Pinnacle 9.6 DICOM Acceptance Tests - KOR

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  • DICOM

    Pinnacle3

    9.6

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    1 A

    DICOM

    9.6

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    DICOM

    . .

    4598 004 81171 A

    Pinnacle3, P3IMRT P3MD Philips Medical Systems AcQSim3 Syntegra Philips Medical Systems .

    Sun, Solaris Sun Blade Oracle Corporation / .

    Windows Microsoft Corporation .

    Orbit RaySearch Laboratories AB .

    IMFAST Siemens Medical Systems, Inc. Oncology Care Systems .

    .

    Philips Medical Systems 2013

    , ,

    , .

    Philips Medical Systems .

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    1 APhilips Medical Systems

    Pinnacle Radiation Therapy Planning(RTP) Pinnacle , Syntegra, PIMRT, PMD, AcQSim . Pinnacle RTP Solaris UNIX UNIX .

    .Pinnacle Pinnacle, Syntegra, PPC( ), PMD, AcQSim PIMRT , MS Windows , Pinnacle Pinnacle . . . CD CD

    . . . . (1-800-722-9377, )

    .

    Pinnacle RTP . Pinnacle RTP . .

    . . , , .

    Pinnacle RTP .

    Pinnacle RTP . . Pinnacle . .

    .

    Philips Medical Systems (Cleveland), Inc.5520 Nobel Drive, Suite 125Fitchburg, WI 53711USA: +1 800 722 9377: +1 608 298 2101: [email protected]

    : medical.philips.comInCenter: incenter.medical.philips.com

    Philips Medical Systems Nederland B.V.Quality & Regulatory AffairsVeenpluis 4-65684 PC BestThe Netherlands

    Pinnacle Radiation Therapy Planning System

    93/42/EEC CE .Pinnacle3 9.6 3

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    s Philips Medical Systems .

    .

    .

    TG40, TG53 . TG40, TG53

    (American Association of Physicists in Medicine, AAPM) . QA: Report of AAPM Radiation Therapy Committee Task Group 40. Medical Physics 21(4),

    1994. American Association of Physicists in Medicine Radiation Therapy Committee Task Group 53: Quality

    assurance for clinical radiotherapy treatment planning. Medical Physics 25(10), 1998.

    . . (Multi-Leaf Collimator, MLC)

    . . . . . SSD .

    .

    : : .

    . . .

    . .

    Pinnacle NOT FOR CLINICAL USE( ) . . .

    Pinnacle . . .4 Pinnacle3 9.6

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    1 A

    1 DICOM Image ............................................................................... 71.1 ....................................................................................................... 71.2 DICOM Image ...................................................................................... 8

    1.2.1 ............................................................................................... 81.2.2 ................................................................................................... 91.2.3 ................................................................................................. 11

    1.3 CT ............................................................................................................. 141.3.1 CT ........................................................................................... 141.3.2 CT ........................................................................................... 151.3.3 ........................................................................... 19

    2 DICOM RT .................................................................................. 212.1 ..................................................................................................... 222.2 DICOM RT ......................................................................................... 23

    2.2.1 ............................................................................................. 232.2.2 ................................................................................................. 24

    3 DICOM ............................................................................................... 253.1 Pinnacle3 ....................................................................................... 253.2 .............................................................................................................. 26

    3.2.1 Pinnacle3 .......................................................................... 263.2.2 Pinnacle3 DICOM .............................................. 27

    3.3 .............................................................................................................. 283.4 Pinnacle3 DICOM ............................................................... 293.5 DICOM Pinnacle3 ............................................................... 30

    4 IEC ..................................................................................................... 314.1 .................................................................................................. 314.2 .......................................................................................................... 344.3 .......................................................................................................... 354.4 ..................................................................................................... 36Pinnacle3 9.6 5

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    s6 Pinnacle3 9.6

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    1 A1 DICOM Image

    Pinnacle3 . .

    (CT , )

    . Pinnacle3 Pinnacle3 .

    1.1

    . ,

    . . .

    . . . Pinnacle3 Pinnacle3 RTP DICOM Image

    ( ) DICOM Image CT Pinnacle3 9.6 DICOM Image 7

  • 1.2 DICOM Image

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    s1.2 DICOM Image

    1.2.1 Pinnacle3 Pinnacle3 Radiation Therapy Planning(RTP) About() .Pinnacle3

    ( )

    ( )

    :

    :8 DICOM Image Pinnacle3 9.6

  • DICOM Image 1.2P

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    98

    00

    4 8

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    71

    A1.2.2 CT, MR, PET SPECT . , Head First Supine( ), Feet First Supine(

    ), Head First Prone( ) Feet First Prone( )

    4 16 ( 4) .

    . . .

    . Pinnacle3 . Pinnacle3 . Pinnacle3 ,

    , .

    , () . X Y . MR

    . DICOM Image

    . Pinnacle3 9.6 DICOM Image 9

  • 1.2 DICOM Image

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    s ___/___

    Pinnacle3

    ( )

    (cm)

    X Y

    :

    :10 DICOM Image Pinnacle3 9.6

  • DICOM Image 1.2P

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    A1.2.3 DICOM

    . Pinnacle3 6

    . .

    . / P F . 3 .

    . X .

    , /

    -

    -

    -

    :

    :Pinnacle3 9.6 DICOM Image 11

  • 1.2 DICOM Image

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    s ,

    ,

    ,

    ,

    /

    -

    -

    -

    /

    -

    -

    -

    /

    -

    -

    -

    /

    -

    -

    -

    :

    :12 DICOM Image Pinnacle3 9.6

  • DICOM Image 1.2P

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    A ,

    ,

    ,

    /

    -

    -

    -

    /

    -

    -

    -

    /

    -

    -

    -

    :

    :Pinnacle3 9.6 DICOM Image 13

  • 1.3 CT

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    s1.3 CT CT .

    1.3.1 CT CT DICOM . CT CT ( CT ) Pinnacle3 CT (

    CT ) . CT-

    . Pinnacle3 Physics .

    CT Pinnacle3 CT . CT ROI . ROI . .

    ROI ROI/ CT .

    CT (Hounsfield unit) . DICOM CT

    , CT .

    , 0 . .

    CT CT

    . CT Pinnacle3 CT . . Pinnacle3

    . Pinnacle3 . .

    CT# Hounsfield 1000+=

    P 3

    2 CT2+=14 DICOM Image Pinnacle3 9.6

  • CT 1.3P

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    A1.3.2 CT

    / 1

    / 2

    CT

    CT

    ()

    ( / 2)

    / :

    CT

    CT

    ()

    ( / 2)

    / :

    ( )

    2---

    :

    :

    ( )

    2---Pinnacle3 9.6 DICOM Image 15

  • 1.3 CT

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    s/ 3

    / 4

    CT

    CT

    ()

    ( / 2)

    / :

    CT

    CT

    ()

    ( / 2)

    / :

    ( )

    2---

    :

    :

    ( )

    2---16 DICOM Image Pinnacle3 9.6

  • CT 1.3P

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    A/ 5

    / 6

    CT

    CT

    ()

    ( / 2)

    / :

    CT

    CT

    ()

    ( / 2)

    / :

    ( )

    2---

    :

    :

    ( )

    2---Pinnacle3 9.6 DICOM Image 17

  • 1.3 CT

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    s/ 7

    / 8

    CT

    CT

    ()

    ( / 2)

    / :

    CT

    CT

    ()

    ( / 2)

    / :

    ( )

    2---

    :

    :

    ( )

    2---18 DICOM Image Pinnacle3 9.6

  • CT 1.3P

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    A1.3.3 . . CT . , Z=5.0 mm, Z=10.0 mm Z=3.0 mm, .

    .

    Pinnacle3 . .CT

    . Pinnacle3

    ( )

    (cm)

    X Y

    (cm)

    Z 1

    Z 2

    Z 3

    :

    :Pinnacle3 9.6 DICOM Image 19

  • 1.3 CT

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    :20 DICOM Image Pinnacle3 9.6

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    1 A2 DICOM RT

    DICOM , , DRR . DICOM RT

    Pinnacle3 DICOM . Pinnacle3 DICOM RT

    DICOM . .

    . , , . . . Pinnacle3 Pinnacle3 RTP DICOM RT

    (23 ) DICOM RT

    DICOM RT ACR-NEMA DICOM 3.0 . DICOM .

    , , . Pinnacle3 . .

    DICOM RT Pinnacle3 . Pinnacle3 .

    Pinnacle3 PROS .Pinnacle3 9.6 DICOM RT 21

  • 2.1

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    s2.1 Pinnacle3 .

    , , MLC , , , , , , , DRR , , DRR . Pinnacle3 . Pinnacle3 Pinnacle3 Radiation Therapy Planning(RTP)

    About() .

    . . - (: , ) . Pinnacle3 - Pinnacle3

    . / -

    . / - / . Pinnacle3

    . Pinnacle3 ().

    . .22 DICOM RT Pinnacle3 9.6

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    A2.2 DICOM RT

    2.2.1 Pinnacle3 Pinnacle3 Radiation Therapy Planning(RTP) About() .

    Pinnacle3

    :

    :Pinnacle3 9.6 DICOM RT 23

  • 2.2 DICOM RT

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    s2.2.2

    Pinnacle3 /

    :

    :24 DICOM RT Pinnacle3 9.6

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    1 A3 DICOM

    DICOM Image 9 . DICOM Image 4.4e Application Note(

    ) 2008-01 , InCenter .

    Pinnacle3 DICOM . Pinnacle3 DICOM

    . Pinnacle3 Pinnacle3 . DICOM

    DICOM .Pinnacle DICOM

    .

    Pinnacle3 , DICOM . .

    3.1 Pinnacle3 xterm

    .

    P C X C Y C ZC 1=

    Pinnacle3 Echo = VolumeList.##0.Start.X;

    Echo = VolumeList.##0.Start.Y;

    Echo = VolumeList.##0.Start.Z;

    Y Echo = VolumeList.##0.YPixDim;

    Y Echo = VolumeList.##0.YDim;

    Echo = VolumeList.##0.PatientPosition;Pinnacle3 9.6 DICOM 25

  • 3.2

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    s3.2 Pinnacle3 . DICOM . .

    3.2.1 Pinnacle3 Pinnacle3 Pinnacle3

    Pinnacle3 .Pinnacle3 .

    .Xp = Pinnacle

    3 X Yp = Pinnacle

    3 Y Zp = Pinnacle

    3 Z

    P INNOR IGIN X P Y P ZP 1=PINNORIGIN26 DICOM Pinnacle3 9.6

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    A3.2.2 Pinnacle3 DICOM Pinnacle3 DICOM

    . DICOM .

    .XD = 10 Xp XsignYD = 10 (Yp + (Ydim (Yr 1))) YsignZD = 10 Zp Zsign

    Xp = Pinnacle3 X

    Yp = Pinnacle3 Y

    Zp = Pinnacle3 Z

    Yr = Y Ydim = Y

    Xsign, Ysign Zsign . .

    Xsign Ysign Zsign

    1 -1 -1

    -1 1 -1

    -1 -1 1

    1 1 1

    DICOMOR IGIN X D Y D ZD 1=DICOMORIGINPinnacle3 9.6 DICOM 27

  • 3.3

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    s3.3 Pinnacle3 DICOM . . T . Pinnacle3 DICOM

    .

    T .

    He ad F ir s t S up ine

    S c a l e 0 0 00 S c a l e 0 00 0 S c a l e 0X Y Z 1

    =

    =

    He ad F ir s t Pro ne

    S c a l e 0 0 00 S c a l e 0 00 0 S c a l e 0X Y Z 1

    =

    =

    Fe e t F ir s t S up ine

    S c a l e 0 0 00 S c a l e 0 00 0 S c a l e 0X Y Z 1

    = =

    Fe e t F ir s t Pro ne

    S c a l e 0 0 00 S c a l e 0 00 0 S c a l e 0X Y Z 1

    = =

    T

    T 11 T 12 T 13 T 14T 21 T 22 T 23 T 24T 31 T 32 T 33 T 34T 41 T 42 T 43 T 44

    =28 DICOM Pinnacle3 9.6

  • Pinnacle3 DICOM 3.4P

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    A3.4 Pinnacle3 DICOM Pinnacle3 DICOM

    .

    T = . 10 X, Y Z DICOM .PC = Pinnacle

    3 PINNORIGIN = Pinnacle

    3

    .XT = (XC XP) T11 + T41YT = (YC YP) T22 + T42ZT = (ZC ZP) T33 + T43

    P T P C P INNOR IGIN( ) T=PT = (PC PINNORIGIN) TPinnacle3 9.6 DICOM 29

  • 3.5 DICOM Pinnacle3

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    s3.5 DICOM Pinnacle3 DICOM Pinnacle3

    .

    T = . 0.1 X, Y Z Pinnacle3 .PC = DICOM DICOMORIGIN = DICOM

    .XT = (XC XD) T11 + T41YT = (YC YD) T22 + T42ZT = (ZC ZD) T33 + T43

    P T P C DICOMOR IGIN( ) T=PT = (PC DICOMORIGIN) T30 DICOM Pinnacle3 9.6

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    1 A4 IEC

    Pinnacle3 IEC . Pinnacle3 IEC .

    .

    .

    IEC : Radiotherapy equipment - Coordinates, movements and scales, CEI/IEC 1217: 1996.

    4.1 Pinnacle3

    . , . , ,

    .

    Pinnacle3 9.6 IEC 31

  • 4.1

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    sIEC IEC 0 . IEC 0 .

    Elekta . 360 . 0-359.9

    180 . 0 180-179.9 .

    IEC 0 . Pinnacle3 IEC 0

    . IEC 0 . .1: IEC 0 . .

    Y1

    Y2

    X1X

    2

    IEC 0

    32 IEC Pinnacle3 9.6

  • 4.1P

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    A2: IEC 0 (1 ).

    3: IEC 0 Pinnacle3 IEC . IEC 0 , , IEC .

    Y1

    Y2X

    1X2

    Y1

    Y2

    X1X

    2

    Y1

    Y2

    X1X

    2

    Y1

    Y2

    X1X

    2

    Pinnacle3 9.6 IEC 33

  • 4.2

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    s4.2 IEC

    0 .IEC .

    IEC 0 .34 IEC Pinnacle3 9.6

  • 4.3P

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    A4.3 IEC

    0 .IEC

    . IEC 0 .

    Pinnacle3 9.6 IEC 35

  • 4.4

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    s4.4 IEC 0 . . 0 IEC 0

    . . .

    0 90 180 27036 IEC Pinnacle3 9.6

  • S Koninklijke Philips Electronics N.V. 2013

    . , .

    0086 93/42/EEC .

    4598 004 81171 A * 2013 02

    Philips Medical SystemsRoyal Philips Electronics

    www.medical.philips.com

    [email protected]

    Philips Medical Systems (Cleveland), Inc.

    5520 Nobel Drive, Suite 125

    Fitchburg, WI 53711

    United States of America

    1 DICOM Image 1.1 1.2 DICOM Image 1.2.1 1.2.2 ___/___

    1.2.3 , , , , , , , ,

    1.3 CT 1.3.1 CT CT

    1.3.2 CT / 1/ 2/ 3/ 4/ 5/ 6/ 7/ 8

    1.3.3

    2 DICOM RT 2.1 2.2 DICOM RT 2.2.1 2.2.2

    3 DICOM 3.1 Pinnacle3 3.2 3.2.1 Pinnacle3 3.2.2 Pinnacle3 DICOM

    3.3 3.4 Pinnacle3 DICOM 3.5 DICOM Pinnacle3

    4 IEC 4.1 4.2 4.3 4.4