<H3>Special Instructions</H3> A clinical expert or a general Connecathon Monitor will evaluate this test.  If you are using a clinical expert, the representative of the Image Display system is responsible for arranging a time for him/her to do the evaluation with you. <H3>Description</H3> This test verifies that the Image Display is capable of displaying annotation with values from attributes required by the MAMMO profile, and by default ensuring that they are encoded correctly in the DICOM images by the Acquisition Modality. Several datasets with different views will be produced during this test. The Modality can send images directly to the workstation (DICOM C-STORE, though not an IHE transaction), or the Modality can send the images to the CENTRAL_ARCHIVE for later retrieval by the Image Display. <H3>Evaluation</H3> The Connectathon Monitor will check for the display of each attribute.   If an attribute is not seen on the Image Display, the Connectathon Monitor may ask the Acquisition Modality or Image Display actor to dump the DICOM header to verify that it was encoded properly.  <p>The Connectathon Monitor will check for the display of  each attribute.   If an attribute is not  seen on the Image Display, the Connectathon Monitor may ask the Acquisition  Modality or Image Display actor to dump the DICOM header to verify that it was  encoded properly.<br>    <br>   (1) The Image Display will demonstrate that the following <strong>'<em>Clinical'  attributes</em></strong> are displayed.  If  annotated on the image, these shall be displayed opposite the chest wall (as  determined by Patient Orientation (0020,0020)) to avoid covering breast tissue.</p> <ul>   <li>E7: Patient's Name                                    (0010,0010)</li>   <li>E8: Patient ID                                           (0010,0020) </li>   <li>E9: Patient's Birth Date                            (0010,0030)</li>   <li>E10: Patient's Age                                      (0010,1010)</li>   <li>E11: Acquisition Date                                 (0008,0022) </li>   <li>E12: Acquisition Time                                 (0008,0032)</li>   <li>E13: Operators' Name                                 (0008,1070)  <br>                                                                  (this may be name or initials)</li>   <li>E14: Institution Name                                 (0008,0080)</li>   <li>E15: Station Name                                      (0008,1010)</li>   <li>E16: Gantry ID                                           (0018,1008) <br>                                                                  (for  CR; overrides Station Name,<br>                                                                    which is plate reader)</li> </ul> <p>(2) The Image Display will demonstrate that the following <strong>'<em>Investigative'  attributes</em></strong> are made available to the ordinary user, but they need not  necessarily be annotated directly on the image, e.g. They might be displayed in  a separate pop-up window.</p> <ul>   <li>E17: Manufacturer                                      (0008,0070)</li>   <li>E18: Institution Address                             (0008,0081)</li>   <li>E19: Manufacturer's Model Name              (0008,1090)</li>   <li>E20: Device Serial Number                         (0018,1000)</li>   <li>E21: Detector ID                                         (0018,700A)</li>   <li>E22: Software Versions                              (0018,1020)</li>   <li>E23: Date of Last Detector Calibration      (0018,700C)</li> </ul> <p> (3) The Image  Display will demonstrate that <strong>'<em>Technical' attributes</em></strong> are displayed.<br>   If annotated on the image, these shall be displayed  opposite the chest wall (as determined by Patient Orientation (0020,0020)) to avoid covering breast tissue.  <i>Note that some attributes to be displayed may be displayed in different units of measuremen than those encoded in DICOM (e.g. Organ Dose is encoded in dGy but is always displayed in mGy, Compression Force is encoded in Newton (N) but it is usually displayed in kilogram force (kgf), etc.). The the unit of measurements used for the display may be chosen by the vendor.</i></p> <ul>   <li>E24: KVP                                                    (0018,0060)</li>   <li>E25: Exposure                                             (0018,1152)</li>   <li>E26: Exposure Time                                    (0018,1150)</li>   <li>E27: Filter Material                                     (0018,7050)</li>   <li>E28: Anode Target Material                        (0018,1191)</li>   <li>E29: Compression Force                             (0018,11A2)</li>   <li>E30: Body Part Thickness                           (0018,11A0)</li>   <li>E31: Positioner Primary Angle                    (0018,1510)</li>   <li>E32: Relative X-ray Exposure                     (0018,1405)</li>   <li>E33: Entrance Dose in mGy                        (0040,8302)</li>   <li>E34: Organ Dose                                         (0040,0316)</li> </ul> <p>E35: (4)  The Image Display will demonstrate that it is possible to turn on or off the <strong><em>Clinical,  Investigative</em></strong> or <strong><em>Technical</em></strong> annotations at the user's  discretion.</p> <p>(5) The Image Display will demonstrate that rendering of <strong><em>View  Information</em></strong> conforms to the requirements in the MAMMO Profile.  Details follow:</p> <ol> <ul>   <li>E36: Image Displays annotate the viewport with abbreviations  derived from the value of Image Laterality (0020,0062), View Code Sequence  (0054,0220) and any values of View Modifier Code Sequence (0054,0222) Items  that are present.  See next item.</li>   <li>E37: The specific abbreviations to be displayed are as  defined as follows (unless overridden by national extensions).  Notes that spaces and other delimiters are  permitted between components of the abbreviations.</li> </ul> <pre> View for Mammography (DICOM CID 4014) SNM3	R-10224 		medio-lateral 			ML SNM3 	R-10226 		medio-lateral oblique 			MLO SNM3	R-10228 		latero-medial 			LM SNM3 	R-10230 		latero-medial oblique 			LMO SNM3 	R-10242 		cranio-caudal 			CC SNM3 	R-10244 		caudo-cranial (from below) 		FB SNM3 	R-102D0 		superolateral to inferomedial oblique 	SIO SNM3 	R-102CF 		exaggerated cranio-caudal 		XCC SRT 	R-1024A 		cranio-caudal exaggerated laterally 	XCCL SRT 	R-1024B 		cranio-caudal exaggerated medially 	XCCM View Modifier for Mammography (DICOM CID 4015) SNM3 	R-102D2 		Cleavage (CC)			CV SNM3 	R-102D1 		Axillary Tail (MLO)			AT SNM3	R-102D3 		Rolled Lateral (any) 			...RL SNM3 	R-102D4 		Rolled Medial (any)			...RM SRT 	R-102CA 		Rolled Inferior (any) 			...RI SRT 	R-102C9 		Rolled Superior (any) 			...RS SNM3 	R-102D5 		Implant Displaced (any) 		...ID SNM3 	R-102D6 		Magnification (any) 			M... SNM3 	R-102D7 		Spot Compression (any) 		S... SNM3 	R-102C2 		Tangential (any) 			TAN </pre>  <ol> <ul>   <li>The Image Laterality shall be prepended to the  abbreviation, e.g., a right CC view shall be displayed as "RCC"</li>   <li>A CC view with a cleavage modifier shall be  annotated as only "CV" if Image Laterality has a value of "B", i.e., the "CC"  shall not be displayed, and the laterality shall be omitted (in which case the  left and right breast can be determined from the value of Patient Orientation  (0020,0020)); otherwise "LCV" or "RCV" shall be used</li>   <li>A right MLO view with the axillary tail modifier  shall be annotated only as "RAT", i.e., the "MLO" shall not be displayed</li>   <li>The implant displaced modifier shall be appended  as a suffix to the view, as if it were defined as "...ID", e.g., a right implant  displaced CC view would be annotated as "RCCID"</li>   <li>A spot compression modifer shall be prepended as  a prefix to the view, as if it were defined as "S...", e.g., a left spot compression  CC view would be annotated as "LSCC"</li>   <li>A tangential modifier shall be annotated as only  "TAN", i.e., the "CC" or whatever else is encoded as the view, shall not be  displayed</li>   <li>When multiple prefix or suffix modifiers are  present, they shall be sorted alphabetically, e.g. a right magnified, spot  compression, implant displaced, rolled lateral CC view would be annotated as  "RMSCCIDRL"</li> </ul> <p>E38: (7) The Image Display will demonstrate that it is  possible to turn on or off the <strong><em>View</em></strong> annotation at the user's  discretion.</p> <p>(8) The Image Display will demonstrate that display of <strong><em>Size  Information</em></strong> conforms to the requirements in the MAMMO Profile.  The Image Display shall be capable of  annotating the displayed images with the following:</p> <ul>   <li><u>E39: </u><strong><u>Pixel Size Magnification -- Number of  displayed pixels relative to the number of encoded image pixels,</u></strong> such  that a factor of 1.0 (or 100%) means 1:1 rendition, a factor of less than 1.0  means that one pixel on the display represents more than one pixel in the  encoded image (minification), and a factor of greater than 1.0 means that  pixels in the encoded image have been replicated or interpolated to span  multiple displayed pixels (magnification)</li>   <li><u>E40: </u><strong><u>True Size Magnification -- Size of the displayed pixels relative to true size</u></strong>, such that a factor of 1.0 (or  100%) means true size, a factor of less than 1.0 means smaller than true size,  and a factor of greater than 1.0 means larger than true size</li> </ul> <p> (9) The Image  Display will demonstrate that it:</p> <ul>   <li>E41: can display a ruler or caliper indicating the physical  size of the displayed image, for the purpose of providing a visual cue to the  user of the general size of the features in the image.</li>   <li>E42: enables the user to turn on or off the ruler</li>   <li>E43: provides a means of accurately measuring distance  between two points based on the physical size of the image pixels</li> </ul>