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Page 1172​

DICOM PS3.16 2020a - Content Mapping Resource​

 

Code Value​

Code Meaning​

Definition​

Notes​

111052​

Quality Finding​

A specific quality related deficiency detected within an​

 

 

 

image.​

 

111053​

Recommended Follow-up​

Recommended type of follow-up to an imaging​

 

 

 

procedure, based on interpreted results.​

 

111054​ Recommended Follow-up Date​Recommended follow-up date to an imaging procedure,​

 

 

 

based on interpreted results.​

 

111055​

Recommended Follow-up​

Recommended follow-up interval to an imaging​

 

 

Interval​

procedure, based on interpreted results.​

 

111056​

Rendering Intent​

The recommendation of the producer of a Content Item​

 

 

 

regarding presentation of the Content Item by recipients​

 

 

 

of the report.​

 

111057​

Scope of Feature​

An indication of how widespread the detection of a​

 

 

 

feature is within the analyzed image data.​

 

111058​

Selected Region Description​

A textual description of the contents of a selected region​

 

 

 

identified within an image.​

 

111059​

Single Image Finding​

An item that was detected on one image.​

 

111060​

Study Date​

Date on which the acquisition of the study information​

 

 

 

was started.​

 

111061​

Study Time​

Time at which the acquisition of the study information​

 

 

 

was started.​

 

111062​

Successful Analyses​

A group of analysis algorithms that were attempted and​

 

 

 

completed successfully.​

 

111063​

Successful Detections​

Agroupofdetectionalgorithmsthatwereattemptedand​

 

 

 

completed successfully.​

 

111064​

Summary of Detections​

An overall indication of whether the CAD detection​

 

 

 

algorithms applied were completed successfully.​

 

111065​

Summary of Analyses​

An overall indication of whether the CAD analysis​

 

 

 

algorithms applied were completed successfully.​

 

111066​

Vertical Pixel Spacing​

Forprojectionradiography,theverticalphysicaldistance​

 

 

 

measured at the front plane of an Image Receptor​

 

 

 

housing between the center of each pixel (spacing​

 

 

 

between the centers of adjacent rows). For tomographic​

 

 

 

images, the vertical physical distance in the patient​

 

 

 

between the center of each pixel.​

 

111069​

Crosstable​

A radiographic projection that has been with the patient​

 

 

 

lying on a table with the X-Ray source on one side of the​

 

 

 

table and the detector on the other. E.g., may describe​

 

 

 

across-tablecervicalspine,chestorpelvisX-Rayimage.​

 

111071​

CAD Operating Point​

One of a number of discrete points on the​

 

 

 

Receiver-Operator Characteristics (ROC) curve that​

 

 

 

reflects the expected sensitivity and specificity of a CAD​

 

 

 

algorithm, where zero indicates the highest specificity,​

 

 

 

lowest sensitivity operating point. The value should not​

 

 

 

exceed the Maximum CAD Operating Point.​

 

111072​ Maximum CAD Operating Point​The maximum value of CAD Operating Point for the​

 

 

 

specific CAD algorithm used.​

 

111081​ CADOperatingPointDescription​The intended interpretation of a CAD Operating Point.​

 

111086​

False Markers per Image​

ThenumberoffalseCADmarkersperimage.Correlates​

 

 

 

to inverse of Image Specificity.​

 

- Standard -​


 

DICOM PS3.16 2020a - Content Mapping Resource​

Page 1173​

Code Value​

Code Meaning​

Definition​

Notes​

111087​

False Markers per Case​

The number of false markers per collection of images​

 

 

 

thatareCADprocessedasagroup.Correlatestoinverse​

 

 

of Case Specificity.​

 

111088​

Case Sensitivity​

The percentage of cancers that should be detected by​

 

 

 

a CAD algorithm where CAD marks the cancers in at​

 

 

 

least one view.​

 

111089​

Lesion Sensitivity​

The percentage of cancers that should be detected by​

 

 

 

a CAD algorithm where CAD marks the cancers in each​

 

 

view.​

 

111090​

Case Specificity​

The percentage of cases (collections of images CAD​

 

 

 

processed as a group) without cancer that have no CAD​

 

 

findings whatsoever. Correlates to inverse of False​

 

 

 

Markers per Case.​

 

111091​

Image Specificity​

The percentage of images without cancer that have no​

 

 

CADfindingswhatsoever.CorrelatestoinverseofFalse​

 

 

Markers per Image.​

 

111092​

Recommended CAD Operating​The CAD operating point that is recommended for initial​

 

Point​

display by the creator of the structured report.​

 

111093​

CAD Operating Point Table​

A list of CAD operating points including their​

 

 

 

corresponding characteristics.​

 

111099​

Selected region​

A specific area of interest noted within an image.​

 

111100​

Breast geometry​

The surface shape of all or a portion of breast related​

 

 

 

anatomy.​

 

111101​

Image Quality​

Image quality incorporates the following clinical image​

 

 

 

evaluation parameters: assessment of positioning,​

 

 

 

compression, artifacts, exposure, contrast, sharpness,​

 

 

and labeling.​

 

111102​

Non-lesion​

A finding or feature that is identified as a non-anatomic​

 

 

foreign object.​

 

111103​

Density​

A space-occupying lesion identified in a single image or​Retired. Replaced by​

 

 

projection​

(129793001, SCT,​

 

 

 

"Mammography breast​

 

 

 

density").​

111104​

Individual Calcification​

A single identified calcification​

Retired. Replaced by​

 

 

 

(129770007,SCT,"Individual​

 

 

 

Calcification").​

111105​

Calcification Cluster​

Multiple calcifications identified as occupying a small​

Retired. Replaced by​

 

 

area of tissue (less than 2 cc)​

(129769006, SCT,​

 

 

 

"Calcification Cluster").​

111111​

Cooper's ligament changes​

Straightening or thickening of Cooper's ligaments.​

 

111112​

Mass in the skin​

An abnormality noted at imaging within the dermis of the​

 

 

breast.​

 

111113​

Mass on the skin​

An abnormality noted at imaging on the epidermis of the​

 

 

breast.​

 

111120​

Post Procedure Mammograms​An assessment category to indicate that images have​

 

 

for Marker Placement​

been acquired to assess marker placement following a​

 

 

breast interventional procedure.​

 

111121​

Follow-up post biopsy as​

Anindicationthatthepatientshouldseekpostprocedural​

 

directed by clinician​

follow-up directives from a clinical health care provider.​

- Standard -​


Page 1174​

DICOM PS3.16 2020a - Content Mapping Resource​

 

Code Value​

Code Meaning​

Definition​

Notes​

111122​

Known biopsy proven​

A recommendation on a patient with known cancer to​

 

 

malignancy - take appropriate​ take steps appropriate to the diagnosis.​

 

 

action​

 

 

111123​

Marker placement​

Positioning of a radiopaque marker.​

 

111124​

Personalhistoryofbreastcancer​Patienthaspreviousdiagnosisofbreastcancerresulting​

 

with mastectomy​

in mastectomy.​

 

111125​

Known biopsy proven​

Patient has had biopsy containing proven malignancy.​

 

 

malignancy​

 

 

111126​

Image detected mass​

Patienthasafindingofmassreportedonapriorimaging​

 

 

exam.​

 

111127​

Targeted​

Abreastimagingprocedureperformedonaspecificarea​

 

 

of the breast.​

 

111128​

Survey​

A breast imaging procedure performed on the entire​

 

 

 

breast.​

 

111129​

Clustered microcysts​

A cluster of tiny anechoic foci each smaller than 2-3 mm​

 

 

in diameter with thin (less than 0.5 mm) intervening​

 

 

 

septations and no discrete solid components.​

 

111130​

Complicated cyst​

A fluid filled mass most commonly characterized by​

 

 

 

homogeneous low-level internal echoes on ultrasound.​

111135​

Additional projections​

Views not inclusive of MLO and CC (BI-RADS®).​

 

111136​

Spot magnification view(s)​

A spot or coned down compression of the breast​

 

 

 

providingareductioninthethicknessandamagnification​

 

 

ofthelocalizedareaofinterestandimprovedseparation​

 

 

of breast tissue.​

 

111137​

Ultrasound​

 

Retired. Replaced by​

 

 

 

(16310003, SCT, "Diagnostic​

 

 

 

ultrasonography").​

111138​

Old films for comparison​

Obtain previous mammography studies to compare to​

 

 

 

present study.​

 

111139​

Ductography​

A medical procedure used for the sampling of mammary​Retired. Replaced by​

 

 

duct tissue​

(18102001, SCT, "Mammary​

 

 

 

ductogram").​

111140​

Normal interval follow-up​

Follow up study at 12 months for women ≥ 40 years of​

 

 

age having a prior negative study and no mitigating risk​

 

 

factors for breast cancer.​

 

111141​

Any decision to biopsy should​ Any decision to perform tissue acquisition should be​

 

 

bebasedonclinicalassessment​based on clinical assessment.​

 

111142​

Follow-up at short interval (1-11​Follow-up at short interval (1-11 months).​

 

 

months)​

 

 

111143​

Biopsy should be considered​

Tissue acquisition should be considered.​

 

111144​

Needle localization and biopsy​Breasttissueacquisitionfollowingtheidentificationofan​

 

 

area of concern with the placement of a needle or​

 

 

 

needle-wire assembly.​

 

111145​

Histology using core biopsy​

Pathologic analysis of breast tissue and lesions using​

 

 

 

core tissue samples.​

 

111146​

Suggestiveofmalignancy-take​Lesionsthatdonothavethecharacteristicmorphologies​

 

appropriate action​

of breast cancer but have a definite probability of being​

 

 

malignant.Thereisasufficientconcerntourgeabiopsy.​

111147​

Cytologic analysis​

Cellular analysis of specimen.​

 

- Standard -​


 

DICOM PS3.16 2020a - Content Mapping Resource​

Page 1175​

Code Value​

Code Meaning​

Definition​

Notes​

111148​

Biopsy should be strongly​

Tissue acquisition should be strongly considered.​

 

 

considered​

 

 

111149​

Highlysuggestiveofmalignancy​Lesions have a high probability of being cancer, which​

 

- take appropriate action​

require additional action.​

 

111150​

Presentation Required:​

The producer of a report intends for a recipient of the​

 

 

Renderingdeviceisexpectedto​reporttopresentordisplaytheassociatedContentItem.​

 

present​

 

 

111151​

Presentation Optional:​

The producer of a report considers the presentation or​

 

Rendering device may present​display of the associated Content Item by a recipient to​

 

 

be optional.​

 

111152​

Not for Presentation: Rendering​The producer of a report intends for a recipient of the​

 

 

device expected not to present​report NOT to present or display the associated Content​

 

 

Item.​

 

111153​

Targetcontentitemsarerelated​TheassociatedContentItemsareidentifiedasbeingthe​

 

temporally​

same finding or feature at different points in time.​

 

111154​

Targetcontentitemsarerelated​TheassociatedContentItemsareidentifiedasbeingthe​

 

spatially​

same finding or feature on different projections taken at​

 

 

the same point in time.​

 

111155​

Targetcontentitemsarerelated​The associated Content Items are identified as being​

 

 

contra-laterally​

related side-to-side.​

 

111156​

Feature detected on the only​

There is one image in the interpreted data.​

 

 

image​

 

 

111157​

Feature detected on only one of​There is more than one image of the same modality in​

 

 

the images​

the interpreted data.​

 

111158​

Feature detected on multiple​

There is more than one image of the same modality in​

 

 

images​

the interpreted data.​

 

111159​

Feature detected on images​

The interpreted data contains images from multiple​

 

 

from multiple modalities​

modalities.​

 

111168​

Scar tissue​

Thefibroustissuereplacingnormaltissuesdestroyedby​Retired. Replaced by​

 

 

disease or injury​

(12402003, SCT, "Scar​

 

 

 

tissue").​

111170​

J Wire​

Amedicalapplianceusedforlocalizationofnonpalpable​Retired. Replaced by​

 

 

breast lesions to insure that the proper area is removed​(129463006, SCT, "J Wire").​

 

 

in a surgical biopsy​

 

111171​

Pacemaker​

A medical appliance used for regulating cardiac rhythms​Retired. Replaced by​

 

 

 

(118378005, SCT, "Cardiac​

 

 

 

Pacemaker").​

111172​

Paddle​

Acompressiondeviceusedforobtainingmammographic​Retired. Replaced by​

 

 

images​

(129460009, SCT,​

 

 

 

"Compression paddle").​

111173​

Collimator​

A device used for restricting an X-Ray beam​

Retired. Replaced by​

 

 

 

(228761004, SCT,​

 

 

 

"Collimator").​

111174​

ID Plate​

An area designated on a radiographic film for facility and​Retired. Replaced by​

 

 

patient ID information​

(129467007,SCT,"IDPlate").​

111175​

Other Marker​

Site specific markers.​

 

111176​

Unspecified​

The value of the concept is not specified​

This term may not be used in​

 

 

 

Context Group Extensions;​

 

 

 

see Section 7.2.3​

- Standard -​


Page 1176​

DICOM PS3.16 2020a - Content Mapping Resource​

 

Code Value​

Code Meaning​

Definition​

Notes​

111177​ View and Laterality Marker is​ Image quality deficiency according to MQSA.​ missing​

111178​ ViewandLateralityMarkerdoes​Image quality deficiency according to MQCM.​ nothavebothviewandlaterality​

111179​ ViewandLateralityMarkerdoes​Image quality deficiency according to MQCM.​ not have approved codes​

111180​ ViewandLateralityMarkerisnot​Image quality deficiency according to MQCM.​

 

near the axilla​

 

111181​

View and Laterality Marker​

Image quality deficiency according to MQCM.​

 

overlaps breast tissue​

 

111182​

View and Laterality Marker is​

Image quality deficiency according to MQCM.​

 

partially obscured​

 

111183​

View and Laterality Marker is​

Image quality deficiency.​

 

incorrect​

 

111184​ ViewandLateralityMarkerisoff​Image quality deficiency.​

 

image​

 

111185​

Flash is not near edge of film​

Image quality deficiency according to MQCM.​

111186​ Flash is illegible, does not fit, or​Image quality deficiency according to MQSA.​

 

is lopsided​

 

111187​

Flash doesn't include patient​

Image quality deficiency according to MQCM.​

 

name and additional patient id​

 

111188​

Flash doesn't include date of​

Image quality deficiency according to MQCM.​

 

examination​

 

111189​

Flash doesn't include facility​

Image quality deficiency according to MQSA.​

 

name and location​

 

111190​

Flash doesn't include​

Image quality deficiency according to MQCM.​

 

technologist identification​

 

111191​

Flash doesn't include​

Image quality deficiency according to MQCM.​

 

cassette/screen/detector​

 

 

identification​

 

111192​

Flash doesn't include​

Image quality deficiency according to MQCM.​

 

mammographyunitidentification​

111193​

Date sticker is missing​

Image quality deficiency according to MQCM.​

111194​

Technical factors missing​

Image quality deficiency according to MQCM.​

111195​ Collimation too close to breast​Image quality deficiency according to MQCM.​ 111196​ Inadequate compression​ Image quality deficiency according to MQCM.​ 111197​ MLOInsufficientpectoralmuscle​Image quality deficiency according to MQCM.​

111198​ MLO No fat is visualized​

Image quality deficiency according to MQCM.​

posterior to fibroglandular​

 

tissues​

 

111199​ MLO Poor separation of deep​ Image quality deficiency according to MQCM.​ and superficial breast tissues​

111200​ MLO Evidence of motion blur​Image quality deficiency according to MQCM.​

111201​

MLO Inframammary fold is not​Image quality deficiency according to MQCM.​

 

open​

 

111202​

CC Not all medial tissue​

Image quality deficiency according to MQCM.​

 

visualized​

 

- Standard -​