TID 4006 Mammography CAD Single Image Finding Template

This template describes a single image finding for a lesion or other object. The details of the finding are expressed in this template and/or more specific templates. The details from which a single image Calcification Cluster is inferred may be expressed in a number of Single Image Findings (see TID 4006) of type Individual Calcification.

A Single Image Finding of type Breast Composition may be INFERRED FROM by-reference to a Single Image Finding of type Breast Geometry.

TID 4006MAMMOGRAPHY CAD SINGLE IMAGE FINDINGType: Non-Extensible Order: Significant

NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
1 CODE EV (111059, DCM, “Single Image Finding”) 1 M DCID (6014) Mammography Single Image Finding
2 > HAS CONCEPT MOD CODE EV (111056, DCM, “Rendering Intent”) 1 M DCID (6034) Intended Use of CAD Output
3 >> HAS PROPERTIES NUM EV (111071, DCM, “CAD Operating Point”) 1 UC IFF value of row 2 is (111151, DCM, “Presentation Optional”) and row 9 of TID 4017 is present UNITS = DT ({1:n}, UCUM, “range: 1:n”), where n is the maximum specified in Row 9 of TID 4017. Value is restricted to being an integer
4 > HAS OBS CONTEXT INCLUDE DTID (4108) Tracking Identifier 1 U
5 > HAS PROPERTIES INCLUDE DTID (4019) CAD Algorithm Identification 1 M
6 > HAS PROPERTIES NUM EV(111012, DCM, “Certainty of Finding”) 1 U UNITS = EV(%, UCUM, “Percent”) Value = 0 – 100
7 > HAS PROPERTIES NUM EV (111047, DCM, “Probability of cancer”) 1 UC May be present unless value of parent is (F-01710,SRT, “Breast composition”), (111100, DCM, “Breast geometry”), (T-04100, SRT, “Nipple”), (111099, DCM, “Selected region”), (111101, DCM, “Image quality”) or (111102, DCM, “Non-lesion”) UNITS = EV(%, UCUM, “Percent”) Value = 0 – 100
8 > HAS PROPERTIES INCLUDE DTID (4021) Mammography CAD Geometry 1 MC Shall be present unless value of parent is (F-01710,SRT, “Breast composition”), (111100, DCM, “Breast geometry”) or (111101, DCM, “Image quality”)
9 > HAS PROPERTIES INCLUDE DTID (4007) Mammography CAD Breast Composition 1 MC Shall be present only if value of parent is (F-01710,SRT, “Breast composition”)
10 > R-INFERRED FROM CODE 1-n UC May be present only if value of parent is (F-01710,SRT, “Breast composition”) Shall reference a (111059, DCM, “Single Image Finding”) of value: EV (111100, DCM, “Breast geometry”)
11 > HAS PROPERTIES INCLUDE DTID (4008) Mammography CAD Breast Geometry 1 MC Shall be present only if value of parent is (111100, DCM, “Breast geometry”)
12 > HAS PROPERTIES INCLUDE DTID (4009) Mammography CAD Individual Calcification 1 UC May be present only if value of parent is (F-01776,SRT, “Individual Calcification”)
13 > HAS PROPERTIES INCLUDE DTID (4010) Mammography CAD Calcification Cluster 1 UC May be present only if value of parent is (F-01775,SRT, “Calcification Cluster”)
14 > HAS PROPERTIES INCLUDE DTID (4011) Mammography CAD Density 1 UC May be present only if value of parent is (F-01796,SRT,”Mammography breast density”)
15 > HAS PROPERTIES CODE EV (111297,DCM, “Nipple Characteristic”) 1 UC May be present only if value of parent is (T-04100, SRT, “Nipple”) DCID (6039) Nipple Characteristic
16 > HAS PROPERTIES INCLUDE DTID (4012) Mammography CAD Non-Lesion 1 MC Shall be present only if value of parent is (111102, DCM, “Non-lesion”)
17 > HAS PROPERTIES INCLUDE DTID (4013) Mammography CAD Selected Region 1 MC Shall be present only if value of parent is (111099, DCM, “Selected Region”)
18 > R-INFERRED FROM IMAGE 1 MC IF value of parent is (111101, DCM, “Image quality”) and IFF row 19 is not present Shall reference an IMAGE content item in the (111028, DCM, “Image Library”)
19 > HAS PROPERTIES SCOORD EV (111030, DCM, “Image Region”) 1-n MC IF value of parent is (111101, DCM, “Image quality”) and IFF row 18 is not present
20 >> R-SELECTED FROM IMAGE 1 M All the (111030, DCM, “Image Region”) content items in a single invocation of this template shall reference the same IMAGE content item in the (111028, DCM, “Image Library”)
21 > HAS PROPERTIES INCLUDE DTID (4014) CAD Image Quality 1-n MC Shall be present only if value of parent is (111101, DCM, “Image quality”) $QualityFinding = DCID (6041) “Mammography Image Quality Finding”, $QualityStandard = DCID (6045) “Mammography Types of Quality Control Standard”
22 > HAS PROPERTIES NUM DCID (6142) Calculated Value 1-n U
23 >> HAS CONCEPT MOD CODE EV (121401, DCM, “Derivation”) 1 M DCID (6140) Calculation Methods
24 >> INFERRED FROM TEXT EV (112034, DCM, “Calculation Description”) 1 U
25 > INFERRED FROM INCLUDE DTID (4006) Mammography CAD Single Image Finding 1-n UC May be present only if value of parent is (F-01775,SRT, “Calcification Cluster”) EV (F-01776,SRT, “Individual Calcification”)
26 > HAS OBS CONTEXT INCLUDE DTID (4022) CAD Observation Context 1 MC Shall be present only if this finding is incorporated from a different report than its parent.

Content Item Descriptions

Rendering Intent This content item constrains the SCP receiving the Mammography CAD SR IOD in its use of the contents of this template and its target content items. Mammography CAD devices may opt to use data marked “Not for Presentation” or “Presentation Optional” as input to subsequent mammography CAD processing steps. Refer to PS 3.4, Annex O Structured Reporting Storage SOP Classes for SCU and SCP Behavior.
CAD Operating Point Additional information to use when Rendering Intent is “Presentation Optional”. A CAD Operating Point of zero is not sent, and is encoded as a Rendering Intent of “Presentation Required”. See PS 3.4 section on Structured Reporting Storage SOP Classes for SCU and SCP Behavior and PS 3.17 annex on Mammography.
Single Image Finding A Single Image Finding (whose parent is a Single Image Finding of type Calcification Cluster) allows one level of nesting for the definition of individual calcifications within the cluster. To use this template recursively, this Single Image Finding code value shall be “Individual Calcification”.
Certainty of Finding The likelihood that the finding detected, and classified by the CODE specified in the Single Image Finding parent template, is in fact that type of finding.