xio® dicom conformance statement - elektacf20ec46-9397-4d97-b9cf... · 2020. 2. 20. · 2012...
TRANSCRIPT
XiO® DICOM Conformance Statement For Release 5.10
IMPAC Medical Systems, Inc. Document ID: LEDDCMXIO0001 Language: English
DICOM Conformance Statement ii Document Name: LEDDCMXIO0001
Copyright statement
©2014IMPACMedicalSystems,Inc.Allrightsreserved.Donotmakeprintedorelectroniccopiesofthisguide,orpartsofit,withoutwrittenpermissionfromIMPACMedicalSystems,Inc.
TheinformationinthisguideisforthesoleuseofIMPACMedicalSystems,Inc.personnel,authorizedusersandlicenseesofIMPACMedicalSystems,Inc.products,andnootherpurpose.
Use of trademarks and trade names statement
TheElektatrademarks,servicemarks,logos,andtradenamesthatweuseinthisdocumentaretheregisteredandunregisteredtrademarksandtradenamesofElektaAB publ. ,itsaffiliatesorathirdpartythathaslicenseditstrademarksandtradenamestoElektaAB publ. oritsaffiliates.Donotmakecopies,show,orusetrademarksortradenameswithoutwrittenpermissionfromIMPACMedicalSystems,Inc.anaffiliateofElektaAB publ. .
Acknowledgement of other trademarks and trade names
Elektaacknowledgesthetrademarksandtradenamesofothermanufacturersthatweuseinthisdocument.
Referenced documents
Elektadoesnotsupplyalldocumentsthatwerefertointhisdocumentwiththeequipment.Elektareservestherighttomakethedecisiononwhichofthedocumentsitsupplies.
Contact information
GLOBAL ELEKTA SOFTWARE SUPPORT
Contact Software Support:http://www.elekta.com/healthcare‐professionals/products/elekta‐services/service‐and‐support/software‐support.html
Contact Information: http://www.elekta.com/meta/contact.html
Training Calendar:www.elekta.com/training
XiO iii
Revision History
Revision Date Purpose
LEDDCMXIO0001 9.0 May2012 Updatedlegalentityinformation.
LEDDCMXIO0001 10.0 September2012
Updatedfor4.80changes:RTIONPLANimportdetailsaddedFlatteningFilterFreeSupportinExport FluenceModeSequence
LEDDCMXIO0001 11.0 November2013 Updatedfor5.00changesDefaultexportinoriginalimageframeofreferenceAddedRTStructuresetdetailsinnewappendix
LEDDCMXIO0001 12.0 October2013 WhereverCMSInc.ismentioned,addasword † symbolandparagraphatthebottomofthetableorpagetoindicatetheIMPACMedicalSystemsInc.successorship.
LEDDCMXIO0001 13.0 February 2014 Updatedfor5.00.01 changes.Changesrelateto:reportFIXED_SSDattheappropriatetime, anddescriptionofmonitorunitsforMotorizedWedgeDCATbeams.
LEDDCMXIO0001 14.0 November2014 Updatedfor5.10changes.Nonewfeaturesinrelease;fixedsomeerrors intext.RemovedElektaofficeaddresses.
LEDDCMXIO0001 15.0 December2014 Addedadescriptiononpage31forGeneralStudyModuleC.7.2.1,StudyInstanceUID.
DICOM Conformance Statement iv Document Name: LEDDCMXIO0001
Contents 1. Overview ............................................................................................................... 1
2. Introduction .......................................................................................................... 3 2.1 Audience ............................................................................................................................... 3 2.2 Remarks ................................................................................................................................ 3 2.3 Definitions, Terms and Abbreviations .................................................................................... 3 2.4 References ............................................................................................................................. 3
3. Networking ........................................................................................................... 5 3.1 Implementation Model .......................................................................................................... 5 3.1.1 Application Data Flow Diagram ............................................................................................. 5 3.1.2 Functional Definition of AE Titles .......................................................................................... 6 3.1.3 Sequencing of Real World Activities ....................................................................................... 7 3.2 AE Specifications .................................................................................................................... 9 3.2.1 AE Specification for MERGECOM_SCP ...................................................................................... 9 3.2.2 Association Acceptance Policies for MERGECOM_SCP ............................................................. 9 3.2.3 AE Specification for MERGE_STORE_SCU ............................................................................... 10 3.2.4 AE Specification: DRR_NET_OUT/DRR_PR_OUT ................................................................... 13 3.3 Network Interfaces .............................................................................................................. 15 3.3.1 Supported Communication Stacks ....................................................................................... 15
4. Media Interchange ................................................................................................ 17 4.1 Application Data Flow Diagram ........................................................................................... 17 4.2 Functional Definition of MERGECOM_SCP with a DICOM media ........................................... 17 4.2.1 CT and MR Import into XiO .................................................................................................. 17 4.2.2 CT/MR Image Import ............................................................................................................ 17
5. Support of Extended Character Sets ........................................................................ 19
6. Appendices........................................................................................................... 21 Appendix 1 Import Processing ................................................................................................................ 21 A1.1 Import Processing for DICOM CT, MR and PET images .......................................................... 21 A1.2 Import Processing for DICOM RT Structure Set ..................................................................... 24 A1.3 Import Processing for DICOM RTPLAN .................................................................................. 25 Appendix 2 Export of CT Images, RT Structure Set, RT Plan RT Dose and RT Image from XiO
(common module content except RT Ion) ............................................................................ 31 Appendix 3 Export of RT Structure Set .................................................................................................... 33 Appendix 4 Export of RT PLAN ................................................................................................................ 35 Appendix 5 Export of RT DOSE ................................................................................................................ 47 Appendix 6 Secondary Capture and RT IMAGE Export of DRR and Intensity Map .................................... 49 Appendix 7 DRR and Intensity Map Patient Orientation tag (0020,0020) Reported Values ...................... 53 Appendix 8 DICOM RT Ion Plan Export/Import (available only with PROTON planning license) .............. 56 Appendix 9 Private Data Elements .......................................................................................................... 73
Figures Figure 3-1 - Application Data Flow Diagram: Image, Structure Set and RT Plan Transfer to XiO
diagram ................................................................................................................... 5
Figure 3-2 - Application Data Flow Diagram: CT IMAGE, RT Structure Set, RT (Ion) Plan, RT Dose and RT Image Export from XiO ................................................................................... 5
Figure 3-3 - Application Data Flow Diagram: DRR Image Export and DRR Print ................................. 6
Figure 4-4 - Application Data flow diagram for Interface with a DICOM CD. ..................................... 17
XiO v
Tables Table 1-1: Network Services ....................................................................................................... 1
Table 1-2: UID Values ................................................................................................................ 2
Table 1-3: Media Services ........................................................................................................... 2
Table 3.2-1: SOP Classes for MERGECOM_SCP ................................................................................ 9
Table 3.2-2: Number of Associations as an Association Acceptor for MERGECOM_SCP ...................... 9
Table 3.2-3: SOP Classes for MERGE_STORE_SCU .......................................................................... 10
Table 3.2-4: Number of Associations as an Association Initiator for MERGE_STORE_SCU .................. 10
Table 3.2-5: Proposed Presentation Contexts for MERGE_STORE_SCU ............................................. 11
Table 3.2-6: SOP Classes for DRR_NET_OUT ................................................................................. 13
Table 3.2-7: Number of Associations as an Association Acceptor for DRR_NET_OUT/DRR_PR_OUT ................................................................................. 14
Table 3.2-8: Proposed Presentation Contexts for DRR_NET_OUT ................................................... 14
Patient Module (C.7.1.1) ............................................................................................................ 21
General Study Module (C.7.2.1) ................................................................................................... 21
General Series Module (C.7.3.1) .................................................................................................. 22
Frame of Reference Module (C.7.4.1) .......................................................................................... 22
General Equipment Module (C.7.5.1) ........................................................................................... 22
General Image Module (C.7.6.1) .................................................................................................. 22
Image Plane Module (C.7.6.2) ..................................................................................................... 23
Image Pixel Module (C.7.6.3) ...................................................................................................... 23
CT Image Module (C.8.2.1) ......................................................................................................... 23
MR Image Module (C.8.3.1) ........................................................................................................ 24
PET Image Module (C.8.9.4) ........................................................................................................ 24
Curve Module (C.10.2) ................................................................................................................ 24
Patient Module (C.7.1.1) ............................................................................................................ 24
General Equipment Module (C.7.5.1) ........................................................................................... 25
Structure Set Module (C.8.8.5) .................................................................................................... 25
ROI Contour Module (C.8.8.6) ..................................................................................................... 25
RT ROI Observations Module (C.8.8.8) ......................................................................................... 25
Patient Module (C.7.1.1) ............................................................................................................ 25
General Study Module (C.7.2.1) ................................................................................................... 26
General Equipment Module (C.7.5.1) ........................................................................................... 26
RT Series Module (C.8.8.1) .......................................................................................................... 26
RT General Plan Module (C.8.8.9) ................................................................................................ 26
RT Beams Module (C.8.8.14) ....................................................................................................... 27
Patient Module (C.7.1.1) ............................................................................................................ 31
General Study Module (C.7.2.1) ................................................................................................... 31
DICOM Conformance Statement vi Document Name: LEDDCMXIO0001
RT Series Module (C.8.8.1) .......................................................................................................... 32
General Equipment Module (C.7.5.1) ........................................................................................... 32
SOP Common Module (C.12.1) .................................................................................................... 32
Structure Set Module (C.8.8.5) .................................................................................................... 33
ROI Contour Module (C.8.8.6) ..................................................................................................... 33
RT ROI Observations Module (C.8.8.8) ......................................................................................... 34
RT General Plan Module (C.8.8.9) ............................................................................................... 35
RT Prescription Module (C.8.8.10) ............................................................................................... 36
RT Tolerance Tables Module (C.8.8.11) ........................................................................................ 36
RT Fraction Scheme Module (C.8.8.13) ......................................................................................... 37
RT Beams Module (C.8.8.14) ....................................................................................................... 38
RT Patient Setup Module (Part 3 C8.8.12) .................................................................................... 45
Approval Module (C.8.8.16) ........................................................................................................ 46
RT Dose Module ........................................................................................................................ 47
Secondary Capture (DRR and Intensity Map Fluence) .................................................................... 49
RT IMAGE (DRR)......................................................................................................................... 50
RT IMAGE (Intensity Map Fluence) ............................................................................................... 52
Head First plan, patient is supine ............................................................................................... 53
Feet First plan, patient is supine................................................................................................. 53
Head First plan, patient is prone ................................................................................................ 54
Feet first plan, patient is prone .................................................................................................. 54
SOP Common Module (Part 3 C12.1) (See also Part 3 C12.1.1.2) ...................................................... 56
Patient Module (Part 3 C7.1.1) .................................................................................................... 56
General Study Module (Part 3 C7.2.1) .......................................................................................... 57
RT Series Module General Series Module (Defined: Part 3 C7.3.1 Defined: Part 3 C8.8 ...................... 57
RT Series Module General Series Module (Defined: Part 3 C7.3.1 Defined: Part 3 C8.8 See also: Part 3 C7.3.1.1) ............................................................................................. 58
Frame of Reference Module (Part 3 C7.4.1 See also Part 3 C7.4.1.1.1) ............................................ 58
Frame of Reference Module (Part 3 C7.4.1 See also Part 3 C7.4.1.1.2) ............................................ 58
General Equipment Module (Part 3 C7.5.1) .................................................................................. 58
RT Series (Part 3 C8.8) ................................................................................................................ 59
RT General Plan (Part 3 C8.8.9) ................................................................................................... 59
RT Prescription Module (C.8.8.10) ............................................................................................... 60
RT Patient Setup (Part 3 C8.8.12) ................................................................................................ 61
RT Fraction Scheme (Part 3 C8.8.13) ............................................................................................ 61
Approval Module (Part 3 C.8.8.16) .............................................................................................. 62
RT Ion Beams Module (Part 3 C.8.8.25) ........................................................................................ 63
XiO vii
Table 9.1 Private Creator Identification (IMPAC) .......................................................................... 73
Table 9.2 Private Creator Identification (ION_PRIVATE11) ............................................................ 73
Table 9.3 Private Creator Identification (IBA) .............................................................................. 73
XiO 1
1. Overview
ThefollowingistheDICOMConformanceStatementfortheXiOproductasofrelease5.10.
XiOisa3‐dimensionalradiationtreatmentplanningsystemthatusesmedicalimagestodevelopradiationtreatmentplansforcancerpatients.XiOusesDICOMservicestoimportimages,structuresandplanparametersandtoexportimages,structures,planparametersanddosetoothervendors.XiOsupportsthenetworkimportofCT,MRandPETimages,RTStructureSets,RTPlansandRTIonPlansandthenetworkexportofCTImages,RTStructureSets,RTPlans,RTIonPlans,RTDoseandexportofDRRsandIntensityMapsasSecondaryCaptureorRTImage.XiOimportsCTandMRimagesfromDICOMmediaCDorDICOMMediamagnetoopticaldisks MOD .XiOprintsdigitalreconstructedradiographs DRR’s toDICOMcompatibleprinters.
XiOcandefinemultipleexport SCP locationstowhichtheusercanchoosetoexportCTIMAGE,STRUCTURESET,RTPLAN,RTIONPLAN,RTDOSEandRTIMAGE.
DRRImagesexportedfromthePrint,DRRoption asSecondaryCaptureorRTImage canbeexportedtoone,pre‐definednetworklocationandprintedtoone,pre‐definedprinter.IntensityMaps asSecondaryCaptureorRTImage cancurrentlybeexportedtoone,pre‐definednetworklocationandprintedtoone,pre‐definedprinter.TheIntensityMaplocationandprintercanbedifferentthantheoneusedforDRRs.
TheusercanedittheAEtitleforeachXiOworkstation’sexportofCTIMAGES,RTSTRUCTURESETS,RTPLANS,RTIONPLANS,RTDOSEandRTIMAGE.TheAEtitleforstand‐aloneexportingofDRR viathePrint,DRRoption andIntensityMapsSecondaryCaptureorRTImage orforDICOMprintingisnoteditable.
ThetablesbelowprovideanoverviewofthenetworkservicessupportedbyXiO.
Table 1-1: Network Services
SOP Classes User of Service (SCU)
Provider of Service (SCP)
Transfer
CTImageStorage Yes Yes
MRImageStorage No Yes
PETImageStorage No Yes
SECONDARYCAPTUREStorage
Yes No
STRUCTURESETStorage Yes Yes
RTIONPLANStorage Yes Yes
RTPLANStorage Yes Yes
RTDOSEStorage Yes No
1. Overview
2
SOP Classes User of Service (SCU)
Provider of Service (SCP)
RTImageStorage Yes No
Print Management
BasicGrayscalePrintManagement
Yes No
Table 1-2: UID Values
UID Value UID Name Category
1.2.840.10008.1.1 Verification Transfer
1.2.840.10008.5.1.4.1.1.2 CTImageStorage Transfer
1.2.840.10008.5.1.4.1.1.4 MRImageStorage Transfer
1.2.840.10008.5.1.4.1.1.128 PositronEmissionTomography PET ImageStorage
Transfer
1.2.840.10008.5.1.4.1.1.7 SecondaryCaptureImageStorage Transfer
1.2.840.10008.5.1.4.1.1.481.3 RTStructureSetStorage Transfer
1.2.840.10008.5.1.4.1.1.481.5 RTPlanStorage Transfer
1.2.840.10008.5.1.4.1.1.481.8 RTIonPlan Storage Transfer
1.2.840.10008.5.1.4.1.1.481.2 RTDoseStorage Transfer
1.2.840.10008.5.1.4.1.1.481.1 RTImageStorage Transfer
1.2.840.10008.5.1.1.9 BasicGrayscalePrintManagementMetaSOPClass
PrintManagement
Table 1-3: Media Services
Media Storage Application Profile
Write Files (FSC or FSU)
Read Files (FSR)
CompactDisk‐Recordable
GeneralPurposeCD‐R No Yes
Magneto‐OpticalDisk
CT/MRMOD No Yes
XiO 3
2. Introduction
2.1 Audience
DICOMinterfaceimplementers RadiationTherapyproductsupportpersonnel RadiationOncologyMedicalPhysicists RadiationOncologyMarketingandSalespersonnel
2.2 Remarks
XiO’sroleasatreatmentplanningsystemmeansthatitbothimportsandexportsDICOMdata.
XiO’sPFM patientfilemaintenance programinitiallycreatestheexistenceofapatientwithinXiOusingimages CT,MR,PET andcontours usingRTSTRUCTURESETortheCurvemoduleofasetofCTimages “pushed”toitfromanimagingsourceorPACSsystem.
XiO’sTeletherapyprogramistheplacewhereusersdevelopexternalbeamtreatmentplans.Theycanimportpartiallydevelopedplans usingDICOMRTPLANorRTIONPLANimport ,editandaddtothisplanordevelopanewplan.XiOcalculatesdoseandtheusersavestheproposedtreatmentplan.Attheendoftheplanningprocess,optionswithinTeletherapyallowtheusertoexportcombinationsofCTImages,RTSTRUCTUREsetrepresentationsofcontours,markersandreferencepoints,RTPLAN,RTIONPLAN,3DRTDOSEandDRR’sasRTIMAGE.TheusercanalsoexportDRRsbythemselvesthroughtheFile|Print|DRRoption.IfDRRsaresentfromthismenuorwithouttheRTPLANontheregularexportmenu,thentheseDRR’sdoNOTreferencetheRTPLANtowhichthebeamsbelong.
2.3 Definitions, Terms and Abbreviations
DRR‐DigitallyReconstructedRadiograph
PFM‐PatientFileMaintenance‐XiO’scontouringapplication
Teletherapy‐XiO’smainexternalbeamtreatmentplanninganddosecalculationapplication
2.4 References
DigitalImagingandCommunicationsinMedicine DICOM StandardNEMA,Rosslyn,VA
2. Introduction
2.4 References
4
IECStandard61217,RadiotherapyEquipment‐Coordinates,MovementsandScalesReferenceCEI/IEC61217:2001
XiO 5
3. Networking
3.1 Implementation Model
3.1.1 Application Data Flow Diagram
ThediagramsbelowillustratetheinteractionsthatXiOmakeswiththeDICOMworld.
Figure 3-1 - Application Data Flow Diagram: Image, Structure Set and RT Plan Transfer to XiO diagram
Figure 3-2 - Application Data Flow Diagram: CT IMAGE, RT Structure Set, RT (Ion) Plan, RT Dose and RT Image Export from XiO
3. Networking
3.1 Implementation Model
6
Figure 3-3 - Application Data Flow Diagram: DRR Image Export and DRR Print
3.1.2 Functional Definition of AE Titles
3.1.2.1 Functional Definition of MERGECOM_SCP
CT,MR,PET,STRUCTURESET,RTPLANandRTIONPLANImportintoXiO.
Theexportingsysteminitiatesthenegotiationofanassociationwiththemerge3srvapplicationrunningonXiOoverthenetwork.Themerge3srvapplicationwillnegotiatewiththeclientandaccepttheassociationifitcanperformtherequestedservice.Iftheassociationisacceptedbytheserver,anyDICOMobjectsaretransferredfromtheclienttomerge3srvovertheassociationandstoredinatemporarydirectoryontheXiOsystem.Whenthetransferiscompletetheclientapplicationclosestheassociation.Later,theXiOuserimportsacceptableDICOMdataintotheXiOapplicationatwhichpointitisconvertedtotheinternalXiOformat.
3.1.2.1.1 CT/MR/PET Image Import
IftheDICOMheaderfora16‐bitCTimagefiledefinesapixelpaddingvalue,XiOwillconvertallpixelsequaltothatpaddingvaluetotheminimumpixelvaluethatcanberepresentedbythedatatypeofthatimage.ItisassumedthattheCTmanufacturerhasselectedapaddingpixelvaluethatisoutsidetherangeofthepixelvaluesthatmakeuptheimage.PixelPaddingvaluesareignoredforMRandPET.
XiOwillapplytheslopeandintercepttothepixelvaluesforCTandPETimagesbeforesavingtheminXiO’sinternalformat.XiOwillnotapplyanyslopeandinterceptforMRimages.
3. Networking
3.1 Implementation Model
XiO 7
3.1.2.1.2 RT Structure Set Import
TheXiOapplicationimportsstructuresetswhichhaveassociatedimagespresent.Itcannotimportstructuresetsbythemselves.XiOwillmovePOINTStothenearestimagelocation afterwarningtheuser .
3.1.2.1.3 RT Plan Import
TheXiOapplicationcanimportplanswithoutreferencedimagesorstructuresets.Restrictionsontheacceptabledataaregivenintheappendices.
3.1.2.2 Functional Definition of MERGE_STORE_SCU
CTImage,RTStructureSet,RTPlan,RTIonPlan,RTDoseExportandRTImagefromXiO’sTeletherapyDICOMExportpage
TheXiOclientapplicationrequestsStorageServicesofauser‐selected oneoffive DICOMserveroveranassociation.Iftheassociationisacceptedbytheserver,theuser‐selectedDICOMobjectcombinationistransferredfromtheXiOclienttotheselectedserver.Whenthetransferiscompleted,theclientapplicationclosestheassociation.
MERGE_STORE_SCUisthedefaultnamefortheXiOworkstation’sAE‐Title.ItcanbeeditedtobeuniqueforeachworkstationthroughXiO’sSettingsapplication.
3.1.2.3 Functional Definition of DRR_NET_OUT/DRR_PR_OUT
DRRandIntensityMapfilminganddigitalimageexportviaSecondaryCapture,RTImageandDICOMprintexporttoSCP.
Whenoutputto"Film"isselected,theXiOclientapplicationrequestsPrintServicesofone,pre‐definedDICOMserveroveranassociation.Iftheassociationisacceptedbytheserver,secondarycaptureimagesarethentransferredfromtheXiOclienttotheprintserver.Whenthetransferiscompleted,theclientapplicationclosestheassociation.
Whenoutputto"Network"isselected,theXiOclientapplicationrequestsImageStorageServicesofone,pre‐definedDICOMserveroveranassociation.IfXiOislicensedforRTImageexport,theassociationisrequestedforRTImagestorage.Ifnot,theassociationisrequestedforSecondaryCapturestorage.Iftheassociationisacceptedbytheserver,theimagesaretransferredfromtheXiOclienttothestorageserver.Whenthetransferiscompleted,theclientapplicationclosestheassociation.
3.1.3 Sequencing of Real World Activities
3.1.3.1 CT/MR/PET/SC Image; RT Structure Set; RT Plan; RT Ion Plan Import
AnoperatorinitiatesthetransferofdatafromasystemthatwantstosenddatatoXiO CT,MR,PETmachineorCTSimulator .TheclientapplicationinitiatesthestoragecommandforCT,MR,PET,RTStructureSetand/orRTPlanorRTIonPlan.TheXiOserverreceivesthedataandplacesitinatemporarydiskdirectoryonXiO.
3. Networking
3.1 Implementation Model
8
AsynchronoustotheDICOMtransferofthisdata,theusercanimporttheimagesandstructuresettocreateanewpatientimagesetusingXiO’sPFMprogramorcreateaninitialexternalbeamplanforanexistingpatientbyimportingRTPlaninXiO’sTeletherapyprogram.
StructureSetscanonlybeimportedifthecorrespondingimagesarepresentatthesametimetheCTimagesareusedtocreateanewXiOimageset.
RTPLANandRTIONPLANimportinTeletherapywillcheckforthepatientIDandwarnifthepatientIDisdifferentbuttheusercanstillproceed.
RTIonPlanImportforIBAmachinesisnotcurrentlysupported.
3.1.3.2 DRR or Intensity Map Export
StandaloneDRRimagetransferisinitiatedbyselectingtheFilemenuinXiO’sTeletherapyapplicationthenselectingPrint,DRR.Theusercanselectoutputto"Film"forprintingor"Network"foradigitalimagetransfer.TheDRRcalculationandoutputareperformedinthebackground.
Thehostname,AE‐Titleandportnumberofone“Network”locationandone“Film”locationperXiOworkstationmustbespecifiedinXiO’sSettings,WorkstationDRRoutputapplication,aheadoftime.
IntensityMaptransferisinitiatedbyselectingtheFilemenuinXiO’sTeletherapyapplicationthenselectingPrint,IntensityMap.Theusercanselectoutputto"Film"forprintingor"Network"foradigitalimagetransfer.
Thehostname,AE‐Titleandportnumberofone“Network”locationandone“Film”locationperworkstationfortheintensitymapmustbespecifiedinXiO’sSettings,Workstation,IntensityMapoutputapplicationaheadoftime.
3.1.3.3 CT IMAGE, STRUCTURE SET, RTPLAN, RT ION PLAN, RT DOSE and RT IMAGE Export
FromtheXiODICOMexportpageinTeletherapy,theuserselectswhichcombinationofDICOMobjectstoexport CT,STRUCTURESET,RTPLAN,RTIONPLAN,RTDOSE,RTIMAGE andtowhichDICOMlocation.Ifdosecalculationisfinished,allfourobjectswillbeavailabletoexport.RTDosecannotbeexportedwithoutacorrespondingRTPlan;RTPlancanbeexportedwithorwithoutRTStructureSet.RTStructureSetcanbesentwithorwithoutCTimages.IfnoRTStructureSetisselected,theRTPlanwillhaveRTPlanGeometry 300A,000C settothevalueofTREATMENT_DEVICEandnoStructureSetwillbereferenced.
TheusercanexporttomultipleDICOMSCPswithhostdata,AE‐Titleandportnumberpre‐definedinXiO’sSettings|DICOMsettingsdialog.
3. Networking
3.2 AE Specifications
XiO 9
3.2 AE Specifications
3.2.1 AE Specification for MERGECOM_SCP
3.2.1.1 SOP Classes
ThisApplicationEntityprovidesStandardConformancetoallStorageSOPClassesbutonlythefollowingSOPclassesareofcurrentinteresttoXiOusers:
Table 3.2-1: SOP Classes for MERGECOM_SCP
SOP Class Name SOP Class UID SCU SCP
Verification 1.2.840.10008.1.1 No Yes
CTImageStorage 1.2.840.10008.5.1.4.1.1.2 No Yes
MRImageStorage 1.2.840.10008.5.1.4.1.1.4 No Yes
PositronEmissionTomographyPET ImageStorage
1.2.840.10008.5.1.4.1.1.128 No Yes
RTStructureSetStorage 1.2.840.10008.5.1.4.1.1.481.3 No Yes
RTPlanStorage 1.2.840.10008.5.1.4.1.1.481.5 No Yes
RTIonPlanStorage 1.2.840.10008.5.1.4.1.1.481.8 No Yes
3.2.1.2 Association Policies for MERGECOM_SCP
3.2.1.2.1 General
The PDU sizeproposedinanassociationrequestwilldefaultto16Kbytesandisconfigurableinthe ASSOC_PARMS sectionofthemergecom‐Linux.profiletobeanythingfrom2Kbytesto512KbytesusingtheparameterPDU_MAXIMUM_LENGTH.
3.2.1.2.2 Number of Associations
Table 3.2-2: Number of Associations as an Association Acceptor for MERGECOM_SCP
Maximumnumberofsimultaneousassociations 5
3.2.2 Association Acceptance Policies for MERGECOM_SCP
MERGECOM_SCPrunsasaserverinthebackgroundoftheXiOmainworkstationusuallyrtp1 listeningforassociationrequestsfromDICOMsourceswishingtosendtoXiO.AssociationswillonlybeacceptedfromrecognizedIPaddressalreadyenteredinthe/etc/hostsorDomainNameServer DNS fileofthemainXiOworkstation.
3. Networking
3.2 AE Specifications
10
3.2.2.1 MERGECOM_SCP SOP Specific Conformance for SOP Classes
AllDICOMobjectsareacceptedbyMERGECOM_SCPandwrittentoalocaldiskforlater,asynchronousselection.XiOusersarethenabletoimporttheXiOcompatibleobjectsintothetreatmentplanningapplication.ErrorsorinconsistenciesinDICOMobjectcontentwillnotbedetecteduntilXiOgoesthroughitsimport.
SeeAppendicesonpage21orspecifictag‐by‐tagdatausedbyXiO.
3.2.3 AE Specification for MERGE_STORE_SCU
3.2.3.1 SOP Classes
ThisApplicationEntityprovidesStandardConformancetothefollowingSOPclasses:
Table 3.2-3: SOP Classes for MERGE_STORE_SCU
SOP Class Name SOP Class UID SCU SCP
CTImageStorage 1.2.840.10008.5.1.4.1.1.2 Yes No
RTStructureSetStorage 1.2.840.10008.5.1.4.1.1.481.3 Yes No
RTPlanStorage 1.2.840.10008.5.1.4.1.1.481.5 Yes No
RTDoseStorage 1.2.840.10008.5.1.4.1.1.481.2 Yes No
RTIonPlanStorage 1.2.840.10008.5.1.4.1.1.481.8 Yes No
RTImageStorage 1.2.840.10008.5.1.4.1.1.481.1 Yes No
3.2.3.2 Association Policies for MERGE_STORE_SCU
3.2.3.2.1 General
The PDU sizeproposedinanassociationrequestwilldefaultto16Kbytesandisconfigurableinthe ASSOC_PARMS sectionofthemergecom‐Linux.protobeanythingfrom2Kbytesto512KbytesusingtheparameterPDU_MAXIMUM_LENGTH.
3.2.3.2.2 Number of Associations
Table 3.2-4: Number of Associations as an Association Initiator for MERGE_STORE_SCU
Maximumnumberofsimultaneousassociations 1
3.2.3.3 Association Initiation Policy for MERGE_STORE_SCU
3.2.3.3.1 Store CT Image, RT Structure Set, RT Plan, RT Dose or RT Image
TheXiOclientapplicationrequestsStorageServicesofauser‐selected oneoffive DICOMserveroveranassociation.Iftheassociationisacceptedbytheserver,the
3. Networking
3.2 AE Specifications
XiO 11
user‐selectedDICOMobjectcombinationistransferredfromtheXiOclienttotheselectedserverovertheassociation.Whenthetransferiscompleted,theclientapplicationclosestheassociation.
MERGE_STORE_SCUisthedefaultnamefortheXiOworkstation’sAE‐Title.ItcanbeeditedtobeuniqueforeachworkstationinXiO’sSettingsmenu.
Table 3.2-5: Proposed Presentation Contexts for MERGE_STORE_SCU
Presentation Context Table
Abstract Syntax Transfer Syntax Role Extended Negotiation
Name UID Name UID
CTImageStorage
1.2.840.10008.5.1.4.1.1.2
DICOMImplicitVRLittleEndian
1.2.840.10008.1.2 SCU None
RTStructureSetStorage
1.2.840.10008.5.1.4.1.1.481.3
DICOMImplicitVRLittleEndian
1.2.840.10008.1.2 SCU None
RTPlanStorage
1.2.840.10008.5.1.4.1.1.481.5
DICOMImplicitVRLittleEndian
1.2.840.10008.1.2 SCU None
RTIonPlanStorage
1.2.840.10008.5.1.4.1.1.481.8
DICOMImplicitVRLittleEndian
1.2.840.10008.1.2 SCU None
DICOMExplicitVRLittleEndian foranyprivateelementcontent
1.2.840.10008.1.2.1
SCU None
RTDoseStorage
1.2.840.10008.5.1.4.1.1.481.2
DICOMImplicitVRLittleEndian
1.2.840.10008.1.2 SCU None
RTImageStorage
1.2.840.10008.5.1.4.1.1.481.1
DICOMImplicitVRLittleEndian
1.2.840.10008.1.2 SCU None
3.2.3.3.2 SOP Specific Conformance for all storage SOP classes with MERGE_STORE_SCU
ExceptfortheStudyInstanceandFrameofReferenceUID,XiOalwaysgeneratesnewUIDswitheachnewexport.ThePatientName 0010,0010 ,PatientID0010,0020 ,Patient’sBirthDate 0010,0030 ,PatientSex 0010,0040 ,StudyID
3. Networking
3.2 AE Specifications
12
0020,0010 ,StudyInstanceUID 0020,000D andFrameofReferenceUID 0020,0052 willbethesameforallobjectsexportedatthesametime.SpecificCharacterSet 0008,0005 willbeISO_IR100forallobjects.
SeeAppendix2fortag‐by‐tagconversionfromXiOdataoftheDICOMmodulescommontoallexportedobjects.
3.2.3.3.2.1 SOP Specific Conformance for CT Image Storage SOP Class with MERGE_STORE_SCU
TheManufacturer 0008,0070 isreportedasCMS,Inc.†.TheCTimagesarederivedfromincomingoriginalimagesandarenotoriginalcopies;theImageType0008,0008 willbereportedasORIGINAL\SECONDARY\AXIAL.
AsoftheXiO5.00release,thedefaultexportbehaviorforXiOistoexportDICOMdataintheoriginalCTimagesframeofreference “OriginalDICOM”coordinate .
Ifnecessary,auserwithadministratorrightscansettheexportframeofreferencebacktothepre‐XiO5.00typewheretheCTdataisinapatientrelativecoordinatesystembutmaynothavethesameoriginastheoriginalimages.Inthis“XiOGenerated”coordinatemode,theimageswillalwaysbesettoHeadFirst eveniftheplanisFeetFirst andthis“XiOGenerated”coordinatewillhaveanewframe‐of‐referenceUID.
TheCTPixeldatawillhavehadtheslopeandinterceptappliedandtherefore,atexport,theimageswillalwaysbe16‐bitsigned.
RTStructureSetsandRTDoseexportedfromXiOwillbeintheframeofreferenceestablishedbytheCTimages‐“OriginalDICOM”or“XiOGenerated”.†CMSInc.hasbeensucceededasacorporationbyIMPACMedicalSystemsInc.;forsustaineddatacompatibilitywithDICOMreceiversthatmightusethisnameforspecificimportfilteringorprocessing,wehaverefrainedfromchangingtheManufacturernameintheDICOMexportobjects.
3.2.3.3.2.2 SOP Specific Conformance for RT Structure Set Storage SOP Class with MERGE_STORE_SCU
OriginalDICOMexportframeofreferencemode:
IftheRTStructureSetisexportedwithouttheCTImages,theRTSTRUCTobjectwillreferencetheoriginalUIDsfortheoriginalCTimages
XiOGeneratedexportframeofreferencemode:
IftheRTStructureSetisexportedwithouttheCTImages,theRTSTRUCTobjectwillreferenceUIDsforCTimagesasifXiOwasexportingnewCTimages.
3.2.3.3.2.3 SOP Specific Conformance for RT Plan Storage SOP Class with MERGE_STORE_SCU
IfRTPlanissentwithoutanRTStructureSet,RTPlanGeometry 300A,000C willbesettoTREATMENT_DEVICE,otherwisethevaluewillbePATIENTandtheRTPlanwillreferencetheRTStructureSetexportedatthesametime.
3. Networking
3.2 AE Specifications
XiO 13
SeeAppendix4onpage47fortag‐by‐tagconversionfromXiOdatafortheRTPLANIOD.
3.2.3.3.2.4 SOP Specific Conformance for RT Dose Storage with MERGE_STORE_SCU
XiOexportsDoseTypetag 300A,0004 equaltoPHYSICALandDoseSummationtag 300A,000A equaltoPLAN.
RTDosewillnotexportwithoutitscorresponding,referencedDICOMRTPLAN.XiOwillforcethisthroughtheexportuserinterface.
Withthisrelease,RTDoseisexportedwithBitsAllocated 0028,0100 16,BitsStored 002,0101 16andHighBit 0026,0102 15.
XiOusestheGridFrameOffsetVector 3004,000C toindicatetheDICOMzvalueforthe3Ddoses.XiOsupportsonlymonotonicallyincreasingoffsetsinthezdirectionandthevaluesinthevectorareconsideredrelativetotheImagePositionPatient 0020,0032 zvalue.
SeeAppendix5onpage49fortag‐by‐tagconversionfromXiOdatafortheRTDOSEIOD.
3.2.3.3.2.5 SOP Specific Conformance for RT Ion Plan Storage with MERGE_STORE_SCU
IfanyoftheplandataconditionsaremetsuchthatprivatetagsareaddedtotheRTIonPlanobject,thesystemwillfirstnegotiatetousetheExplicitVRLittleEndiantransfersyntax.Ifthereceivingdeviceisactingasa“fullfidelitystoragedevice”,itshouldutilizethissyntax,suchthatitcanretainandre‐transmitalltheprivatedataelements.
SeeAppendix8onpage56fortag‐by‐tagconversionfromXiOdatafortheRTIONPLANIOD.
3.2.3.3.2.6 SOP Specific Conformance for RT Image with MERGE_STORE_SCU
IfRTIMAGEisexportedwithouttheRTPLAN,thentheDRRdoesnotcontainareferencetotheRTPLANandthereforethebeamforwhichitwasgenerated.
3.2.4 AE Specification: DRR_NET_OUT/DRR_PR_OUT
3.2.4.1 SOP Classes
ThisApplicationEntityprovidesStandardConformancetothefollowingSOPclasses:
Table 3.2-6: SOP Classes for DRR_NET_OUT
SOP Class Name SOP Class UID SCU SCP
RTImageStorage 1.2.840.10008.5.1.4.1.1.481.1DRR_NET_OUT
Yes No
3. Networking
3.2 AE Specifications
14
SOP Class Name SOP Class UID SCU SCP
SecondaryCaptureImageStorage
1.2.840.10008.5.1.4.1.1.7DRR_NET_OUT
Yes No
BasicGrayscalePrintManagementMetaSOPClass
1.2.840.10008.5.1.1.9DRR_PR_OUT
Yes No
3.2.4.2 Association Policies
3.2.4.2.1 General
The PDU sizeproposedinanassociationrequestwilldefaultto16Kbytesandisconfigurableinthe ASSOC_PARMS sectionofthemergecomprofiletobeanythingfrom2Kbytesto512KbytesusingtheparameterPDU_MAXIMUM_LENGTH.
3.2.4.2.2 Number of Associations
Table 3.2-7: Number of Associations as an Association Acceptor for DRR_NET_OUT/DRR_PR_OUT
Maximumnumberofsimultaneousassociations 1
3.2.4.3 Association Initiation Policy for DRR_NET_OUT/ DRR_NET_OUT
3.2.4.3.1 Export DRR to film and network
Whenoutputto"Film"isselected,theXiOclientapplicationrequestsPrintServicesofonepre‐definedDICOMserveroveranassociation.Iftheassociationisacceptedbytheserver,theimagesarethentransferredfromtheXiOclienttotheprintserverovertheassociation.Whenthetransferiscompletedtheclientapplicationclosestheassociation.
Whenoutputto"Network"isselected,theXiOclientapplicationrequestsImageStorageServicesofonepre‐definedDICOMserveroveranassociation.IfXiOislicensedforRTImageexport,theassociationisrequestedforRTImagestorage.Ifnot,theassociationisrequestedforSecondaryCapturestorage.Iftheassociationisacceptedbytheserver,theimagesarethentransferredfromtheXiOclienttothestorageserverovertheassociation.Whenthetransferiscompleted,theclientapplicationclosestheassociation.
Table 3.2-8: Proposed Presentation Contexts for DRR_NET_OUT
Presentation Context Table
Abstract Syntax Transfer Syntax Role Extended Negotiation
Name UID Name UID
RTImageStorage
1.2.840.10008.5.1.4.1.1.481.1
DICOMImplicitVRLittleEndian
1.2.840.10008.1.2
SCU None
3. Networking
3.3 Network Interfaces
XiO 15
Presentation Context Table
SCImageStorage
1.2.840.10008.5.1.4.1.1.7 DICOMImplicitVRLittleEndian
1.2.840.10008.1.2
SCU None
BasicGrayscalePrintManagementMetaSOPClass
1.2.840.10008.5.1.1.9 DICOMImplicitVRLittleEndian
1.2.840.10008.1.2
SCU None
3.2.4.3.1.1 SOP Specific Conformance for SOP Classes with DRR_NET_OUT (film and network export)
3.2.4.3.1.1.1 Stand alone DRR Export as RT IMAGE or Secondary Capture (File|Print|DRR option)
Eachtimeanimageisexported,anewUIDiscreated.ImageUIDsarenotpersistent.
SeeAppendix6onpage53andAppendix7onpage53fortag‐by‐tagcontentofDRRandIntensityMapsasRTImageandSecondaryCapture.
3.3 Network Interfaces
Themerge3srvandXiOapplicationsrunovertheTCP/IPprotocolstackonanyphysicalinterconnectionmediasupportingtheTCP/IPstack.
3.3.1 Supported Communication Stacks
3.3.1.1 TCP/IP stack
Merge3srvisimplemented viaMergeCOM‐3basiclibrary usingthe"BerkeleySockets"interfacetoTCP/IPservices.
TheXiOclientsoftwareisimplemented viaMergeCOM‐3advancedlibrary usingthe"BerkeleySockets"interfacetoTCP/IPservices.
3.3.1.2 Physical Media Support
AnyphysicalmediasupportedbytheTCP/IPstackbeingrunonthehostmachineissupported.
3. Networking
3.3 Network Interfaces
16
XiO 17
4. Media Interchange
4.1 Application Data Flow Diagram
Figure 4-4 - Application Data flow diagram for Interface with a DICOM CD.
4.2 Functional Definition of MERGECOM_SCP with a DICOM media
4.2.1 CT and MR Import into XiO
TheXiOsysteminitiatesthereadingoftheDICOMmediaapplicationrunningonXiO.IftheDICOMDIRisfound,thelistingofCTorMRstudiesispresented.Theuserthenchoosesonestudytoimportfromthemedia.Whenthetransferiscompletetheapplicationclosesthemedia.Afollow‐onmenuthenletstheXiOuserimporttheimagesintotheXiOapplicationatwhichpointtheyareconvertedtotheinternalXiOformat.
4.2.2 CT/MR Image Import
IftheDICOMheaderfora16bitCTimagefiledefinesapixelpaddingvalue,XiOwillconvertallpixelsequaltothatpaddingvaluetotheminimumpixelvaluethatcanberepresentedbythedatatypeofthatimage.ItisassumedthattheCTmanufacturerhasselectedapaddingpixelvaluethatisoutsidetherangeofthepixelvaluesthatmakeuptheimage.PixelPaddingvaluesareignoredforMRandPET.
XiOwillapplytheslopeandintercepttothepixelvaluesforCTimagesbeforesavingtheminXiO’sinternalformat.XiOwillnotapplyanyslopeandinterceptforMRimages.
ForPETimages,theaverageofslopeisfoundandappliedtotheentiresetofimages.XiOwillnotapplyinterceptforPETimages.
4. Media Interchange
4.2 Functional Definition of MERGECOM_SCP with a DICOM media
18
XiO 19
5. Support of Extended Character Sets
AsanSCU,XiOexportstheextendedCharacterSetvalueofISO‐IR100fortheIMAGE,STRUCTURESET,RTPLAN,RTIMAGEandSecondaryCaptureobjects.
AsanSCP,XiOacceptsthebasicandextendedcharactersetofISO‐IR100.XiOdoesnotvalidatethatcharactersreceivedconformtothesecharactersets.
5. Support of Extended Character Sets
20
XiO 21
6. Appendices
Appendix 1 Import Processing
A1.1 Import Processing for DICOM CT, MR and PET images
Thefollowingmodules,whichmakeuptheCTandMRimageIOD,areread.TheelementsusedbyXiOarelisted.SinceXiOhasnousefortheunlistedelements,theyarenotread.
Patient Module (C.7.1.1)
Group Element Description
0010 0010 Patient Name
0010 0020 Patient ID
0010 0030 Patient’s Birth Date
0010 0040 Patient’s Sex
0010 1000Other Patient ID’s Ifexists,importedfromCTforre‐export
0010 1001Other Patient Names Ifexists,importedfromCTforre‐export
General Study Module (C.7.2.1)
Group Element Description
0008 000D Study Instance UID
0008 0020 Study Date
0008 0030 Study Time
0008 0090 Referring Physician’s Name
0020 0010 Study ID
0008 0050 Accession Number
Appendix 1 Import Processing
A1.1 Import Processing for DICOM CT, MR and PET images
22
General Series Module (C.7.3.1)
Group Element Description
0008 0060 Modality
0018 5100
Patient Position ReadfromCTimagestoestablishdefaultorientationofpatientimagesandtoestablishtheexportframeofreferencewhen‘OriginalDICOM’frameofreferenceisused.Duringimport,thesystemacceptsonlyHFS,HFP,FFSorFFP;systemwillpromptforusertoeditfromanyothervalue.
Frame of Reference Module (C.7.4.1)
Group Element Description
0020 0052 Frame of Reference UID
0020 1040 Position Reference Indicator
General Equipment Module (C.7.5.1)
Group Element Description
0008 0070Manufacturer usedtocreateaninitialstoragelocation
0008 1090Manufacturer's Model usedtocreateaninitialstoragelocation
0028 0120 Pixel Padding Value
General Image Module (C.7.6.1)
Group Element Description
0020 0013 Image Number
Appendix 1 Import Processing
A1.1 Import Processing for DICOM CT, MR and PET images
XiO 23
Image Plane Module (C.7.6.2)
Group Element Description
0028 0030 Pixel Spacing
0020 0032 Image Position (Patient)
0020 0037 Image Orientation (Patient)
0020 0030 Image Position RetiredelementwhichisusedonlyifImagePosition Patient isnotavailable
0018 0050 Slice Thickness
0020 1041 Slice Location
Image Pixel Module (C.7.6.3)
Group Element Description
0028 0010 Rows
0028 0011 Columns
0028 0100 Bits Allocated
0028 0101 Bits Stored
0028 0103 Pixel Representation
7FE0 0010 Pixel Data
0028 0106 Smallest Image Pixel Value
CT Image Module (C.8.2.1)
Group Element Description
0008 0008 Image Type
0028 1052Rescale Intercept ThisisappliedtothepixeldatabeforeitisstoredinXiO.
0028 1053Rescale Slope ThisisappliedtothepixeldatabeforeitisstoredinXiO.
Appendix 1 Import Processing
A1.2 Import Processing for DICOM RT Structure Set
24
MR Image Module (C.8.3.1)
Group Element Description
0008 0008 Image Type
PET Image Module (C.8.9.4)
Group Element Description
0008 0008 Image Type
0028 1052Rescale Intercept ThisisappliedtothepixeldatabeforeitisstoredinXiO
0028 1053Rescale Slope ThisisappliedtothepixeldatabeforeitisstoredinXiO
Curve Module (C.10.2)
Used to read patient contours by systems licensed for PICKER PT_XFER only
Group Element Description
5000 0010 Number of Points
5000 0022 Curve Description
5000 3000 Curve Data
A1.2 Import Processing for DICOM RT Structure Set
Thefollowingmodules,whichmakeuptheRTStructureSetIOD,areread.TheelementsusedbyXiOarelisted.SinceXiOhasnousefortheunlistedelements,theyarenotread.
Patient Module (C.7.1.1)
Group Element Description
0010 0010 Patient Name
0010 0020 Patient ID
Appendix 1 Import Processing
A1.3 Import Processing for DICOM RTPLAN
XiO 25
General Equipment Module (C.7.5.1)
Group Element Description
0008 0070 Manufacturer
0008 1090 Manufacturer's Model
Structure Set Module (C.8.8.5)
Group Element Description
3006 0002Structure Set Label Usedtocreatenameoftemporarystorage file
3006 0026ROI Name Importsandusesfirst25charactersofROIName
ROI Contour Module (C.8.8.6)
Group Element Description
3006 002A ROI Display Color
3006 0042 Contour Geometric Type
3006 0046 Number of Contour Points
3006 0050 Contour Data
RT ROI Observations Module (C.8.8.8)
Group Element Description
3006 00A4 RT ROI Interpreted Type
A1.3 Import Processing for DICOM RTPLAN
Thefollowingmodules,whichmakeuptheRTPlanIOD,areread.TheelementsusedbyXiOarelisted.SinceXiOhasnousefortheunlistedelements,theyarenotread.
Patient Module (C.7.1.1)
Appendix 1 Import Processing
A1.3 Import Processing for DICOM RTPLAN
26
Group Element Description
0010 0010 Patient's Name Patient’sfulllegalnamePresentedasinformationduringimport.Warningissuedifnotthesameasthepatientinmemory;usercanoverrideandcontinue.
0010 0020 Patient ID. Presentedasinformationduringimport.Warningissuedifnotthesameasthepatientinmemory;usercanoverrideandcontinue.
General Study Module (C.7.2.1)
Group Element Description
0008 0020 Study Date Presentedasinformationduringimport
General Equipment Module (C.7.5.1)
Group Element Description
0008 0070 Manufacturer Import:Thisdataisusedtopickalocationforrtp1temporarylocaldiskstorageonXiO.Ithasnocurrentuserinterfaceorplanninguse.
RT Series Module (C.8.8.1)
Group Element Description
0008 0060 Modality Import:mustbeRTPLAN.
RT General Plan Module (C.8.8.9)
Group Element Description
300A 0002 RT Plan Label Import:Thisdatawillbepresentedintheplanindexasahelptotheuser,andwillbeusedtocreatetheXiOfilename.
300A 0006 RT Plan Date Import:Thisdatawillbepresentedintheplanindexasahelptotheuser,butwillnotbestoredasastudysetwillalreadyexist.
300A 0007 RT Plan Time Import:Thisdatawillbepresentedintheplanindexasahelptotheuser,butwillnotbestoredasastudysetwillalreadyexist.
Appendix 1 Import Processing
A1.3 Import Processing for DICOM RTPLAN
XiO 27
RT General Plan Module (C.8.8.9)
Group Element Description
300A 000C RT Plan Geometry Import:BothPATIENTandTREATMENT_DEVICE e.g.X‐raysimulator willbeaccepted.
RT Beams Module (C.8.8.14)
Group Element Description
300A 00C0 Beam Number Import:ThiswillbemappedtoanXiObeamnumber anintegerbetween1and99 .
300A 00C2 Beam Name Import:ThiswillbeusedastheXiObeamdescriptionunlessBeamDescription 300A,00C3 exists.
300A 00C3 Beam Description Import:Thefirst24characterswillbeusedastheXiObeamdescription.
300A 00C4 Motion Characteristic of Beam IfDYNAMIC,the‘GantryRotationDirection’willbecheckedthatitissettoeither‘CW’or‘CCW’andthebeamwillbemarkedasarotationalbeam.Ifallnecessarygantryrotationdataisnotpresenttheplanimportwillbeabortedwiththeerrormessage"DICOMPlanImportwasnotsuccessful.Thefollowingtagsareinvalid: 300A,00C4 ".
300A 00C6 Radiation Type OnlyELECTRONandPHOTON areacceptedforRTPLANmodality.
300A 00B2 Treatment Machine Name Userdefinednameidentifyingtreatmentmachineusedinbeamdelivery.XiOwilluseitsDICOMimportmachinenamemappingtabletotrytouniquelyidentifyacorrespondingXiOtreatmentmachinenametousefordosecalculation.Ifthismappingisnotunique,XiOwillprompttheusertopickanXiOtreatmentmachine.IftheDICOMimportmachinemappingisnotdefinedinXiO,XiOwillusethefirst14characterstomatchtheimportedtreatmentmachinewithanXiOtreatmentmachine.Ifnomachinematchisfound,XiOwillprompttheusertopickanXiOtreatmentmachine.IftheXiOtreatmentmachineisnotofthesametypeastheimportedmachine 300A,00C6 ,theuserwillpromptedtopickanXiOtreatmentmachine.
Appendix 1 Import Processing
A1.3 Import Processing for DICOM RTPLAN
28
RT Beams Module (C.8.8.14)
Group Element Description
300A 00B3 Primary Dosimeter Unit Import:Notused;ThisissetbytheXiOtreatmentmachine.
300A 00B4 Source-Axis Distance Import:NotUsed;ThisissetbytheXiOtreatmentmachine.
300A 00B8 RT Beam Limiting Device Type Import:ThisissavedasacheckagainstthedataintheControlPointSequence 300A,0111 .
300A 00BA Source to Beam Limiting Device Distance Import:NotUsed;ThisissetbytheXiOtreatmentmachine.
300A 00BC Number of Leaf/Jaw Pairs Import:IfMLC,thevalueischeckedthatitmatchestheXiOtreatmentmachineparameters;ifnottheimportisabortedwiththeerrormessage"DICOMPlanImportwasnotsuccessful.Thefollowingtagsareinvalid: 300A,00BC ".
300A 00BE Leaf Position Boundaries Import:NotUsed;ThisissetbytheXiOtreatmentmachine.
300A 006A Referenced Patient Setup Number Import:NotUsed.SystemassumesISOCENTRIC.
300A 00D0 Number of Wedges Import:Only0isallowed.
300A 00F0 Number of Blocks XiOaccepts1APERTURE i.e.PORT andupto19SHIELDINGentriesor20SHIELDING i.e.BLOCK typeblocks.
300A 00F2 Total Block Tray Factor Import:ThisismappedtotheXiObeam'strayfactor.Ifnovaluesupplied,XiOwillusethedefaultXiOblocktrayvalue.Ifnodefaultblocktrayisdefined,XiOwillnotimporttheplanandexitwithanerrormessagethatthefollowingtag 300A,00F2 isinvalid.
300A 00F8 Block Type ThisismappedtoanXiOflagidentifying XiO’spolygontypewhereSHIELDING BLOCKandAPERTURE PORT.XiOallowsonlyoneAPERTUREperbeam.IfmorethanoneAPERTUREissentthentheimportwillbeabortedwiththeerrormessage"DICOMPlanImportwasnotsuccessful.Thefollowingtagsareinvalid: 300A,00F8 ".
300A 00FA Block Divergence AllblocksinXiOaredivergent PRESENT .IfABSENTornullvalueisreceivedtheuserwillbeforcedtoacknowledgethemessagethatthe'Blockforbeamnwillbeimportedasadivergentblock".
Appendix 1 Import Processing
A1.3 Import Processing for DICOM RTPLAN
XiO 29
RT Beams Module (C.8.8.14)
Group Element Description
300A 00FC Block Number ThiswillbemappedtoXiO'sfirstavailablepolygonnumberforthisbeam.Ifthiswillcreatemorethan20polygonsforthisbeam,theimportwillbeabortedwiththeerrormessage"DICOMPlanImportwasnotsuccessful.Thefollowingtagsareinvalid:300A,00FC ".
300A 00FE Block Name Import:IfthereisaPortIDthisinformationisimportedotherwiseitisblank.
300A 00E1 Material ID Import:SeenoteforBlockTransmission.
300A 0100 Block Thickness Import:SeenoteforBlockTransmission.
300A 0102 Block Transmission Import:ThematerialID,BlockThicknessandBlockTransmissionareallcheckedtoverifythatvalidvaluesweresent.Ifanyofthesethreetagsarenotvalid,thenSFMdefaultsareusedforallofthem,andawarningmessageisdisplayed.IfanyofthesedefaultshavenotbeensetupinSFMthentheimportwillfailwiththeerrormessage"DICOMPlanImportwasnotsuccessful.Thefollowingtagsareinvalid: 300A,0102 ".
300A 0104 Block Number of Points Import:This isstoredasacheckagainsttheBlockData300A,0106 .
300A 0106 Block Data Import:ThisdataismappedtoanXiOpolygon.
300A 0108 Applicator ID Import:IftheXiOmachinedoesnothaveamatchingconeIDtheimportisabortedwiththeerrormessage"DICOMPlanImportwasnotsuccessful.Thefollowingtagsareinvalid: 300A,0108 ".
300A 0109 Applicator Type Import:NotUsed
300A 010A Applicator Description Import:NotUsed
300A 0110 Number of Control Points Import:Ifmorethantwocontrolpointsarepresentthentheimportwillbeabortedwiththeerrormessage"DICOMPlanImportwasnotsuccessful.Thefollowingtagsareinvalid:300A,0110 ".
300A 0114 Nominal Beam Energy Import:NotUsed;ThisissetbytheXiOtreatmentmachine.
Appendix 1 Import Processing
A1.3 Import Processing for DICOM RTPLAN
30
RT Beams Module (C.8.8.14)
Group Element Description
300A 00B8 RT Beam Limiting Device Type Import:Thisischeckedagainstthevaluesentandstoredpreviously.Ifitisdifferent,orifitdoesn'tmatchtheXiOtreatmentmachineparameters,theimportisabortedwiththeerrormessage"DICOMPlanImportwasnotsuccessful.Thefollowingtagsareinvalid: 300A,00B8 ".
300A 011C Leaf/Jaw Positions Import:TheXiOmachine’sleaves/jawpositionsaremappedtothesevalues.
300A 011E Gantry Angle XiObeam'sgantryangleismappedtothisvalue.
300A 011F Gantry Rotation Direction Import:Thisissavedtemporarilyfordeterminingthedegreesofrotationforthisarcbeam
300A 0120 Beam Limiting Device Angle Import:Beam'scollimatorangleismappedfromthisvalue.
300A 0121 Beam Limiting Device Rotation Direction Import:OnlyNONEisaccepted.
300A 0122 Patient Support Angle Import:TheXiObeam'scouchangleismappedtothisvalue.
300A 0123 Patient Support Rotation Direction Import:OnlyNONEisaccepted.
300A 012C Isocenter Position Import:ThisismappedtotheXiObeamisocenter;ifNULL,notsent,orwillendupoutsidethepatientextenttheuserispromptedtoenteranisocenter.
XiO 31
Appendix 2 Export of CT Images, RT Structure Set, RT Plan RT Dose and RT Image from XiO (common module content except RT Ion)
Patient Module (C.7.1.1)
Group Element Description
0010 0010 Patient's Name ExportXiO’sDICOMPatientName; ifnotavailable,exportXiO’spatientname
0010 0020 Patient ID ExportXiO’sDICOMPatient’sID,ifnotavailable,exportXiOpatientID
0010 1000 Other Patient IDs IfstoredfromCT,exportthosevalues,elseexportXiO’spatientID.
0010 1001 Other Patient Names IfstoredfromCT,exportthosevalues,elseexportXiO’spatientname.
0010 0030 PatientBirthDateExport XiO’s birth date
0010 0040 Patient Sex ExportM formaleFforfemaleOforunknown
General Study Module (C.7.2.1)
Group Element Description
0020 000D Study Instance UID Exportuniqueidentifierfromtheimported,primaryimagestudy
0020 0010 Study ID ExportCT’svalue.Ifnotavailable,exportXiOstudysetID.
0008 0020 Study Date ExportCTStudy’screationdateIfnotavailableinXiOstudyset,exportnull.
0008 0030 Study Time ExportCTStudy’screationtimeIfnotavailableinXiOstudyset,exportnull.
0008 0050 Accession Number Exportoriginalimage’svaluableifavailable,otherwise1
Appendix 2 Export of CT Images, RT Structure Set, RT Plan RT Dose and RT Image from XiO (common module content except RT Ion)
32
General Study Module (C.7.2.1)
Group Element Description
0008 0090 Referring Physician’s Name ExportvaluefromCTimages
RT Series Module (C.8.8.1)
Group Element Description
0008 0060 Modality ExportCT,RTSTRUCT,RTPLANRTDOSE orRTIMAGEdependingonmodalitybeingsent.
0020 000E Series Instance UID
0020 0011 SeriesNumberExport1
General Equipment Module (C.7.5.1)
Group Element Description
0008 0070 Manufacturer
ExportCMS,Inc.†
0008 1090 Manufacturer's Model Name ExportXiO
0018 1020 Software Versions ExportXiO'sSoftwareVersionNumber X.XX.XXformat
†CMSInc.hasbeensucceededasacorporationbyIMPACMedicalSystemsInc.;forsustaineddatacompatibilitywithDICOMreceiversthatmightusethenameforspecificimportfilteringorprocessing,wehaverefrainedfromchangingtheManufacturernameintheDICOMexportobjects.
SOP Common Module (C.12.1)
Group Element Description
0008 0018 SOP Instance UID
0008 0005 Specific Character Set ExportISO_IR100
0008 0012 Instance Creation Date Export:InstanceDate
0008 0013 Instance Creation Time Export: InstanceTime
XiO 33
Appendix 3 Export of RT Structure Set
Structure Set Module (C.8.8.5)
Group Element Description
3006 0002Structure Set Label ExportStructureSetlabel
3006 0004Structure Set Name Export XiO studyset name
3006 0008 StructureSetDate
3006 0009 StructureSetTime
3006 0010 ReferencedFrameOfReferenceSequence
0020 0052 Frame of Reference UID
3006 0020 StructureSetROISequence
3006 0022 ROI Number
3006 0022 Referenced Frame of Reference UID
3006 0026 ROI Name
3006 0036 ROI Generation Algorithm
ROI Contour Module (C.8.8.6)
Group Element Description
3006 0039 ROI Contour Sequence
3006 0084 Referenced ROI Number
3006 002A ROI Display Color
3006 0040 Contour Sequence
3006 0016 Contour Image Sequence
3006 0042 Contour Geometric Type
3006 0046 Number of Contour Points
3006 0050 Contour Data
Appendix 3 Export of RT Structure Set
34
RT ROI Observations Module (C.8.8.8)
Group Element Description
3006 0080 RT ROI Observation Sequence
>3006 0080 Observation Number
>3006 0084 Referenced ROI Number
>3006 0085 ROI Observation Label ExportXiO’scontourname
>3006 0088 ROI Observation Description ExportXiO’scontourname
>3006 00A4 RT ROI Interpreted Type EXTERNALORGANMARKERISOCENTER
>3006 00A6 ROI Interpreter ExportNull
>300C 300C ROI Physical Properties Sequence
>>3006 00B2 ROI Physical Property ExportREL_ELEC_DENSITY
>>3006 00B4 ROI Physical Property Value ExportElectronDensityvalue.
XiO 35
Appendix 4 Export of RT PLAN
Thefollowingmodules,whichmakeuptheDICOMRTPlanIOD,aresent.ElementsthatarenotsupportedforexportfromanXiOteletherapyplanarenotlisted.Forseveralelements,theSFMDICOMexportdatafunctionorpageismentioned.ForeachXiOtreatmentmachine,theusershouldtailortheconventionofXiOplandatatofitthereceivingsystem'srequirementsbyusingthesemenus.Theusercansetadifferentmachinename,definea"nowedge"ID,aconstantblockID e.g.,custom ,adefaulttolerancetablevalue,whattocallIMRTbeams "static"ordynamic" ,andsetupamappingofexportedwedgeIDsbasedonthewedgeangleandtoedirection.
RT General Plan Module (C.8.8.9)
Group Element Description
300A 0002 RT Plan Label ExportPlanID basedoncombinationofCourseID ifpresent plussavedplanID.Ifplanwasintemporarystatuswhenexported,thelabelwillbeprecededbyTemp.
300A 0003 RT Plan Name Export:IfthisisapermanentplansendplanIDorifitisatemporaryplanwithnopermanentplanreferencesendTemporaryplannumberTemporary_ TemporaryPlan# .Ifitisatemporaryplanwithapermanentplanreference,sendTemporary_ TemporaryPlan# _ PlanId .
300A 0004 RT Plan Description ExportPlanDescription
300A 0006 RT Plan Date ExportPlansavedondate
300A 0007 RT Plan Time ExportPlansavedontime
300A 000A RT Plan Intent ExportPlanintentfieldfromXiOifthere,otherwisenotexported.
300A 000C RT Plan Geometry ExportPATIENTunlessnoRTSRUCTURESETisbeingexportedatthesametime;forthatcase,exportTREATMENT_DEVICE
Appendix 4 Export of RT PLAN
36
RT Prescription Module (C.8.8.10)
Group Element Description
300A 0010 Dose Reference Sequence OnlyexportifPrescriptionSiteandPrescriptionDosearedefinedforatleastonefractiongroup.Onlygroupsthatcontainbothpiecesofinformationareexported.
300A 0012 Dose Reference Number Thenumberoffractionsplanned setsthisvalue thenumberoffractionsforeachfractiongroupisuniqueandthereforeusedhereandastheToleranceTableNumber .
300A 0014 Dose Reference Structure Type Export“SITE”
300A 0016 Dose Reference Description ExportXiO’sRx prescription Sitename forthefractiongroup.
300A 0020 Dose Reference Type Export“TARGET”
300A 0026 Target Prescription Dose ExportXiO’sRx prescription TotalDose
RT Tolerance Tables Module (C.8.8.11)
Group Element Description
300A 0040 Tolerance Table Sequence OnlyexportifTolerancetablenameisdefinedforatleastonefractiongroup.
300A 0042 Tolerance Table Number Exportnumberoffractionsforthegroup.
300A 0043 Tolerance Table Label ExportXiO’sToleranceTableName.
Appendix 4 Export of RT PLAN
XiO 37
RT Fraction Scheme Module (C.8.8.13)
Group Element Description
300A 0070 Fraction Group Sequence AnybeamswiththesamenumberoffractionsinanXiOplanwillbeexportedaspartofthesamefractiongroup.
300A 0071 Fraction Group Number ExportnumberoftheFractionGroup
300A 0078 Number of Fractions Planned Exportnumberoffractionsforthesebeams.
300A 0080 Number of Beams Exportnumberofbeamsthatarepartofthisfractiongroup.
300A 00A0 Number of Brachy Application Setups Export0
300C 0004 Referenced Beam Sequence
300A 0082 Beam Dose Specification Point ExportWeightPointCoordinatesinmillimetercoordinatestofirstdecimalplace.
300A 0084 Beam Dose Export:Ifplandoseiscalculated,exportdoseperfractioninGyattheweightpoint tothethirddecimalplace .
300A 0086 Beam Meterset Exporttotalmetersetvalueforthisbeam MUortime
300C 0006 Referenced Beam Number ExportXiOBeamnumber anintegervaluebetween1and99 .
300C 0050 Referenced Dose Reference Sequence ExportedonlyifRxSiteandRxTotalDosearepresentinXiOforthebeam’sfractiongroup.
300C 0051 Referenced Dose Reference Number Exportthenumberoffractionsforthisgroup
Appendix 4 Export of RT PLAN
38
RT Beams Module (C.8.8.14)
Group Element Description
300A 00B0 Beam Sequence
300A 00C0 Beam Number ExportXiOBeamnumber anintegerbetween1and99
300A 00C2 Beam Name ExportFieldIDifpresentinthebeam,otherwiseexportXiO’sbeamdescription upto24characters
300A 00C3 Beam Description ExportXiObeamdescription unlesstreatmentbeamisDynamicConformalArcforaVarianmachine– inthiscasesetautomaticallyto"DMLC_ARC"
300A 00C4 Beam Type Export:Ifbeamisrotationalarcbeamordynamicconformalbeam,putDYNAMIC.IfSegMLC i.e.IMRTbeam beam,exportDYNAMICorSTATICdependingonvaluechosenforstep‐and‐shootontheDICOMExportDatapageinSFM.
300A 00C6 Radiation Type Export:ELECTRONorPHOTON
300A 00B2 Treatment Machine Name ExportmachineIDfromXiO'sSFMExportcustomizationpage.ThismaybeadifferentmachinenamethanisusedonXiO.
0008 1040 Institutional Department Name ExportXiOClinicName
300A 00B3 Primary Dosimeter Unit ExportunitsidentifiedinXiO forthismachine.
300C 00A0 Reference Tolerance Table Number ExportTolerancetablenumberwhichwillequalthenumberoffractionsforthebeam.
300A 00B4 Source-Axis Distance ExportmachinereferencedistancedefinedinXiOforthismachine.
300A 00B6 Beam Limiting Device Sequence Export: aminimumoftwoanduptothreecollimatorsequenceswillbesentforeachbeam‐anXjawpair,aYjawpairandMLC,ifoneexists.MLCXisonlyMLCtypecurrentlyavailableinXiO.Foranelectronbeam,createtheX,YjawvaluesfromtheXiOconeID.Thatis,fora6x10cone,reportasymmetricjawvalueas60 mm andasymmetricYjawvalueas100 mm .
Appendix 4 Export of RT PLAN
XiO 39
RT Beams Module (C.8.8.14)
Group Element Description
300A 00B8 RT Beam Limiting Device Type Export:StartwiththeXjawandexportsettingsaccordingtoplan asymmetricversussymmetric .CreateasecondsequencewiththeYjawandfinishwiththeMLCXifoneisinthebeam.XiOwillexport3deviceswhenthereisanMLC,evenforjawreplacementMLCs.
300A 00BA Source to Beam Limiting Device Distance Exportbeam'ssourcetocollimatordistancefortheX,YorMLCcollimatorasappropriate.
300A 00BC Number of Leaf/Jaw Pairs Export1ifnotMLC,ifMLC,exportvaluefromXiO'sMLCconfigurationfile.
300A 00BE Leaf Position Boundaries ExportvaluesfromXiO'sMLCconfigurationfile.
300A 006A Referenced Patient Setup number Willbe1unlessanSSDorExtendedSSDbeamisusedintheplan.Inthiscase,itwillbe1or2dependingonthePatientSetupSequenceorderforISOCENTRICorFIXED_SSD.
300A 00CE Treatment Delivery Type ExportTREATMENT
3002 0050 Primary Fluence Mode Sequence SequenceonlysentiftheenergyinthemachinemodelhasbeenexplicitlyupdatedtoindicatethatitsfluenceisSTANDARDorNON_STANDARD.Otherwise,sequenceisnotexported.
3002 0051 Fluence Mode
Ifsequenceissent,exportSTANDARDorNON_STANDARDasstoredintheXiOmachinemodelforthisenergy.
3002 0052 Fluence Mode ID
IfFluenceModeisNON_STANDARD,exportvaluestoredinFluenceModeIDforthismachineforthisenergy.
300A 00D0 Number of Wedges Export1ifwedgeexists;ifwedgeIDexistsinSFM,export1ifthereareparametersfor"nowedge."Otherwiseexport0.Export0foranelectronbeamNote:Althoughtheremaybenophysicalwedgeinthebeam,anentryfornowedgeinXiO'sexportwedge mappingtablemeansthattheuserwishestoreportawedgeIDanyway.
300A 00D1 Wedge Sequence
300A 00D2 Wedge Number Export1ifawedgeexistsoriftheuserhasentereda"NONE"tomaptonowedge;otherwise0.
Appendix 4 Export of RT PLAN
40
RT Beams Module (C.8.8.14)
Group Element Description
300A 00D3 Wedge Type ThefollowingXiOwedgetermsareexportedasthefollowingDICOMterms:
XiOMOTORIZED MOTORIZEDXiOFIXED STANDARDXiODYNAMIC DYNAMICXiOVIRTUAL DYNAMICForNONE STANDARD
300A 00D4 Wedge ID ExportwedgeIDfromSFMWedgeMappingtableifitexists;otherwiseexportXiOwedgeID.
300A 00D5 Wedge Angle ExportwedgeanglefromSFMWedgemappingtableifoneexists;otherwise,exportnullfornowedgeorSTANDARDwedge,andwedgeangleformotorized,virtualordynamicwedge.
300A 00D6 Wedge Factor ExportXiOwedgecorrectionfactorasreportedattheweightpointonthesourceindexForNONEexport1.0
300A 00D8 Wedge Orientation ForFixed,VirtualandEDWwedgesexportoffsetofwedgeheelwithrespecttoIECBEAMLIMITINGDEVICEcoordinatesystemasfollows
XiOHeelIn 180XiOHeelout 0
XiOHeelLeft 270XiOHeelRight 90
ForNONEwedgeexport0ForMOTORIZED,export0
300A 00DA Source to Wedge Tray Distance ExportwedgetraydistanceparameterfromSFMmachinefile.ForNONEdo notexport.
300A 00E0 Number of Compensators Export1ifcompensatorexitsotherwise0ForXiO'sEllisandLucitetypes,export0.
300A 00E2 Total Compensator Tray Factor ExportCompensatorTrayFactorUsedinbeam.
300A 00E3 Compensator Sequence
300A 00E4 Compensator Number Export1
Appendix 4 Export of RT PLAN
XiO 41
RT Beams Module (C.8.8.14)
Group Element Description
300A 00E1 Material ID ExportcompensatormaterialfromXiO'streatmentmachineparametersforcompensators
300A 00E5 Compensator ID Exportcompensatortype:Huestis,ParScientific,decimal,fromXiO'streatmentmachineparametersforcompensators
300A 00E6 Source to Compensator Tray Distance Exportbeam'sSourcetocompensatorfiltertrayvaluefromXiO'streatmentmachineparameters
300A 00E7 Compensator Rows ExportnumberofcompensatordatapointsintheXjawdimension
300A 00E8 Compensator Columns ExportnumberofcompensatordatapointsintheYjawdimension
300A 00E9 Compensator Pixel Spacing Export:CalculatefromPointsPer/cminCompensatordataandprojecttotheisocenterplane
300A 00EA Compensator Position Forsymmetricbeamexport ‐W/2, L/2 ForAsymmetricexport –LW, UL whereW width ,L length ,LW leftwidth andUL upperlength aretheXiOnamesfortheXandYjawsofthemachine
300A 00EC Compensator Thickness Data XiOexportsonce‐smearedcompensatorphysicalthicknessesateachgridlocation.
300A 02E1 Compensator Mounting Position ExportPATIENT_SIDEorSOURCE_SIDEassetbythecompensatordetailsinSourceFileMaintenance.
300A 00ED Number of Boli ExportnumberofboliusedinthisbeamNote:Ifbeamisnot100%bolusedor100%unbolused,errormessagewillbeissuedandthenon‐bolusedbeamonlywillbeexported.TheusermustcreateasecondbeamwiththedesiredbolusedplancontributionforDICOMtorecognizeit
300A 00B0 Referenced Bolus Sequence Exportallplanbolusnumbersturnedonforthisbeamasasequence
3006 0084 Referenced ROI Number ExportXiO'splanBolusNumber
Appendix 4 Export of RT PLAN
42
RT Beams Module (C.8.8.14)
Group Element Description
300A 00F0 Number of Blocks Exporttotalnumberofportsandblocksinthebeam XiOmaximumis20
300A 00F2 Total Block Tray Factor ExportTrayfactorforbeamshownintheXiO'ssourceindex
300A 00F4 Block Sequence
300A 00F5 BlockTrayIDExporttraydescriptionifdefinedinXiO,otherwisenull
300A 00F6 Source to Block Tray Distance ExportsourcetoblocktraydistancefromXiO'streatmentmachineparameters
300A 00F8 Block Type IfXiOpolygonflagsaysport,thenexportAPERTUREotherwiseSHIELDING
300A 00FA Block Divergence PRESENTiscurrentlytheonlysupportedtypeonXiOforphotonandelectron
300A 00FC Block Number Exportpolygonnumber 1‐20
300A 00FE Block Name ExportuniversalBlockIDfromXiOSFMDICOMdataexportparameterspageifavaluehasbeendefined;otherwisethereisnoexportofthistag
300A 00E1 Material ID ExportmapBlockmaterialforthisblockifithasbeendefinedfortheapertureorblock,otherwisevalueisnull
300A 0100 Block Thickness ExportFFTblockthicknessvalueifavailable,otherwisenull
300A 0102 Block Transmission ExportBlocktransmissionasgivenbyHVLvalueinaClarksoncalculatedbeam,otherwisenull
300A 0104 Block Number of Points Exporttotalpolygoncoordinatescount
300A 0106 Block Data Exportdatastreamofpolygoncoordinates
300A 0107 Applicator Sequence
300A 0108 Applicator ID ExporttheXiOconedescription aconesizeincentimeters
300A 0109 Applicator Type Export:ELECTRON_OPEN
Appendix 4 Export of RT PLAN
XiO 43
RT Beams Module (C.8.8.14)
Group Element Description
300A 010A Applicator Description ExportXiOConedescription
300A 010E Final Cumulative Meterset Weight Export:1.0
300A 0110 Number of Control Points Exportnumberofcontrolpoints.XiOFixedandrotationbeamswithnoMOTORIZEDwedgeorSegmentedMLC IMRT willhave2controlpoints;ArotationalbeamhasonlytheMU/minutesandgantryanglechanginginvalue;arotationalbeamisdifferentiatedbythedesignationofbeamtypeDYNAMICAMOTORIZEDWEDGEbeamwillhave4controlpoints:CP0toCP1incrementthecumulativemetersetweighttotheamountneededforthewedgedbeam;setwedgepositionasIN.CP1toCP2,changewedgepositionfromINtoOUTwithnoincrementincumulativemetersetweight.ReportthecumulativemetersetweightvalueagainatCP2.CP2toCP3incrementcumulativemetersetweightforopenpartofthebeam.Foranarcwithmotorizedwedge,alsouse4controlpoints:0‐1:definearadiatingarcwithwedgeIN1‐2:defineanon‐radiatingsegmentwhereonlythewedgemovedINtoOUT2‐3definea reverse radiatingarcwithwedgeOUT.ADYNAMICCONFORMALbeamwillhaveacontrolpointateveryexportangleincrement selectedinSFM pluscontrolpoint0.Forexample,a120°arcwillhave121controlpoints.ADYNAMICCONFORMALbeamwithamotorizedwedgewillhavetwiceasmanycontrolpoints.ThefirsthalfofthecontrolpointswillreportthearcwiththeWEDGEsettoOUT,thesecondwiththeWEDGEsettoIN.
300A 0111 Control Point Sequence
300A 0112 Control Point Index
Appendix 4 Export of RT PLAN
44
RT Beams Module (C.8.8.14)
Group Element Description
300A 0134 CumulativeMetersetWeightExportCumulativeMeterset Weight CMW ForafixedbeamMOTORIZEDWEDGE,CMWatCP1willbe MUwedged/totalMU /FinalCumulativeMetersetWeightForaDynamicConformalArcbeamwithamotorizedwedge,XiOwillexportthetreatmentasasinglebeamdescribingtwoarcs.ThevalueofFinalCumulativeMetersetWeightvalueisreachedattheendofthesetwoarcs.Thetwoarcsaredescribedbythesamenumberofcontrolpoints.ThefirsthalfofthecontrolpointsreportsthecumulativemetersetweighttoreachtheOPENfieldMU,thesecondhalfaccumulatesthemetersetweightsneededtoaddtheWEDGEfieldMU.
300A 0114 Nominal Beam Energy Export:machineenergyatControlPoint0
300C 0050 Referenced Dose Reference Sequence ExportedonlyifDoseReferenceSequence 300A,0010 isexportedforthefractiongroup.
300C 0051 Referenced Dose Reference Number Exportnumberoffractionsforthebeam
300A 0115 Dose Rate Set OnlyexportedfornondynamicIMRTbeamsifDoseRateisdefinedforthefractiongroup.FordynamicIMRTbeams,thedoserateusedforsegmentationisexported.Inallcases,onlyencodedforcontrolpoint0.
300A 0116 Wedge Position Sequence Export:usedifwedgeisinthebeam
300C 00C0 Referenced Wedge Number Export:1ifwedgeinbeam
300A 0118 Wedge Position ForFIXED,NONE,EDWandVW,putINForMotorizedWEDGE,atControlPoint0and1,setWedgePositiontoIN.Atcontrolpoint2and3setthewedgePositiontoOUT
300A 011A Beam Limiting Device Position Sequence
300A 00B8 RT Beam Limiting Device Type Exportcollimatortagappropriately.Aminimumoftwoanduptothreecollimatorsequenceswillbesentforeachbeam‐ anXjawpair,aYjawpairandMLC,ifoneexists.MLCXisonlycurrentlyavailableMLCinXiO
Appendix 4 Export of RT PLAN
XiO 45
RT Beams Module (C.8.8.14)
Group Element Description
300A 011C Leaf/Jaw Positions Export X,YandMLCjawpositionsinIEC1217coordinatesystem
300A 011E Gantry Angle ExportIECgantryanglevalue
300A 011F Gantry Rotation Direction Forrotation arc beam,exportgantryincreasingdirectionvaluefromSFMbeamfile.For DYNAMICCONFORMALbeam,exportcurrentvaluebasedonnextgantryposition.Forlastcontrolpoint,enter"none."
300A 0120 Beam Limiting Device Angle ExportXiOcollimatorvalue
300A 0121 Beam Limiting Device Rotation Direction Export:NONE
300A 0122 Patient Support Angle ExportXiOtableangle
300A 0123 Patient Support Rotation Direction Export:NONE
300A 0125 Table Top Eccentric Angle Export0
300A 0126 Table Top Eccentric Rotation Direction ExportNONE
300A 012C Isocenter Position Export:mapXiObeamisocentervalueinDICOMcoordinatesystem
300A 012E Surface Entry Point ExportXiObeamentrypointinDICOMcoordinateForrotationalordynamicconformalbeam,donotexport
300A 0130 Source to Surface Distance ExportSSDofthebeaminDICOMcoordinatesystem.ForRotationalanddynamicconformalbeams,donotexport
RT Patient Setup Module (Part 3 C8.8.12)
Group Element Description
300A 0180 Patient Setup Sequence Export:Twosequence entriesiftheplanusesanSSDorextendedSSDbeamintheplan.Otherwiseonesequence.
300A 0182 Patient Setup NumberExport1or2
Appendix 4 Export of RT PLAN
46
RT Patient Setup Module (Part 3 C8.8.12)
Group Element Description
300A 01B0 Setup Technique Export:ISOCENTRICorFIXED_SSDdependingonthebeamsusedintheplan.
0018 5100 Patient PositionIfnorecordoforiginalCTImagePatientPositionandpatientplanningpositioniseFOOTIN,SendFFS.ElseifthereisnorecordoforiginalCTImagePatientPositionandpatientplanningpositioniseHEADIN,SendHFS.ElseifpatientplanningpositioniseFOOTIN,sendoriginalCTImagePatientPositionexceptthefirstcharacterisreplacedwith"F".Elseifplanishead‐ineHEADIN,sendoriginalCTImagePatientPositionexceptthefirstcharacterisreplacedwith"H".
Approval Module (C.8.8.16)
Group Element Description
300E 0002 Approval Status Export:SendAPPROVED ifplanisapproved ;otherwisesendUNAPPROVED.
300E 0004 Review Date Export:IfApprovalStatus 300E,0002 isAPPROVED,sendtheplan’slastmodificationdate.
300E 0005 Review Time Export:IfApprovalStatus 300E,0002 isAPPROVED,sendtheplan’slastreviewtimeofday.
300E 0008 Reviewer Name Export:IfApprovalStatus 300E,0002 isAPPROVED,sendphysician’sname.
XiO 47
Appendix 5 Export of RT DOSE
Thefollowingmodules,whichmakeuptheDICOMRTDOSEIOD,aresent.ElementsthatarenotsupportedforexportfromanXiOteletherapyplanarenotlisted.
RT Dose Module
Group Element Description
0028 0002 Number of Samples Export1
0020 0013 Instance Number Export1
0028 0004 Photometric Representation ExportMONOCHROME2
0028 0100 Bits Allocated Export16
0028 0101 Bits Stored Export16
0028 0102 High Bit Export15
0028 0103 Pixel Representation Export0
3004 0002 Dose Units ExportGY
3004 0004 Dose Type ExportPHYSICAL
3004 000A Dose Summation Type ExportPLAN
300C 0002 Referenced RT Plan Sequence
0008 1150 Referenced SOP Class UID Export1.2.840.10008.5.1.4.1.1.481.2
0008 1155 Referenced SOP Instance UID ExporttheSOPInstanceUIDfortheRTPLANobjectthatwasexportedatthesametimeasthisdoseobject
3004 000C Grid Frame Offset Vector FirstvalueiszeroandmonotonicallyincreasingintheDICOMpatientZdirection.Thevaluesinthevectorarerelativetothez‐valueof“ImagePosition Patient ” 0020,0032
3004 000E Dose Grid Scaling
48
XiO 49
Appendix 6 Secondary Capture and RT IMAGE Export of DRR and Intensity Map
Thefollowingelements,whichmakeuptheDICOMSecondaryCaptureIOD,aresentforaDRR.ElementsthatarenotsupportedforexportfromanXiOteletherapyplanarenotlisted.
Secondary Capture (DRR and Intensity Map Fluence)
Group Element Description
0008 0005 Specific Character Set ExportISO_IR100
0008 0008 Image Type DERIVED\SECONDARY
0008 0016 SOP Class UID 1.2.840.10008.5.1.4.1.1.7
0008 0018 SOP Instance UID
0008 0020 Study Date ExportCTcreationdateifavailable;ifnotavailable,exportnull.
0008 0030 Study Time ExportCTcreationtimeifavailable;ifnotavailable,exportnull.
0008 0050 Accession Number Exportnull
0008 0060 Modality CT
0008 0064 Conversion Type WSD
0008 0070 Manufacturer CMS,Inc.†
0008 0090 Referring Physicians Name ExportvaluestoredinCTimages.
0008 1090 Manufacturer Model Name XiO
0008 2111 Derivation Description Export:“XiO\ patientID\ savedplanID \beamnumber\BEV”
0020 000D Study Instance UID
0020 000E Series Instance UID
0020 0010 Study ID ExportXiO’sstudysetID
0020 0011 Series Number Export0
0020 0013 Instance Number Export1
Appendix 6 Secondary Capture and RT IMAGE Export of DRR and Intensity Map
50
Secondary Capture (DRR and Intensity Map Fluence)
Group Element Description
0020 0020 Patient Orientation SeeAppendix6 forreportedvaluesalgorithm
0028 0002 Samples Per Pixel 1
0028 0004 Photometric Interpretation MONOCHROME2
0028 0010 Rows
0028 0011 Columns
0028 0100 Bits Allocated
0028 0101 Bits Stored
0028 0102 High Bit
0028 0103 Pixel Representation 0
0028 0106 Smallest Image Pixel Value
0028 0107 Largest Image Pixel Value
0028 1050 Window Center
0028 1051 Window Width
7FE0 0010 Pixel Data
†CMSInc.hasbeensucceededasacorporationbyIMPACMedicalSystemsInc.;forsustaineddatacompatibilitywithDICOMreceiversthatmightusethenameforspecificimportfilteringorprocessing,wehaverefrainedfromchangingtheManufacturernameintheDICOMexportobjects.
Thefollowingelements,whichmakeuptheDICOMRTIMAGEIOD,aresentforaDRRimage;exportedtagvalueswillbethesameasthoseexportedforSecondaryCaptureDRRexceptwherenotedbelow.
RT IMAGE (DRR)
Group Element Description
0008 0008 Image Type DERIVED\SECONDARY\DRR
0008 0060 Modality RTIMAGE
0028 0004 Photometric Interpretation MONOCHROME2
3002 0002 RT Image Label ExporttheBeamDescriptionifavailable.Otherwise,exportBeamN whereNisthebeamnumberfromXiO’scurrentplanMOSAIQ usesthefirst5charactersofthistagtotrytomatchtheDRRautomaticallywithaFieldID.
Appendix 6 Secondary Capture and RT IMAGE Export of DRR and Intensity Map
XiO 51
RT IMAGE (DRR)
Group Element Description
3002 000C RT Image Plane NORMAL
3002 000D X-ray Image Receptor Translation ExportX,YshiftofthecenteroftheDRRfromthebeamisocenter. ValueofZwillbezero i.e. attheisocenterplane
3002 000E X-ray Image Receptor Angle Export 0.0
3002 0011 Image Plane Pixel Spacing Exportpairofvaluesthatarethesame squarepixels .Calculatedasimagewidthatisocenterdividedbythenumberofcolumns
3002 0012 RT Image Position Exportthetopleftcorneroftheimagewherethecenteroftheimageis 0,0
3002 0020 Radiation Machine Name ExportXiO'sDICOMexporttreatmentmachinename usethesamemappingcodeasRTPLANexport ;ifnotpresent,exportXiO’streatmentmachinename
300A 00B3 Primary Dosimeter Unit IfCobaltunit,exportMINUTE,otherwiseexportMU.Ifnothingcanbefound,exportnull
3002 0022 Radiation Machine SAD ExportSADofthetreatmentmachinebeingusedforthisbeamusethesamemappingcodeasRTPLANexport
3002 0026 RT Image SID ExportSADvalueofthetreatmentmachineforthisbeam
300A 011E Gantry Angle Exportbeam’sgantryangle
300A 0120 Beam Limiting Device Angle Exportbeam’scollimatorangle
300A 0122 Patient Support Angle Exportbeam’scouchangle
300A 0125 Table Top Eccentric Angle Export0 notusedinXiO
300A 0012C Isocenter Position
Appendix 6 Secondary Capture and RT IMAGE Export of DRR and Intensity Map
52
RT IMAGE (DRR)
Group Element Description
0018 5100 Patient Position IfplanisFeetFirstreadtheCTpatientpositionvalue,convertandexportthevalueasfollows:
HFSFFSHFPFFPFFSFFSFFPFFP
IfplanisHeadFirst,readtheCTpatientpositionvalue,convertandexportthevalueasfollows:
FFSHFSFFPHFPHFSHFSHFPHFP
300C 0002 Referenced RT Plan Sequence OnlyexportedifRTPLANorRTIONPLANisbeingexportedwiththeRTIMAGE.
0008 1150 Referenced SOP Class UID IfbeamisProtonbeam,export1.2.840.10008.5.1.4.1.1.481.8. RTIONPLAN Elseexport1.2.840.10008.5.1.4.1.1.481.5 RTPLAN .
0008 1155 Referenced SOP Instance UID ExportinstanceofPlanobject RTorRTION
300C 0006 Referenced Beam Number Exportthebeamnumber
Thefollowingelements,whichmakeuptheDICOMRTIMAGEIOD,aresentforanIntensityMapimage;exportedtagvalueswillbethesameasthoseexportedforRTIMAGE DRR exceptwherenotedbelow:
RT IMAGE (Intensity Map Fluence)
Group Element Description
0008 0008 ImageType DERIVED\SECONDARY\FLUENCE
3002 0040 Fluence Map Sequence
3002 0041 Fluence Data Source ExportCALCULATED
3002 0042 Fluence Data Scale ExportMUfromthebeam
XiO 53
Appendix 7 DRR and Intensity Map Patient Orientation tag (0020,0020) Reported Values
Head First plan, patient is supine
BeamatIEC0 L\F
Beamangle0 angle 45 beamgantryanglebetweenzeroandfortyfivedegrees LP\F
Beamangle45 angle 90 beamgantryanglefrom45degreesuptoninetydegrees PL\F
BeamatIEC90 P\F
Beamangle90 angle 135 beamgantryanglebetween90and135degrees PR\F
Beamangle135 angle 180 beamgantryanglefrom136degreesupto180degrees RP\F
BeamatIEC180 R\F
Beamangle180 angle 225 beamgantryanglebetween180and225degrees RA\F
Beamangle225 angle 270 beamgantryanglefrom226degreesupto270degrees AR\F
BeamatIEC270 A\F
Beamangle270 angle 315 beamgantryanglebetween270and315degrees AL\F
Beamangle315 angle 360 beamgantryanglefrom316degreesupto360degrees LA\F
Feet First plan, patient is supine
BeamatIEC0 R\H
Beamangle0 angle 45 beamgantryanglebetweenzeroandfortyfivedegrees RP\H
Beamangle45 angle 90 beamgantryanglefrom45degreesuptoninetydegrees PR\H
BeamatIEC90 P\H
Beamangle90 angle 135 beamgantryanglebetween90and135degrees PL\H
Beamangle135 angle 180 beamgantryanglefrom136degreesupto180degrees LP\H
BeamatIEC180 L\H
Beamangle180 angle 225 beamgantryanglebetween180and225degrees LA\H
Beamangle225 angle 270 beamgantryanglefrom226degreesupto270degrees AL\H
BeamatIEC270 A\H
Appendix 7 DRR and Intensity Map Patient Orientation tag (0020,0020) Reported Values
54
Beamangle270 angle 315 beamgantryanglebetween270and315degrees AR\H
Beamangle315 angle 360 beamgantryanglefrom316degreesupto360degrees RA\H
Head First plan, patient is prone
BeamatIEC0 R\F
Beamangle0 angle 45 beamgantryanglebetweenzeroandfortyfivedegrees RA\F
Beamangle45 angle 90 beamgantryanglefrom45degreesuptoninetydegrees AR\F
BeamatIEC90 A\F
Beamangle90 angle 135 beamgantryanglebetween90and135degrees AL\F
Beamangle135 angle 180 beamgantryanglefrom136degreesupto180degrees LA\F
BeamatIEC180 L\F
Beamangle180 angle 225 beamgantryanglebetween180and225degrees LP\F
Beamangle225 angle 270 beamgantryanglefrom226degreesupto270degrees PL\F
BeamatIEC270 P\F
Beamangle270 angle 315 beamgantryanglebetween270and315degrees PR\F
Beamangle315 angle 360 beamgantryanglefrom316degreesupto360degrees RP\F
Feet first plan, patient is prone
BeamatIEC0 L\H
Beamangle0 angle 45 beamgantryanglebetweenzeroandfortyfivedegrees LA\H
Beamangle45 angle 90 beamgantryanglefrom45degreesuptoninetydegrees AL\H
BeamatIEC90 A\H
Beamangle90 angle 135 beamgantryanglebetween90and135degrees AR\H
Beamangle135 angle 180 beamgantryanglefrom136degreesupto180degrees RA\H
BeamatIEC180 R\H
Beamangle180angle 225 beamgantryanglebetween180and225degrees RP\H
Beamangle225 angle 270 beamgantryanglefrom226degreesupto270degrees PR\H
XiO 55
BeamatIEC270 P\H
Beamangle270 angle 315 beamgantryanglebetween270and315degrees PL\H
Beamangle315 angle 360 beamgantryanglefrom316degreesupto360degrees LP\H
XiO 56
Appendix 8 DICOM RT Ion Plan Export/Import (available only with PROTON planning license)
AnRTIonPlanobjectwillcontaintheelementslistedbelow.TheimportmappingisIGNOREunlessotherwisespecified.DataitemsdescribedasNULLarezero‐lengthitems.
SOP Common Module (Part 3 C12.1) (See also Part 3 C12.1.1.2)
Group Element Description
0008 0005 Specific Character Set Export:ISO_IR100
0008 0012 Instance Creation Date Export:InstanceDate
0008 0013 Instance Creation Time Export:InstanceTime
0008 0014 Instance Creator UID Export:2.16.840.1.114337
0008 0016 SOP Class UID Export:RTIonPlanStorageImport:ProcessonlyifRTIonPlanStorageorelsepasstoRTPlan import
0008 0018 SOP Instance UID Export:PlanInstanceUIDReferencedbelow SOPInstanceUID
Patient Module (Part 3 C7.1.1)
Group Element Description
0010 0010 Patient's Name Export:NameImport:Presentedasinformationduringimport.Warningissuedifnotthesameasthepatientinmemory;usercanoverrideandcontinue.
0010 0020 Patient's ID Export:SendDICOMpatientIDifoneexists;otherwise,sendthepatientIDassociatedwiththeplan.Import:Presentedasinformationduringimport.Warningissuedifnotthesameasthepatientinmemory;usercanoverrideandcontinue.
0010 0030 Patient's Birth Date Export:Dateofbirth.
XiO 57
Patient Module (Part 3 C7.1.1)
0010 0040 Patient's Sex Export:SendM,F,orOgendermappedtoM/F/O
0010 1000 Other Patient's IDs Export:PatientID.
General Study Module (Part 3 C7.2.1)
Group Element Description
0008 0020 Study Date Export:OriginalStudydateImport:onlypresentedasinformationduringimport
0008 0030 Study Time Export:OriginalStudytimeImport:onlypresentedasinformationduringimport
0008 0050 Accession Number Export:OriginalDICOMaccessionnumber
0008 1030 Study Description Export:StudyDescription
0020 000D Study Instance UID Regardlessofvalueexported,auniqueUIDsharedacrossallIODsexportedsimultaneouslyisgeneratedandreferencedbelowas SU .Export:OriginalStudyInstanceUIDifoneexists,otherwisesendSU
0020 0010 Study ID Export:OriginalstudyIDifitexists,otherwiseexportstudysetID.
RT Series Module General Series Module (Defined: Part 3 C7.3.1
Defined: Part 3 C8.8
Group Element Description
0020 000E Series Instance UID ExportSeriesinstanceUID StudyInstanceUID .1.1
0020 0011 Series Number Export:NULL
Appendix 8 DICOM RT Ion Plan Export/Import (available only with PROTON planning license)
58
RT Series Module General Series Module (Defined: Part 3 C7.3.1
Defined: Part 3 C8.8 See also: Part 3 C7.3.1.1)
Group Element Description
0008 0060 Modality Export:RTPLAN
0020 000E Series Instance UID ExportSeriesinstanceUID StudyInstanceUID .1.1
0020 0011 Series Number Export:NULL
Frame of Reference Module (Part 3 C7.4.1 See also Part 3 C7.4.1.1.1)
Group Element Description
0020 0052 Frame of Reference UID Export:CT’soriginalframeofreferenceUID ifavailable;elsegenerateauniqueUID.
Frame of Reference Module (Part 3 C7.4.1 See also Part 3 C7.4.1.1.2)
Group Element Description
0020 1040 Position Reference Indicator Export:Sendoriginalpositionofreference.
General Equipment Module (Part 3 C7.5.1)
Group Element Description
0008 0070 Manufacturer Export:"CMS,Inc."†
Import:IfVarian,continueimport,otherwisestop.
0008 1010 Station Name XiOworkstationhostnameatthetimeofSOPInstanceUIDgeneration.Export:StationName
0008 1090 Manufacturer's Model Name Export:"XiO"
0018 1020 Software Version(s) Export:XiO'sSoftwareVersionNumber x.xx.xxformat .
XiO 59
†CMSInc.hasbeensucceededasacorporationbyIMPACMedicalSystemsInc.;forsustaineddatacompatibilitywithDICOMreceiversthatmightusethenameforspecificimportfilteringorprocessing,wehaverefrainedfromchangingtheManufacturernameintheDICOMexportobjects.
RT Series (Part 3 C8.8)
Group Element Description
0008 0060 Modality Export:RTPLAN
0008 1070 Operator’s Name Export:Loginusername
0020 000E Series Instance UID Export: StudyInstanceUID .1.1
0020 0011 Series Number Export:NULL
RT General Plan (Part 3 C8.8.9)
Group Element Description
0008 1070 Operator’s Name Export:Loginusername
0008 1150 Referenced SOP Class UID Export:RTStructureSetStorage
0008 1155 Referenced SOP Instance UID Export:SOPInstanceUIDofexportedStructureSet
300A 0002 RT Plan Label ExportPlanID basedoncombinationofCourseID ifpresent plussavedplanID.Ifplanwasintemporarystatuswhenexported,thelabelwillbeprecededbyTemp.Import:Thisdatawillbepresentedintheplanindexasahelptotheuser,andwillbeusedtocreatethetemporaryXiOfilename.
300A 0003 RT Plan Name Export:IfthisisapermanentplansendplanIDorifitisatemporaryplanwithnopermanentplanreferencesendTemporaryplannumberTemporary_ TemporaryPlan# .Ifitisatemporary planwithapermanentplanreference,sendTemporary_ TemporaryPlan# _ PlanId .
300A 0004 RT Plan Description Export:Plandescription
300A 0006 RT Plan Date Export:Plan Modification DateImport:Thisdatawillbepresentedintheplanindexasahelptotheuser.
Appendix 8 DICOM RT Ion Plan Export/Import (available only with PROTON planning license)
60
RT General Plan (Part 3 C8.8.9)
Group Element Description
300A 0007 RT Plan Time Export:PlanModificationTimeImport:Thisdatawillbepresentedintheplanindexasahelptotheuser.
300A 000A Plan Intent ExportPlanintentfieldfromXiOifthere isone,otherwisenotexported.
300A 000C RT Plan Geometry Export:IfStructureSetwassent, send“PATIENT”orelsesendthe“TREATMENT_DEVICE”.
300C 0060 Referenced Structure Set Sequence Export:SendifStructureSetwassentwiththeRTIonPlan.
RT Prescription Module (C.8.8.10)
Group Element Description
300A 0010 Dose Reference Sequence Export:OnlyexportifPrescriptionSiteandPrescriptionDosearedefinedforatleastonefractiongroup.Onlygroupsthatcontainbothpiecesofinformationareexported.
300A 0012 Dose Reference Number Export:Thenumberoffractionsplannedsetsthisvalue thenumberoffractionsforeachfractiongroupisuniqueandthereforeusedhereandastheToleranceTableNumber .Import:notused
300A 0014 Dose Reference Structure Type Export“SITE”
300A 0016 Dose Reference Description ExportXiO’sRx prescription Sitenameforthefractiongroup.Import:systemimportsthefirstDoseReferenceDescriptionasaprescription Rx site
300A 0020 Dose Reference Type Export“TARGET”
300A 0026 Target Prescription Dose ExportXiO’sRx prescription TotalDoseImport:notimported
XiO 61
RT Patient Setup (Part 3 C8.8.12)
Group Element Description
300A 0180 Patient Setup Sequence Export:Always
0018 5100 Patient PositionExport:IfplanhasanIBAbeamanditsPatientSupportType300A,0350 is“CHAIR”,thenexportSITTING:ElseifthereisnorecordoforiginalCTImagePatientPositionandpatientplanningpositioniseFOOTIN,SendFFS.ElseifthereisnorecordoforiginalCTImagePatientPositionandpatientplanningpositioniseHEADIN,SendHFS.ElseifpatientplanningpositioniseFOOTIN,sendoriginalCTImagePatientPositionexceptthefirstcharacterisreplacedwith"F".Elseifplanishead‐ineHEADIN,sendoriginalCTImagePatientPositionexceptthefirstcharacterisreplacedwith"H".
300A 0182 Patient Setup NumberExport:1
300A 01B0 Setup Technique Export:ISOCENTRICImport:assumesISOCENTRIC
RT Fraction Scheme (Part 3 C8.8.13)
Group Element Description
300A 0070 Fraction Group Sequence Export:Always
300A 0071 Fraction Group Number Export:fractiongroupnumber.Groupsarecreatedbasedoncommonnumberoffractionsforeachbeamandgroupnumbersareassignedsequentially.
300A 0078 Number of Fractions Planned Export:Numberoffractions fromanybeamingroupbecausetheyareallequal.
300A 0080 Number of Beams Export:Numberof beamsincurrentgroup.
300A 00A0 Number of Brachy Application Setups Export:0
300C 0004 Referenced Beam Sequence Export:Always
300A 0082 Beam Dose Specification Point ExportDoseSpecificationPointCoordinatesinmillimetercoordinatestofirstdecimalplace.
Appendix 8 DICOM RT Ion Plan Export/Import (available only with PROTON planning license)
62
RT Fraction Scheme (Part 3 C8.8.13)
Group Element Description
300A 0084 Beam Dose Export:Ifplandoseiscalculated,exportdoseperfractioninGyatthedosespecificationpoint.
300A 0086 Beam Meterset Export:Numberofmonitorunitsperfraction,iftheyareavailable.Import:tagvalueisignored. SpotbeammonitorunitissetbytheFinalCumulativeMetersetWeighttag 300A,010E .
300C 0006 Referenced Beam Number Export:Beamnumber
300C 0050 Referenced Dose Reference Sequence ExportedonlyifRxSiteandRxTotalDosearepresentinXiOforthebeam’sfractiongroup.
300C 0051 Referenced Dose Reference Number Exportthenumberoffractionsforthisgroup
Approval Module (Part 3 C.8.8.16)
Group Element Description
300E 0002 Approval Status Export:SendAPPROVED ifplanisapproved ;otherwisesendUNAPPROVED.Import:planwillbesettoUNAPPROVED
300E 0004 Review Date Export:IfApprovalStatus 300E,0002 isAPPROVED,sendtheplan’slastmodificationdate.
300E 0005 Review Time Export:IfApprovalStatus 300E,0002 isAPPROVED,sendtheplan’slastreviewtimeofday.
300E 0008 Reviewer Name Export:IfApprovalStatus 300E,0002 isAPPROVED,sendphysician’sname.
XiO 63
RT Ion Beams Module (Part 3 C.8.8.25)
Group Element Description
300A 03A2 Ion Beam Sequence Export:Sendforeachprotonbeamthatisactiveandcalculable.Import:Readall
0008 1040 Institutional Department Name Export:XiOClinicName
300A 00B2 Treatment Machine Name Export:SendtheDICOMmachineIDifoneisassigned;otherwisesendtheXiO‐assignedmachineID.Import:XiOmachineID
300A 00B3 Primary Dosimeter Unit Export:MU
300A 00C0 Beam Number Export:BeamnumberImport:ThiswillbemappedtoanXiObeamnumber anintegerbetween1and99 .
300A 00C2 Beam Name ExportFieldIDifpresentinthebeam,otherwiseexportXiO’sbeamdescription upto24characters Import:ThiswillbeusedastheXiOfieldIDandbeamdescriptionunlessBeamDescription 300A,00C3 exists.
300A 00C3 Beam Description Export:Beamdescription upto24characters Import:Thefirst24characterswillbeusedastheXiObeamdescription.
300A 00C4 Beam Type Export:IfBeam Spreadingtype is“spotScanning”andManufactureris“IBA”,sendSTATIC.Else,ifBeamSpreadingtypeis“spotscanning”andManufactureris“Varian”,sendDYNAMIC.ElsesendSTATIC.
300A 00C6 Radiation Type Export:PROTONImport:SkipbeamifnotPROTON.
300A 00CE Treatment Delivery Type Export:TREATMENT
300A 00D0 Number of Wedges Export:Ifbeamhasawedgedcompensator,send1;otherwisesend0.
300A 00E0 Number of Compensators Export:0
300A 00ED Number of Boli Export:0
Appendix 8 DICOM RT Ion Plan Export/Import (available only with PROTON planning license)
64
RT Ion Beams Module (Part 3 C.8.8.25)
Group Element Description
300A 00F0 Number of Blocks Export:Ifbeamhasa port,send1;otherwisesend0.Import:Read
300A 010E Final Cumulative Meterset Weight Export:Time/MUresults.Import:importasfinalMUforbeam
300A 0110 Number of Control Points Export:SeeIonControlPointSequence 300A,03A8 .
300A 02EA Ion Range Compensator Sequence Export: Ifthereisarangecompensatoronthebeam.Import:notread.
300A 02E0 Compensator Divergence Export:"ABSENT"
300A 02E1 Compensator Mounting Position Export:"SOURCE_SIDE"
300A 02E4 Isocenter to Compensator Tray Distance Export:ThedistancefromtheCompensatortotheIsocenter.
300A 02E5 Compensator Column Offset Export:Thecolumnoffsetissentifitisnotsettozero.
300A 02E8 Compensator Milling Tool Diameter Export:CompensatorMillingToolDiameter
300A 02EB Compensator Description Export:TheRange compensatordescription ifitisdefined.
300A 0308 Scan Mode Export:Ifthebeamis spotscanning,sendMODULATED.IftheScanMode SFM isspecifiedasUniform,sendUNIFORM.Otherwise,sendNONE.Import:skipbeamifnotMODULATED.
300A 030A Virtual Source-Axis Distances Export:Ifthebeamisspotscanning,sendtheverticalandhorizontalscanreferencedistances;otherwise,sendmachinereferencedistance.
300A 030C Snout Sequence
300A 030F Snout ID Export:SnoutID.Import:readsnoutID;skipbeamifnotvalid.
300A 0312 Number of Range Shifters Export:Ifaprotonbeamdegraderexists,send1;otherwisesend0.
XiO 65
RT Ion Beams Module (Part 3 C.8.8.25)
Group Element Description
300A 0314 Range Shifter Sequence Export:SendifNumberofRangeShifters 300A,0312 0.Import:ReadifNumberofRangeShifters 300A,0312 0.
300A 0316 Range Shifter Number Export:1
300A 0318 Range Shifter ID Export:SendprotonbeamdegraderID.Import:readprotonbeamdegraderID;skipbeamifnotvalid.
300A 0320 Range Shifter Type Export:Iftheprotonbeamisspotscanning,sendBINARY;otherwisesendANALOG.
300A 0330 Number of Lateral Spreading Devices Export:0
300A 0340 Number of Range Modulators Export:Ifbeamisspotscanningandaripplefilterexists,send1.Ifthebeamisnotspotscanning,send1.Otherwise,send0.
300A 0342 Range Modulator Sequence Export:sendifNumberofRangeModulators 300A,0340 0.Import:readifNumberofRangeModulators 300A,0340 0.
300A 0344 Range Modulator Number Export:1
300A 0346 Range Modulator ID Export:ForManufacturer“IBA”IfScanMode 300A,0308 isNONE,sendRF_Undefined.IfScanModeisUNIFORM,sendModulatorIDorPrescribedModulation.IfScanModeisMODULATED,senduserselectedRippleFilterIDForManufacturernotequaltoIBAIfScanModeisNONEorUNIFORM,sendModulatorIDorPrescribedModulationIfScanModeisMODULATED,sendtheripplefilterID.Import:readRippleFilterifscanmodeisMODUALTED.
300A 0348 Range Modulator Type Export:Ifbeamisspotscanning,sendFIXED;otherwise,sendWHL_FIXEDWEIGHTS.
300A 0350 Patient Support Type Export:Ifthecouchdefinitionischair,sendCHAIR;otherwisesendTABLE.Import:Useifvalueissent,otherwisedefaulttoTABLE.
Appendix 8 DICOM RT Ion Plan Export/Import (available only with PROTON planning license)
66
RT Ion Beams Module (Part 3 C.8.8.25)
Group Element Description
300A 0352 Patient Support ID Export:SendthecouchIDifone exists,otherwise,donotsend.Import:importasbeam’scouchID;skipbeamifnotvalid.
300A 0356 Fixation Light Azimuthal Angle Export:IfgazedataexistsforanOcuProplan,sendtheazimuthalangle.
300A 0358 Fixation Light Polar Angle Export:IfgazedataexistsforanOcuProplan,sendthepolarangle.
300A 03A6 Ion Block Sequence Export:SendifNumberofBlocks 300A,00F0 is 0.Import:ReadifNumberofBlocks 300A,00F0 is 0.Ifmorethan1blockisdefined,onlythefirstblockwithaBlockType300A,00F8 ofAperture willbeprocessed.Ifanyblocks/aperturesarenotprocessed,awarningwillbedisplayed.
300A 00E1 Material ID Export:Exportcustomizedportmaterial.Import:Same
300A 00F7 Isocenter to Block Tray Distance Export:Sendisocenter toaperturedistanceplusportthickness.Import:Ignore
300A 00F8 Block Type Export:ApertureImport:IgnoreblocksthatarenotAPERTURES.
300A 00FA Block Divergence Export:AbsentImport:Ignore
300A 00FB Block Mounting Position Export:PATIENT_SIDEImport:Ignore
300A 00FC Block Number Export:1Import:Ignore
300A 00FE Block Name Export:Ifthisisdefinedexport,otherwisedonotexport.Import:Ifthisfieldisdefinedthenimport.
300A 0100 Block Thickness Export:Exportportthickness.Import:importblockthickness
300A 0104 Block Number of Points Export:Exportnumberofcoordinates.Import:importnumberofpoints
XiO 67
RT Ion Beams Module (Part 3 C.8.8.25)
Group Element Description
300A 0106 Block Data Export:Exportcoordinates.Import:importcoordinates
300A 03A8 Ion Control Point Sequence Export:IfBeamSpreadingtypeis“spotscanning”andManufactureris“IBA”,sendtwoseparatecontrolpoints.Specifybeginningandendofeachlayer.Layersthathavenodosecontributionarenotsent. Else,ifthebeamisspotscanning,sendalllayersthatareONplusoneControlPointafterthelastlayer.Forexample,forNlayers:NOTE:"sum"meansCumulativeMetersetWeight 300A,0134 CP#0 sum 0;containing1stlayerCP#1 sum after1stlayer;containing2ndlayerCP#2 sum after2ndlayer;containing3rdlayerCP#N‐1 sum after N‐1 thlayer;containingNthlayerCP#N sum afterNthlayer;containingnolayerElsesendtwoitems:i.e.CP#0 sum 0;containingdeliverysettingsCP#1 sum 1.0;containingnosettingsImport:Readall
300A 0015 Nominal Beam Energy Unit Export:MEV
300A 0112 Control Point Index Export:Startat0andincrementby1foreachsubsequentcontrolpoint.
300A 0114 Nominal Beam Energy Export:Ifbeamisspotscanning,sendtheEnergyvalueconvertedfromtheprescribedrange.E MeV prescribedrange/0.022 ^ 1.0/1.77 Import:Skipbeamifnotvalid.OtherwiseconvertincomingEnergytoprescribedrangeusingtheinverseoftheformulaabove.
300A 011E Gantry Angle Export:InfirstcontrolpointsendthegantryangleconvertedfromXiOtoIECcoordinatesystem.Import:Same,convertedfromIECtoXiOcoordinatesystem.
300A 011F Gantry Rotation Direction Export:Infirstcontrolpoint,sendNONE.
300A 0120 Beam Limiting Device Angle Export:Infirstcontrolpoint,send0.
300A 0121 Beam Limiting Device Rotation Direction Export:Infirstcontrolpoint,sendNONE.
Appendix 8 DICOM RT Ion Plan Export/Import (available only with PROTON planning license)
68
RT Ion Beams Module (Part 3 C.8.8.25)
Group Element Description
300A 0122 Patient Support Angle Export:Infirstcontrolpoint,sendthecouchangleconvertedfromXiOtoIECcoordinatesystem.Ifachairisused,thisanglewillincludetheadditionofthechairmountangle.Import:SameconvertedfromIECtoXiOcoordinatesystem.
300A 0123 Patient Support Rotation Direction Export: Infirstcontrolpoint,sendNONE.
300A 0128 Table Top Vertical Position Export:Infirstcontrolpoint,ifsetsendthecouchpositionz‐coordinatetransformedtotheoriginalFrameofReference;otherwisesendNULL.Import:Infirstcontrolpoint,transformtoXiOpatientcoordinatesanduseasthecouchpositionz‐coordinate.
300A 0129 Table Top Longitudinal Position Export:Infirstcontrolpoint,sendNULL.
300A 012A Table Top Lateral Position Export:Infirstcontrolpoint,ifset,sendthe couchpositionx‐coordinatetransformedtooriginalFrameofReference;otherwisesendNULL.Import:Infirstcontrolpoint,transformtoXiOpatientcoordinatesanduseasthecouchpositionx‐coordinate.
300A 012C Isocenter Position Export:Infirst controlpoint,sendthebeamisocentertransformedtooriginalFrameofReference.Import:Samewithreversetransformifwithinpatientvolumeextents;otherwise,markforuseroverride.
300A 0134 Cumulative Meterset Weight Export:Ifbeamisspotscanning,sendsumofallspotweightsScanSpotMetersetWeights 300A,0396 sentthusfar beforecurrentcontrolpoint .Forexample:CP#0 0CP#1 sumof1stlayerCP#2 sumof1stand2ndlayersCP#3 sumof1st,2ndand3rdlayersCP#N sumofall 1stthroughNth layersOtherwise,send0forfirstcontrolpointand1.0forthesecondcontrolpoint.
XiO 69
RT Ion Beams Module (Part 3 C.8.8.25)
Group Element Description
300A 0140 Table Top Pitch Angle Export:Onlyforthefirstcontrolpoint.Send0ifitisaspot‐scanbeam.Else,ifbeamPatientSupportType 300A,0014 is“CHAIR”anditsManufactureris“IBA”,send0.ElsesendthepitchangleconvertedtoIEC.TheXiOpositivepitchangleisthesameasIEC.Import:forthefirstcontrolpoint,ifsent,converttoXiOangleandstoreasthebeam’sPitchAngle.Ifnotsent,settothenominalPitchAngleforthemachine.
300A 0142 Table Top Pitch Rotation Direction Export:Infirstcontrolpoint,sendNONE.Import:notused
300A 0144 Table Top Roll Angle Export:Infirstcontrolpoint, sendtabletoprollangleconvertedtoIEC.Note:Forhead‐firstplans,XiOPositiveRollAngleisintheoppositedirectionastheIEC.Forfeet‐firstplans,theXiOpositiverollangleisinthesamedirectionastheIEC.Import:forthefirstcontrolpoint,ifsent,converttoXiOangleandstoreasthebeam’sRollAngle.Ifnotsent,settothenominalRollAngleforthemachine.
300A 0146 Table Top Roll Rotation Direction Export:Infirstcontrolpoint,sendNONE.Import:notused
300A 014A Gantry Pitch Angle Export:Infirstcontrolpoint,send0.
300A 014C Gantry Pitch Rotation Direction Export:Infirstcontrolpoint,sendNONE.
300A 030D Snout Position Export:Infirstcontrolpoint,sendthenozzletoisocenterdistance.Import:Inthefirstcontrolpoint,settheairgaptothisvalueminusthedifferencebetweenthemachinereferencedistanceandthesource‐to‐skindistanceandthenaddedtothethicknessesoftherangeshifter,ripplefilter,andaperture allthatapplies .Ifanyofthesethicknessesis applicable,thedeviceisattachedtothesnout.
300A 0360 Range Shifter Setting Sequence Export:SendinfirstcontrolpointifNumberofRangeShifters300A,0312 0.
300A 0362 Range Shifter Setting Export:IfBeamSpreadingtypeis“spotscanning”andManufactureris“IBA”,Send1.Else,sameasRangeShifterWaterEquivalentThickness300A,0366 .
Appendix 8 DICOM RT Ion Plan Export/Import (available only with PROTON planning license)
70
RT Ion Beams Module (Part 3 C.8.8.25)
Group Element Description
300A 0364 Isocenter to Range Shifter Distance Export:Sendtheisocentertodegraderdistance.
300A 0366 Range Shifter Water Equivalent Thickness Export:Ifbeamisspotscanning,sendthedegraderwaterequivalentthickness.Fornon‐spotscanningbeams,exportthemaximumrangeminustheprescribedrange.
300C 0100 Referenced Range Shifter Number Export:1
300A 0380 Range Modulator Settings Sequence Export:SendinfirstcontrolpointifNumberofRangeModulators 300A,0340 0.
300A 0386 Range Modulator Gating Start Water Equivalent Thickness Export:Sendwaterequivalentthickness rangemodulatoroffsetis0 .
300A 0388 Range Modulator Gating Stop Water Equivalent Thickness Export:Sendwaterequivalentthickness rangemodulatoroffsetisthenumberofelements–1 .
300A 038A Isocenter to Range Modulator Distance Export:Sendtheisocentertomodulatordistance.
300C 0104 Referenced Range Modulator Number Export:1
300A 0390 Scan Spot Tune ID Export:Ifthebeamisspotscanning,sendthetuneID sigmavalue .Import:Same;Skipbeamifnotvalid.
300A 0392 Number of Scan Spot Positions Export:Ifbeamisspotscanning,sendnumberofspotswithnon‐zeroweight.Import:Determinesnumberofspotpositionsandweightstoread.
300A 0394 Scan Spot Position Map Export:Ifbeamisspotscanning,sendthex/ypositioninbeamcoordinatesofeachspotwithnon‐zeroweight.Import:Spotpositionsarereadandusedifwithinscan/fieldextents widthandlength specifiedinSFM Skipbeamifnotvalid. .Theyarenotfittoarectilineargrid.Dosewillcalculatebutthespotweightswillnotbeindividuallyeditable.
XiO 71
RT Ion Beams Module (Part 3 C.8.8.25)
Group Element Description
300A 0396 Scan Spot Meterset Weights Export:Ifbeamisspotscanning andmanufacturerisVarian,sendspotweightscorrespondingtothespotsinScanSpotPositionMap 300A,0394 .Ifbeamisspotscanningandthemanufactureris“IBA”,Forthecontrolpointthatspecifiesthebeginningofanenergylayer,sendthespotweightsthatcorrespondtothespotsinScanSpotPositionMap 300A,0394 .Forthecontrolpointthatspecifiestheendofanenergylayer,sendspotweightsof“0”foreachspotonScanSpotPositionMap300A,0394 .Import:Same;Skipbeamifnotvalid.
300A 0398 Scanning Spot Size Export:Ifbeamisspotscanning,sendspotsize.
300A 039A Number of Paintings Export:Ifbeamisspotscanning,sendnumberofpaintings.Import:Same.
300A 03AC Ion Wedge Position Sequence Export:SendinfirstcontrolpointifNumberofWedges300A,00D0 0.
300A 00DB Wedge Thin Edge Position Export:Sendinsertiondistanceforwedge.
300A 0118 Wedge Position Export: IN.
300C 00C0 Referenced Wedge Number Export:1
300A 03AA Ion Wedge Sequence Export:SendifNumberofWedges 300A,00D0 0.
300A 00D2 Wedge Number Export:1.
300A 00D3 Wedge Type Export:PARTIAL_STANDARD
300A 00D4 Wedge ID Export:Send Wedge_XXwhereXXisthewedgeangleinvaluestated in 300A,00D5 field.
300A 00D5 Wedge Angle Export:Sendwedgeangle.
300A 00D8 Wedge Orientation Export:Sendwedgeorientationangle.
300A 00D9 Isocenter to Wedge Tray Distance Export:Send isocentertowedgetraydistance.
Appendix 8 DICOM RT Ion Plan Export/Import (available only with PROTON planning license)
72
RT Ion Beams Module (Part 3 C.8.8.25)
Group Element Description
300B 0010 MOSAIQ Private Creator Export:"IMPAC"ifitisnotaspot‐scanbeam.
300B 1002 Maximum Collimated Field Diameter Export:Ifitisnotaspot‐scanbeam,orifitisSpotScanningandmanufactureris“IBA”thensendthemaximumfielddiameter.
300B 1004 Planned Distal Target Distance Export:IfBeamSpreadingtypeis“SpotScanning”andmanufacturerisIBA,senddistallayerprescribedrange.Else,ifitisnotaspot‐scanbeam,sendprescribedrange.
300B 100E Nominal SOBP Width Export:IfBeamSpreadingtypeis“SpotScanning”andmanufacturerisIBA,senddifferencebetweentheprescribedrangesforthefirstandlastlayers.Else,ifitisnotaspot‐scanbeam,sendtheprescribedmodulation.
300C 006A Referenced Patient Setup Number Export:1
4429 0011 ACCEL Private Creator Export:IfOcuProgazedataorseatedtreatmentdataexists,sendION_PRIVATE11.
4429 110C Fixation Light Position Export:Ifeyeplanning gazedataexistssendthex,y,andzcoordinatesofthefixationposition.
4429 110D Reference Fixation Light Azimuthal Angle Export:ifeyeplanninggazedataexists,exporttheReferenceazimuthalanglereceivedfromFocal.
4429 110E Reference Fixation Light Polar Angle Export:ifeyeplanninggazedataexists,exporttheReferencepolaranglereceivedfromFocal.
4429 110F Chair Back Angle Export:sendchairbackangle
4429 1110 Chair Mount Offset Angle Export:sendchairmountangle
300D 0010 IBA Private Creator Export:ifscan modeisNONE,sendvalueofIBA;otherwisedonotexporttag.
300D 1002 Scattered Mode
Export:ifscanmodeisNONE,exportSINGLEorDOUBLEdependingonthevaluesetinthetreatmentmachine;otherwisedonotexporttag.
XiO 73
Appendix 9 Private Data Elements
BelowisalistingoftheValueRepresentationandValueMultiplicityfortheprivatetagsmentionedinAppendix7forRTIONPLAN.
Table 9.1 Private Creator Identification (IMPAC)
Tag Attribute Name VR VM
300B 0010 MOSAIQ Private creator LO 1
300B 1002 Maximum Collimated Field Diameter
FL 1
300B 1004 Planned Distal Target Distance FL 1
300B 100E Nominal SOBP Width FL 1
Table 9.2 Private Creator Identification (ION_PRIVATE11)
Tag Attribute Name VR VM
4429 0011 ACCEL Private Creator LO 1
4429 110C Fixation Light Position FL 3
4429 110D Reference Fixation Light Azimuthal Angle
FL 1
4429 110E Reference Fixation Light Polar Angle
FL 1
4429 110F Chair Back Angle FL 1
4429 1110 Chair Mount Offset Angle FL 1
Table 9.3 Private Creator Identification (IBA)
Tag Attribute Name VR VM
300D 0010 IBA Private Creator LO 1
300D 1002 Scattered Mode SH 1
Manufacturer Elekta Business Area Software Systems IMPAC Medical Systems, Inc. 13723 Riverport Drive Suite 100 Maryland Heights, MO 63043 USA Phone: +1.800.878.4267 Fax: +1 314 812 4491
European Union Authorized Representative
Elekta Limited Linac House, Fleming Way Crawley, West Sussex RH10 9RR, United Kingdom Phone: +44 129 365 4242 Fax: +44 1293 47134
www.elekta.com Human Care Makes the Future Possible