回乳房画像研究会 これだけは知っとこ...

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熊本学医学部附属病院 12回乳房画像研究会 これだけは知っとこ Mammography担当者の DICOMモニタ管 配布資

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  • 12

    MammographyDICOM

  • MammographyDICOM 2016.02.27

    DICOM

    Agenda

    DICOMDigital Mammography X-Ray Image IOD

  • DICOM

  • DICOM

    DICOM

    DICOM

    Digital Mammography IOD

  • MammographyDICOM 2016.02.27

    DICOM

    DICOMDICOMDICOMDigital Mammography X-Ray Image IOD

  • MammographyDICOM 2016.02.27

    Pixel Matrix SizeSenographe 2000D 100 19202300Selenia 70 33284096Novation 70 33284096FCR AMULET 50 35404740CR850/975 48.5 35844784Mermaid+ REGIUS 25 70809480

    m

  • MammographyDICOM 2016.02.27

    1Matrix Size bit Capacity

    Senographe 2000D

    19202300 14 9

    Selenia 33284096 14 27Novation 33284096 14 27FCR AMULET 35404740 10 34CR850/975 35844784 12 34Mermaid+ REGIUS

    70809480 14 134

    MB

  • MammographyDICOM 2016.02.27

    50mm1mm

    2475189010bit

    56

    9.4MB

    526MB

  • MammographyDICOM 2016.02.27

    DICOM

    DICOM3 Ver3.0

    The DICOM Standard 2015c Part 1-20

    Service Class

  • MammographyDICOM 2016.02.27

    The DICOM Standard 2015c

    PS3.3 Information Object Definitions

    PS3.6 Data Dictionary

    PS3.14Grayscale Standard Display FunctionGSDF

    IOD

  • DICOM

    DICOM

  • MammographyDICOM 2016.02.27

    DICOM AE IP PORT

  • MammographyDICOM 2016.02.27

    DICOM Services Class Verification Storage Storage Commitment Query/Retrieve PRINT Worklist Management Performed Procedure Step Management Media Management

    DICOM PS3.4

  • MammographyDICOM 2016.02.27

    SCPSCU

    Store Store

    SCU SCUSCP SCP

    SCU: Service Class UserSCP: Service Class Provider

  • MammographyDICOM 2016.02.27

    DICOM

    22byte 2byte 4byte byte

    DataElement

    DataElement

    DataElement

    DataElement

    TagGroup, Element

    VRValue Representation

    VLValue Length

    VFValue Filed

  • DICOM Element Tag

    Group, ElementVR

    Value RepresentationVL

    Value LengthVF

    Value Filed

    Data Element Tag

    VR: Value Representation

    VL: Value Length

    VF: Value Filed

  • MammographyDICOM 2016.02.27

    DICOM Tag

    Group, ElementVR

    Value RepresentationVL

    Value LengthVF

    Value Filed

    0008,0020 DA 8 20160227

  • Data Element Tag

    (0008,0020)

    162byte=16bit 164

    (7FE0,0010)

  • Tag Name VR VM0010,0010 Patients Name PN 10010,0020 Patient ID LO 10010,0030 Patients Birth Date DA 10010,0040 Patients Sex CS 10010,0101 Patients Age AS 10010,2110 Allergies LO 1-n

    Data Element Tag

  • Tag Name VR VM0028,0004 Photometric

    InterpretationCS 1

    0028,0010 Rows US 10028,0011 Columns US 10028,0030 Pixel Spacing DS 20028,0028 Bit Allocated US 1

    Data Element Tag

  • MammographyDICOM 2016.02.27

    Data Element Tag(0009,0016)

    Private Data Element

    Conformance Statement

  • Conformance Statement/ CS

  • DICOM Element Tag

    Group, ElementVR

    Value RepresentationVL

    Value LengthVF

    Value Filed

    Data Element Tag

    VR: Value Representation

    VL: Value Length

    VF: Value Filed

  • VR Value Representation VR VR AE OW AS PN AT SH CS SL DA SQ DS 10 SS DT ST FL TM FD UI (UID)IS UL LO UN LT US OB UT

  • DA: Date0-9YYYYMMDD

    Tag Name VR VM0008,0020 Study Date DA 1

    8bye

    2015822 20150822

    VR: Value Representation

  • PN: Person Name(0008,0005)^=

    Tag Name VR VM0010,0010 Patients Name PN 1

    64

    VR: Value Representation

  • VL: Value Length

    Explicit VR

    Implicit VR

    TagGroup, Element

    VRValue Representation

    VLValue Length

    VFValue Filed

    TagGroup, Element

    VLValue Length

    VFValue Filed

  • MammographyDICOM 2016.02.27

    DICOM Tag

    Group, ElementVR

    Value RepresentationVL

    Value LengthVF

    Value Filed

    0008,0020 DA 8 20160227

  • DATA ELEMENT TYPE

    Type 1 Required Data Element1c

    Type 2 Required Data Element2c

    Type 3 Optional Data Element

  • MammographyDICOM 2016.02.27

    []

    5MP165m2

  • MammographyDICOM 2016.02.27

    []

    ,

    201591

  • MammographyDICOM 2016.02.27

    []

    DICOMGSDFCD

  • MammographyDICOM 2016.02.27

    []

    20

  • MammographyDICOM 2016.02.27

    []

    a. (8)ID,,

    (,)

  • MammographyDICOM 2016.02.27

    []

    b. (6)target/filtermAs

  • MammographyDICOM 2016.02.27

    []

    c. (6 )

  • IENormalized IOD

    Composite IOD

    Module

    IE: Information Entity

    IOD: Information Object Definitions

  • MammographyDICOM 2016.02.27

    Information Entity (IE)Digital Mammography X-Ray Image IOD

    Patient

    Study

    Series

    Frame of Reference

    Equipment

    Image

    Patient

    Clinical Trial SubjectAttribute

    Module

  • IOD

    IE

    Module

    Module

    Module

    IE

    Module

    Module

    ModulePatient

    Clinical TrialSubject

    Patient

  • MammographyDICOM 2016.02.27

    Digital Mammography X-Ray Image IOD ModulesIE Module Reference UsagePatient Patient C.7.1.1 M

    Clinical Trial Subject

    C.7.1.3 U

    Image General Image C.7.6.1 MImage Pixel C.7.6.3 MSOP Common C.12.1 M

  • MammographyDICOM 2016.02.27

    C.7.1.1 Patient ModuleIE: Patient

    Attribute Name Tag TypePatients Name (0010,0010) 2

    Patient ID (0010,0020) 2Patients Birthday Date

    (0010,0030) 2

    Patients Sex (0010,0040) 2

  • Digital Mammography X-Ray Image IOD

    DICOM PS3.3 2015c - Information Object Definitions

    A.27

    A.55.3Breast Tomosynthesis Image IOD Module

    Information Object Definitions

  • MammographyDICOM 2016.02.27

    C.7.1.1 Patient ModuleIE: Patient

    Attribute Name Tag TypePatients Name (0010,0010) 2

    Patient ID (0010,0020) 2Patients Birthday Date

    (0010,0030) 2

    Patients Sex (0010,0040) 2

  • MammographyDICOM 2016.02.27

    C.7.2.1 General Study Module

    Attribute Name Tag TypeStudy Instance UID (0020,000D) 1

    Study Date (0008,0020) 2Study Time (0008,0030) 2Study ID (0020,0010) 2Accession Number (0008,0050) 2

    IE: Study

  • MammographyDICOM 2016.02.27

    C.7.2.2 Patient Study Module

    Attribute Name Tag TypePatients Age (0010,1010) 3

    Patients Size (m) (0010,1020) 3Patients Weight (Kg) (0010,1030) 3

    IE: Study

  • MammographyDICOM 2016.02.27

    C.7.3.1 General Series Module

    Attribute Name Tag TypeModality (0080,0060) 1

    Series Instance UID (0020,000E) 1Series Number (0020,0011) 2Laterality (0020,0060) 2COperators' Name (0008,1070) 3

    IE: Series

  • MammographyDICOM 2016.02.27

    Modality (0008,0060)C.7.3.1.1.1 Modality

    DX Digital Radiography

    MG Mammography

    CR Computed Radiography

  • MammographyDICOM 2016.02.27

    C.7.5.1 General Equipment Module

    Attribute Name Tag TypeManufacture (0008,0070) 2

    Institution Name (0008,0008) 3Station Name (0008,1010) 3Spatial Resolution (0018,1050) 3

    IE: Equipment

  • MammographyDICOM 2016.02.27

    C.7.6.1 General Image Module

    Attribute Name Tag TypeImage Type (0008,0008) 3

    Lossy Image Compression

    (0028,2110) 3

    Presentation LUT Shape

    (2050,0020) 3

    IE: Image

  • MammographyDICOM 2016.02.27

    C.7.6.1 General Image Module

    Attribute Name Tag TypeLossy Image Compression

    (0028,2110) 3

    IE: Image

    00:

    01:

  • MammographyDICOM 2016.02.27

    C.7.6.1 General Image Module

    Attribute Name Tag TypePresentation LUT Shape

    (2050,0020) 3

    IE: Image

    IDENTITY:P

    INVERSE:P

  • MammographyDICOM 2016.02.27

    C.8.11.2 DX Anatomy Imaged ModuleAttribute Name Tag TypeImage Laterality (0020,0062) 1

    IE: Image

    R rightL leftU unpairedB both left and right

  • MammographyDICOM 2016.02.27

    C.8.11.3 DX Image Module

    Attribute Name Tag TypeVOI LUT Sequence (0028,3010) 1C

    Window Center (0028,1050) 1C

    Window Width (0028,1051) 1C

    Acquisition Device Processing Description

    (0018,1400) 3

    IE: Image

  • MammographyDICOM 2016.02.27

    C.8.11.5 DX Positioning Module

    Attribute Name Tag TypeBody Part Thickness (0018,11A0) 3

    Compression Force (0018,11A2) 3

    Estimated Radiographic Magnification Factor

    (0018,1114) 3

    IE: Image

    Body Part ThicknessmmCompression ForceN

  • MammographyDICOM 2016.02.27

    C.8.7.8X-Ray Acquisition Dose ModuleAttribute Name Tag TypeKVP (0018,0060) 3

    X-Ray Tube Current (0018,1151) 3

    Exposure Time (0018,1150) 3

    Exposure (0018,1152) 3

    IE: Image

    Exposure: mAsX-Ray Tube Current: mAExposure Time: msec

  • MammographyDICOM 2016.02.27

    C.8.7.8X-Ray Acquisition Dose ModuleAttribute Name Tag TypeAnode Target Material

    (0018,1191) 3

    IE: Image

    TUNGSTENMOLYBDEUMRHODIUM

  • MammographyDICOM 2016.02.27

    C.8.7.8X-Ray Acquisition Dose ModuleAttribute Name Tag TypeFilter Material (0018,7050) 3

    IE: Image

    MOLYBDENUMALUMINUMCOPPERRHODIUM

    NIOBIUMEUROPIUMLEAD

  • MammographyDICOM 2016.02.27

    C.8.7.9 X-Ray Generation Module

    Attribute Name Tag TypeExposure Control Mode

    (0018,7060) 3

    Exposure Control Mode Description

    (0018,7062) 3

    IE: Image

    Exposure Control Mode MANUALAUTOMATIC

  • MammographyDICOM 2016.02.27

    C.8.11.7 Mammography Image ModuleAttribute Name Tag TypeOrgan Exposed (0040,0318) 1

    Organ Dose (0040,0316) 3

    IE: Image

    Organ Exposed: BREAST

    Organ Dose:

  • MammographyDICOM 2016.02.27

    DICOM

    DICOMDICOMDICOMDigital Mammography X-Ray Image IOD

  • MammographyDICOM 2016.02.27

    DICOM

    Agenda

    DICOMDigital Mammography X-Ray Image IOD

  • MammographyDICOM 2016.02.27

    5MGSDFJESRA X-0093*A-2010

    LCD

  • LCD

  • SXGA 1,2801,024 1MUXGA 1,6001,200 2MQXGA 2,0481,536 3MQSXGA 2,5602,048 5MQUXGA 3,2002,400QUXGA Wide

    3,8402,400

  • MammographyDICOM 2016.02.27

  • DICOM PS3.14 2015cGrayscale Standard Display Function

    GSDF

  • GSDF Grayscale Standard Display FunctionBarten

    DICOM PS3.14

    JND Index (Just Noticeable Difference)1

  • SIcd/m2/1 cd/m2=1nt=0.2919fLnt,fL)

    Luminance

  • MammographyDICOM 2016.02.27

    Lmin

    Lamb

    Lmax cd/m2

  • illuminance

    SIlx1 lx(lux)=10.764fc(foot candle)

  • JIS

    50lx

    1000lx

    500lx

    100lx

    50lx

    0lx

  • JESRA X-0093*A-2010

    3.0

    2010611

    274

  • 3.0

    2.1.2XX

    ()15M(2048x2560)()

    http://www.radiology.jp/

  • AAPM TG-18ASSESSMENT OF DISPLAY PERFORMANCE FOR MEDICAL IMAGING SYSTEMS

    ACR-AAPM-SIIMPractice Guideline for Determinants of Image Quality in Digital Mammography Amended 2014

  • JESRA X-0093*A-2010 2010http://www.jira-net.or.jp/

  • MammographyDICOM 2016.02.27

    JESRA X-0093*A-2010

  • JIRA TG18-QC16CX5%,95%Quality Control

    JESRA X-0093*A-2010

  • MammographyDICOM 2016.02.27

    Lmax(cd/m2)

    Lmax/Lmin

    K

    1 170 250 15

    2 100 100 30

    JESRA X-0093*A-2010

  • Lamb

    OFF

    Lmin= Lmin+ Lamb

    Lmax= Lmax+ Lamb

    JESRA X-0093*A-2010

  • {(Lmax n-Lmax 0)/Lmax 0}100

    600cd/m2,540cd/m260cd/m2

    JESRA X-0093*A-2010

    10Lmax n : Lmax 0 :

  • {(Lmax1-Lmax2)/Lmax2}100

    Lmax1600cd/m2Lmax2540cd/m210%

    10Lmax1:Lmax2:

    JESRA X-0093*A-2010

  • 20-45lx

    ACR-AAPM-SIIMPractice Guideline for Determinants of Image Quality in Digital Mammography :Reading Environment

  • Lamb < Lmin/1.5 Lamb=E Rd

    E:lxRd:

    ACR-AAPM-SIIMPractice Guideline for Determinants of Image Quality in Digital Mammography

  • MammographyDICOM 2016.02.27

    5MGSDFJESRA X-0093*A-2010

    LCD

  • MammographyDICOM 2016.02.27

    DICOM

    DICOMDigital Mammography X-Ray Image IOD