Bidgood W D
Center for Telemedicine, University of Oklahoma Health Science Center, USA.
Int J Card Imaging. 1998 Oct;14(5):307-15. doi: 10.1023/a:1006073709957.
The purpose of the DICOM Structured Reporting (SR) specification is to improve the documentation of diagnostic images and waveforms. The specification supports the interchange of expressive compound reports in which the critical features shown by images and waveforms can be denoted unambiguously by the observer, indexed, and retrieved selectively by subsequent reviewers. Findings may be expressed by the observer as: 1) text, codes, numeric measurements: 2) computer-generated coordinates of specific regions of interest within images or waveforms; or 3) reference to comparison images, sound, waveforms, curves, and previous report information. The observational and historical findings recorded by the observer may include any evidence referenced as part of an interpretation procedure. Thus, DICOM SR supports not only the reporting of diagnostic observations, but the capability to document fully the evidence that evoked the observations. This capability provides significant new opportunities for large-scale collection of structured data for clinical research, training, and outcomes assessment as a routine by-product of diagnostic image and waveform interpretation and facilitates the pooling of structured data for multi-center clinical trials and evaluations.
DICOM结构化报告（SR）规范的目的是改进诊断图像和波形的文档记录。该规范支持表达性复合报告的交换，在这种报告中，图像和波形所显示的关键特征能够被观察者明确表示、索引，并被后续审阅者选择性检索。观察者可以将发现表述为：1）文本、代码、数值测量；2）图像或波形内特定感兴趣区域的计算机生成坐标；或3）对比较图像、声音、波形、曲线及先前报告信息的引用。观察者记录的观察结果和历史发现可能包括作为解释程序一部分引用的任何证据。因此，DICOM SR不仅支持诊断观察结果的报告，还支持全面记录引发这些观察结果的证据的能力。这种能力为作为诊断图像和波形解读的常规副产品进行临床研究、培训和结果评估的结构化数据大规模收集提供了重要的新机会，并促进了多中心临床试验和评估的结构化数据汇总。
