TID 5204 Wall Motion Analysis

The Wall Motion Analysis Template is used to document wall motion scoring for any imaging modality.

Parameter Name Parameter Usage
$Procedure The imaging procedure used for wall motion analysis.

TID 5204Wall Motion AnalysisType: Extensible Order: Significant

NL
Row 4 Image that graphically depicts the segments and their scores.
Row 5 Text narration accompanying this stage.
Row 6 The composite score computed from the average of the scored segments
Row 7 The type of scoring scheme used to score this exam.
Row 8 A container of all of the individual segment findings for this stage. The container shall be present if the observer makes an assessment, including the assessment of Not Visualized. It shall not be present if no evaluation was made.
Rows 11, 12 Scar/thinning (in Row 12) may accompany akinesis and dyskinesis (in Row 11).
Row 13 A numeric designation for the score. Score ranges vary, typically 0-4 or 0-5. Numeric scores may depend on wall motion findings as well as morphology findings. See the table below for conventional numeric assignment schemes. The UCUM annotation code enables specifying the numeric range, ("{L:N}", UCUM, "scale L:N"), where L and N are the lower and upper ends of the range.

Table 5204-1 Numeric Score Assignment for Segmental Findings

A description of the scoring schemes described in the table below is available in Recommendations for Quantitation of the Left Ventricle by Two-Dimensional Echocardiography , Journal of the American Society of Echocardiography, Vol 2, No 5 358-367, Oct 1989.

Conventional Numeric Assignment Wall Motion Finding or Morphology Finding
4 Point 5 Point 5 Point with Graded Hypokinesis
-1 (F-32050, SRT, ”Cardiac Wall Motion”) = (R-0030D SRT, “Hyperkinesis”) (F-32050, SRT, ”Cardiac Wall Motion”) = (R-0030D, SRT, “Hyperkinesis”) (F-32050, SRT, ”Cardiac Wall Motion”) = (R-0030D, SRT, “Hyperkinesis”)
0 (F-32050, SRT, ”Cardiac Wall Motion”) = (122288, DCM , “Not Visualized”) (F-32050, SRT, ”Cardiac Wall Motion”) = (122288, DCM , “Not Visualized”) (F-32050, SRT, ”Cardiac Wall Motion”) = (122288, DCM , “Not Visualized”)
1 (F-32050, SRT, ”Cardiac Wall Motion”) = (R-00344, SRT, “Normal Wall Motion”) (F-32050, SRT, ”Cardiac Wall Motion”) = (R-00344, SRT, “Normal Wall Motion”) (F-32050, SRT, ”Cardiac Wall Motion”) = (R-00344, SRT, “Normal Wall Motion”)
1.5 (F-32050, SRT, “Cardiac Wall Motion”) = (R-00327, SRT, “Mild Hypokinesis”)
2 (F-32050, SRT, “Cardiac Wall Motion”) = (R-4041B, SRT, “Hypokinesis”) (F-32050, SRT, “Cardiac Wall Motion”) = (R-4041B, SRT, “Hypokinesis”) (F-32050, SRT, “Cardiac Wall Motion”) = (R-0032F, SRT, “Moderate Hypokinesis”)
2.5 (F-32050, SRT, “Cardiac Wall Motion”) = (R-00370, SRT, “Severe Hypokinesis”)
3 (F-32050, SRT, “Cardiac Wall Motion”) = (F-30004, SRT, “Akinesis”) (F-32050, SRT, “Cardiac Wall Motion”) = (F-30004, SRT, “Akinesis”) (F-32050, SRT, “Cardiac Wall Motion”) = (F-30004, SRT, “Akinesis”)
4 (F-32050, SRT, “Cardiac Wall Motion”) = (F-32052, SRT, “Dyskinesis”) (F-32050, SRT, “Cardiac Wall Motion”) = (F-32052, SRT, “Dyskinesis”) (F-32050, SRT, “Cardiac Wall Motion”) = (F-32052, SRT, “Dyskinesis”)
5 (G-C504, SRT, "Associated Morphology") = (D3-10510, SRT, “Ventricular Aneurysm”) (G-C504, SRT, "Associated Morphology") = (D3-10510, SRT, “Ventricular Aneurysm”)