SecretariatAmerican College of Radiology
Wil Creech
wg15chairs@dicomstandard.org
ChairsJudith Wolfman, MD, Northwestern Memorial (ACR)
Janet E. Keyes, Hologic, Inc.
wg15chairs@dicomstandard.org
Last strategy update2018-04-10
MinutesWG-15 minutes

Scope

To develop extensions to DICOM to support breast imaging and reporting thereof, including structured reporting of Computer-Aided Detection / Diagnosis (CAD) results.

Roadmap

The following are potential work items with respect to Structured Reporting:

  • Maintenance of the existing Mammography CAD, Chest CAD, Colon CAD and Breast Imaging structured reports and associated coded terminology, based on the ACR BI-RADS® Atlas.
  • Extension of CAD objects to support new modalities and applications, such as CAD for breast tomosynthesis.

The following are potential work items with respect to Image IODs:

  • Addition of attributes or modules to describe DX/Mammography quality control and phantom images.

Risks

  • Long term: Future extensions to Chest CAD SR are dependent on the clinical input received toward reaching consensus on a subset of chest radiography terminology to use in describing Chest CAD output results, and assignment of codes for that terminology.
  • Roadmap: Requests for future work items will be dependent on the active participation of vendors and clinicians that perceive a need to expand the DICOM Standard in a specific area, and support of the Secretariat for those work items. Some items may require cooperation from other working groups.

Short Term Goals

  • Continue work with IHE Radiology Mammography subcommittee on Mammography integration profiles.
  • Update Breast Imaging Report templates and context groups relative to ACR BI-RADS® Atlas Fifth Edition, including MRI Section.
  • Maintenance of the Digital Mammography X-Ray Image IOD, Breast Tomosynthesis Image IOD, Breast Projection X-Ray Image IOD, Mammography CAD SR IOD, Chest CAD SR IOD, Colon CAD SR IOD, X-Ray Radiation Dose SR IOD (breast x-ray imaging content items) and Breast Imaging Report and Relevant Patient Information for Breast Imaging templates and context groups.

Current Status

  • Meets 2-3 times per year at the ACR in Reston, VA when active.
  • Participation by members of the computer aided detection, digital radiography, and reporting system community, a well as clinical and research radiologists and ACR staff involved in mammography, chest, and abdomen radiography.

Current Work Items

  • None.

Challenges and Opportunities

  • Monitor future developments in breast imaging technologies, and the need to store and exchange resulting images and related information in DICOM.
  • Monitor future developments in CAD research, particularly those that make the technology actively interactive with radiologists.

Relationships to other Standards

  • Use of American College of Radiology (ACR) BI-RADS® Atlas terminology as the basis of coded terminology for Structured Reporting for Breast Imaging
  • Use of the Mammography Quality Control Manual 1999, available from the American College of Radiology (ACR), as a basis of coded terminology for the reporting of mammography image quality characteristics
  • Use of the Mammography Quality Standards Act (MQSA) regulations, a federal regulation of the United States government, as a basis of coded terminology for the reporting of mammography image quality characteristics (21 CFR 900)
  • American College of Radiology. ACR Standard for the Performance of Pediatric and Adult Chest Radiography. In: Standards. Reston, Va: 2001:95-98
  • American College of Radiology. ACR Standard for the Performance of Pediatric and Adult Thoracic Computed Tomography (CT). In: Standards. Reston, Va: 2001:103-107