DICOM Correction Item
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1 DICOM Correction Item Correction Number CP- 617 Log Summary: Type of Modification Addition Name of Standard PS Rationale for Correction: The motion of modern patient support devices is no longer limited to rotations around the Z-axis in the IEC Fixed Coordinate system. The latest generation of patient support tables can perform additional rotations rolling around the longitudinal axis and pitching around the transverse axis. Another possibility is a robotic arm, that may have 3 rotational and 3 translational degrees of freedom. Furthermore, it is quite common in proton therapy to use a treatment chair, where the patient can be rotated and tilted, while the beamline has a fixed direction. Sections of documents affected: Part 3 (Information Object Definitions), Section C (RT Image Module) Section C (RT Tolerance Table Module) Section C (RT Beams Module) Section C (RT Beams Session Record Module) Correction Wording: In Part 3.3, Section C.8.8.2, Table C.8-38 (RT Image Module Attributes), add the following attributes after Table Top Eccentric (300A,0125): Table Top Pitch (300A,0140) 3 Table Top Pitch, i.e. the rotation of the IEC TABLE TOP coordinate system about the X-axis of the IEC TABLE TOP coordinate system (degrees). See Table Top Roll (300A,0144) 3 Table Top Roll, i.e. the rotation of the IEC TABLE TOP coordinate system about the Y-axis of the IEC TABLE TOP coordinate system (degrees). See In Part 3.3, Section C , Table C.8-50 (RT Beams Module Attributes), add the following attributes after Table Top Eccentric (300A,0126): Beam Sequence (300A,00B0) 1 Introduces sequence of treatment beams for current RT Plan. One or more items may be included in this sequence.
2 >Control Point Sequence (300A,0111) 1 Introduces sequence of machine configurations describing treatment beam. Two or more items may be included in this sequence. See C and C (300A,0140) 1C Table Top Pitch, i.e. the rotation of the IEC TABLE TOP coordinate system about the X-axis of the IEC TABLE TOP coordinate system (degrees). If treatment delivery device and if Table Top Pitch changes during Beam, shall be present in all subsequent items of Control Point Sequence. See (300A,0142) 1C Direction of Table Top Pitch Rotation when viewing the table along the positive X-axis of the IEC TABLE TOP coordinate system, for segment following Control Point. If required by treatment delivery device, shall be present for first item of Control Point Sequence. If required by treatment delivery device and if Table Top Pitch changes during Beam, shall be present in all subsequent items of Control Point Sequence. See C and. (300A,0144) 1C Table Top Roll, i.e. the rotation of the IEC TABLE TOP coordinate system about the IEC Y-axis of the IEC TABLE TOP coordinate system (degrees). If treatment delivery device and if Table Top Roll changes during Beam, shall be present in all subsequent items of Control Point Sequence. See (300A,0146) 1C Direction of Table Top Roll Rotation when viewing the table along the positive Y-axis of the IEC TABLE TOP coordinate system, for segment following Control Point. If required by treatment delivery device, shall be present for first item of Control Point Sequence. If required by treatment delivery device and if Table Top Roll changes during Beam, shall be present in all subsequent items of Control Point Sequence. See C and.
3 In Part 3.3, Section C , Table C.8-57 (RT Beams Session Module Attributes), add the following attributes after Table Top Eccentric (300A,0126): Treatment Session Beam Sequence >Control Point Delivery Sequence (3008,0020) 1 Introduces sequence of Beams administered during treatment session. The sequence may contain one or more items. (3008,0040) 1 Introduces sequence of beam control points for current treatment beam. The sequence may contain one or more items. See C (300A,0140) 1C Table Top Pitch, i.e. the rotation of the IEC TABLE TOP coordinate system about the X-axis of the IEC TABLE TOP coordinate system (degrees). If treatment delivery device and if Table Top Pitch changes during Beam Delivery, shall be present in all subsequent items of Control Point Sequence. See (300A,0142) 1C Direction of Table Top Pitch Rotation when viewing the table along the positive X-axis of the IEC TABLE TOP coordinate system, for segment following Control Point. If required by treatment delivery device, shall be present for first item of Control Point Sequence. If required by treatment delivery device and if Table Top Pitch changes during Beam Delivery, shall be present in all subsequent items of Control Point Sequence. See C and. (300A,0144) 1C Table Top Roll, i.e. the rotation of the IEC TABLE TOP coordinate system about the Y-axis of the IEC TABLE TOP coordinate system (degrees). If treatment delivery device and if Table Top Roll changes during Beam Delivery, shall be present in all subsequent items of Control Point Sequence. See
4 (300A,0146) 1C Direction of Table Top Roll Rotation when viewing the table along the positive Y-axis of the IEC TABLE TOP coordinate system, for segment following Control Point. If required by treatment delivery device, shall be present for first item of Control Point Sequence. If required by treatment delivery device and if Table Top Roll changes during Beam Delivery, shall be present in all subsequent items of Control Point Sequence. See C and. In PS 3.3, Section C , Table C.8-47 (RT Tolerance Tables Module Attributes), add the following attributes after Table Top Eccentric Tolerance (300A,004E): Tolerance Table Sequence > Table Top Pitch Tolerance > Table Top Roll Tolerance (300A,0040) 3 Introduces sequence of tolerance tables to be used for delivery of treatment plan. One or more items may be included in this sequence. See Note 1. (300A,004F) 3 Maximum permitted difference (in degrees) between the planned and delivered Table Top Pitch. (300A,0050) 3 Maximum permitted difference (in degrees) between the planned and delivered Table Top Roll. In PS 3.3,add Section : Table Top Pitch and Table Top Roll Pitch and Roll s of the Table Top are not defined in IEC These angles are defined in the DICOM standard in a way compatible with the current notion of IEC by introducing them as rotations of the IEC Table Top System as indicated below. The Table Top Pitch is defined as the rotation of the coordinate axes Yt, Zt about axis Xt by an angle ψt; see figure 1 below. An increase in the value of angle ψt corresponds to the clockwise rotation of the Table Top as viewed from the Table Top coordinate system origin along the positive Xt axis. The Table Top Roll is defined as the rotation of the coordinate axes Xt, Zt about axis Yt by an angle ϕt; see figure 2 below. An increase in the value of angle ϕt corresponds to the clockwise rotation of the Table Top as viewed from the Table Top coordinate system origin along the positive Yt axis.
5 Zt Zt ψ t Yt ψ t Yt It Xt - Yt Plane Xt
6 Figure 1: Table Top Pitch Zt ϕt Zt Yt It Xt Xt - Yt Plane ϕt Xt Figure 2: Table Top Roll
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