Abstract
The Digital Imaging and Communications in Medicine (DICOM) standard is the universal format for interoperability in medical imaging. In addition to imaging data, DICOM has evolved to support a wide range of imaging metadata including contrast administration data that is readily available from many modern contrast injectors. Contrast agent, route of administration, start and stop time, volume, flow rate, and duration can be recorded using DICOM attributes [1]. While this information is sparsely and inconsistently recorded in routine clinical practice, it could potentially be of significant diagnostic value. This work will describe parameters recorded by automatic contrast injectors, summarize the DICOM mechanisms available for tracking contrast injection data, and discuss the role of such data in clinical radiology.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
Explore related subjects
Discover the latest articles, news and stories from top researchers in related subjects.References
DICOM, digital imaging and communication in medicine, home page. http://medical.nema.org/standard.html. Accessed July 13, 2014.
Rybicki FJ, Piazzo K, Prior R, Wake N, Dill KE: Iodinated contrast injection data from a new technology. Radiol Technol 84(2):120–125, 2012
Cook TS, Zimmerman SL, Steingall SR, Maidment AD, Kim W, Boonn WW: RADIANCE: an automated, enterprise-wide solution for archiving and reporting CT radiation dose estimates. Radiographics 31(7):1833–1846, 2011. doi:10.1148/rg.317115048
Ma X, Singh A, Fay J, Boland G, Sahani DV: Comparison of dual-syringe and syringeless power injectors in outpatient MDCT practice: impact on the operator’s performance, CT workflow, and operation cost. J Am Coll Radiol 9(8):578–582, 2012. doi:10.1016/j.jacr.2012.04.007
Setty BN, Sahani DV, Ouellette-Piazzo K, Hahn PF, Shepard JA: Comparison of enhancement, image quality, cost, and adverse reactions using 2 different contrast medium concentrations for routine chest CT on 16-slice MDCT. J Comput Assist Tomogr 30(5):818–822, 2006. doi:10.1097/01.rct.0000229999.30897.3b
2014 National Patient Safety Goals. http://www.jointcommission.org/standards_information/npsgs.aspx. Accessed July 22, 2014.
Wienbeck S, Fischbach R, Kloska SP, et al: Prospective study of access site complications of automated contrast injection with peripheral venous access in MDCT. AJR Am J Roentgenol 195(4):825–829, 2010. doi:10.2214/AJR.09.3739
Gosselin MV, Rassner UA, Thieszen SL, Phillips J, Oki A: Contrast dynamics during CT pulmonary angiogram: Analysis of an inspiration associated artifact. J Thorac Imaging 19(1):1–7, 2004
Henk CB, Grampp S, Linnau KF, et al: Suspected pulmonary embolism: Enhancement of pulmonary arteries at deep-inspiration CT angiography—influence of patent foramen ovale and atrial-septal defect. Radiology 226(3):749–755, 2003. doi:10.1148/radiol.2263012200
Bae KT: Intravenous contrast medium administration and scan timing at CT: considerations and approaches. Radiology 256(1):32–61, 2010. doi:10.1148/radiol.10090908
Schneider JG, Wang ZJ, Wang W, Yee J, Fu Y, Yeh BM: Patient-tailored scan delay for multiphase liver CT: improved scan quality and lesion conspicuity with a novel timing bolus method. AJR Am J Roentgenol 202(2):318–323, 2014. doi:10.2214/AJR.12.9676
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Hirsch, J.D., Siegel, E.L., Balasubramanian, S. et al. We Built This House; It’s Time to Move in: Leveraging Existing DICOM Structure to More Completely Utilize Readily Available Detailed Contrast Administration Information. J Digit Imaging 28, 407–411 (2015). https://doi.org/10.1007/s10278-015-9771-y
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10278-015-9771-y