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

Current Supplements, Work and Objectives:

• Dormant since January 2014, no new work item proposals, relevant CPs handled by email

Challenges and Opportunities (Environment):

• 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.
• 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.

Future Roadmap and Objectives (Committee Direction):

The following are potential work items with respect to Structured Reporting, based on demand from participants:

• 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.
• Update Breast Imaging Report templates and context groups relative to ACR BI-RADS Atlas Fifth Edition, including MRI Section.
• 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, based on demand from participants:

• Maintenance of the existing Digital Mammography X-Ray, Breast Tomosynthesis and Breast Projection X-Ray Image IODs, and breast x-ray dose reporting portions of the X-Ray Radiation Dose SR IOD,
• Addition of attributes or modules to describe DX/Mammography quality control and phantom images.

Past Work:

• Supplement 165 Breast Projection X-Ray Image Storage SOP Classes (2014)
• Supplement 126 Colon CAD SR SOP Class (2009)
• Supplement 125 Breast Tomosynthesis Image Storage SOP Class (2008)
• Supplement 79 Breast Imaging Report Templates (2004)
• Supplement 75 Relevant Patient Information Query Service Class (2004)
• Supplement 65 Chest CAD SR SOP Class (2003)
• Supplement 50 Mammography CAD SR SOP Class (2001)
• Supplement 53 DICOM Content Mapping Resource (2001)
• Supplement 32 Digital X-Ray Image Storage SOP Classes (1998)