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    IEC 61910-1-2014 Medical electrical equipment - Radiation dose documentation - Part 1 Radiation dose structured reports for radiography and radioscopy《医疗电气设备 辐射剂量文献汇编 第1部分 射线照相术和X光透视的辐射剂量结构化报告.pdf

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    IEC 61910-1-2014 Medical electrical equipment - Radiation dose documentation - Part 1 Radiation dose structured reports for radiography and radioscopy《医疗电气设备 辐射剂量文献汇编 第1部分 射线照相术和X光透视的辐射剂量结构化报告.pdf

    1、 IEC 61910-1 Edition 1.0 2014-09 INTERNATIONAL STANDARD NORME INTERNATIONALE Medical electrical equipment Radiation dose documentation Part 1: Radiation dose structured reports for radiography and radioscopy Appareils lectromdicaux Documentation sur la dose de rayonnement Partie 1: Rapports structur

    2、s sur la dose de rayonnement pour la radiographie et la radioscopie IEC 61910-1:2014-09(en-fr) THIS PUBLICATION IS COPYRIGHT PROTECTED Copyright 2014 IEC, Geneva, Switzerland All rights reserved. Unless otherwise specified, no part of this publication may be reproduced or utilized in any form or by

    3、any means, electronic or mechanical, including photocopying and microfilm, without permission in writing from either IEC or IECs member National Committee in the country of the requester. If you have any questions about IEC copyright or have an enquiry about obtaining additional rights to this publi

    4、cation, please contact the address below or your local IEC member National Committee for further information. Droits de reproduction rservs. Sauf indication contraire, aucune partie de cette publication ne peut tre reproduite ni utilise sous quelque forme que ce soit et par aucun procd, lectronique

    5、ou mcanique, y compris la photocopie et les microfilms, sans laccord crit de lIEC ou du Comit national de lIEC du pays du demandeur. Si vous avez des questions sur le copyright de lIEC ou si vous dsirez obtenir des droits supplmentaires sur cette publication, utilisez les coordonnes ci-aprs ou conta

    6、ctez le Comit national de lIEC de votre pays de rsidence. IEC Central Office Tel.: +41 22 919 02 11 3, rue de Varemb Fax: +41 22 919 03 00 CH-1211 Geneva 20 infoiec.ch Switzerland www.iec.ch About the IEC The International Electrotechnical Commission (IEC) is the leading global organization that pre

    7、pares and publishes International Standards for all electrical, electronic and related technologies. About IEC publications The technical content of IEC publications is kept under constant review by the IEC. Please make sure that you have the latest edition, a corrigenda or an amendment might have b

    8、een published. IEC Catalogue - webstore.iec.ch/catalogue The stand-alone application for consulting the entire bibliographical information on IEC International Standards, Technical Specifications, Technical Reports and other documents. Available for PC, Mac OS, Android Tablets and iPad. IEC publicat

    9、ions search - www.iec.ch/searchpub The advanced search enables to find IEC publications by a variety of criteria (reference number, text, technical committee,). It also gives information on projects, replaced and withdrawn publications. IEC Just Published - webstore.iec.ch/justpublished Stay up to d

    10、ate on all new IEC publications. Just Published details all new publications released. Available online and also once a month by email. Electropedia - www.electropedia.org The worlds leading online dictionary of electronic and electrical terms containing more than 30 000 terms and definitions in Eng

    11、lish and French, with equivalent terms in 14 additional languages. Also known as the International Electrotechnical Vocabulary (IEV) online. IEC Glossary - std.iec.ch/glossary More than 55 000 electrotechnical terminology entries in English and French extracted from the Terms and Definitions clause

    12、of IEC publications issued since 2002. Some entries have been collected from earlier publications of IEC TC 37, 77, 86 and CISPR. IEC Customer Service Centre - webstore.iec.ch/csc If you wish to give us your feedback on this publication or need further assistance, please contact the Customer Service

    13、 Centre: csciec.ch. A propos de lIEC La Commission Electrotechnique Internationale (IEC) est la premire organisation mondiale qui labore et publie des Normes internationales pour tout ce qui a trait llectricit, llectronique et aux technologies apparentes. A propos des publications IEC Le contenu tec

    14、hnique des publications IEC est constamment revu. Veuillez vous assurer que vous possdez ldition la plus rcente, un corrigendum ou amendement peut avoir t publi. Catalogue IEC - webstore.iec.ch/catalogue Application autonome pour consulter tous les renseignements bibliographiques sur les Normes inte

    15、rnationales, Spcifications techniques, Rapports techniques et autres documents de lIEC. Disponible pour PC, Mac OS, tablettes Android et iPad. Recherche de publications IEC - www.iec.ch/searchpub La recherche avance permet de trouver des publications IEC en utilisant diffrents critres (numro de rfre

    16、nce, texte, comit dtudes,). Elle donne aussi des informations sur les projets et les publications remplaces ou retires. IEC Just Published - webstore.iec.ch/justpublished Restez inform sur les nouvelles publications IEC. Just Published dtaille les nouvelles publications parues. Disponible en ligne e

    17、t aussi une fois par mois par email. Electropedia - www.electropedia.org Le premier dictionnaire en ligne de termes lectroniques et lectriques. Il contient plus de 30 000 termes et dfinitions en anglais et en franais, ainsi que les termes quivalents dans 14 langues additionnelles. Egalement appel Vo

    18、cabulaire Electrotechnique International (IEV) en ligne. Glossaire IEC - std.iec.ch/glossary Plus de 55 000 entres terminologiques lectrotechniques, en anglais et en franais, extraites des articles Termes et Dfinitions des publications IEC parues depuis 2002. Plus certaines entres antrieures extrait

    19、es des publications des CE 37, 77, 86 et CISPR de lIEC. Service Clients - webstore.iec.ch/csc Si vous dsirez nous donner des commentaires sur cette publication ou si vous avez des questions contactez-nous: csciec.ch. IEC 61910-1 Edition 1.0 2014-09 INTERNATIONAL STANDARD NORME INTERNATIONALE Medical

    20、 electrical equipment Radiation dose documentation Part 1: Radiation dose structured reports for radiography and radioscopy Appareils lectromdicaux Documentation sur la dose de rayonnement Partie 1: Rapports structurs sur la dose de rayonnement pour la radiographie et la radioscopie INTERNATIONAL EL

    21、ECTROTECHNICAL COMMISSION COMMISSION ELECTROTECHNIQUE INTERNATIONALE V ICS 11.040.50 PRICE CODE CODE PRIX ISBN 978-2-8322-1869-3 Registered trademark of the International Electrotechnical Commission Marque dpose de la Commission Electrotechnique Internationale Warning! Make sure that you obtained th

    22、is publication from an authorized distributor. Attention! Veuillez vous assurer que vous avez obtenu cette publication via un distributeur agr. 2 IEC 61910-1:2014 IEC 2014 CONTENTS FOREWORD . 4 INTRODUCTION . 6 1 Scope 7 2 Normative references 7 3 Terms and definitions 8 4 Units and their DICOM stor

    23、age formats . 9 5 General requirements 9 5.1 * Conformance levels 9 5.1.1 General . 9 5.1.2 Basic dose documentation . 9 5.1.3 Extended dose documentation . 10 5.2 Data flow 12 5.2.1 General . 12 5.2.2 RDSR STREAMING TRANSMISSION 12 5.2.3 RDSR END OF PROCEDURE TRANSMISSION 12 Annex A (informative) G

    24、eneral guidance and rationale . 13 A.1 General guidance 13 A.2 Rationale for specific clauses and subclauses 13 A.3 Biological background . 14 Annex B (informative) DICOM and IHE outline . 16 B.1 DICOM objects 16 B.2 IHE profiles . 17 B.3 IHE Radiation Exposure Monitoring Profile 17 Annex C (informa

    25、tive) Glossary of DICOM data elements 19 Annex D (informative) Coordinate systems and their applications 23 D.1 General . 23 D.2 Equipment-specific information . 23 D.3 Patient location and orientation . 24 D.4 Single procedure step patient dose estimates . 24 D.5 Multiple procedure step patient dos

    26、e estimates . 24 D.6 Numeric and geometric expression of uncertainty . 25 Annex E (informative) Geometry and positions in DICOM. 26 E.1 Patient positions . 26 E.2 Positioner primary and secondary angles 26 E.3 PATIENT SUPPORT positions 28 E.4 Projection imaging geometries 29 Bibliography 30 Index of

    27、 defined terms used in this particular standard 31 Figure E.1 PATIENT positions for X-RAY EQUIPMENT with PATIENT SUPPORT such as in X-ray angiography. . 26 Figure E.2 Positioner primary angle for patient position “recumbent head first supine” 27 Figure E.3 Positioner secondary angle for patient posi

    28、tion “recumbent head first supine” 27 IEC 61910-1:2014 IEC 2014 3 Figure E.4 Positioner primary angle for patient position “recumbent head first prone” . 28 Figure E.5 Positioner secondary angle for patient position “recumbent feet first supine” 28 Figure E.6 Position vectors defining the position o

    29、f the PATIENT SUPPORT . 29 Figure E.7 Distance-related DICOM attributes for X-RAY EQUIPMENT with C-arm and PATIENT SUPPORT such as in X-ray angiography . 29 Table C.1 DICOM data elements 19 4 IEC 61910-1:2014 IEC 2014 INTERNATIONAL ELECTROTECHNICAL COMMISSION _ MEDICAL ELECTRICAL EQUIPMENT RADIATION

    30、 DOSE DOCUMENTATION Part 1: Radiation dose structured reports for radiography and radioscopy FOREWORD 1) The International Electrotechnical Commission (IEC) is a worldwide organization for standardization comprising all national electrotechnical committees (IEC National Committees). The object of IE

    31、C is to promote international co-operation on all questions concerning standardization in the electrical and electronic fields. To this end and in addition to other activities, IEC publishes International Standards, Technical Specifications, Technical Reports, Publicly Available Specifications (PAS)

    32、 and Guides (hereafter referred to as “IEC Publication(s)”). Their preparation is entrusted to technical committees; any IEC National Committee interested in the subject dealt with may participate in this preparatory work. International, governmental and non- governmental organizations liaising with

    33、 the IEC also participate in this preparation. IEC collaborates closely with the International Organization for Standardization (ISO) in accordance with conditions determined by agreement between the two organizations. 2) The formal decisions or agreements of IEC on technical matters express, as nea

    34、rly as possible, an international consensus of opinion on the relevant subjects since each technical committee has representation from all interested IEC National Committees. 3) IEC Publications have the form of recommendations for international use and are accepted by IEC National Committees in tha

    35、t sense. While all reasonable efforts are made to ensure that the technical content of IEC Publications is accurate, IEC cannot be held responsible for the way in which they are used or for any misinterpretation by any end user. 4) In order to promote international uniformity, IEC National Committee

    36、s undertake to apply IEC Publications transparently to the maximum extent possible in their national and regional publications. Any divergence between any IEC Publication and the corresponding national or regional publication shall be clearly indicated in the latter. 5) IEC itself does not provide a

    37、ny attestation of conformity. Independent certification bodies provide conformity assessment services and, in some areas, access to IEC marks of conformity. IEC is not responsible for any services carried out by independent certification bodies. 6) All users should ensure that they have the latest e

    38、dition of this publication. 7) No liability shall attach to IEC or its directors, employees, servants or agents including individual experts and members of its technical committees and IEC National Committees for any personal injury, property damage or other damage of any nature whatsoever, whether

    39、direct or indirect, or for costs (including legal fees) and expenses arising out of the publication, use of, or reliance upon, this IEC Publication or any other IEC Publications. 8) Attention is drawn to the Normative references cited in this publication. Use of the referenced publications is indisp

    40、ensable for the correct application of this publication. 9) Attention is drawn to the possibility that some of the elements of this IEC Publication may be the subject of patent rights. IEC shall not be held responsible for identifying any or all such patent rights. This International Standard has be

    41、en prepared by subcommittee 62B: Diagnostic imaging equipment, of IEC technical committee 62: Electrical equipment in medical practice. This first edition cancels and replaces IEC/PAS 61910-1, published in 2007. It constitutes a technical revision. This edition includes the following significant tec

    42、hnical changes with respect to IEC/PAS 61910-1:2007: The previously defined three conformance levels have been restructured to two. The mapping between DICOM and IEC terms is explicitly described in an annex and is decoupled from the conformance level content requirements. A general update to the re

    43、vised contents of the DICOM RDSR definition has occurred. IEC 61910-1:2014 IEC 2014 5 The text of this standard is based on the following documents: FDIS Report on voting 62B/948/FDIS 62B/952/RVD Full information on the voting for the approval of this standard can be found in the report on voting in

    44、dicated in the above table. This publication has been drafted in accordance with the ISO/IEC Directives, Part 2. In this standard, the following print types are used: Requirements and definitions: roman type. Test specifications: italic type. Informative material appearing outside of tables, such as

    45、 notes, examples and references: smaller type. Normative text of tables is also in a smaller type. TERMS DEFINED IN CLAUSE 3 OF THIS STANDARD OR IN OTHER IEC PUBLICATIONS REFERENCED IN THIS STANDARD: SMALL CAPITALS. In referring to the structure of this standard, the term “clause” means one of the n

    46、umbered divisions within the table of contents, inclusive of all subdivisions (e.g., Clause 5 includes subclauses 5.1, 5.2, etc.); “subclause” means a numbered subdivision of a clause (e.g., 5.1, 5.2 and 5.2.1 are all subclauses of Clause 5). References to clauses within this standard are preceded b

    47、y the term “Clause” followed by the clause number. References to subclauses within this particular standard are by number only. In this standard, the conjunctive “or” is used as an “inclusive or”, so a statement is true if any combination of the conditions is true. The verbal forms used in this stan

    48、dard conform to usage described in Annex H of the ISO/IEC Directives, Part 2. For the purposes of this standard, the auxiliary verb: “shall” means that compliance with a requirement or a test is mandatory for compliance with this standard; “should” means that compliance with a requirement or a test

    49、is recommended but is not mandatory for compliance with this standard; “may” is used to describe a permissible way to achieve compliance with a requirement or test. An asterisk (*) as the first character of a title or at the beginning of a paragraph or table title indicates that there is guidance or rationale related to that item in Annex A. The committee has decided that the contents of this pub


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