<H3>Special Instructions</H3> When entering results for this test in Kudu, the Image Display should initiate an instance of this test when the results are complete.  This allows you to also give credit to the Evidence Creator (which created the Mammography CAD SR) and the Acquisition Modality (which supplied the images) without locking those two systems out of other testing while the Image Display is working on the rendering.  (The Modality is tested indirectly because the CAD is done on a Modality vendor's images; this is an 'optional' test for Acq Modality actors since this is not a requirement in the profile, but you may be asked to run this test to help your Image Display colleagues.) <p> The Evidence Creator should use the images produced in test MAMMO_MOD_Store as data for this test.   </p>  <p>Image Displays, please use the <em><a href=system_con_object.php>Objects Information</a></em> page under 'Objects to Render' to find out what your Modality peers have uploaded on the Central Archive </p>  <p> No mechanism for getting "For Processing" images to the Evidence Creator is defined in the MAMMO profile.  The Evidence Creator can ask a Modality to push images directly to it or it may retrieve the images from the CENTRAL_ARCHIVE. </p> The Image Display can retrieve images and SRs from the CENTRAL_ARCHIVE, or the EC can C-STORE directly to the workstation (though this not a transaction in the MAMMO profile). <p>A clinical expert will evaluate this test.  The representative of the Image Display system is responsible for arranging a time for him/her to do the evaluation with you. </p> <H3>Description</H3> The MAMMO_MOD_EC_Display test is used to determine if the MAMMO Evidence Creator is entering the proper data in the Mammography CAD SR objects and to determine if the Image Display is rendering them properly. <p>This test is also used to send sample SRs to the CENTRAL_ARCHIVE to give other systems access to these objects, along with the images. </p> <H3>Evaluation</H3> Project Managers will find it helpful to dump the DICOM header in the Mammography CAD SR object when evaluating this test.  Use Image Display to dump DICOM headers and to display images. If the Image Display cannot dump the DICOM header, we will find another method to check attribute values. <p> (1) The Image Display will demonstrate that: </p> <ul> <li>E57: it makes the user aware that CAD marks are available for display <li>E58: it indicates whether or not CAD marks are currently activated <li>E59: if more than one set of Mammography CAD SR objects are available that are applicable to the same image (e.g. CAD was run more than once on the same images), <b>then all shall be made available</b> for display at the user's discretion <li>E60: it displays the date and time the CAD was performed </ul> <p> The Image Display will demonstrate that it applies marks on the displayed image for all findings encoded in the Mammography CAD SR object with a (111056, DCM, "<b>Rendering Intent</b>") value of (111150, DCM, "<b>Presentation Required</b>"). </p> <p> E61: (3) The Image Display will demonstrate that the CAD marks are displayed properly when the image is flipped or rotated.</p> <p> E62: (4) The Image Display will demonstrate that it makes the following annotations available for display <i>if they are encoded in the SR</i>: <ul> <li>E63: Manufacturer	(0008,0070) <li>E64: (111001, DCM, "Algorithm Name") and (111003, DCM, "Algorithm Version") <li>E65: (111071, DCM, "CAD Operating Point") <li>E66: Content Date (0008,0023) and Content Time (0008,0033) </ul> <p> E67: (5) Ask the workstation to display all data produced by Evidence Creator. The Evidence Creator may have created Mammography CAD SRs for multiple studies created by the Modality system.  Evaluate these also. </p>