerated Values:

00 = Image has NOT been subjected to lossy compression.

01 = Image has been subjected to lossy compression.


Not evaluated

Lossy Image Compression Ratio

(0028,2112) 1C See C.7.6.1.1.5 for further explanation.

Required if Lossy Compres-sion has been performed on the Image.

Not evaluated

Derivation Description (0008,2111) 3 A text description of how this image was derived.


Not evaluated


(0018,1400) 3 Indicates any visual pro-cessing performed on the images prior to exchange.


Not evaluated

Acquisition Device Pro-cessing Code

(0018,1401) 3 Code representing the device-specific processing associat-ed with the image (e.g. Organ Filtering code)

Note: This Code is manu-facturer specific but provides useful an-notation information to the knowledgeable observer.

Not evaluated

Patient Orientation (0020,0020) 1 Patient direction of the rows and columns of the image.


Not evaluated

Calibration Image (0050,0004) 3 Indicates whether a reference object (phantom) of known size is present in the image and was used for calibration.

Not evaluated

SagiPlan 2.0


Enumerated Values:

YES NO

Device is identified using the Device module. See C.7.6.12 for further explanation.

Burned In Annotation (0028,0301) 1 Indicates whether or not im-age contains sufficient burned in annotation to identify the patient and date the image was acquired.

Enumerated Values:

YES NO

Not evaluated

VOI LUT Sequence (0028,3010) 1C Defines a sequence of VOI LUTs.



Required if Presentation In-tent Type (0008,0068) is FOR PRESENTATION and Win-dow Center (0028,1050) is not present. May also be present if Window Center (0028,1050) is present.

Not evaluated

>LUT Descriptor (0028,3002) 1C Specifies the format of the LUT Data in this Sequence.


Required if the VOI LUT Se-quence (0028,3010) is sent.

Not evaluated

>LUT Explanation (0028,3003) 3 Free form text explanation of the meaning of the LUT.

Not evaluated

>LUT Data (0028,3006) 1C LUT Data in this Sequence.

Required if the VOI LUT Se-quence (0028,3010) is sent.

Not evaluated

Window Center (0028,1050) 1C Defines a Window Center for display.


Required if Presentation In-tent Type (0008,0068) is FOR PRESENTATION and VOI LUT Sequence (0028,3010) is not present. May also be pre-sent if VOI LUT Sequence (0028,3010) is present.

Not evaluated

Window Width (0028,1051) 1C Window Width for display. See C.8.11.3.1.5 for further explanation.

Required if Window Center (0028,1050) is sent.

Not evaluated

Window Center & Width Explanation

(0028,1055) 3 Free form explanation of the meaning of the Window Cen-

Not evaluated

SagiPlan 2.0


ter and Width. Multiple values correspond to multiple Win-dow Center and Width values.

7.2 Data Dictionary of Private Attributes

Table ‎7-57

DATA DICTIONARY OF PRIVATE ATTRIBUTES

Tag Attribute Name VR VM Attribute Description

(1001, 0010) Private Creator Data Element LO 1 The Private Creator Data Element.

(1001, 1000) Irradiation Data Check Sum 1 UL 1 First part of the Irradiation Data Check Sum.

(1001, 1001) Irradiation Data Check Sum 2 UL 1 Second part of the Irradiation Data Check Sum.

(1001, 1002) Patient Photo Encoding Format CS 1 Encoding of patient photo. Possible values are:

BASE64

(1001, 1003), Patient Photo Picture Format CS 1 Picture format of patient photo. Possible values are:

BMP

PNG

JPG

(1001, 1004) Patient Photo Byte Stream UT 1 Patient photo content as BASE64 stream.

(1001, 1005) Study Last Saved DT 1 Date and time when the study was last saved.

(1001, 1006) Treat in Fraction UL 1..n Fraction number the RT Plan is used for treatment.

(1001, 1009) Dwell Position from Tip DS 1 Distance of a dwell position from the applicator tip in millimeter.

1001, 100A) Reference to Applicator Data-base

ST 1 Reference to the used applicator database of Sagi-Plan.