Format of Radiation Exposure Dose Reports for Exchange and Distribution

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally required	Cost	Test Tool Availability
Implementation Specification	DICOM® PS3.3 2017e A.35.8 X-Ray Radiation Dose SR IOD	Final	Production		No	Free	Yes – Open
Implementation Specification	IHE Radiation Exposure Monitoring (REM)	Final	Production		No	Free	Yes – Open
Implementation Specification	DICOM PS3.3 2017e A.35.14 Radiopharmaceutical Radiation Dose SR IOD	Final	Pilot		No	Free	Yes – Open
Implementation Specification	IHE Radiation Exposure Monitoring for Nuclear Medicine (REM-NM)	Balloted Draft	Pilot		No	Free	No
Implementation Specification	DICOM PS3.3 2017e A.35.18.1 Patient Radiation Dose SR IOD	Final	Pilot	Feedback Requested	No	Free	Yes – Open

Limitations, Dependencies, and Preconditions for Consideration	Applicable Security Patterns for Consideration
These reports record radiation dose in three forms: The dose-related information provided by an exposing device (e.g., CT) as reported by the device. The dose-related information about a radiopharmaceutical administration, as reported by the administering system. The patient or organ absorbed dose based on exposure information, patient characteristics, and patient model. The DICOM PS3.3 2017e A.35.8 X-Ray Radiation Dose SR IOD has a higher adoption level for use with CT than for other x-ray modalities. To survey DICOM implementations, an internet search for the relevant SOP Class UID and the phrase “DICOM Conformance Statement” will typically return links to specific products. SOP Class UIDs can be found by searching for the SOP Class name (e.g., Radiation Dose) in Annex A of DICOM Part 6. For example, implementations of X-ray, Radiopharmaceutical and Patient Dose can be found with the following searches, respectively: 1.2.840.10008.5.1.4.1.1.88.67 "dicom conformance statement" 1.2.840.10008.5.1.4.1.1.88.68 "dicom conformance statement" 1.2.840.10008.5.1.4.1.1.88.75 "dicom conformance statement" REM PixelMed DoseUtility test tool uses Gazelle EVS Client Application on the front end.	Feedback requested.

Limitations, Dependencies, and Preconditions for Consideration

Applicable Security Patterns for Consideration

These reports record radiation dose in three forms:
- The dose-related information provided by an exposing device (e.g., CT) as reported by the device.
- The dose-related information about a radiopharmaceutical administration, as reported by the administering system.
- The patient or organ absorbed dose based on exposure information, patient characteristics, and patient model.
The DICOM PS3.3 2017e A.35.8 X-Ray Radiation Dose SR IOD has a higher adoption level for use with CT than for other x-ray modalities.
To survey DICOM implementations, an internet search for the relevant SOP Class UID and the phrase “DICOM Conformance Statement” will typically return links to specific products. SOP Class UIDs can be found by searching for the SOP Class name (e.g., Radiation Dose) in Annex A of DICOM Part 6. For example, implementations of X-ray, Radiopharmaceutical and Patient Dose can be found with the following searches, respectively:
- 1.2.840.10008.5.1.4.1.1.88.67 "dicom conformance statement"
- 1.2.840.10008.5.1.4.1.1.88.68 "dicom conformance statement"
- 1.2.840.10008.5.1.4.1.1.88.75 "dicom conformance statement"
REM PixelMed DoseUtility test tool uses Gazelle EVS Client Application on the front end.

Feedback requested.

Comment

Submitted by lisaspellman on 2019-09-24

Format Radiation Exposure Dose Reports Exchange & Distribution

Kevin O’Donnell, Canon Medical Research USA

Format of Radiation Exposure Dose Reports for Exchange and Distribution

Recommend 1st row (X-ray) adoption be increased to 4 for CT, 2 for other x-ray modalities

Recommend 2nd row (Radiopharmaceutical) imp. maturity is pilot and adoption decreased to 1

Recommend 3rd row (Patient Dose) imp. maturity is pilot and adoption decreased to 0

Suggest IOD references in column 2 point to the module tables (subsection *.3) instead of the IOD (subsection *.1) to take people closer to the specification details in the first click.

To survey implementations, an internet search for the relevant SOP Class UID and the phrase “DICOM Conformance Statement” will typically return links to specific products. SOP Class UIDs can be found by searching for the SOP Class name (e.g. Radiation Dose) in Annex A of DICOM Part 6: http://dicom.nema.org/medical/dicom/current/output/chtml/part06/chapter_A.html

For example implementations of X-ray, Radiopharmaceutical and Patient Dose can be found with the following searches, respectively:

1.2.840.10008.5.1.4.1.1.88.67 "dicom conformance statement"

1.2.840.10008.5.1.4.1.1.88.68 "dicom conformance statement"

1.2.840.10008.5.1.4.1.1.88.75 "dicom conformance statement"

Format Radiation Exposure Dose Reports Exchange Distribution_ODonnell_DICOM Comments.docx