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Technical Publications Innova 4100 Angiographic

1. Table 49 Private Creator Identification GEMS DL FRAME 01 Attribute Name m A A gt pos_pri_angle 0025 XX06 gt pos_sec_angle 0025 XX07 gt larm_angle 0025 XX09 0025 XX10 0025 XX1A gt pivot_angle gt arc_angle 64 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 CHAPTER 5 MODALITY WORKLIST INFORMATION MODEL DEFINITION 1 INTRODUCTION This section specifies the use of the DICOM Modality Worklist Information Model used to organize data and against which a Modality Worklist Query will be performed The contents of this section are 2 Information Model Description 3 Information Model Entity Relationship Model 4 Information Model Module Table 5 Information Model Keys 2 MODALITY WORKLIST INFORMATION MODEL DESCRIPTION 3 MODALITY WORKLIST INFORMATION MODEL ENTITY RELATIONSHIP MODEL The Entity Relationship diagram for the Modality Worklist Information Model schema is shown in illustration 3 It represents the information that composes a Worklist Item In this figure the following diagrammatic convention is established to represent the information organization e each entity is represented by a rectangular box e each relationship is represented by a diamond shaped box e the fact that a relationship exists between two entities is depicted by lines connecting
2. gt Referenced Frame Number 0008 1160 Frame number from which the photo was derived Image number 0020 0013 Internally generated starting at 1 Patient Orientation 0020 0020 See 5 5 1 1 1 Burned In Annotation Image comments 0028 0301 0020 4000 5 5 1 1 General Image Attribute Descriptions 5 5 1 1 1 Patient Orientation Always zero length 5 5 1 1 2 Image Type Always DERIVEDISECONDARY NO Indicates that the image does not contain any burned in annotation to identify the patient and date the image was acquired user defined comments 5 5 1 1 3 Derivation Description and Source Image Sequence Derivation Description 0008 2111 not sent Source Image Sequence is always sent 5 5 1 1 4 Lossy Image Compression Always 00 5 5 2 Image Pixel Module This section specifies the Attributes that describe the pixel data of the image Table 38 IMAGE PIXEL MODULE ATTRIBUTES Attribute Name cei Attribute Description Samples per Pixel 0028 0002 Photometric Interpretation 0028 0004 MONOCHROME2 Rows 0028 0010 58 Depends on the size of the FOV imaged region of the X ray detector and the re sampling applied during the DICOM conversion Possible values are 512 608 736 864 and 1000 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 E TA E 00
3. 0019 XX85 Date of the calibration of the image May not be sent Calibration time 0019 XX86 Time of the calibration of the image May not be sent Calibration accuracy 0019 XX87 In Yo with respect to the calibration factor May not be sent Calibration extended 0019 XX88 YES NO May not be sent Calibration image original 0019 XX89 If calib extended the image number of the original calibration May not be sent Calibration frame original 0019 XX8A If extended calibration the frame number of the original calibration May not be sent Calibration nb points uif 0019 XX8B 0 1 or 2 May not be sent Calibration points row 0019 XX8C Location of the points that define the calibra tion object given as row May not be sent Calibration points column 0019 XX8D Location of the points that define the calibra tion object given as column May not be sent Calibration mag ratio 0019 XX8E 39 Ratio between the SID over the distance from source to the center of the calibration object gt 1 0 May not be sent Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Attribute Name e Attribute Description Calibration sw version 0019 XX8F String containing algorithm generation algo rithm version and algorithm release A new release does
4. May not be sent Post Minimum Lumen Diameter 0009 XX24 Post procedure Minimum Lumen Diam eter in millimeters Required if Analysis Type 0009 XX00 is POST or PRE POST May not be sent Post Average Diameter 0009 XX25 Post procedure Average Diameter in millimeters Required if Analysis Type 0009 XX00 is POST or PRE POST May not be sent Post Stenosis Length 0009 XX26 Post procedure Stenosis Length in milli meters Required if Analysis Type 0009 XX00 is POST or PRE POST May not be sent Post Stenosis 0009 XX27 Post procedure Stenosis as a percent age Required if Analysis Type 0009 XX00 is POST or PRE POST May not be sent Post Geometric Area Reduction 0009 XX28 Post procedure Geometric Area Reduc tion as a percentage Required if Analy sis Type 0009 XX00 is POST or PRE POST May not be sent 62 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 6 PRIVATE GENERAL FRAME MODULE Table 45 Private General Frame Module Attributes Attribute Name Tag Attribute Description gt pos_pri_angle 0025 XX06 Equivalent to 0018 1510 but for each frame of the multi frame image gt pos_sec_angle 0025 XX07 Equivalent to 0018 1511 but for each frame of the multi frame image gt larm_angle 0025 XX09 Positioner angle for L arm in degrees sig
5. 0020 000E Restricted to 64 characters internally gener ated as follows registered prefix for GEMS 2 Registered prefix within GEMS a b c encoded mac address of the DL host x y z unique id protected against reinstallation and re entrance Series Number 0020 0011 Internally generated starting at 1 Series Date 0008 0021 YYYYMMDD restricted to 8 characters Series Time 0008 0031 HHMMSS XXX restricted to 10 characters Performing Physicians Name 0008 1050 From User Interface restricted to 64 charac ters May not be sent Protocol Name 0018 1030 From User Interface user defined description of the acquisition protocol Series Description 0008 103E From User Interface restricted to 64 charac ters May not be sent Operators Name 5 4 Common Equipment Entity Modules 0008 1070 From User Interface restricted to 64 charac The following Equipment IE Module is common to all Composite Image IODs which reference the Equipment IE 5 4 1 General Equipment Module This section specifies the Attributes which identify and describe the piece of equipment which produced a Series of Images Table 7 GENERAL EQUIPMENT MODULE ATTRIBUTES Attribute Name IRE Attribute Description Manufacturer 0008 0070 GE MEDICAL SYSTEMS Institution Name 0008 0080 From Service User In
6. Entity 4 IOD MODULE TABLE Within an entity of the DICOM v3 0 SC IOD attributes are grouped into related set of attributes A set of related attributes is termed a module A module facilitates the understanding of the semantics concerning the attributes and how the attributes are related with each other A module grouping does not infer any encoding of information into datasets The table in this section identifies the defined modules within the entities which comprise the DICOM v3 0 SC IOD Modules are identified by Module Name See DICOM v3 0 Part 3 for a complete definition of the entities modules and attributes Table 31 SC IMAGE IOD MODULES Entity Name Module Name Patient General Study Patient Study General Series General Equipment SC Equipment General Image Image Pixel SC Image Overlay Plane Modality LUT VOI LUT SOP Common XA Positioner 53 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Entity Name Module Name O TES 5 10 2 General Frame 5 INFORMATION MODULE DEFINITIONS Please refer to DICOM v3 0 Standard Part 3 Information Object Definitions for a description of each of the entities and modules contained within the SC Information Object The following modules are included to convey Enumerated Values Defined Terms and Optional Attributes supported Ty
7. REV 1 DIRECTION 2358506 100 Attribute Name Tag Expected Expected Mapped Matching Returned into the Key Type Key Type Image gt Referenced SOP 0008 1150 1C No Class UID gt Referenced SOP 0008 1155 1C No Instance UID 5 4 Imaging Service Request Entity 5 4 1 Imaging Service Request Module Table 55 Imaging Service Request Module Attributes Attribute Name Tag Expected Expected Mapped Matching Returned into the Key Type Key Type Image Accession Number 0008 0050 O 2 Yes Matching is supported user entered value is sent Referring Physician s 0008 0090 Requested zero length The Name first person name component group is mapped in the image No truncation is performed Values may be trucnated for display only 5 5 Visit Entity 5 5 1 Visit Identification No attribute from this module is requested in the modality worklist query 5 5 2 Visit Status No attribute from this module is requested in the modality worklist query 70 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 RE DIRECTION 2358506100 5 5 3 Visit Relationship No attribute from this module is requested in the modality worklist query 5 5 4 Visit Admission No attribute from this module is requested in the modality worklist query 5 6 Patient Entity 5 6 1 Patient Relationship No attribute from this module is requested in the modality worklist query 5 6 2 P
8. Restricted to 1024 characters Manufacturer s Model Name 0008 1090 DL Device Serial Number 0018 1000 From internal configuration of the ma chine Software Versions 0018 1020 DL application version Station name 0018 1010 AE Title of the system that generates the DICOM image 5 5 Common Image Entity Modules The following Image IE Modules are common to all Composite Image IODs which reference the Image IE 5 5 1 General Image Module This section specifies the Attributes which identify and describe an image within a particular series Table 37 GENERAL IMAGE MODULE ATTRIBUTES Attribute Name a Attribute Description Image Type 0008 0008 See 5 5 1 1 2 Acquisition Date 0008 0022 YYYYMMDD restricted to 8 charac ters date the sequence was acquired Content Date 0008 0023 Same as acquisition date 0008 0022 57 GE Medical Systems REV 1 Innova 4100 Angiographic Imaging System Conformance Statement for DICOM V3 0 DIRECTION 2358506 100 Attribute Name Leg po Attribute Description Acquisition Time 0008 0032 HHMMSS XXX restricted to 10 char acters Content Time 0008 0033 Same as acquisition time 0008 0032 Source Image Sequence 0008 2112 gt Referenced SOP Class UID 0008 1150 1 2 840 10008 5 1 4 1 1 12 1 gt Referenced SOP Instance UID 0008 1155 UID of the image from which the photo was derived
9. Step Description gt Scheduled Action Item Code Sequence gt gt Code Value gt gt Coding Scheme Designator gt gt Code Meaning gt Scheduled Procedure Step ID 0040 0006 0040 0005 0040 0008 0008 0100 0008 0102 0008 0104 0040 0009 5 3 Requested Procedure Entity 5 3 1 Requested Procedure Module Requested zero length After user confirmation the first value can be mapped into Performing Physician 0008 1050 After user confirmation can be mapped into Study description 0008 1030 Table 54 Requested Procedure Module Attributes Attribute Name Requested Procedure ID Requested Procedure Description Requested Procedure Code Sequence gt Code Value gt Coding Scheme Des ignator gt Code Meaning Study Instance UID Referenced Study Se quence 0040 1001 0032 1060 0032 1064 0008 0100 0008 0102 0008 0104 0020 000D 0008 1110 Expected Expected Mapped Matching Returned into the Key Type Key Type Yes O 1 69 This information can be mapped into Study ID 0020 0010 after user confirmation If one SPS is selected or if multiple SPSs with the same Study Instance UID are selected the value is mapped in the images Else a Study Instance UID is generated by the implementatoin Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0
10. image acquisition Brightness from 0 0 to 100 0 Contrast from 100 0 to 100 0 user_bright_contr 0019 XX4F The brightness contrast modified by the user during the image review Brightness from 0 0 to 100 0 Contrast from 100 0 to 100 0 Average pulse width 0018 1154 Average width of Xray pulse in msec adx acq mode 0019 XX14 0 1 Vascular 2 to 7 Cardiac 8 to 13 DSA stepping 14 to 16 and 26 Bolus chasing 20 to 25 HSS acquisition current spatial filter strength 0019 XXAB The strength of the spatial filters selected by the user in DL during the image Review Values from 1 to 9 EPT 0019 XXA9 Exposure optimization conditions cm can downscan 512 0019 XXAA Indicates the possibility to downscan the pixel data to 512x512 for exchange purposes YES NO sensor feedback 0019 XX9A Internally generated Image sweep 0019 XX95 Horizontal and vertical image sweep performed by the acquisition system before sending the DICOM image De fineed terms are YES and NO 5 10 3 X Ray Collimator Table 21 X Ray Collimator Module Attribute Name ne Attribute Description Collimator Shape 0018 1700 RECTANGULAR Collimator Left Vertical Edge 0018 1702 Internally generated by the acquisition sys tem Collimator Right Vertical Edge 0018 1704 Internally generated by the acquisition sys tem 43 Innova 4100 Angiographic Imaging System GE Medical Systems Conformanc
11. 0008 1060 From User Interface restricted to 64 char acters Value contains only one compo nent May not be sent study_number 0015 XX8F Internally generated starting at 1 May not be sent 5 2 2 Patient Study Module This section defines Attributes that provide information about the Patient at the time the Study was performed Table 5 PATIENT STUDY MODULE ATTRIBUTES Attribute Name a a ZI Attribute Description Patient s Age 0010 1010 Either from User Interface or Calculated from Patient s Birth Date 0010 0030 Three digits followed by one letter In Years Y Months M Weeks W or Days D May not be sent Patient s Size 0010 1020 From User Interface or worklist restricted to 16 characters May not be sent Patients Weight 0010 1030 From User Interface or worklist restricted to 16 characters May not be sent 5 3 Common Series Entity Modules The following Series IE Modules are common to all Composite Image IODs which reference the Series IE 5 3 1 General Series Module This section specifies the Attributes which identify and describe general information about the Series within a Study 34 GE Medical Sysiems REV 1 Table 6 GENERAL SERIES MODULE ATTRIBUTES Innova 4100 Angiographic Imaging System Conformance Statement for DICOM V3 0 DIRECTION 2358506 100 Attribute Name Ba OO e Attribute Description Modality 0008 0060 Series Instance UID
12. 3 1 1 1 General The DICOM Application Context Name ACN which is always proposed is Application Context Name 1 2 840 10008 3 1 1 1 The Maximum Length PDU negotiation is included in all association establishment requests The maximum length PDU for an association initiated by the INNOVA DICOM Application Entity is Maximum Length PDU 1024 Kbytes The SOP Class Extended Negotiation is not supported The maximum number of Presentation Context ltems that will be proposed is 5 The user information Items sent by this product are e Maximum PDU Length e Implementation UID e Implementation Version Name 3 1 1 2 Asynchronous Nature Asynchronous mode is not supported All operations will be performed synchronously Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 3 1 1 3 Implementation Identifying Information The Implementation UID for this DICOM v3 0 Implementation is INNOVA DL Implementation UID 1 2 840 113619 6 149 The Implementation Version Name for this DICOM v3 0 Implementation is INNOVA DL Implementation Version Name INNOVA 4100 3 1 2 Association Initiation Policy 3 1 2 1 Real World Activity Copy Images 3 1 2 1 1 Associated Real World Activity The operator must select a destination in the User Interface towards which the images will be transferred Then one of the two following scenarios is possible 1 The operator selects data
13. 37 5 5 5 Multi Frame Module Age kaaa ak KK ALAGA kian ii LAG 38 5 5 6 Frame Pointers Module vita were Sede AG LE GANA eri 38 5 5 7 Mask Module siii dele aj io NAG di de de EN AE 38 5 5 8 Display Shutter Module a w zil w kib in a a a e AR cease ANAN NA pa ha 39 5 5 9 Device Module erst aa erste ANER rra ra A PA AA A A 39 5 5 10 Therapy Module sussidio rd CR ge REAL dun 40 5 6 Common Overlay Modules aw ae ma KANA ANG bati men e ie ei 40 5 6 1 Overlay plan module re Wel Se wed ni EE SE A A0 5 6 2 Multi frame Overlay Module 40 5 7 Common Curve Modules cece eee aaa kn a nn a kn nna ann ann 40 5 7 1 AG MOULE EEN 40 5 8 Common Lookup Table Modules 40 5 8 1 VOI LUT module ian cae Ne ADA NEEN MA NN NEE rta ala A0 5 8 2 Modality LUT module cias aaa 40 5 9 General Modules EE 41 5 9 1 SOP Common Module w naasa man Mer EE er Aer E 41 5 10 ee TEE 41 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 5 10 1 X Ray Image Module NN ENEE cw ae carrer a cee cds 41 5 10 2 X Ray Acquisition Module 41 5 10 3 X Ray Collimator soste paw Ad lia Sher NIAN Ne e aa lia dos 43 5 10 4 X Ray Table Module el et len kan kn aaa kn a an ann na a ann ann 44 521025 XA Positioner Module e bwin sees eri EE fai ri 44 51046 SUB Lut module ei ai dote tata nana kreati Terre 45 6 PRIVATE GENERAL FRAME MODULE eee rene nnna 46 7 PRIVATE DATA D
14. 6101 is AVG_SUB gt Mask subpixel shift 0028 6114 Pixel shift applied during the last review 38 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 5 5 8 Display Shutter Module Table 15 DISPLAY SHUTTER MODULE Attribute Name EE GTA Attribute Description Shutter Shape 0018 1600 Shutter Left Vertical Edge 0018 1602 RECTANGULAR Shutter Right Vertical Edge 0018 1604 Internally generated by acquisition system Internally generated by acquisition system 0018 1606 0018 1608 Shutter Upper Horizontal Edge Internally generated by acquisition system Shutter Lower Horizontal Edge Internally generated by acquisition system 5 5 9 Device Module The table in this section describes the Attributes of devices e g catheters markers baskets which are associated with a study and or image Table 16 DEVICE MODULE ATTRIBUTES Attribute Name a E Attribute Description Calibration frame 0019 XX81 frame on which the calibration was per formed May not be sent Calibration object 0019 XX82 Sphere catheter or segment only one May not be sent Calibration object size mm 0019 XX83 Size diameter distance in mm May not be sent Calibration factor 0019 XX84 Calib factor in mm pix May not be sent Calibration date
15. Mapping 26 6 2 Comiquiable EE EE 26 7 SUPPORT OF EXTENDED CHARACTER SETS ANNE mt ENEE REECH af Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 CHAPTER 3 X RAY ANGIOGRAPHY XA INFORMATION OBJECT IMPLEMENTATIONI oi G3560 ea von se ede e EE ene 29 1 INTRODUCTION 3 lav ik ae koe EEN ee e ea 29 2 XA IOD IMPLEMENTATION sx ga Kana bes ba ka aka sad 29 J XA ENTITY RELATIONSHIP MODEL sico ENNEN Nie EN RINNEN aaa er 29 3 1 ENTITY DESCRIPTIONS aaa kt lat ji di a red asado 30 3 2 INNOVA 4100 Mapping of DICOM entities eeeeeoooeon 31 4 IOD MODULE TABLE EEN 31 5 INFORMATION MODULE DEFINITIONS paaa K e IS ditou a 32 5 1 Common Patient Entity Modules 24 oie vases elena die 32 5 1 1 Patient Module geg deeg bs mde A ia a 32 5 2 Common Study Entity Modules 33 5 2 1 General Study Module el ele sen kek a ae an anan anan ann 33 5 2 2 Patient Study Mod le e ea keyi ot aba aa l alo kk raf a ANAN a ap e a 34 5 3 Common Series Entity Modules l elle nn el noel noon eee 34 5 3 1 General Series Module 34 5 4 Common Equipment Entity Modules 35 5 4 1 General Equipment Module siria NEE NEEN bs eae Panes ME 35 5 5 Common Image Entity Modules v s dwe ae kane ke tank a 36 5 5 1 General Image Module 36 5 5 2 Imag Pixel Modules stica isla l nics repair EE 36 5 5 3 Contrast Bolus e IER 37 5 0 4 Cine ModUlE EEN
16. database e Build a DICOM Dataset e Initiate a DICOM Association to send the image s Get worklist Build a DICOM formatted basic worklist management data request Initiate a DICOM Association to send the request Wait for worklist response s Access to the local database to add new patient exam demographic data Close the association Verification e Initiate a DICOM Association Send the C ECHO request Wait for the C ECHO response Close the Association The INNOVA DICOM Application Entity also serves a default SCP function the Verification Service Class independently from others SCU functions 2 3 Sequencing of Real World Activities Not Applicable 19 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 3 AE SPECIFICATIONS 3 1 INNOVA DICOM AE Specification This Application Entity provides Standard Conformance to the following DICOM V3 0 SOP Classes as an SCU SOP Class Name SOP Class UID Secondary Capture Image Storage 1 2 840 10008 5 1 4 1 1 7 X Ray Angiographic Image Storage 1 2 840 10008 5 1 4 1 1 12 1 Modality Worklist Information Model FIND 1 2 840 10008 5 1 4 31 Verification SOP Class 1 2 840 10008 1 1 This Application Entity provides Standard Conformance to the following DICOM V3 0 SOP Classes as an SCP SOP Class Name SOP Class UID Verification SOP Class 1 2 840 10008 1 1 3 1 1 Association Establishment Policies
17. example a GEMS CT Scanner may send images using the CT Information Object MR Information Object Secondary Capture Object etc Included in this DICOM Conformance Statement are the Module Definitions which define all data elements used by this GEMS implementation If the user encounters unspecified private data elements while parsing a GEMS Data Set the user is well advised to ignore those data elements per the DICOM v3 0 standard Unspecified private data element information is subject to change without notice If however the device is acting as a full fidelity storage device it should retain and re transmit all of the private data elements which are sent by GEMS devices 5 IMPORTANT REMARKS The use of these DICOM Conformance Statements in conjunction with the DICOM v3 0 Standards is intended to facilitate communication with GE imaging equipment However by itself it is not sufficient to ensure that inter operation will be successful The user or user s agent needs to proceed with caution and address at least four issues e Integration The integration of any device into an overall system of interconnected devices goes beyond the scope of standards DICOM v3 0 and of this introduction and associated DICOM Conformance Statements when interoperability with non GE equipment is desired The responsibility to analyze the applications requirements and to design a solution that integrates GE imaging equipment with non GE systems i
18. implementation e Single Value matching e Universal Matching e Wild Card Matching e Range of date Range of Time 5 2 Scheduled Procedure Step Entity 5 2 1 SOP Common Module Table 52 SOP Common Module Attributes Attribute Name Tag Expected Expected Mapped Matching Returned into the Key Type Key Type Image Specific Character Set 0008 0005 1C No Matching on this tag is not supported ISO IR_100 is always assumed 5 2 2 Scheduled Procedure Step Module Table 53 Scheduled Procedure Step Module Attributes Attribute Name Tag Expected Expected Mapped Matching Returned into the Key Type Key Type Image R 1 No Scheduled Procedure 0040 0100 Step Sequence gt Scheduled Station AE 0040 0001 Matching is supported The Title matching value is the AE Title of the Innova system sScheduled Procedure 0040 0002 Matching value can be Step Start Date configured for date or date range gt Scheduled Procedure 0040 0003 Requested zero length Step Start Time gt Modality 0008 0060 This is requested either as zero length or as XA user configurable 68 Innova 4100 Angiographic Imaging System Conformance Statement for DICOM V3 0 DIRECTION 2358506 100 GE Medical Systems REV 1 Attribute Name Tag Expected Expected Mapped Matching Returned into the Key Type Key Type Image R 2 Yes gt Scheduled Perform ing Physician s Name gt Scheduled Procedure
19. table referential for each frame of the multi frame image Down mov ing is positive Absolute longitudinal position of the table with respect to the table referential for each frame of the multi frame image Head mov ing is positive Absolute lateral position of the table with respect to the table referential for each frame of the multi frame image Left moving is positive gt pw_actual 0025 XX21 Equivalent to 0018 1150 but for each frame of the multi frame image gt tgt_entr_dose 0025 XX27 Exposure optimization conditions nGy scnr cmd 0025 XX28 Exposure optimization conditions 76 scontrast cmd 0025 XX29 46 Exposure optimization conditions LSB Innova 4100 Angiographic Imaging System Conformance Statement for DICOM V3 0 DIRECTION 2358506 100 GE Medical Systems REV 1 Attribute Name Attribute Description gt spect_flt_znb 0025 XX2B Z number of the spectral filter gt table rotation status 0025 XX3B 3 Indicates whether the table is rotated on the horizontal plane Defined terms are YES and NO 47 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 7 PRIVATE DATA DICTIONARY Table 26 Private Creator Identification GEMS_DL_STUDY_01 Attribute Name 00153067 Table 27 Private Creator Identification GEMS DL IMG 01 Attribute Name tee ve wm Calibr
20. the corresponding entity boxes to the relationship boxes 65 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Illustration 3 Modality Worklist Information Model E R DIAGRAM Scheduled Worklist Procedure Step Requested Procedure 1 Imaging Service Request Jo 3 1 ENTITY DESCRIPTIONS Please refer to DICOM Standard PS 3 3 Information Object Definitions and PS 3 4 Service Class Specifications for a description of each of the Entities contained within the Modality Worklist Information Model 3 1 1 Scheduled Procedure Step 3 1 2 Requested Procedure Entity Description 3 13 Imaging Service Request Entity Description 66 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506100 3 1 4 Visit Entity Description 3 1 5 Patient Entity Description 3 2 INNOVA 4100 Mapping of DICOM entities Table 50 Mapping of DICOM Entities to Innova 4100 Entities DICOM INNOVA 4100 Entity e n 4 INFORMATION MODEL MODULE TABLE Within an entity of the DICOM v3 0 Modality Worklist Information Model attributes are grouped into related set of attributes A set of related attributes is termed a module A module facilitates the understanding of the semantics concerning the attributes and how the attributes are related with each other A module grouping does not infer any encoding of informatio
21. to be sent to the destination though the User Interface Once these selections are done the user clicks on the Network button to initiate a Copy images operation The INNOVA DICOM AE will then initiate a DICOM association with the selected destination and transfer the selected images on this association No If system is configured for autoarchive the INNOVA DICOM AE will automatically initiate a DICOM association with the selected destination to transfer any new image created on the system 3 1 2 1 2 Proposed Presentation Context Table Presentation Context Table Proposed Abstract Syntax Transfer Syntax Extended Secondary Capture 1 2 840 10008 5 1 4 1 1 7 Implicit VR 1 2 840 10008 1 2 SCU None Image Storage Little Endian Secondary Capture 1 2 840 10008 5 1 4 1 1 7 Explicit VR 1 2 840 10008 1 2 1 SCU None Image Storage Little Endian X Ray Angiographic 1 2 840 10008 5 1 4 1 1 12 1 Implicit VR 1 2 840 10008 1 2 SCU None Image Storage Little Endian X Ray Angiographic 1 2 840 10008 5 1 4 1 1 12 1 Explicit VR 1 2 840 10008 1 2 1 SCU None Image Storage Little Endian 3 1 2 1 2 1 SOP Specific DICOM Conformance Statement for all Storage SOP Classes This implementation can perform multiple C STORE operation over a single association 21 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Upon receiving a C STORE confirmation cont
22. 0103 0x0000 Pixel Data 5 5 3 Contrast Bolus Module 7FE0 0010 Data stream of the pixel samples This section specifies the Attributes that describe the contrast bolus used in the acquisition of the Image Table 10 CONTRAST BOLUS MODULE ATTRIBUTES Attribute Name bii TZ Attribute Description Auto injection enabled 0019 xxA4 YES NO Injection phase 0019 xxA5 PRE POST Injection delay 0019 xxA6 Number of miliseconds between the injection and the reference frame Always positive Reference injection frame number 0019 xxA7 Frame number of the reference frame re lated to the auto injection delay Contrast Bolus Agent 5 5 4 Cine Module 0018 0010 No value zero length The table in this section specifies the Attributes of a Multi frame Cine Image Table 11 CINE MODULE ATTRIBUTES Attribute Name ee Attribute Description Start Trim 0008 2142 Stop Trim 0008 2143 Last frame of the multi frame image Recommended Display Frame Rate 0008 2144 Number of frames per second truncated to integer Cine Rate 0018 0040 Number of frames per second truncated to integer Frame Time 0018 1063 Nominal time in msec between frames Frame Delay 0018 1066 37 0 0 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1
23. 28 0011 Depends on the size of the FOV imaged region of the X ray detector and the re sampling applied during the DICOM conversion Possible values are 512 608 736 864 and 1000 Bits Allocated 0028 0100 8 Bits Stored 0028 0101 8 High Bit 0028 0102 7 Pixel Representation 0028 0103 0000H unsigned integer Pixel Data 7FE0 0010 Data stream of the pixel samples 5 6 Common Overlay Modules 5 6 1 Overlay plane module This module is not sent 5 7 Common Lookup Table Modules 5 7 1 VOI LUT module This section specifies the Attributes that describe the VOI LUT Table 39 VOI LUT MODULE ATTRIBUTES Attribute Name LS Attribute Description Window center 0028 1050 Value of the window center optimized at the image acquisition Window width 0028 1051 Value of the window width optimized at the image acquisition 5 7 2 Modality LUT module The Modality LUT module is not sent 5 8 General Modules The SOP Common Module is mandatory for all DICOM IODs 59 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 5 8 1 SOP Common Module This section defines the Attributes which are required for proper functioning and identification of the associated SOP Instances They do not specify any semantics about the Real World Object represented by the IOD Table 40 SOP COMMON MODULE ATTRIBUTES Att
24. ARD Standard DICOM V 3 0 Specification Part 1 12 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 This document specifies the DICOM v3 0 implementation It is entitled INNOVA 4100 Conformance Statement for DICOM v3 0 Direction 2358506 100 This DICOM Conformance Statement documents the DICOM v3 0 Conformance Statement and Technical Specification required to interoperate with the GEMS network interface Introductory information which is applicable to all GEMS Conformance Statements is described in the document Introduction to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statement Direction 2118780 This Introduction familiarizes the reader with DICOM terminology and general concepts lt should be read prior to reading the individual products GEMS Conformance Statements The GEMS Conformance Statement contained in this document also specifies the Lower Layer communications which it supports e g TCP IP However the Technical Specifications are defined in the DICOM v3 0 Part 8 standard For more information including Network Architecture and basic DICOM concepts please refer to the Introduction For more information regarding DICOM copies of the Standard may be obtained on the Internet at http medical nema org Comments on the standard may be addressed to DICOM Secretariat NEMA Suite 1847 Ross
25. Activity Verification Acknowledge 3 1 3 1 1 Associated Real World Activity The INNOVA DICOM AE is always listening to associations No operator action is required to respond to a Verification request from any DICOM node 24 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 3 1 3 1 2 Accepted Presentation Context Table Presentation Context Table Accepted Abstract Syntax TramsferSyntax TramsferSyntax Extended Negotiation Verification 1 2 840 10008 1 1 Implicit VR Little Endian 1 2 840 10008 1 2 None SOP Es Explicit VR Little Endian 1 2 840 10008 1 2 1 Explicit VR Big Endian 1 2 840 10008 1 2 2 3 1 3 1 2 1 SOP Specific Conformance Statement for Verification SOP Class INNOVA DICOM Application provides standard conformance to the DICOM Verification Service Class 4 COMMUNICATION PROFILES 4 1 Supported Communication Stacks PS 3 8 PS 3 9 DICOM Upper Layer PS 3 8 is supported using TCP IP 4 2 OSI Stack OSI stack not supported 4 3 TCP IP Stack The TCP IP stack is inherited from a Windows NT Operating System 4 3 1 API Not applicable to this product 4 3 2 Physical Media Support DICOM is indifferent to the Physical medium over which TCP IP executes e g Ethernet V2 0 IEEE 802 3 ATM FDDI Note For more information about the Physical Media available on INNOVA 4100 please refer to the Product Data Sheet 4 4 Point to Poin
26. DICOM V3 0 REV 1 DIRECTION 2358506 100 AVVERTENZA A SI PROCEDA ALLA MANUTENZIONE DELL APPARECCHIATURA SOLO DOPO AVER CONSULTATO IL PRESENTE MANUALE ED AVERNE COMPRESO IL CONTENUTO Il presente manuale di manutenzione disponibile soltanto in inglese Se un addetto alla manutenzione esterno alla GEMS richiede il manuale in una lingua diversa il cliente tenuto a provvedere direttamente alla traduzione Non tenere conto della presente avvertenza potrebbe far compiere operazioni da cui derivino lesioni all addetto alla manutenzione all utilizzatore ed al paziente per folgorazione elettrica per urti meccanici od altri rischi Sr A ZOFEARZATIM CURRADO ETA ETH eu EI ZHRYEN DFFANKRALIMIO pir BRS ni56 MARV EE EAR KLEER AH dek Fo ETDY EREZAT We MAL ERTE EMO EA RIT ECF EV TOTTI Ve T E ATHY SNA BRS AWE BS SAD RE ORR MILT OO EI N AET A MRS HYNES A KHET MARX AF GEMS ATTINGE SERA AYE FH gt Str i APA RASTA TRAFILA ARAS PALERMO EA M tte ANG pi gt ARDER ENE ER 10 1 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 CHAPTER 1 INTRODUCTION OVERVIEW This DICOM Conformance Statement is divided into Sections as described below Chapter 1 Introduction which describes the overall structure intent and references for this Conformance Statement Chapter 2 Network Conformance Statement which spe
27. DIRECTION 2358506 100 5 5 5 Multi Frame Module This section specifies the Attributes of a Multi frame pixel data Image Table 12 MULTI FRAME MODULE ATTRIBUTES Attribute Name Attribute Description Number of Frames 0028 0008 Internally generated by acquisition system Maximum 460 Frame Increment Pointer 0028 0009 See 5 5 5 1 for further explanation 5 5 5 1 Multi Frame Attribute Descriptions 5 5 5 1 1 Number Of Frames And Frame Increment Pointer Frame Increment Pointer 0028 0009 points to Frame Time 0018 1063 5 5 6 Frame Pointers Module This section specifies the attributes of a Frame Pointer Module Table 13 FRAME POINTERS MODULE ATTRIBUTES Attribute Name Attribute Description Representative Frame Number 0028 6010 3 Calculated as number of frames 0028 0008 divided by 2 5 5 7 Mask Module Table 14 MASK MODULE ATTRIBUTES Attribute Name Gali a Hc Attribute Description Percent landscape 0019 XX1E Percentage of mask applied during the last review Recommended viewing mode 0028 1090 SUB or NAT Mask substraction 0028 6100 1 Defines a sequence which describe mask sequence subtraction operations for a Multi frame Image sMask operation 0028 6101 1 AVG SUB or NONE gt Applicable frame 0028 6102 Frames of the mask operation applied dur range ing the last review gt Mask frame numbers 0028 6110 Frames selected as Mask during the last review Required if Mask Operation 0028
28. GE Medical Systems Technical Publications DIRECTION 2358506 100 Revision 1 Innova 4100 Angiographic Imaging System Conformance Statement for DICOM V3 0 sm do not duplicate Copyright 2003 by General Electric Co ATTENTION LES APPAREILS RAYONS X SONT DANGEREUX LA FOIS POUR LE PATIENT ET POUR LE MANIPULATEUR SI LES MESURES DE PROTECTION NE SONT PAS STRICTEMENT APPLIQUEES Bien que cet appareil soit construit selon les normes de s curit les plus s v res la source de rayonnement X repr sente un danger lorsque le manipulateur est non qualifi ou non averti Une exposition excessive au rayonnement X entra ne des dommages a l organisme Par cons quent toutes les pr cautions doivent tre prises pour viter que les personnes non autoris es ou non qualifi es utilisent cet appareil cr ant ainsi un danger pour les autres et pour elles m mes Avant chaque manipulation les personnes qualifi es et autoris es se servir de cet appareil doivent se renseigner sur les mesures de protection tablies par la Commission Internationale de la Protection Radiologique Annales 26 Recommandations de la Commission Internationale sur la Protection Radiologique et les normes nationales en vigueur WARNING X RAY EQUIPMENT IS DANGEROUS TO BOTH PATIENT AND OPERATOR UNLESS MEASURES OF PROTECTION ARE STRICTLY OBSERVED Though this equipment is built to the highest standards of electrical and mechanical safety the useful x ray
29. ICTIONARY svi aa oi aa fam doi ai ao aa ian 48 CHAPTER 4 SC INFORMATION OBJECT IMPLEMENTATION 51 1 INTRODUCTION sprite cena et a nal KAG nd ene la hah 51 2 SC IOD IMPLEMENTATION d er ive atake oie ab NEE e Gel 51 3 SC ENTITY RELATIONSHIP MODEL e ooo oeooooon 51 3 1 ENTITY DESCRIPTIONS bla 52 3 1 1 Patient Entity Description a aaa an ana a ak a EN ENEE EN NNN E eas 52 3 1 2 Study Entity Description nnana aana A AA a 52 3 1 3 Series Entity Description 52 3 1 4 Equipment Entity Description 52 3 1 5 SC Image Entity Description e WE CAE ged ceder dead 52 3 1 6 Overlay Entity Description e else o 53 3 1 7 VOI Lookup Table Entity Description eee seen noon eee eee 53 3 2 INNOVA 4100 Mapping of DICOM entities eeeeeroooon 53 4 IOD MODULE EE 53 5 INFORMATION MODULE DEFINITIONS reel re ooo er oo noon 54 5 1 Common Patient Entity Modules wo k s ae ssaa AE 54 Sel Patient MOU UN naaa saa also 54 5 2 Common Study Entity Modules 54 5 2 1 General Study e TEE 55 5 2 2 Patient Study Module comercios KG Pak pa KKK a 55 5 3 Common Series Entity Modules ere ere ler eee on eee eee 56 5 3 1 General Series Module dag NENNEN reel den rt cies as 56 5 4 Common Equipment Entity Modules 57 5 4 1 General Equipment Module 57 5 5 Common Image Entity Modules ENEE man n nana wan a aa na nan 57 5 5 1 General Image Module x montwe done
30. a m kt a yan pan pa ewe kaa a i 57 5 5 2 Image Pixel Module 3 k ia ak pa ii deora iepr ee AE 58 5 6 Common Overlay Modules seine abi 59 5 6 1 Overlay plane module wi Sheet paba kha haw ha ha dents A aa tk pt a raa 59 5 7 Common Lookup Table Modules ariana AEN e NBA ANGELA RANG wa kA 59 Geet VOINLUTIMOdUl ih Ela alpi NEPAL AER 59 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 5 7 2 Modality D TEE e Ee cera scr E EEN EA 59 5 8 General Modules Sg Ae ENEE car as ENEE kpa ia 59 5 8 1 SOP Common Module sseeseseseoesssecnseonoen 60 5 9 SO Modules cari rra taa daa 60 5 9 1 SC Equipment Module seo sac svi Ne NN Denia AN Ae e Ne EN a ln Bio 60 5 9 2 SC Image Module daa naaawa nak ka a sata de ed o e 60 5 10 Other Modules igs kek ka ee di e 61 5 10 1 XA Positioner Module cece an kn a aa kn a nn a nn nna ann ann 61 5 10 2 Photo QCA Module saaan diw at kuna da ok ai NEE ree 61 6 PRIVATE GENERAL FRAME MODULE eee re eee eens 63 7 PRIVATE DATA DICTIONARY et EE NEEN d NENNEN ai ii 63 CHAPTER 5 MODALITY WORKLIST INFORMATION MODEL DEFINITION 65 1 INIROBUGFION cino iaia enna 65 2 MODALITY WORKLIST INFORMATION MODEL DESCRIPTION 65 3 MODALITY WORKLIST INFORMATION MODEL ENTITY RELATIONSHIP MODEL 65 3 1 ENTITY DESCRIPTIONS saba dii ele radi des DAAN 66 3 1 1 Scheduled Procedure Step ee eee s
31. aining a Successful status this implementation will perform the next C STORE operation The association will be maintained if possible Upon receiving a C STORE confirmation containing a Refused status this implementation will terminate the association No new assocation will be opened to send remaining images Upon receiving a C STORE confirmation containing a status other than Successful or Refused this implementation will consider the current request to be a failure but will continue to attempt to send any remaining images in the request over a different association Establishing an association supports an Association Timer This timer starts when the association request is sent and stops when the Association response is received The time out value is 10 seconds If the above time outs expires the association is closed and the operation in progress is considered to be failed Following are the status codes that are more specifically processed when receiving messages from a Storage SCP equipment Service Status Further Meaning Application Behavior When Related Status Codes receiving Status Codes Fields Processed if received Refused A7xx Out of resources Send operation failed Root cause 0000 0902 indicated in error log 0122 SOP Class not Supported Send operation failed Root cause 0000 0902 indicated in error log Error Cxxx Cannot Understand Send operation failed 0000 0901 0000 0902 A9xx D
32. ansferred 512x512 or any size up to 1024 26 Innova 4100 Angiographic Imaging System Conformance Statement for DICOM V3 0 GE Medical Systems DIRECTION 2358506 100 REV 1 7 SUPPORT OF EXTENDED CHARACTER SETS The INNOVA 4100 will support only the ISO_IR 100 ISO 8859 1 1987 Latin alphabet N 1 supplementary set as extended character sets Any incoming worklist entry that is encoded using another extended character set will display as if it were ISO IR 100 and any SOP Instances created for these entries will reference ISO_IR 100 27 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Blank page 28 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 CHAPTER 3 X RAY ANGIOGRAPHY XA INFORMATION OBJECT IMPLEMENTATION 1 INTRODUCTION This section specifies the use of the DICOM XA Image IOD to represent the information included in X Ray Angiography images produced by this implementation Corresponding attributes are conveyed using the module construct The contents of this section are 2 IOD Description 3 IOD Entity Relationship Model 4 IOD Module Table 5 IOD Module Definition 2 XA IOD IMPLEMENTATION 3 XA ENTITY RELATIONSHIP MODEL The Entity Relationship diagram for the XA Image interoperability schema is shown in illustration 1 In this figure the following d
33. are grouped into related set of attributes A set of related attributes is termed a module A module facilitates the understanding of the semantics concerning the attributes and how the attributes are related with each other A module grouping does not infer any encoding of information into datasets Table 2 identifies the defined modules within the entities which comprise the DICOM v3 0 XA IOD Modules are identified by Module Name See DICOM v3 0 Part 3 for a complete definition of the entities modules and attributes Table 2 XA IMAGE IOD MODULES Entity Name Module Name Patient General Study Patient Study General Series General Equipment General Image Image Pixel Contrast Bolus Cine Multi frame Frame Pointers Mask Display Shutter Device Therapy X Ray Image 31 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Entity Name Module Name X Ray Acquisition X Ray Collimator X Ray Table XA Positioner Overlay Plane Multi frame Overlay Curve Modality LUT VOI LUT SOP Common SUB Lut module 5 INFORMATION MODULE DEFINITIONS Please refer to DICOM v3 0 Standard Part 3 Information Object Definitions for a description of each of the entities and modules contained within the XA Information Object The following modules are
34. ata Set does not match SOP Send operation failed 0000 0901 Class 0000 0902 Warning B000 Coercion of Data Elements Send operation failed B007 Data Set does not match SOP Send operation failed Class B006 Elements Discarded Send operation failed Success 0000 Po Send operation successful 3 1 2 2 Real World Activity Verification Acknowledge 3 1 2 2 1 Associated Real World Activity The operator must select a destination in the User Interface and press the Verification button These operations will cause e the INNOVA DICOM Application Entity to initiate a DICOM association e the INNOVA DICOM Application Entity to emit a C ECHO command to check if the remote AE is available 22 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 3 1 2 2 2 Proposed Presentation Context Table Presentation Context Table Proposed Abstract Syntax Transfer Syntax Extended UID List Negotiation Verification 1 2 840 10008 1 1 Implicit VR Little Endian 1 2 840 10008 1 2 3 1 2 2 2 1 SOP Specific DICOM Conformance Statement for Verification SOP Class The INNOVA DICOM AE provides standard conformance to the DICOM Verification SOP class 3 1 2 3 Real World Activity Get Worklist 3 1 2 3 1 Associated Real World Activity The worklist transfer can be initiated either automatically when the DL application starts or manually by e
35. atient Identification Table 56 Patient Identification Module Attributes Attribute Name Tag Expected Expected Mapped Matching Returned into the Key Type Key Type Image Patients Name 0010 0010 R 1 Yes Matching is supported user entered value is sent Wild cards are appened in the query at the end of the components first name and last name The first person name compo nent group returned is mapped in the image No truncation is performed Values may be trucnated for display only Patient ID 0010 0020 Matching is supported user entered value is sent 71 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 5 6 3 Patient Demographic Table 57 Patient Demographic Module Attributes Attribute Name Tag Expected Expected Mapped Matching Returned into the Key Type Key Type Image Parents BAN Dale 00100080 o Y SSC Patents Sex onoo 0 ves SS Patients Size 00101020 OT Yes OT 5 6 4 Patient Medical No attribute from this module is requested in the modality worklist query 6 PRIVATE DATA DICTIONARY No private data dictionary is used by the worklist implementation 72 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 REVISION HISTORY REV DATE REASON FOR CHANGE PAGES 0 July 22 2003 Initial relea
36. ation frame 0019 XX81 Calibration object 0019 XX82 Calibration object size mm 0019 XX83 Calibration factor 0019 XX84 Calibration date Calibration time 0019 XX86 Calibration accuracy 0019 XX87 Calibration extended 0019 XX88 Calibration image original 0019 XX85 0019 XX89 Calibration frame original 0019 XX8A Calibration nb points uif W mb xmb dd YO AE SO AE SO od Calibration points row 0019 XX8B 0019 XX8C Calibration points column 0019 XX8D Calibration mag ratio 0019 XX8E Calibration sw version 0019 XX8F Extend calib sw version Calibration return code 0019 XX91 detector_rot_angle 0019 XX90 0019 XX92 def bright contr 0019 XX4E user bright contr 0019 XX4F applicable review mode log lut control points 0019 XX9E exp lut SUB control points 0019 XX9D 0019 XX9F exp lut NOSUB control points 0019 XXAD ABD value 0019 XXA0 Sub window center 0019 XXA1 Sub window width 0019 XXA2 Auto injection enabled injection phase 0019 XXA5 injection delay 0019 XXA6 reference injection frame number 48 0019 XXA4 0019 XXA7 Innova 4100 Angiographic Imaging S
37. beam becomes a source of danger in the hands of the unauthorized or unqualified operator Excessive exposure to x radiation causes damage to human tissue Therefore adequate precautions must be taken to prevent unauthorized or unqualified persons from operating this equipment or exposing themselves or others to its radiation Before operation persons qualified and authorized to operate this equipment should be familiar with the Recommendations of the International Commission on Radiological Protection contained in Annals Number 26 of the ICRP and with applicable national standards ATENCION LOS APARATOS DE RAYOS X SON PELIGROSOS PARA EL PACIENTE Y EL MANIPULADOR CUANDO LAS NORMAS DE PROTECCION NO ESTAN OBSERVADAS Aunque este aparato est construido seg n las normas de seguridad m s estrictas la radiaci n X constituye un peligro al ser manipulado por personas no autorizadas o incompetentes Una exposici n excesiva a la radiaci n X puede causar da os al organismo Por consiguiente se deber n tomar todas las precauciones necesarias para evitar que las personas incompetentes o no autorizadas utilicen este aparato lo que ser a un peligro para los dem s y para s mismas Antes de efectuar las manipulaciones las personas habilitadas y competentes en el uso de este aparato deber n informarse sobre las normas de protecci n fijadas por la Comisi n Internacional de la Protecci n Radiol gica Anales No 26 Recomendaci nes de la Comis
38. cifies the GEMS equipment compliance to the DICOM requirements for the implementation of Networking features Chapter 3 X Ray Angiography Information Object Implementation which specifies the GEMS equipment compliance to DICOM requirements for the implementation of a X Ray Angiography Information Object Chapter 4 Secondary capture Information Object Implementation which specifies the GEMS equipment compliance to DICOM requirements for the implementation of a Secondary capture Information Object Chapter 5 Modality Worklist Information Model which specifies the GEMS equipment compliance to DICOM requirements for the implementation of the Modality Worklist service 11 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 2 OVERALL DICOM CONFORMANCE STATEMENT DOCUMENT STRUCTURE The Documentation Structure of the GEMS Conformance Statements and their relationship with the DICOM v3 0 Conformance Statements is shown in the Illustration below ID Net v3 0 Introduction to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statement Direction 2118780 APPLICATION ENTITY l SERVICE CLASSES INFORMATION OBJECTS MESSAGE EXCHANGES ETC INNOVA 4100 Product Conformance Statement Implementation Direction 2358506 100 Conformance Statement Direction RS DICOM STAND
39. d by the user during the image Review Values from 1 to 10 usr zoom factor 0019 XX18 1 lbd cm pc dtort 0019 XX24 0 0 Coefficient of the pincushion distortion model of the Image Intensifier in cm 1 This model allows to correct the position of a point of the image as function of the dis tance to the center of the image slope Iv regress 0019 XX25 0 85 Slope coefficient unitless of the lin ear regression correction of the Left Ventric ular volume This linear regression corrects the Left Ventricular volume calculated by the Dodge s method from the contour of the left ventricle traced by an expert int_lv_regress 0019 XX26 4 72 Intercept coefficient in cm3 of the linear regression correction of the Left Ven tricular volume This linear regression cor rects the Left Ventricular volume calculated by the Dodge s method from the contour of the left ventricle traced by an expert def spa fit family 0019 XX31 42 The family of the spatial filters applied dur ing the image acquisition Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Attribute Name a Attribute Description def_spa_flt_strgth 0019 XX32 The strength of the spatial filters applied during the image acquisition Values from 1 to 9 def_bright_contr 0019 XX4E The brightness contrast applied during the
40. ds Processed if received Refused A700 Out of resources A message is displayed with text 0000 0902 Last query failed more detailed information is logged in the error log 0122 SOP Class not Supported A message is displayed with text 0000 0902 Last query failed more detailed information is logged in the error log Failed A900 Identifier does not match SOP A message is displayed with text 0000 0901 Class Last query failed more detailed 0000 0902 information is logged in the error log Cxxx Unable to process A message is displayed with text 0000 0901 Last query failed more detailed 0000 0902 information is logged in the error log Cancel FEOO Matching terminated due to A message is displayed with text None cancel Canceled Success 0000 Matching is complete No final Worklist matches are displayed None identifier is supplied Pending FFOO Matches are continuing Cur None None rent Match is supplied and any Optional Keys were supported in the same manner as Re quired Keys FFO1 Matches are continuing None None Warning that one or more Op tional Keys were not supported for existence for this Identifier 3 13 Association Acceptance Policy The INNOVA DICOM AE places no limitation on who may connect to it Any remote AE can open an association to the INNOVA DICOM AE for the purpose of application level communication verification 3 1 3 1 Real World
41. e Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Attribute Name Attribute Description Collimator Upper Horizontal Edge 0018 1706 Internally generated by the acquisition sys tem Collimator Lower Horizontal Edge 0018 1708 Internally generated by the acquisition sys tem 5 10 4 X Ray Table Module Table 22 X Ray Table Module Attributes Attribute Name MM Attribute Description Table Motion 0018 1134 Will be DYNAMIC if table moves in at least one direction Table Vertical Increment 0018 1135 Value will be filled in if Table Motion is DY NAMIC For STATIC will be sent as no value zero length Table Longitudinal Increment 0018 1137 Value will be filled in if Table Motion is DY NAMIC For STATIC will be sent as no value zero length Table Lateral Increment 0018 1136 Value will be filled in if Table Motion is DY NAMIC For STATIC will be sent as no value zero length Table vertical position 0019 XX21 Absolute vertical position of the table with respect to the table referential Down mov ing is positive Table longitudinal position 0019 XX22 Absolute longitudinal position of the table with respect to the table referential Head moving is positive Table lateral position 0019 XX23 Absolute lateral position of the table with respect to the table referential Left moving is positive Table Angle 0018 1138 0 0 5 10 5 XA Positioner Module Table 23 XA Positio
42. e image 54 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 5 2 1 General Study Module This section specifies the Attributes which describe and identify the Study performed upon the Patient Table 33 GENERAL STUDY MODULE ATTRIBUTES Attribute Name A Attribute Description Study Instance UID 0020 000D Restricted to 64 characters internally generated as follows registred prefix for GEMS 2 registred identification of Inno va 4100 System within GEMS a b c encoded mac address of the DL host x y z unique id protected against reinstallation and re entrance Study Date 0008 0020 YYYYMMDD restricted to 8 charac ters Study Time 0008 0030 HHMMSS XXX restricted to 10 char acters Referring Physician s Name 0008 0090 From User Interface restricted to 64 characters Study ID 0020 0010 From User Interface restricted to 64 characters Accession Number 0008 0050 From User Interface restricted to 64 characters Study Description 0008 1030 From User Interface restricted to 64 characters May not be sent Name of Physician s Reading 0008 1060 From User Interface restricted to 64 Study characters May not be sent study_number 0015 XX8F Internally generated starting at 1 May not be sent 5 2 2 Patient Study Module This section defines Attribu
43. ection of the rows and columns of the image Required if image does nat require Image Orientation 0020 0037 and Image Posi tion 0020 0032 Instance Comments 0020 4000 From User Interface restricted to 64 char 5 5 1 1 General Image Attribute Descriptions 5 5 1 1 1 Patient Orientation Always zero length 5 5 1 1 2 Image Type Always ORIGINAL PRIMARY SINGLE PLANE 5 5 2 Image Pixel Module This section specifies the Attributes that describe the pixel data of the image Table 9 IMAGE PIXEL MODULE ATTRIBUTES Attribute Name ba RON Attribute Description Samples per Pixel 0028 0002 Photometric Interpretation 0028 0004 MONOCHROME1 or MONOCHROME2 Rows 0028 0010 Depends on the size of the FOV imaged region of the X ray detector and the re sampling applied during the DICOM conver sion Possible values are 800 1000 and 512 36 GE Medical Sysiems REV 1 Innova 4100 Angiographic Imaging System Conformance Statement for DICOM V3 0 DIRECTION 2358506 100 Attribute Name EE THEA Attribute Description 0028 0011 Depends on the size of the FOV imaged region of the X ray detector and the re sampling applied during the DICOM conver sion Possible values are 800 1000 and 512 Bits Allocated 0028 0100 8or 16 Bits Stored 8 or 12 High Bit 0028 0102 7 or 11 Pixel Representation 0028 0101 0028
44. edical iii a a eden TE ee ge AEN 72 6 PRIVATE DATA DICTIONARY NNN NN NNN KN rc a a 72 Revision e EE 73 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Blank page Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 WARNING A DO NOT ATTEMPT TO SERVICE THE EQUIPMENT UNLESS THIS SERVICE MANUAL HAS BEEN CONSULTED AND IS UNDERSTOOD If a customer s service provider requires a language other than English it is the customer s responsibility to provide translation services This Service Manual is available in English only Failure to heed this warning may result in injury to the service provider operator or patient from electric shock mechanical or other hazards ATTENTION NE PAS TENTER D INTERVENIR SUR LES QUIPEMENTS TANT QUE LE MANUEL SERVICE N A PAS ETE CONSULTE ET COMPRIS Ce Manuel de service n est disponible qu en anglais Si le technicien du client a besoin de ce manuel dans une autre langue que l anglais c est au client qu il incombe de le faire traduire Le non respect de cet avertissement peut entra ner chez le technicien l op rateur ou le patient des blessures dues des dangers lectriques m caniques ou autres ATENCION NO SE DEBER DAR SERVICIO T CNICO AL EQUIPO SIN HABER CONSULTADO Y COMPRENDIDO ESTE MANUAL DE SERVICIO Este Manual de Servicio s lo e
45. een seen eee 66 3 1 2 Requested Procedure Entity Description eesoeoooun 66 3 1 3 Imaging Service Request Entity Description 66 3 1 4 Visit Entity Description 67 3 1 5 Patient Entity Description a ANNE EEN EE rr 67 3 2 INNOVA 4100 Mapping of DICOM entities eeeeeoooeon 67 4 INFORMATION MODEL MODULE TABLE 67 5 INFORMATION MODEL KEYS w saki w e aid hens weaned dp ke a ak ad ea lk 68 5 1 SUPBONEA Matching EE 68 5 2 Scheduled Procedure Step Entity 68 5 2 1 SOP Common Module circa ar Aa ra 68 5 2 2 Scheduled Procedure Step Module 68 5 3 Requested Procedure Entity 69 5 3 1 Requested Procedure Module NENNEN e i 69 5 4 Imaging Service Request Entity 222426 kai KPA kai kika ati 70 5 4 1 Imaging Service Request Module 70 5 5 Visit EAH craes n many aiaa ue pd dekh aaa e ainai a dee gg eg 70 5 5 1 Visit Identification At NEE sterd erarintan terni tatier tra 70 5 5 2 Visit Status a NEE eg doa db a e AR EEN ER EE AR E EE AE d 70 5 5 3 Visit Relationship ro 71 5 5 4 Visit Admission ee e kode LA DLE aaa here 71 5 6 Patient shirt gn APA AR FI Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 5 6 1 Patient Relationship ez obs dese EE A ENEE fe EI dw bude 71 5 6 2 Patient Identification Kaawa kaka kaa EI EUREN ENEE ia 71 5 6 3 Patient Demographic w saka ian anan aa WA ers eri RENE ENN NS 72 5 6 4 Patient M
46. em GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Attribute Name Tag gt larm_angle 0025 XX09 gt pivot_angle 0025 XX10 gt arc_angle 0025 XX1A gt table_vert_pos 0025 XX1B gt table_long_pos 0025 XX1C gt table_lat_pos 0025 XX1D gt pw_actual 0025 XX21 0025 XX27 0025 XX28 0025 XX29 gt spect_flt_znb 0025 XX2B gt table rotation status 0025 XX3B CS a dd ech 1 ech dl mb ee mb gt tgt_entr_dose gt cnr_cmd gt contrast_cmd 50 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 CHAPTER 4 SC INFORMATION OBJECT IMPLEMENTATION 1 INTRODUCTION This section specifies the use of the DICOM SC Image IOD to represent the information included in SC images produced by this implementation Corresponding attributes are conveyed using the module construct The contents of this section are 2 IOD Description 3 IOD Entity Relationship Model 4 IOD Module Table 5 IOD Module Definition 2 SCIOD IMPLEMENTATION 3 SC ENTITY RELATIONSHIP MODEL The Entity Relationship diagram for the SC Image interoperability schema is shown in illustration 2 In this figure the following diagrammatic convention is established to represent the information organization e each entity is represented by a rectangular box e each relationship i
47. es Number 0020 0011 Internally generated starting at 1 Series Date 0008 0021 YYYYMMDD restricted to 8 characters Series Time 0008 0031 HHMMSS XXX restricted to 10 charac ters Performing Physicians Name 0008 1050 From User Interface restricted to 64 characters May not be sent Protocol Name 0018 1030 From User Interface 56 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Attribute Name LU ee Typ Attribute Description Series Description 0008 103E From User Interface restricted to 64 characters May not be sent Operators Name 0008 1070 From User Interface restricted to 64 characters May not be sent 5 4 Common Equipment Entity Modules The following Equipment IE Module is common to all Composite Image IODs which reference the Equipment IE 5 4 1 General Equipment Module This section specifies the Attributes which identify and describe the piece of equipment which produced a Series of Images Table 36 GENERAL EQUIPMENT MODULE ATTRIBUTES Attribute Name nni CNR Attribute Description Manufacturer 0008 0070 GE MEDICAL SYSTEMS Institution Name 0008 0080 From Service User Interface config ured at the installation of the system Restricted to 64 characters Institution Address 0008 0081 From Service User Interface config ured at the installation of the system
48. fied in each DICOM Conformance Statement Evolution of the Standard may require changes to devices which have implemented DICOM v3 0 In addition GE reserves the right to discontinue or make changes to the support of communications features on its products reflected on by these DICOM Conformance Statements The user should ensure that any non GE provider which connects with GE devices also plans for the future evolution of the DICOM Standard Failure to do so will likely result in the loss of function and or connectivity as the DICOM Standard changes and GE Products are enhanced to support these changes e Interaction lt is the sole responsibility of the non GE provider to ensure that communication with the interfaced equipment does not cause degradation of GE imaging equipment performance and or function 6 REFERENCES A list of references which is applicable to all GEMS Conformance Statements is included in the Introduction to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statement Direction 2118780 The information object implementation refers to DICOM PS 3 3 Information Object Definition 7 DEFINITIONS A set of definitions which is applicable to all GEMS Conformance Statements is included in the Introduction to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statement Direction 2118780 8 SYMBOLS AND ABBREVIATIONS A list of symbols and abbreviations which is applicable to all GEMS Conformance Sta
49. i n Internacional sobre la Protecci n Radiol gica y normas nacionales ACHTUNG RONTGENAPPARATE SIND EINE GEFAHR FUR PATIENTEN SOWIE BEDIENUNGSPERSONAL WENN DIE GELTENDEN SICHERHEITSVORKEHRUNGEN NICHT GENAU BEACHTET WERDEN Dieser Apparat entspricht in seiner Bauweise strengsten elektrischen und mechanischen Sichereitsnormen doch in den H nden unbefugter oder unqualifizierter Personen wird er zu einer Gefahrenquelle UbermaBige R ntgenbestrahlung ist f r den menschlichen Organismus sch dlich Deswegen sind hinreichende VorsichtsmaBnahmen erforderlich um zu verhindern daBunbefugte oder unqualifizierte Personen solche Ger te bedienen oder sich selbst und andere Personen deren Bestrahlung aussetzen k nnen Vor Inbetriebnahme dieses Apparats sollte sich das qualifizierte und befugte Bedienungspersonal mit den geltenden Kriterien f r den gefahrlosen Strahleneinsatz durch sorgf ltiges Studium des Hefts Nr 26 der Internationalen Kommission f r Strahlenschutz ICRP vertraut machen Empfehlungen der Internationalen Kommission f r Strahlenschutz und anderer nationaler Normenbeh rden Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 RE DIRECTION 2358506100 TABLE OF CONTENTS CHAPTER 1 INTRODUCTION Lr 11 1 OVERVIEW e dea ene Pw a ba a a e 11 2 OVERALL DICOM CONFORMANCE STATEMENT DOCUMENT STRUCTURE 12 3 INTENDED AUDIENCE 2 EE 14 4 SCOPE AND FIELD OF APPLICATION scou
50. iagrammatic convention is established to represent the information organization e each entity is represented by a rectangular box e each relationship is represented by a diamond shaped box e the fact that a relationship exists between two entities is depicted by lines connecting the corresponding entity boxes to the relationship boxes The relationships are fully defined with the maximum number of possible entities in the relationship shown In other words the relationship between Series and Image can have up to n Images per Series between Patient and Study can have up to n Studies per Patient but the Study to Series has 1 Series for each Study 29 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Illustration 1 XA IMAGE ENTITY RELATIONSHIP DIAGRAM 1 IS of 1 ri creates Series 1 1 Equipment 3 1 ENTITY DESCRIPTIONS Please refer to DICOM Standard Part 3 Information Object Definitions for a description of each of the entities contained within the XA Information Object 30 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 3 2 INNOVA 4100 Mapping of DICOM entities Table 1 Mapping of DICOM Entities to INNOVA 4100 Entities DICOM INNOVA 4100 Entity Study Not Applica 4 IOD MODULE TABLE Within an entity of the DICOM v3 0 XA IOD attributes
51. included to convey Enumerated Values Defined Terms and Optional Attributes supported Type 1 4 Type 2 Attributes are also included for completeness and to define what values they may take and where these values are obtained from It should be noted that they are the same ones as defined in the DICOM v3 0 Standard Part 3 Information Object Definitions 5 1 Common Patient Entity Modules 5 1 1 Patient Module This section specifies the Attributes of the Patient that describe and identify the Patient who is the subject of a diagnostic Study This Module contains Attributes of the patient that are needed for diagnostic interpretation of the Image and are common for all studies performed on the patient 32 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Table 3 PATIENT MODULE ATTRIBUTES Attribute Name a ae Attribute Description Patient s Name 0010 0010 From user interface or worklist When from user interface value contains only last name restricted to 32 chars first_name restricted to 31 chars When from worklist equals first component group Patient ID 0010 0020 From worklist or user interface Restricted to 64 chars Patient s Birth Date 0010 0030 From user interface or worklist Restricted to 8 chars YYYYMMDD Patients Sex 0010 0040 From user interface or worklist M F or OT 5 2 Common Study Entit
52. is Type 0009 XX00 is PRE or PRE POST May not be sent Pre Average Diameter 0009 XX15 Pre procedure Average Diameter in millimeters Required if Analysis Type 0009 XX00 is PRE or PRE POST May not be sent Pre Stenosis Length 0009 XX16 Pre procedure Stenosis Length in milli meters Required if Analysis Type 0009 XX00 is PRE or PRE POST May not be sent 61 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Attribute Name Ca Attribute Description Pre Stenosis Yo 0009 XX17 Pre procedure Stenosis as a percent age Required if Analysis Type 0009 XX00 is PRE or PRE POST May not be sent Pre Geometric Area Reduction 0009 XX18 Pre procedure Geometric Area Reduc tion as a percentage Required if Analy sis Type 0009 XX00 is PRE or PRE POST May not be sent Post Catheter Name 0009 XX21 User description of post procedure cath eter Required if Analysis Type 0009 XX00 is POST or PRE POST May not be sent Post Catheter Size 0009 XX22 Size of post procedure catheter in milli meters Required if Analysis Type 0009 XX00 is POST or PRE POST May not be sent Post Reference Diameter 0009 XX23 Post procedure Reference Diameter in millimeters Required if Analysis Type 0009 XX00 is POST or PRE POST
53. is automatically brought up when the INNOVA system is powered on All remote DICOM AE must be manually configured on the INNOVA usually at the software installation time by a GE Field Engineer There are three local Real World activities Copy Images Get Worklist and Verification which can cause the INNOVA DICOM AE to initiate a DICOM association Copy Image consists of an operator selecting one or several images through the User Interface known as Browser and Viewer Selection of Remote System and visualization of the transfer status is done in a specific screen The remote system can be any DICOM stage SCP supporting XA modality Get Worklist activity consists of an operator request for the transfer of a list of procedure to be performed on the INNOVA 4100 acquisition system from a remote HIS RIS system The Remote system can be any DICOM modality worklist SCP 18 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Query keys can be entered for the following items Patient Name Patient ID Accession number Procedure ID The system can be configured to query for its own modality XA or AE Title A date or a date range for the query can also be specified 2 2 Functional Definition of AE e The INNOVA DICOM Application Entity supports the following three SCU functions de Copy images e Access to patient demographics and pixel Data in the local
54. ither clicking the Refresh button in the Patient Browser interface or the Refresh now button in the Define Worklist Settings screen These operation will cause the INNOVA Application Entity to initiate a DICOM association the INNOVA DL application to build the C FIND request the INNOVA Application Entity to emit the C FIND request the INNOVA Application Entity to receive the C FIND Reponse s the INNOVA Application Entity to close the association the possibility for the user to add a new item to the local database While the query is in progress it is possible to cancel it by pressing a button on the patient browser This will cause a C FIND cancel to be sent 3 1 2 3 2 Proposed Presentation Context Table Presentation Context Table Proposed Abstract Syntax Transfer Syntax Extended Negotiation Modality Worklist 1 2 840 10008 5 1 4 3 Implicit VR Little Endian 1 2 840 10008 1 2 SCU None Information Model 1 FIND 23 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 3 1 2 3 2 1 SOP Specific DICOM Conformance Statement for the Modality Worklist Information Model FIND SOP Class Following are the status codes that are more specifically processed when receiving messages from a Modality Worklist SCP equipment Service Status Further Meaning Application Behavior When re Related Status Codes ceiving Status Codes Fiel
55. lyn VA 22209 USA Phone 1 703 841 3200 13 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 3 INTENDED AUDIENCE The reader of this document is concerned with software design and or system integration issues lt is assumed that the reader of this document is familiar with the DICOM v3 0 Standards and with the terminology and concepts which are used in those Standards If readers are unfamiliar with DICOM v3 0 terminology they should first refer to the document listed below then read the DICOM v3 0 Standard itself prior to reading this DICOM Conformance Statement document Introduction to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statement Direction 2118780 4 SCOPE AND FIELD OF APPLICATION It is the intent of this document in conjunction with the Introduction to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statement Direction 2118780 to provide an unambiguous specification for GEMS implementations This specification called a Conformance Statement includes a DICOM v3 0 Conformance Statement and is necessary to ensure proper processing and interpretation of GEMS medical data exchanged using DICOM v3 0 The GEMS Conformance Statements are available to the public The reader of this DICOM Conformance Statement should be aware that different GEMS devices are capable of using different Information Object Definitions For
56. n into datasets The table in this section identifies the defined modules within the entities which comprise the DICOM v3 0 Modality Worklist Information Model Modules are identified by Module Name See DICOM v3 0 PS 3 3 and PS 3 4 for a complete definition of the entities modules and attributes Table 51 MODALITY WORKLIST INFORMATION MODEL MODULES Entity Name Module Name Scheduled Procedure Step SOP Common Scheduled Procedure Step Requested Procedure Requested Procedure Imaging Service Request Imaging Service Request Visit Visit ldentification Visit Status Visit Relationship Visit Admission Patient Relationship Patient Identification Patient Demographic Patient Medical 67 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 5 INFORMATION MODEL KEYS Please refer to DICOM Standard PS 3 3 Information Object Definitions and PS 3 4 Service Class Specifications for a description of each of the Entities contained within the Modality Worklist Information Model The following Module descriptions are included to specify what data elements are supported and what type of matching can be applied It should be noted that they are the same ones as defined in the DICOM v3 0 Standard PS 3 4 Service Class Specifications 5 1 Supported Matching Following are the types of matching that can be request by the
57. ned for each frame of the multi frame image gt pivot_angle 0025 XX10 Positioner angle for Pivot arm in degrees signed for each frame of the multi frame image gt arc_angle 0025 XX1A Positioner angle for C arm in degrees signed for each frame of the multi frame image 7 PRIVATE DATA DICTIONARY Table 46 Private Creator Identification GEMS_DL_STUDY_01 Attribute Name Study number 0075 XXEF Table 47 Private Creator Identification GEMS_DL_IMG_01 Attribute Name DOE Table 48 Private Creator Identification QCA RESULTS Attribute Name Tag YR WM Analysis Views 0009 XX00 cs 1 0009 XX10 NAC E Pre Catheter Name 2C 0009 XX11 Pre Catheter Size 0009 XX12 Pre Reference Diameter 0009 XX13 Pre Minimum Lumen Diameter 0009 XX14 63 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Attribute Name mw A w Pre Average Diameter 0009 XX15 Pre Stenosis Length 0009 XX16 Pre Stenosis 0009 XX17 Pre Geometric Area Reduction 0009 XX18 0009 XX21 0009 XX22 0009 XX23 0009 XX24 0009 XX25 0009 XX26 0009 XX27 0009 XX28 Post Catheter Name Post Catheter Size Post Reference Diameter Post Minimum Lumen Diameter Post Average Diameter Post Stenosis Length Post Stenosis Post Geometric Area Reduction
58. ner Module Attributes Attribute Name o LI Attribute Description Distance Source to Detector 0018 1110 Internally generated by the acquisition sys tem Distance Source to Patient 0018 1111 Internally generated by the acquisition sys tem Estimated Radiographic Magnification 0018 1114 Calculated from 0018 1110 and Factor 0018 1111 Positioner Motion 0018 1500 Will be DYNAMIC if Pivot or C ARM moves If no motion or if L only moves will be sent as STATIC Positioner Primary Angle 0018 1510 For imulti frame images value of the first frame 44 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Attribute Name TO Attribute Description Positioner Secondary Angle 0018 1511 For imulti frame images value of the first frame Positioner Primary Angle Increment 0018 1520 Value of the RAO LAO increments relative to the first frame If positioner motions is STATIC will be sent zero length Positioner Secondary Angle Incre 0018 1521 Value of the CRA CAU increments relative ment to the first frame If positioner motions is STATIC will be sent zero length Angle value 1 0019 XX01 Positioner angle for L arm in degrees Left moving is positive Angle value 2 0019 XX02 Positioner angle for Pivot arm in degrees Left moving is positive Angle value 3 0019 XX03 Positioner angle for C arm in degree
59. not change the algorithm only change code structure I O code optimiza tion May not be sent Extend calib sw version 0019 XX90 String contaning algorithm generation algo rithm version and algorithm release A new release does not change the algorithm only change code structure I O code optimiza tion May not be sent Calibration return code 0019 XX91 Code returned by the calibration algorithm May not be sent 5 5 10 Therapy Module This module is not sent 5 6 Common Overlay Modules 5 6 1 Overlay plane module This module is not sent 5 6 2 Multi frame Overlay Module This module is not sent 5 7 Common Curve Modules 5 7 1 Curve module This module is not sent 5 8 Common Lookup Table Modules 5 8 1 VOI LUT module This section specifies the Attributes that describe the VOI LUT Table 17 VOI LUT MODULE ATTRIBUTES Attribute Name MC LI Attribute Description Window center 0028 1050 Value of the window center optimized at the image acquisition Window width 0028 1051 Value of the window width optimized at the image acquisition 5 8 2 Modality LUT module This module is not sent 40 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 5 9 General Modules The SOP Common Module is mandatory for all DICOM IODs 5 9 1 SOP Common Module This section defines the Attributes which are requi
60. odule Attributes Attribute Name A Attribute Description frame_sequence 0025 XX0A Sequence with as many items as number of frames in the image containing data of re lated to the acquisition of each frame gt frame_id 0025 XX02 Frame identification inside the frame se quence starting at 1 gt dist_src_to det 0025 XX03 Equivalent to 0018 1110 but for each frame of the multi frame image dist src to pat 0025 XX04 Equivalent to 0018 1111 but for each frame of the multi frame image dist src to skin 0025 XX05 SSD source to Skin distance measured from the focal spot to the reference point where the PatientDoseLimit is defined pos pri angle 0025 XX06 Equivalent to 0018 1510 but for each frame of the multi frame image pos sec angle 0025 XX07 Equivalent to 0018 1511 but for each frame of the multi frame image larm angle 0025 XX09 Positioner angle for L arm in degrees signed for each frame of the multi frame image pivot angle 0025 XX10 Positioner angle for Pivot arm in degrees signed for each frame of the multi frame image sarc angle 0025 XX1A Positioner angle for C arm in degrees signed for each frame of the multi frame image table vert pos table long pos table lat pos 0025 XX1B 0025 XX1C 0025 XX1D Absolute Vertical position of the table with respect to the
61. pe 1 amp Type 2 Attributes are also included for completeness and to define what values they may take and where these values are obtained from It should be noted that they are the same ones as defined in the DICOM v3 0 Standard Part 3 Information Object Definitions 5 1 Common Patient Entity Modules 5 1 1 Patient Module This section specifies the Attributes of the Patient that describe and identify the Patient who is the subject of a diagnostic Study This Module contains Attributes of the patient that are needed for diagnostic interpretation of the Image and are common for all studies performed on the patient Table 32 PATIENT MODULE ATTRIBUTES Attribute Name a Attribute Description Patient s Name 0010 0010 From user interface or worklist When from user interface value contains only last_name restricted to 32 chars first_name restricted to 31 chars When from worklist equals first component group Patient ID 0010 0020 From worklist or user interface Restricted to 64 chars Patient s Birth Date 0010 0030 From user interface or worklist Restricted to 64 chars YYYYMMDD Patient s Sex 0010 0040 From user interface or worklist M F or O 5 2 Common Study Entity Modules The following Study IE Modules are common to all Composite Image IODs which reference the Study IE These Module contain Attributes of the patient and study that are needed for diagnostic interpretation of th
62. red for proper functioning and identification of the associated SOP Instances They do not specify any semantics about the Real World Object represented by the IOD Table 18 SOP COMMON MODULE ATTRIBUTES Attribute Name HE Attribute Description SOP Instance UID 0008 0018 Restricted to 64 characters internally gen erated as follows registered prefix for GEMS 2 Registered prefix within GEMS a b c encoded mac address of the DL host x y z unique id protected against reinstallation and re entrance SOP Class UID 0008 0016 1 2 840 10008 5 1 4 1 1 12 1 Specific Character Set 0008 0005 ISO_IR 100 5 10 X Ray Modules This Section describes Modules used in one or more X Ray IODs These Modules contain Attributes that are specific to X Ray images 5 10 1 X Ray Image Module Table 19 X Ray Image Module Attributes Attribute Name Calo E Attribute Description Frame Increment Pointer 0028 0009 See5 5 5 1 1 for further explanation 0008 0008 See 5 5 1 1 2 0028 1040 DRM or SQRT Samples per Pixel 0028 0002 1 Photometric Interpretation 0028 0004 MONOCHROME1 or MONOCHROME2 Image Type Pixel Intensity Relationship Bits Allocated 0028 0100 8 or 16 Bits Stored 0028 0101 8 or 12 High Bit 0028 0102 7 or 11 Pixel Representation 0028 0103 Ox0000 5 10 2 X Ray Acquisition Module Table 20 X Ray Acquisition Module A
63. ribute Name E Attribute Description SOP Instance UID 0008 0018 Restricted to 64 characters internally generated as follows registred prefix for GEMS 2 registred identification of Inno va 4100 System within GEMS a b c encoded mac address of the DL host x y z unique id protected against reinstallation and re entrance SOP Class UID 0008 0016 1 2 840 10008 5 1 4 1 1 12 1 Specific Character Set 0008 0005 ISO_IR 100 5 9 SC Modules This Section describes SC Equipment and Image Modules These Modules contain Attributes that are specific to SC Image IOD 5 9 1 SC Equipment Module This Module describes equipment used to convert images into a DICOM format Table 41 SC IMAGE EQUIPMENT MODULE ATTRIBUTES Attribute Name a ae Attribute Description Conversion Type 0008 0064 Secondary Capture Device 0018 1016 SE MEDICAL SYSTEMS May not be Manufacturer sent Secondary Capture Device 0018 1018 DL May not be sent Manufacturer s Model Name 5 9 2 SC Image Module The table in this Section contains IOD Attributes that describe SC images Table 42 SC IMAGE MODULE ATTRIBUTES Attribute Name Attribute Description Date of Secondary Capture 0018 1012 3 Date the SC image was captured Time of Secondary Capture 0018 1014 3 Time the SC image was captured 60 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statemen
64. s Head moving is positive Angle 1 increment 0019 XX97 Incremental change in L arm with respect to the angle of the first frame Present only if positioner motion is DYNAMIC Angle 2 increment 0019 XX98 Incremental change in Pivot arm with re spect to the angle of the first frame Present only if positioner motion is DYNAMIC Angle 3 increment 0019 XX99 Incremental change in C arm with respect to the angle of the first frame Present only if positioner motion is DYNAMIC 5 10 6 SUB Lut module Table 24 SUB Lut module attributes Attribute Name Roe Attribute Description Applicable review mode 0019 XX9D Review mode in which the SUB lut module is applicable Defined terms re NONE NAT SUB and BOTH Log lut control points 0019 XX9E Control points of the log LUT Exp lut SUB control points 0019 XX9F Control points of the exp LUT for SUB re view Exp lut NOSUB control points 0019 XXAD Control points of the exp LUT for NOSUB review ABD value 0019 XXA0 Average gray level value of the histogram Sub window center 0019 XXA1 window center applicable when the SUB lut module is applied Sub window width 0019 XXA2 window width applicable when the SUB lut module is applied 45 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 6 PRIVATE GENERAL FRAME MODULE Table 25 Private General Frame M
65. s represented by a diamond shaped box e the fact that a relationship exists between two entities is depicted by lines connecting the corresponding entity boxes to the relationship boxes The relationships are fully defined with the maximum number of possible entities in the relationship shown In other words the relationship between Series and Image can have up to n Images per Series between Patient and Study can have up to n Studies per Patient but the Study to Series has 1 Series for each Study 51 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Illustration 2 SC IMAGE ENTITY RELATIONSHIP DIAGRAM 1 IS of 1 ri creates Series 1 1 Equipment 3 1 ENTITY DESCRIPTIONS Please refer to DICOM Standard Part 3 Information Object Definitions for a description of each of the entities contained within the SC Information Object 3 1 1 Patient Entity Description 3 1 2 Study Entity Description 3 1 3 Series Entity Description 3 1 4 Equipment Entity Description 3 1 5 SC Image Entity Description 52 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 3 1 6 Overlay Entity Description 3 17 VOI Lookup Table Entity Description 3 2 INNOVA 4100 Mapping of DICOM entities Table 30 Mapping of DICOM Entities to INNOVA 4100 Entities DICOM lt Name of the Product gt
66. s the user s responsibility and should not be underestimated The user is strongly advised to ensure that such an integration analysis is correctly performed 14 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 e Validation Testing the complete range of possible interactions between any GE device and non GE devices before the connection is declared operational should not be overlooked Therefore the user should ensure that any non GE provider accepts full responsibility for all validation required for their connection with GE devices This includes the accuracy of the image data once it has crossed the interface between the GE imaging equipment and the non GE device and the stability of the image data for the intended applications Such a validation is required before any clinical use diagnosis and or treatment is performed It applies when images acquired on GE imaging equipment are processed displayed on a non GE device as well as when images acquired on non GE equipment is processed displayed on a GE console or workstation e Future Evolution GE understands that the DICOM Standard will evolve to meet the user s growing requirements GE is actively involved in the development of the DICOM v3 0 Standard DICOM v3 0 will incorporate new features and technologies and GE may follow the evolution of the Standard The GEMS protocol is based on DICOM v3 0 as speci
67. se 64 1 October 23 2003 Text and tables modified Chapter 5 added 74 NUMBER SIZE REVISION DIRECTION A4 1 2358506 100TPH 73 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Blank page 74
68. t Stack A 50 pin ACR NEMA connection is not applicable to this product 25 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 5 EXTENSIONS SPECIALIZATIONS PRIVATIZATIONS None 5 1 Standard Extended Specialized Private SOPs 6 CONFIGURATION GEMS Field Service Engineers configure the INNOVA 4100 system The DICOM configuration items below are configurable or re configurable by a Field Service Engineer 6 1 AE Title Presentation Address Mapping The INNOVA 4100 DICOM SERVER AE allows for the configuration of the mapping of remote AE titles to IP addresses and ports The IP address of a remote AE may be in a different sub net using routing GEMS Field Service Engineers perform this configuration 6 2 Configurable Parameters The following fields are configurable for this AE local e Local AE Title e Local IP Address e Local IP Netmask Note The local listening port number is not configurable for this product and is equal to 4002 The following fields are configurable for the DICOM AE used as worklist SCP e Remote AE Title e Remote IP Address e Listening TCP IP Port Number Note AGE Field Engineer must perform all the above configurations The following fields are configurable for every remote DICOM AE used as storage SCP e Remote AE Title e Remote IP Address e Listening TCP IP Port Number e Array size of the pixel data to be tr
69. t aa ba wate 14 5 IMPORTANT REMARKS perg a AD ate a De Gn i 14 6 REFERENCES ae aaa Baa tl kan ela rl te idee de ee 15 7 DEFINIIONS assiale i E a PLANG can n e AN a Ee 15 8 SYMBOLS AND ABBREVIATIONS ere cee eee nna anan annan 15 CHAPTER 2 NETWORK CONFORMANCE STATEMENT 17 1 INTRODUCTION E ee bite 17 2 IMPLEMENTATION MODEL j4 can ak Kab EE EEN ENER de 18 2 1 Application Data Flow Diagram Aaen ge esita cee 18 2 2 Functional Definition Of AES occ SEN EK NN ia aa NEEN NENNEN EN een EN 19 2 3 Sequencing of Real World Activities a 19 3 AE SPECIFICATIONS xa aa AJ ap an a poo a NENNT ENN 20 3 1 INNOVA DICOM AE Specification eee eee eee eee eee ronn 20 3 1 1 Association Establishment Policies 20 3 1 2 Association Initiation PONCY seess See eg ADA KAHA 21 3 1 3 Association Acceptance Policy rete eee eee 24 4 COMMUNICATION PROFESSEREN EEN ia 25 4 1 Supported Communication Stacks PS 3 8 PS 3 9 25 4 2 CSN EE 3 5 valu ed sara ica de at ft Nett ele iatale le a 25 4 3 TOPP SIAC cotton aria ria ra Kl eee po Eb a 25 A 25 4 3 2 Physical Media Support de e kaka w ne a kase ds dar a ii ti aa di 25 4 4 Point to Point Stack 25 5 EXTENSIONS SPECIALIZATIONS PRIVATIZATIONS 26 5 1 Standard Extended Specialized Private SOPS 26 6 CONFIGURATION suce 54 ove rta ua ea aos i 26 6 1 AE Title Presentation Address
70. t for DICOM V3 0 REV 1 DIRECTION 2358506 100 5 10 Other Modules 5 10 1 XA Positioner Module Table 43 XA Positioner Module Attributes Attribute Name Attribute Description Positioner Primary Angle 0018 1510 2 LAO RAO angle for the SC image Positioner Secondary Angle 0018 1511 2 CRA CAU angle for the SC image 5 10 2 Photo QCA Module Table 44 PHOTO QCA Module Attributes Attribute Name MC EE Attribute Description Analysis Views 0009 XX00 Enumerated type containing one of the following values PRE POST and PRE_POST Segment 0009 XX10 ACC segment name Defined terms Prox imal RCARCA OstiumMid RCADistal RCARight PDARight LV BRLMCALMCA OstiumProximal LADMid LADDistal LAD1st Diagonal2nd Diagonal1st Septal Proximal CircumflexMid Circumflex 1st Marginal2nd Marginal3rd MarginalDistal CircumflexL Pre Catheter Name 0009 XX11 User description of pre procedure cathe ter Required if Analysis Type 0009 XX00 is PRE or PRE POST May not be sent Pre Catheter Size 0009 XX12 Size of pre procedure catheter in milli meters Required if Analysis Type 0009 XX00 is PRE or PRE POST May not be sent Pre Reference Diameter 0009 XX13 Pre procedure Reference Diameter in millimeters Required if Analysis Type 0009 XX00 is PRE or PRE POST May not be sent Pre Minimum Lumen Diameter 0009 XX14 Pre procedure Minimum Lumen Diame ter in millimeters Required if Analys
71. tements is included in the Introduction to the Integrated DICOM Network v3 0 ID Net v3 0 Conformance Statement Direction 2118780 15 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Blank page 16 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 CHAPTER 2 NETWORK CONFORMANCE STATEMENT 1 INTRODUCTION This section of the DICOM Conformance Statement specifies the compliance to DICOM conformance requirements for the relevant Networking features on GE INNOVA 4100 product Note that the format of this section strictly follows the format defined in DICOM Standard PS 3 2 Conformance Please refer to that part of the standard while reading this section The INNOVA 4100 provides sophisticated image processing and storage functions INNOVA 4100 will provide support for DICOM 3 0 to achieve interoperability across equipment produced by different vendors This section details the roles and the DICOM Service Classes the INNOVA 4100 supports The INNOVA 4100 DICOM implementation allows e The user to copy INNOVA images acquired through the system to a remote DICOM Application Entity using the Standard Storage DICOM Service as a Service Class User e The user to check the application level communication from the INNOVA DICOM Server to a remote DICOM Application Entity To this aim
72. terface configured at the installation of the system Restricted to 64 characters Institution Address Station name 0008 0081 0008 1010 From Service User Interface configured at the installation of the system Restricted to 1024 characters AE Title of the system that created the DICOM image Manufacturer s Model Name 0008 1090 DL Device Serial Number 0018 1000 From internal configuration of the machine Software Versions 0018 1020 35 DL application version Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 5 5 Common Image Entity Modules The following Image IE Modules are common to all Composite Image IODs which reference the Image IE 5 5 1 General Image Module This section specifies the Attributes which identify and describe an image within a particular series Table 8 GENERAL IMAGE MODULE ATTRIBUTES Attribute Name a A Attribute Description Image Type 0008 0008 See 5 5 1 1 2 Acquisition Date 0008 0022 YYYYMMDD restricted to 8 characters date the sequence was acquired Image Date 0008 0023 Same as acquisition date 0008 0022 Acquisition Time 0008 0032 HHMMSS XXX restricted to 10 charac ters Image Time 0008 0033 Same as acquisition time 0008 0032 Image number 0020 0013 Internally generated starting at 1 Patient Orientation 0020 0020 Patient dir
73. tes that provide information about the Patient at the time the Study was performed JI Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Table 34 PATIENT STUDY MODULE ATTRIBUTES A i Patient s Age 0010 1010 Either from User Interface or Calcu lated from Patient s Birth Date 0010 0030 Three digits followed by one letter In Years Y Months M Weeks W or Days D May not be sent Patient s Size 0010 1020 From User Interface or worklist re stricted to 16 characters May not be sent Patient s Weight 0010 1030 From User Interface or worklist re stricted to 16 characters May not be 5 3 Common Series Entity Modules The following Series IE Modules are common to all Composite Image IODs which reference the Series IE 5 3 1 General Series Module This section specifies the Attributes which identify and describe general information about the Series within a Study Table 35 GENERAL SERIES MODULE ATTRIBUTES Attribute Name AA IE Attribute Description Modality 0008 0060 Series Instance UID 0020 000E Restricted to 64 characters internally generated as follows registred prefix for GEMS 2 registred identification of Inno va 4100 System within GEMS a b c encoded mac address of the DL host x y z unique id protected against re installation and re entrance Seri
74. the INNOVA 4100 uses the Verification DICOM Service Class as a Service Class User e The user to get from the Radiology Information System RIS the list of procedure to be performed This is done using the Basic Worklist Management DICOM Service as a Service Class User e Aremote Application Entity to check the application level communication with the INNOVA 4100 This is done by providing the Verification DICOM Service Class as a Service Class Provider The details of the DICOM conformance related to other Information Objects and Information Models supported by this product are included in subsequent sections of this DICOM Conformance Statement 17 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 2 IMPLEMENTATION MODEL 2 1 Application Data Flow Diagram All DICOM functionality on the INNOVA 4100 product is provided by the DL DICOM Server AE The Basic and Specific Application models for this device are shown in the following Illustration Association Initiation Images Gopy stored images remotely Innova Provide au DICOM Worklist Application Response Remote System Acknowledge lt gt provide or request verification DICOM Standard Association Acceptance Interface and Initiation The INNOVA DICOM Application Entity is an application which handles DICOM protocol communication INNOVA DICOM AE
75. ttribute Name Lola np Attribute Description 0018 0060 No value Zero length Radiation Setting 0018 1155 GR 41 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Attribute Name A Attribute Description Exposure Time 0018 1150 No value Zero length X Ray Tube Current 0018 1151 No value Zero length Exposure 0018 1152 The product of exposure time and Xray tube current expressed in mAs Required if either Exposure Time 0018 1150 or Xray tube current 0018 1151 are not present Radiation Mode 0018 115A PULSED Intensifier Size 0018 1162 409 6 Field of View Shape 0018 1147 RECTANGLE Field of View Dimension s 0018 1149 From user selection in the User Interface of the acquisition system Possible values are 160 200 320 and 400 mm Image Pixel Spacing 0018 1164 Is the ratio between the field of view dimension and the number of rows and col umns Field of View Origin 0018 7030 Depends on the size of the FOV imaged region of the X ray detector fov_dim_double 0019 XX0B Value in floating point resolution whose truncature is 0018 1149 Possible values are 160 0 200 0 320 0 and 400 0 mm Detctor rot angle 0019 XX92 usr spa fit strgth 0019 XX17 The strength of the spatial filters selecte
76. xiste en ingl s Si alg n proveedor de servicios ajeno a GEMS solicita un idioma que no sea el ingl s es responsabilidad del cliente ofrecer un servicio de traducci n La no observancia del presente aviso puede dar lugar a que el proveedor de servicios el operador o el paciente sufran lesiones provocadas por causas el ctricas mec nicas o de otra naturaleza WARNUNG ERSUCHEN SIE NICHT DIESE ANLAGE ZU WARTEN OHNE DIESE SERVICEANLEITUNG GELESEN UND VERSTANDEN ZU HABEN Diese Serviceanleitung existiert nur in englischer Sprache Falls ein fremder Kundendienst eine andere Sprache ben tigt ist es Aufgabe des Kunden f r eine entsprechende Ubersetzung zu sorgen Wird diese Warnung nicht beachtet so kann es zu Verletzungen des Kundendiensttechnikers des Bedieners oder des Patienten durch Stromschl ge mechanische oder sonstige Gefahren kommen ATENCAO A NAO TENTE REPARAR O EQUIPAMENTO SEM TER CONSULTADO E COMPREENDIDO ESTE MANUAL DE ASSISTENCIA TECNICA Este Manual de Assist ncia T cnica s se encontra disponivel em Ingl s Se qualquer outro servico de assist ncia t cnica que n o a GEMS solicitar estes manuais noutro idioma da responsabilidade do cliente fornecer os servicos de traduc o O n o cumprimento deste aviso pode por em perigo a seguranga do t cnico operador ou paciente devido a choques el tricos mec nicos ou outros Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for
77. y Modules The following Study IE Modules are common to all Composite Image IODs which reference the Study IE These Module contain Attributes of the patient and study that are needed for diagnostic interpretation of the image 5 2 1 General Study Module This section specifies the Attributes which describe and identify the Study performed upon the Patient Table 4 GENERAL STUDY MODULE ATTRIBUTES Attribute Name e Attribute Description Study Instance UID 0020 000D Restricted to 64 characters internally gen erated as follows registered prefix for GEMS 2 Registered prefix within GEMS a b c encoded mac address of the DL host x y z unique id protected against reinstallation and re entrance Study Date 0008 0020 YYYYMMDD restricted to 8 characters Study Time 0008 0030 HHMMSS XXX restricted to 10 characters Referring Physician s Name 0008 0090 From User Interface or worklist restricted to 64 characters Study ID 0020 0010 From User Interface or worklist restricted to 64 characters Accession Number 0008 0050 From User Interface or worklist restricted to 64 characters Study Description 0008 1030 From User Interface or worklist restricted 33 Innova 4100 Angiographic Imaging System GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Attribute Name ae pnag Attribute Description Name of Physician s Reading Study
78. ystem GE Medical Systems Conformance Statement for DICOM V3 0 REV 1 DIRECTION 2358506 100 Attribute Name fov dimension double 0019 XX0B default spatial filter family 0019 XX31 0019 XX32 default spatial filter strength current spatial filter strength 0019 XXAB 0019 XXAA sensor feedback 0019 XX9A Image sweep 0019 XX95 Angle 1 increment 0019 XX97 Angle 2 increment 0019 XX98 Angle 3 increment 0019 XX99 Table 28 Private Creator Identification DLX SERIE 01 Attribute Name es JVR wm usr_spa_flt_strgth 0019 XX17 0019 XX18 lbd_cm_pc_dtort 0019 XX24 slope_lv_regress 0019 XX25 can downscan 512 EPT 0019 XXA9 usr zoom factor 0019 XX26 Percent landscape 0019 XX1E adx acq mode 0019 XX14 Table longitudinal position 0019 KEN Table lateral position 0019 XX23 Angle value 1 0019 XX01 Angle value 2 0019 XX02 Angle value 3 0019 XX03 int lv regress mm sch 1 sch 1 mb cab ma fs Table 29 Private Creator Identification GEMS DL FRAME 01 Attribute Name Ca JVR w frame_sequence 0025 XX0A 0025 XX02 dist src to det 0025 AE dist src to pat 0025 XX04 frame id 0025 XX05 0025 XX06 0025 XX07 dist src to skin pos pri angle pos sec angle 49 Innova 4100 Angiographic Imaging Syst

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