Atlas-Based Autosegmentation. DICOM Conformance Statement DICOM 3.0

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DICOM Conformance Statement DICOM 3.0

Revision History, Trademarks ABAS DICOM Conformance Statement Revision History Revision Date Changes ABAS_DCS_100_A 04/2008 First version. ABAS_DCS_B 04/2009 Update tags for DICOM 3.0; update logos Trademarks All terms mentioned in this manual that are known trademarks, registered trademarks, or service marks have been appropriately labeled as such. Other products, services, or terms that are referred to in this manual may be trademarks, registered trademarks, or service marks of their respective owners. CMS, Inc., makes no claim to these trademarks. Use of a term in this manual should not be regarded as affecting the validity of any trademark, registered trademark, or service mark. Computerized Medical Systems, CMS, and are registered trademarks of CMS, Inc. Windows and XP are registered trademarks of Microsoft Corporation in the United States and/or other countries. Any performance characteristics given in this manual are for reference only and are not intended as guaranteed specifications. Copyright 2003-2009 by CMS, Inc. All rights reserved. ii ABAS_DCS_B

Table of Contents ABAS DICOM Conformance Statement Table of Contents ABAS DICOM Conformance Statement... 1 1 Intro...1 1.1 Conformance Statement Overview...1 2 Networking...1 3 Media Interchange...1 4 Support of Character Sets...1 5 Security...2 Annex A. IOD Contents...3 A.1 Created SOP Instances....3 A.1.2 RT Structure Set IOD...3 A.1.3 Common Modules...5 A.1.4 Series Module...6 A.1.4 RT Structure Set Modules...6 A.2 Usage of Attributes from Received IODs...9 A.2.1 Image Data...9 A.2.2 RT Structure Set...9 iii

ABAS DICOM Conformance Statement 1 Intro 1.1 Conformance Statement Overview 2 Networking Atlas-based autosegmentation computes estimates of anatomic boundaries (contours) in a patient CT image series by deformably registering a previously contoured CT image--the atlas--to the patient image. Transforming the deformed atlas contours onto the patient image produces the desired segmentation. ABAS requires DICOM format CT Image and RT Structure Set files to represent the anatomy, but does not use DICOM services for image and structure set import or export, relying instead on an user interaction to define where the atlas and patient are located in the computer file system. Navigation of the file system to locate the data is done using the tools of the host operating system. The RT Structure Set file produced by ABAS contains the data objects needed for DICOM PS 3.3 compliance. ABAS does not use DICOM network query-retrieve, storage, or media services. ABAS is a single object oriented program with a simple user interface to locate the atlases and patients and to place the output RT Structure Set files. It only uses the file location methods of the local computer operating system. The program uses the patient and atlas DICOM header information to define the output RT Structure Set objects. 3 Media Interchange ABAS provides user interaction only with the disk resources of the local host computer. Any transfer of data to media other than the local disks would require the read/write resources of the local host. ABAS uses no DICOM media servers or resources. 4 Support of Character Sets ABAS does not support extended character sets. 1

5 Security No specific DICOM security features are applied within ABAS. 2

Annex A. IOD Contents A.1 Created SOP Instances. The following tables use a number of abbreviations. They are as follows: Value Representations (VR) VR Entry Definition CS DA DS IS LO OB PN SH SQ TM UI US Of Entry VNAP ANAP EMPTY Entry USER CONFIG Code String Date Decimal String Integer String Long String Other Byte String Person Name Short String Sequence of Items Time Unique Identifier Unsigned Short Definition Value Not Always Present (attribute sent zero length if no value is present) Attribute Not Always Present Always Present Attribute is sent without a value Definition the attribute value source is from User input the attribute value is generated automatically the attribute value source is a configurable parameter NOTE: All dates and times are encoded in the local configured calendar and time. A.1.2 RT Structure Set IOD The following tables list the output from the product. The RT Structure Set is the only output DICOM information. The output data is located on 3

the hard drive of the system and contains the meta-header information for storage on media. IE Module Reference Usage Patient Patient Table A.1.3-1 Study General Study Table A.1.3-2 Series RT Series Table A.1.4-1 Equipment General Equipment Table A.1.3-3 Structure Set Structure Set Table A.1.4-2 ROI Contour Table A.1.4-3 RT ROI Observations Table A.1.4-4 Approval Table A.1.4-5 SOP Common Table A.1.3-4 4

A.1.3 Common Modules Patient (Table A.1.3-1) Attribute Name Tag VR Value Patient Name (0010, 0010) PN Set to the same Patient ID (0010, 0020) CS Set to the same Patient s Birth Date (0010, 0030) DA Set to the same Patient s Sex (0010, 0040) CS Set to the same of Value General Study Module (Table A.1.3-2) Attribute Name Tag VR Value of Value Study Instance UID (0020, 000D) UI Set to the same Study Date (0008, 0020) DA Set to the same Study Time (0008, 0030) TM Set to the same Referring Physician s Name (0008, 0090) PN Set to the same Study ID (0020, 0010) SH Set to the same Accession Number (0008, 0050) SH Set to the same General Equipment Module (Table A.1.3-3) Attribute Name Tag VR Value of Value Manufacturer (0008,0070) LO CMS, Inc. Institution Name (0008,0080) LO NULL EMPTY 5

Manufacturer s Model Name (0008, 1090) LO Atlas-Based Autosegmentation Software Version(s) (0018, 1020) LO Current release number SOP Common Module (Table A.1.3-4) Attribute Name Tag VR Value of Value SOP Class UID (0008,0016) UI 1.2.840.10008.5.1. 4.1.1.481.3 SOP Instance UID (0008,0018) UI Automatically Generated A.1.4 Series Module RT Series Module (Table A.1.4-1) Attribute Name Tag VR Value of Value Modality (0008, 0060) CS RTSTRUCT Series Instance UID (0020, 000E) UI Automatically Generated Series Number (0020, 0011) IS NULL EMPTY A.1.4 RT Structure Set Modules Structure Set Module (Table A.1.4-2) Attribute Name Tag VR Value of Value Structure Set Label (3006, 0002) CS Automatically Generated of the form xxxxx_yyy_rts_z where xxxxx = first 5 characters of the atlas yyy = first 3 characters of the patient name z = optional sequential number for multiple files of the same name Structure Set Date (3006, 0008) DA 6

Structure Set Time (3006, 0009) TM Referenced Frame of Reference Sequence >Frame of Reference UID >RT Referenced Study Sequence >>Referenced SOP Class >>Referenced SOP Instance UID >>RT Referenced Series Sequence >>>Series Instance UID (3006, 0010) SQ (0020, 0052) UI Set to the value of the image data (3006, 0012) SQ (0008, 1150) UI 1.2.840.10008.5.1. 4.1.1.2 (0008, 1155) UI Set to the value of the image data (3006, 0014) SQ (0020, 000E) UI Set to the value of the image data >>>Contour Image (3006, 0016) SQ Sequence Structure Set ROI Sequence (3006, 0020) SQ >ROI Number (3006, 0022) Set to the same value for this structure as in the atlas structure set. >Referenced Frame (3006, 0024) SQ of Reference >ROI Name (3006, 0026) LO Set to the same value for this structure as in the atlas structure set. >ROI Generation Algorithm (3006, 0036) CS MATIC ROI Contour Module (Table A.1.4-3) Attribute Name Tag VR Value of Value ROI Contour (3006, 0039) SQ Sequence >Referenced ROI (3006, 0084) IS Number >ROI Display Color (3006, 002A) IS Set to the same value for this structure as in the atlas structure set. >Contour Sequence (3006, 0040) SQ >>Contour Geometric (3006, 0042) CS CLOSED_PLANA 7

Type R or POINT. >>Number of Contour (3006, 0046) IS Points >>Contour Data (3006, 0050) DS RT ROI Observations Module (Table A.1.4-4) Attribute Name Tag VR Value of Value RT ROI Observations (3006, 0080) SQ One or more items. One item for each ROI in the structure set. >Observation Number >Referenced ROI Number (3006, 0082) SQ Unique for each observation (3006, 0084) IS Set to one of the ROI Number (3006, 0022) values specified in the Structure Set ROI Sequence (3006, 0020). >RT ROI Interpreted (3006,00A4) CS NULL EMPTY Type >ROI Interpreter (3006,00A6) PN NULL EMPTY Approval Module (Table A.1.4-5) Attribute Name Tag VR Value of Value Approval Status (300E, 0002) CS "UNAPPROVED" 8

A.2 Usage of Attributes from Received IODs A.2.1 Image Data The receipt of image data into the ABAS application is dependent on several DICOM tags. The specific requirements are covered in the following table. Module Attribute Name Tag VR Value Frame of Reference Image Plane Frame of Reference UID Image Position (Patient) (0020, 0052) UI Must be the same for all images. (0020,0032) US Must define a transverse set of images by having two of the coordinates be the same for all images (e.g. x and y). SOP Common SOP Class UID (0008,0016) UI Must be 1.2.840.10008.5.1.4.1.1.2 A.2.2 RT Structure Set The receipt of a RT Structure Set for use as an Atlas is dependent on the image data as well as the RT Structure Set. The following information must be present in the RT Structure Set beyond the standard DICOM requirements. Module Attribute Name Tag VR Value Structure Set ROI Contour Referenced Frame of Reference Sequence >Frame of Reference UID >>Contour Geometric Type (3006, 0010) SQ Must be present. (0020,0052) UI Must match the value in the referenced image set. (3006, 0042) CS Must be either CLOSED_PLANAR or INTERPOLATED_PLANAR. 9