Ziel/Aim DICOM is the international standard to transmit, store, retrieve, print, process,
and display medical imaging information. DICOM SR (Structured Reporting) provides
integration of patient, study and series information together with procedure and measurement
data and additional report requirements. Goal was to test the usefulness of DICOM
Standard part 16 for the construction of a singular comprehensive DICOM SR.
Methodik/Methods Part 16 of the DICOM standard ‘Content Mapping Resource’ was analyzed for the demands
of the German guideline for the myocard perfusion scintigraphy last update 02/2017
including the ordinancies of the national radiation protection authority concerning
documentation and reporting. The relevant content was found in Templates 1001 (Observation
Context), 1600 (Image Library), 2006 (Imaging Report With Conditional Radiation Exposure
and Protection Information), 3300-3320 (Stress Testing Report Templates), 3602 (Cardiovascular
Patient Characteristics), 3802 (Cardiovascular Patient History), and 10,021-10,024
(Radiopharmaceutical Radiation Dose).
Ergebnisse/Results The majority of required terms are specified in Part 16 of the DICOM standard. The
missing terms can be found in other vocabulary systems.
Schlussfolgerungen/Conclusions The terms can be encoded and built as content items in the content tree of a DICOM
SR document. The advantage of DICOM SR is a resulting single all in one document that
avoids different documentation and storing modalities of images, technical specifics,
radiation protection statements and clinical information. Furthermore, SR documents
can be constructed and transformed to ‘human readable’ formats like HTML or XHTML
using Open Source toolkits like DCMTK provided by OFFIS, Oldenburg.
