KS C IEC 61852-2007 Medical electrical equipment－Digital imaging and communications in medicine(DICOM)－Radiotherapy objects《医用电气设备 医用数字成像和通信(DICOM) 放射治疗设备》.pdf

1、 KSKSKSKSKSKSKSK KSKSKS KSKSK KSKS KSK KS KS C IEC 61852 (DICOM) KS C IEC 61852： 2007(2012 ) 2007 11 29 http:/www.kats.go.krKS C IEC 61852： 2007 : ( ) ( ) ( ) : (http:/www.standard.go.kr) ： ：2007 11 29 ：2012 12 20 2012-0725 ： ： ( 02-509-7294) (http:/www.kats.go.kr). 10 5 , . KS C IEC 61852： 2007 i .

2、1 3： .1 1 1 2 2 3.X (Radiotherapy) .2 4 (Symbols and abbreviations) .2 A.U RT (RT image INFORMATION OBJECT DEFINITION).6 A.U.1 RT IOD (RT image IOD discription) 6 A.U.2 RT IOD (RT image IOD entity-relationship model) .6 A.V RT (RT DOSE INFORMATION OBJECT DEFINITION).9 A.V.1 RT IOD .9 A.V.2 RT IOD (R

3、T Dose IOD entity-relationship model).9 A.V.3 RT IOD 9 A.W RT (RT STRUCTURE SET INFORMATION OBJECT DEFINITION).11 A.W.1 RT IOD .11 A.W.2 RT IOD .11 A.W.3 RT IOD 11 A.X RT (RT PLAN INFORMATION OBJECT DEFINITION)12 A.X.1 RT IOD .12 A.X.2 RT IOD .12 A.X.3 RT IOD (RT Plan IOD Module Table).12 A.X.3.1 RT

4、 (RT FRACTION SCHEME MODULE)13 A.X.3.2 RT (RT PRESCRIPTION MODULE).13 A.X.3.3 RT (RT TOLERANCE TABLES MODULE).13 A.X.3.4 RT (RT PATIENT SETUP MODULE) 14 C.7.3.1.1.1 (Modality) 14 C.8.X (radiotherapy) .14 C.8.X.1 RT (RT series module)14 C.8.X.1.1 (modality) .15 C.8.X.2 RT (RT image module) .15 C.8.X.

5、2.1 (Multi-frame image data) 21 C.8.X.2.2 X (X-Ray image receptor angle)21 C.8.X.2.3 RT SID(image plane pixel spacing and RT image SID) 21 C.8.X.2.4 (exposure sequence)21 C.8.X.2.5 (single frame and multi-frame images) 22 C.8.X.2.6 (image pixel module attributes)22 C.8.X.2.6.1 (samples per pixel)22

6、C.8.X.2.6.2 (photometric interpretation)22 C.8.X.2.6.3 (bits allocated).22 C.8.X.2.6.4 (bits stored) .22 KS C IEC 61852： 2007 ii C.8.X.2.6.5 (high bit) 22 C.8.X.2.6.6 (pixel representation) 22 C.8.X.3 RT (RT dose module) .22 C.8.X.3.1 (normalization point) 25 C.8.X.3.2 (grid frame offset vector).25

7、C.8.X.3.3 (dose units) 25 C.8.X.3.4 (image pixel module attributes)25 C.8.X.3.4.1 .25 C.8.X.3.4.2 .25 C.8.X.3.4.3 25 C.8.X.3.4.4 26 C.8.X.3.4.5 26 C.8.X.3.4.6 26 C.8.X.4 RT DVH (RT DVH Module)26 C.8.X.4.1 (referenced structure set sequence) 27 C.8.X.4.2 DVH ROI (DVH ROI contribution type)28 C.8.X.5

8、(structure set module)28 C.8.X.5.1 (frames of reference)30 C.8.X.5.2 (frame of reference transformation matrix).30 C.8.X.6 ROI (ROI contour module)31 C.8.X.6.1 (contour geometric type)32 C.8.X.6.2 (contour slab thickness) .32 C.8.X.7 RT ROI (RT dose ROI module)32 C.8.X.7.1 ROI 33 C.8.X.7.2 ROI .33 C

9、.8.X.7.3 .33 C.8.X.8 RT ROI .33 C.8.X.9 RT .36 C.8.X.9.1 (referenced structure set sequence) 37 C.8.X.10 RT 37 C.8.X.10.1 (target underdose volume fraction).39 C.8.X.11 RT (RT tolerance tables module)39 C.8.X.12 RT .41 C.8.X.13 RT (RT fraction scheme module).42 C.8.X.14 RT 46 C.8.X.14.1 (meterset ca

10、lculations) .57 C.8.X.14.2 (planned verification image sequence) 57 C.8.X.14.3 X (X-ray image receptor angle) .58 C.8.X.14.4 (multiple aperture blocks) .58 C.8.X.14.5 (control point sequence) .58 C.8.X.14.6 (absolute and relative machine coordinates)59 C.8.X.14.7 (cumulative dose reference coefficie

11、nt)59 C.8.X.14.8 (machine rotations) 59 C.8.X.15 RT (RT brachy application setups module) 59 C.8.X.15.1 (permanent implants).66 C.8.X.15.2 ROI (referenced ROI number) 66 C.8.X.15.3 (channel length) .66 KS C IEC 61852： 2007 iii C.8.X.15.4 (oscillating source movement)66 C.8.X.15.5 (channel shields)66

12、 C.8.X.15.6 (time calculations)66 C.8.X.15.7 (brachy control point sequence) .67 C.8.X.15.8 (source transit time) 68 C.8.X.15.9 (control point relative position) 68 C.8.X.15.10 3D (control point 3D position)68 C.8.X.15.11 (cumulative dose reference coefficient)68 C.8.X.16 (approval module).69 4： SOP

13、 .69 B.5 SOP (STANDARD SOP CLASSES) .69 6： .69 KS C IEC 61852： 2007 (2012 ) (DICOM) Medical electrical equipment Digital imaging and communications in medicine(DICOM) Radiotherapy objects 1998 IEC 61852, Medical electrical equipment Digital imaging and communications in medicine(DICOM) Radiotherapy

14、objects , . DICOM 3 . 3： 1 . 1) DICOM (DICOM Image Information Object for Radiotherapy). RT (semantic content) . RT IOD(RT Image IDO) . IOD (Network and Media Storage exchanges) SOP (Storage SOP Class) . RT IOD (conventional simulators) (portal imaging devices), (conic imaging geometry) . , (DRRs ：

15、Digitally Reconstructed Radiographs) . 2) DICOM (DICOM Dose Information Object for Radiotherapy). RT . RT IOD(RT Dose IOD) . IOD SOP . RT IOD , 2, 3 (grids), ( ) ( ) , , (DVHs： Dose-Volume Histograms) . 3) DICOM (DICOM Structure Set Information Object for Radiotherapy). RT . RT IOD(RT KS C IEC 61852

16、： 2007 2 Structure Set IOD) . IOD SOP . RT IOD CT , (virtual simulation workstations), . 4) DICOM (DICOM Plan Information Object for Radiotherapy). RT( ) . RT IOD(RT Plan IOD) . IOD SOP . RT IOD . DICOM . 1. 3 ( , A, B, C, D ) 2. 4 ( B ) 3. 6 (6. A ) 2. 2 . . ( ) . KS C IEC 61217： 2007, , ICRU Repor

17、t 50, Prescribing, Recording, and Reporting Photon Beam Therapy, International Commission on Radiation Units and Measurements, 1993 3.8 3.X (Radiotherapy) KS C IEC 61217 , . a) (FIXED REFERENCE system) b) (GANTRY system) c) (BEAM LIMITING DEVICE system) d) (WEDGE FILTER system) e) X (X RAY IMAGE REC

18、EPTOR system) f) (PATIENT SUPPORT system) g) (TABLE TOP ECCENTRIC system) h) (TABLE TOP system) 4. 4 (Symbols and abbreviations) BEV (Beams-eye view) KS C IEC 61852： 2007 3 Brachy (Brachytherapy) CC (Counter-clockwise) CTV / (Clinical target volume) CW (Clockwise) DRR (Digitally-reconstructed radiog

19、raph) DVH (Dose-volume histogram) GTV (Gross tumour volume) Gy (Gray) ICRU (International Commission on Radiation Units) IEC (International Electrotechnical Commission) MeV (Mega electron Volt) MLC Multileaf(multi-element) collimator MU (Monitor unit) MV (Megavolt) PTV (Planning target volume) R ) .

20、 C.8.X.2.6 (image pixel module attributes) C.8.X.2.6.1 (samples per pixel) RT , (0028,0002) 0001H . C.8.X.2.6.2 (photometric interpretation) RT , (0028,0004) MONOCHROME2 . C.8.X.2.6.3 (bits allocated) RT , (0028,0100) 8 16 . C.8.X.2.6.4 (bits stored) RT , (0028,0101) . 8 (0028,0100) 8 12 16 (0028,01

21、00) 16 C.8.X.2.6.5 (high bit) RT , (0028,0102) (0028,0101) 1 . C.8.X.2.6.6 (pixel representation) RT , (0028,0103) 0000H( ) . C.8.X.3 RT (RT dose module) RT 2D 3D . ( ) (C.8.X.13 ) ( ) . RT CT MR , 2D 3D . DICOM . KS C IEC 61852： 2007 23 C.8.X.3 1 RT (samples per pixel) (0028,0002) 1C ( ) . C.X.3.4.

22、1 . (7FE0,0010) (photometric interpretation) (0028,0004) 1C . C.X.3.4.2 . (7FE0,0010) (bits allocated) (0028,0100) 1C . . C.X.3.4.3 . (7FE0,0010) (bits stored) (0028,0101) 1C . . C.X.3.4.4 . (7FE0,0010) (high bit) (0028,0102) 1C . . C.X.3.4.5 . (7FE0,0010) (pixel representation) (0028,0103) 1C . . C

23、.X.3.4.6 . (7FE0,0010) (dose units) (3004,0002) 1 ： GY RELATIVE (dose type) (3004,0004) 1 ： PHYSICAL EFFECTIVE ERROR (dose comment) (3004,0006) 3 (normalization point) (3004,0008) 3 C.7.6.2.1.1 (x, y, z)(mm) C.8.X.3.1 (dose summation type) (3004,000A) 1 ： PLAN RT FRACTION RT BEAM RT BRACHY RT KS C I

24、EC 61852： 2007 24 C.8.X.3 1 RT ( ) RT (referenced RT plan sequence) (300C,0002) 1C RT / . (3004,000A) PLAN, FRACTION. BEAM BRACHY . . 1 SOP UID(referenced SOP class UID) (0008,1150) 1C SOP . RT (300C,0002) SOP UID(referenced SOP instance UID) (0008,1155) 1C SOP . RT (300C,0002) (referenced fraction

25、group sequence) (300C,0020) 1C . (3004,000A) FRACTION, BEAM BRACHY . . 1 (referenced fraction group number) (300C,0022) 1C RT (300C,0002) RT RT (300A,0071) . (300C,0020) (referenced beam sequence) (300C,0004) 1C . (3004,000A) BEAM . . (referenced beam number) (300C,0006) 1C RT (300C,0002) RT RT (300A,00C0) . (300A,0004) (referenced brachy application setup sequence) (300C,000A) 1C . (3004,000A) BRACHY . . (referenced brachy application setup number) (300C,000C) 1C RT (300C,0002) RT RT (300A,0230) (300A,0234) . (300C,000A)