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DICOM PS3.16 2020a - Content Mapping Resource​

Page 1293​

Code Value​

Code Meaning​

Definition​

Notes​

122351​

Stent Diameter Ratio​

Stent diameter ratio = Minimum stent diameter /​

 

 

 

Maximum stent diameter, measured at the same cross​

 

 

 

section in the vessel. Stent diameters are measured​

 

 

 

through the center point of the stent, which is defined as​

 

 

 

the center of gravity of the stent area.​

 

122352​

EEM Diameter Ratio​

EEMdiameterratio=minimumEEMdiameter/maximum​

 

 

 

EEM diameter. Measured at the same cross section in​

 

 

 

the vessel.​

 

122354​

Plaque Burden​

Fractional area within the External Elastic Membrane​

 

 

 

(EEM) occupied by atheroma. Plaque Burden = (EEM​

 

 

 

area - vessel lumen cross-sectional area) / EEM area.​

 

122355​

Arc of Calcium​

AngularmeasurementofaCalciumdepositwiththeapex​

 

 

 

located at the center of the lumen, which is defined as​

 

 

 

the center of gravity of the lumen area.​

 

122356​

Soft plaque​

Plaque characterized by low density or echogenicity.​

 

122357​

In-Stent Neointima​

Abnormal thickening of the intima within the stented​

 

 

 

segment.​

 

122360​

True Lumen​

Lumen surrounded by all three layers of the​

 

 

 

vessel-intima, media, and adventitia.​

 

122361​

False Lumen​

Achannel,usuallyparalleltothetruelumen,whichdoes​

 

 

 

not communicate with the true lumen over a portion of​

 

 

 

its length.​

 

122363​

Plaque Rupture​

Plaque ulceration with a tear detected in a fibrous cap.​

 

122364​

Stent Gap​

Length of gap between two consecutive stents.​

 

122367​

T-1 Worst​

Worst stenosis - the stenosis with the smallest lumen​

 

 

 

size within a vessel segment.​

 

122368​

T-2 Secondary​

2nd most severe stenosis within a vessel segment.​

 

122369​

T-3 Secondary​

3rd most severe stenosis within a vessel segment.​

 

122370​

T-4 Secondary​

4th most severe stenosis within a vessel segment.​

 

122371​

EEM Volume​

External Elastic Membrane (EEM) volume measured​

 

 

 

withinaspecifiedregion.TheEEMisadiscreteinterface​

 

 

 

at the border between the media and the Adventitia.​

 

122372​

Lumen Volume​

Lumen volume measured within a specified region.​

 

122374​

In-Stent Neointimal Volume​

The amount of plaque between the lumen and stent,​

 

 

 

within the stent region; In-stent restenosis. In-Stent​

 

 

 

Neointimal Volume = Stent Volume - Lumen Volume.​

 

122375​

Native Plaque Volume​

The amount of plaque between the stent and the EEM,​

 

 

 

within the stent region. Native Plaque Volume = EEM​

 

 

 

Volume - Stent Volume.​

 

122376​

Total Plaque Volume​

TotalamountofplaquebetweentheEEMandtheLumen,​

 

 

 

over the entire region that is measured. Total Plaque​

 

 

 

Volume = EEM Volume - Lumen Volume.​

 

122380​

Proximal Reference​

Proximalreferencesegmentmeasurementsite.Typically​

 

 

 

the site with the largest lumen proximal to a stenosis but​

 

 

 

within the same segment (usually within 10 mm of the​

 

 

 

stenosis with no major intervening branches).​

 

122381​

Distal Reference​

Distal reference segment measurement site. Typically​

 

 

 

the site with the largest lumen distal to a stenosis but​

 

 

 

within the same segment (usually within 10 mm of the​

 

 

 

stenosis with no major intervening branches).​

 

- Standard -​


Page 1294​

DICOM PS3.16 2020a - Content Mapping Resource​

 

Code Value​

Code Meaning​

Definition​

Notes​

122382​

Site of Lumen Minimum​

Site of the smallest lumen in a vessel. E.g., due to a​

 

 

 

stenotic lesion.​

 

122383​

Entire Pullback​

Measurementregionthatencompassestheentirevessel​

 

 

 

imaged in a single pullback acquisition.​

 

122384​

Stented Region​

Measurement region occupied by the stent.​

 

122385​

Proximal Stent Margin​

Region starting at the proximal edge of the Stent and​

 

 

 

extending several millimeters (usually 5 mm) proximal​

 

 

 

to the Stent edge.​

 

122386​

Distal Stent Margin​

Region starting at the distal edge of the Stent and​

 

 

 

extendingseveralmillimeters(usually5mm)distaltothe​

 

 

 

Stent edge.​

 

122387​

Dissection Classification​

Classification of dissections in a vessel.​

 

122388​

Intra-stent Dissection​

Separation of neointimal hyperplasia from stent struts,​

 

 

 

usually seen only after treatment of in-stent restenosis.​

 

122389​

Vulnerable Plaque​

Plaque with a thin cap fibrous atheroma that is at​

 

 

 

increased risk of rupture and thrombosis (or​

 

 

 

re-thrombosis) and rapid stenosis progression.​

 

122390​

Eroded Plaque​

Plaque erosions with no structural defect (beyond​

 

 

 

endothelial injury) or gap in the plaque.​

 

122391​

Relative Stenosis Severity​

Stenosis severity classifications of multiple lesions in a​

 

 

 

vessel.​

 

122393​

Restenotic Lesion​

A finding of a previously treated lesion in which stenosis​

 

 

 

has reoccurred.​

 

122394​

Fibro-Lipidic Plaque​

Loosely packed bundles of collagen fibers with regions​

 

 

 

of lipid deposition present. Region is cellular and no​

 

 

 

cholesterol clefts or necrosis are present. Some​

 

 

 

macrophageinfiltration.Increaseinextracellularmatrix.​

 

122395​

Necrotic-Lipidic Plaque​

Area within the plaque with very low echogenicity​

 

 

 

separated from the lumen and surrounded by more​

 

 

 

echogenicstructures(fibrouscap).Highlylipidicnecrotic​

 

 

 

regionwithremnantsoffoamcellsanddeadlymphocytes​

 

 

 

present. No collagen fibers are visible and mechanical​

 

 

 

integrityispoor.Cholesterolcleftsandmicrocalcifications​

 

 

 

are visible.​

 

122397​

Adventitial Dissection​

Separation of the layers of an artery involving the​

 

 

 

adventitia​

 

122398​

Intimal Dissection​

Separationofthelayersofanarteryinvolvingtheintima.​

 

 

 

Dissection limited to the intima or atheroma, and not​

 

 

 

extending to the media.​

 

122399​

Medial Dissection​

Separationofthelayersofanarteryinvolvingthemedia.​

 

 

 

DissectioninthearterialMedia,extendingintothemedia.​

 

122400​

Simultaneously Acquired​

Thereferencedinformationwasacquiredsimultaneously​

 

 

 

with the information in the object in which the reference​

 

 

 

occurs.​

 

122401​

Same Anatomy​

Information acquired for the same anatomic region.​

 

122402​

Same Indication​

Information acquired for the same indication. E.g., to​

 

 

 

elucidate the same diagnostic question.​

 

- Standard -​


 

DICOM PS3.16 2020a - Content Mapping Resource​

Page 1295​

Code Value​

Code Meaning​

Definition​

Notes​

122403​

For Attenuation Correction​

The referenced information was used to correct the data​

 

 

 

for differential attenuation through different anatomic​

 

 

 

tissue.​

 

122404​

Reconstructed​

Valueestimatedforavesselintheabsenceofastenosis.​

 

122405​

Algorithm Manufacturer​

Manufacturer of application used.​

 

122406​ Left Atrial Ejection Fraction by​Left Atrial Ejection Fraction by Angiography.​

 

 

Angiography​

 

 

122407​

Left Atrial ED Volume​

Left Atrial End Diastolic Volume.​

 

122408​

Left Atrial ES Volume​

Left Atrial End Systolic Volume.​

 

122410​

Contour Realignment​

Contour repositioning of End Diastolic relative to End​

 

 

 

Systolic contour.​

 

122411​

Threshold Value​

The minimum standard deviation to define the​

 

 

 

hypokinesis and hyperkinesis.​

 

122417​ Regional Abnormal Wall Motion​Report of differentiation of wall motion compared to​

 

 

 

normal.​

 

122421​

Calibration Object​

Object used for Calibration.​

 

122422​

Calibration Method​

Method used for Calibration.​

 

122423​

Calibration Object Size​

Size of calibration object.​

 

122428​

Area Length Method​

Method how long axis is positioned.​

 

122429​

Volume Method​

Model for cardiac chamber volume calculation.​

 

122430​

Reference Method​

Method to define original diameter of the artery.​

 

122431​

Regression Slope ED​

Relation between calculated End Diastolic volume and​

 

 

 

ventricular End Diastolic volume. The specific meaning​

 

 

 

is dependent on volume method used.​

 

122432​

Regression Offset ED​

CorrectionfactorforthecalculatedEndDiastolicvolume​

 

 

 

and ventricular End Diastolic volume. The specific​

 

 

 

meaning is dependent on volume method used.​

 

122433​

Regression Slope ES​

Relation between calculated End Systolic volume and​

 

 

 

ventricular End Systolic volume. The specific meaning​

 

 

 

is dependent on volume method used.​

 

122434​

Regression Offset ES​

Correction factor for the calculated End Systolic volume​

 

 

 

and ventricular End Systolic volume. The specific​

 

 

 

meaning is dependent on volume method used.​

 

122435​ Regression Volume Exponent​Exponent of volume in regression formula.​

 

122438​

Reference Points​

Container for spatial locations or coordinates used for​

 

 

 

calculation.​

 

122445​

Wall Thickness​

Average thickness of the chamber wall in the current​

 

 

 

view.​

 

122446​

Wall Volume​

Volume of the chamber wall estimated from the current​

 

 

 

view.​

 

122447​

Wall Mass​

Mass of the chamber wall (myocardium).​

 

122448​

Wall Stress​

Peak systolic stress of chamber wall.​

 

122449​ Centerline Wall Motion Analysis​Method to calculate wall motion [example: Sheehan,​ 1986].​

- Standard -​


Page 1296​

DICOM PS3.16 2020a - Content Mapping Resource​

 

Code Value​

Code Meaning​

Definition​

Notes​

122450​

Normalized Chord Length​

The length between End Diastolic and End Systolic​

 

 

 

contour perpendicular on the centerline normalized by a​

 

 

 

method dependent ventricular perimeter length. The​

 

 

 

centerline is the line equidistant between the End​

 

 

 

Diastolic and End Systolic contour [example: Sheehan,​

 

 

 

1986].​

 

122451​

Abnormal Region​

The report of the boundaries of the abnormal​

 

 

 

(hyperkinetic, hypokinetic, a-kinetic) regions associated​

 

 

 

withtheterritoryoftheartery[example:Sheehan,1986].​

 

122452​ First Chord of Abnormal Region​The chord number specifying the begin of abnormal​

 

 

region [example: Sheehan, 1986].​

122453​ Last Chord of Abnormal Region​Thechordnumberspecifyingtheendofabnormalregion​

 

 

[example: Sheehan, 1986].​

122459​

Territory Region Severity​

Severity at the regional abnormality extent [example:​

 

 

Sheehan, 1986].​

122461​

Opposite Region Severity​

Severity at the opposite regional abnormality extent​

 

 

[example: Sheehan, 1986].​

122464​ LAD Region in RAO Projection​Based on a total number of chords of 100 and RAO​ project the range of chords belonging to this​ circumferential extent lies between 5 - 85. [Sheehan,​ 1986].​

122465​ RCA Region in ROA Projection​Based on a total number of chords of 100 and RAO​

 

project the range of chords belonging to this​

 

circumferential extent lies between 25 - 85. [Sheehan,​

 

1986].​

122466​ Single LAD Region in RAO​

Based on a total number of chords of 100 and RAO​

Projection​

projection the range of chords belonging to this regional​

 

extent lies between 10 - 66 (hypokinetic) and 67 - 80​

 

(hyperkinetic). [Sheehan, 1986].​

122467​ Single RCA Region in RAO​

Based on a total number of chords of 100 and RAO​

Projection​

projection the range of chords belonging to this regional​

 

extent lies between 51 - 80 (hypokinetic) and 10 - 50​

 

(hyperkinetic). [Sheehan, 1986].​

122468​ Multiple LAD Region in RAO​

Based on a total number of chords of 100 and RAO​

Projection​

projection the range of chords belonging to this regional​

 

extent lies between 10 - 58 (hypokinetic) and 59 -80​

 

(hyperkinetic). [Sheehan, 1986].​

122469​ Multiple RCA Region in RAO​

Based on a total number of chords of 100 and RAO​

Projection​

projection the range of chords belonging to this regional​

 

extent lies between 59 - 80 (hypokinetic) and 10 - 58​

 

(hyperkinetic). [Sheehan, 1986].​

122470​ LAD Region in LAO Projection​Based on a total number of chords of 100 and LAO​ projection the range of chords belonging to this regional​ extent lies between 50 -100 (hypokinetic) and 20 - 49​ (hyperkinetic). [Sheehan, 1986].​

122471​ RCA Region in LAO Projection​Based on a total number of chords of 100 and LAO​ projection the range of chords belonging to this regional​ extent lies between 19 - 67 (hypokinetic) and 68 - 100​ (hyperkinetic). [Sheehan, 1986].​

- Standard -​


 

DICOM PS3.16 2020a - Content Mapping Resource​

Page 1297​

Code Value​

Code Meaning​

Definition​

Notes​

122472​ CFX Region in LAO Projection​Based on a total number of chords of 100 and LAO​

 

 

 

projection the range of chords belonging to this regional​

 

 

 

extent lies between 38 -74 (hypokinetic) and 75 - 100​

 

 

 

(hyperkinetic). [Sheehan, 1986].​

 

122473​

Circular Method​

Method based on assumption that the image object is​

 

 

 

circular.​

 

122474​

Densitometric Method​

Methodbasedonthegrayvaluedistributionoftheimage.​

 

122475​

Center of Gravity​

End Systolic contour realigned to End Diastolic contour​

 

 

 

based on the center of gravity.​

 

122476​

Long Axis Based​

End Systolic contour realigned to End Diastolic contour​

 

 

 

based on the mid point of the long axis. The long axis​

 

 

 

end points are defined as the posterior and apex.​

 

122477​

No Realignment​

No Contour Realignment applied.​

 

122480​ Vessel Lumen Cross-Sectional​Calculated Vessel Lumen Cross-Sectional Area based​

 

 

Area​

on the referenced method.​

 

122481​

Contour Start​

Location of the beginning of a contour.​

 

122482​

Contour End​

Location of the end of a contour.​

 

122485​

Sphere​

Spherevisibleinanimage,whichisusedasacalibration​

 

 

 

or marker object.​

 

122486​

Geometric Isocenter​

Object of interest in isocenter of image and pixel​

 

 

 

separation is calculated from geometric data.​

 

122487​

Geometric Non-Isocenter​

Object of interest not in isocenter of image and pixel​

 

 

 

separation is calculated from geometric data and out of​

 

 

 

isocenter distances.​

 

122488​

Calibration Object Used​

Object used for calibration. E.g., sphere.​

 

122489​

Curve Fitted Reference​

Applicationdependentmethodtocalculatethereference​

 

 

 

diameter based on the multiple diameter values.​

 

122490​

Interpolated Local Reference​

Application dependent method to calculate reference by​

 

 

 

interpolation, based on the diameter of two or more user​

 

 

 

defined reference positions.​

 

122491​

Mean Local Reference​

Applicationdependentmethodtocalculatebyaveraging​

 

 

 

thereference,basedonthediameterofoneormoreuser​

 

 

 

defined reference positions.​

 

122493​ Radial Based Wall Motion​

Method to calculate wall motion based on the lengths of​

 

 

Analysis​

the radials in the predefined regions [Ingels].​

 

122495​ RegionalContributiontoEjection​Contribution of Region to global Ejection factor based​

 

 

Fraction​

on radial or landmark based wall motion method.​

 

122496​

Radial Shortening​

The reduction of area between End Systolic and End​

 

 

 

Diastolic based on radial wall motion analysis.​

 

122497​ Landmark Based Wall Motion​ Method to calculate wall motion based on the move of​

 

 

Analysis​

landmarks on the wall [Slager].​

 

122498​ Slice Contribution to Ejection​

Contribution to the ejection fraction of a specific slice​

 

 

Fraction​

region [Slager].​

 

122499​ Frame to Frame Analysis​

Methodtocalculatevolumesofheartchambersforevery​

 

 

 

image in a range.​

 

- Standard -​