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DICOM

3
Pinnacle

9.6

Philips Medical Systems

4598 004 81171 A

DICOM

9.6

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 .


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,
.

Philips Medical Systems
.

Philips Medical Systems

Philips Medical Systems 2013

Philips Medical Systems


Philips Medical Systems (Cleveland), Inc.
5520 Nobel Drive, Suite 125
Fitchburg, WI 53711
USA
: +1 800 722 9377
: +1 608 298 2101
: pros.support@philips.com
: medical.philips.com
InCenter: incenter.medical.philips.com


Pinnacle Radiation Therapy Planning System
93/42/EEC CE
.


Philips Medical Systems Nederland B.V.
Quality & Regulatory Affairs
Veenpluis 4-6
5684 PC Best
The Netherlands


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, )
.

Philips Medical Systems

4598 004 81171 A

Pinnacle RTP
. Pinnacle RTP
.
.
.
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Pinnacle RTP .

Pinnacle RTP .
.
Pinnacle .
.
.
Pinnacle 3 9.6


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( ) .
.
.

Philips Medical Systems

Pinnacle . .
.

Pinnacle 3 9.6

DICOM Image ............................................................................... 7

1.1
1.2

1.3

DICOM RT .................................................................................. 21

2.1
2.2

3.3
3.4
3.5

Pinnacle3 ....................................................................................... 25
.............................................................................................................. 26
3.2.1
Pinnacle3 .......................................................................... 26
3.2.2
Pinnacle3 DICOM .............................................. 27
.............................................................................................................. 28
Pinnacle3 DICOM ............................................................... 29
DICOM Pinnacle3 ............................................................... 30

IEC ..................................................................................................... 31

4.1
4.2
4.3
4.4

..................................................................................................
..........................................................................................................
..........................................................................................................
.....................................................................................................

31
34
35
36

Philips Medical Systems

4598 004 81171 A

..................................................................................................... 22
DICOM RT ......................................................................................... 23
2.2.1
............................................................................................. 23
2.2.2
................................................................................................. 24

DICOM ............................................................................................... 25

3.1
3.2

....................................................................................................... 7
DICOM Image ...................................................................................... 8
1.2.1
............................................................................................... 8
1.2.2
................................................................................................... 9
1.2.3
................................................................................................. 11
CT ............................................................................................................. 14
1.3.1
CT ........................................................................................... 14
1.3.2
CT ........................................................................................... 15
1.3.3
........................................................................... 19

Pinnacle 3 9.6

Pinnacle 3 9.6

Philips Medical Systems

DICOM Image

Pinnacle3
. .

(CT
, )
.
Pinnacle3 Pinnacle3
.

1.1



.
,
.
.
.

. .
.
Pinnacle3
Pinnacle3 RTP DICOM Image


( ) DICOM Image
4598 004 81171 A

Philips Medical Systems

CT

Pinnacle 3 9.6

DICOM Image

DICOM Image

1.2

1.2

1.2.1

DICOM Image

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

( )

( )

Philips Medical Systems

:
:
8

DICOM Image

Pinnacle 3 9.6

DICOM Image

1.2.2

1.2


CT, MR, PET SPECT
. , Head
First Supine( ), Feet First Supine(
), Head First Prone( ) Feet
First Prone( )
4 16 ( 4)
.
.
.

.

.
Pinnacle3 . Pinnacle3
.
Pinnacle3 ,
, .

, ()
. X Y
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. DICOM Image

.

Philips Medical Systems

4598 004 81171 A

Pinnacle 3 9.6

DICOM Image

1.2

DICOM Image

___/___

Pinnacle3


( )






(cm)
X Y


Philips Medical Systems

:
:
10

DICOM Image

Pinnacle 3 9.6

DICOM Image

1.2.3

1.2


DICOM
.
Pinnacle3 6
.
.

. / P
F .
3
.

.
X
.
,
/

Philips Medical Systems

4598 004 81171 A

:
:
Pinnacle 3 9.6

DICOM Image

11

1.2

DICOM Image

,
/

,
/

,
/

,
/

Philips Medical Systems

:
:
12

DICOM Image

Pinnacle 3 9.6

DICOM Image

1.2

DICOM Image

13

,
/

,
/

,
/

Philips Medical Systems

4598 004 81171 A

:
:
Pinnacle 3 9.6

CT

1.3

1.3

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# = Hounsfield + 1000

CT CT
. CT
Pinnacle3 CT
.
.
Pinnacle3
. Pinnacle3 .
.
=

14

DICOM Image

P 3 + CT

Pinnacle 3 9.6

Philips Medical Systems

CT

1.3.2

1.3

CT
/ 1
CT

CT

()

()

( / 2)

--2

--2

/ 2
CT

CT

()

()

( / 2)

Philips Medical Systems

4598 004 81171 A

:
:
Pinnacle 3 9.6

DICOM Image

15

1.3

CT

/ 3
CT

CT

()

()

( / 2)

--2

--2

/ 4
CT

CT

()

()

( / 2)

Philips Medical Systems

:
:
16

DICOM Image

Pinnacle 3 9.6

CT

1.3

/ 5
CT

CT

()

()

( / 2)

--2

--2

/ 6
CT

CT

()

()

( / 2)

Philips Medical Systems

4598 004 81171 A

:
:
Pinnacle 3 9.6

DICOM Image

17

1.3

CT

/ 7
CT

CT

()

()

( / 2)

--2

--2

/ 8
CT

CT

()

()

( / 2)

Philips Medical Systems

:
:
18

DICOM Image

Pinnacle 3 9.6

CT

1.3.3

1.3



. . 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

Philips Medical Systems

4598 004 81171 A

:
:
Pinnacle 3 9.6

DICOM Image

19

1.3

CT

Philips Medical Systems

:
:
20

DICOM Image

Pinnacle 3 9.6

DICOM RT
DICOM , ,
DRR . DICOM RT
Pinnacle3 DICOM
. Pinnacle3 DICOM RT
DICOM .

.
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.
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Pinnacle3
Pinnacle3 RTP DICOM RT


(23 ) DICOM RT

DICOM RT ACR-NEMA DICOM 3.0 .


DICOM
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. Pinnacle3
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.

4598 004 81171 A

DICOM RT Pinnacle3


. Pinnacle3 .

Philips Medical Systems

Pinnacle3
PROS .

Pinnacle 3 9.6

DICOM RT

21

2.1

2.1


Pinnacle3
.
, , MLC , ,
, , , , ,
DRR , , DRR
.

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

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Pinnacle3 - Pinnacle3

.
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. Pinnacle3
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.

Philips Medical Systems

22

DICOM RT

Pinnacle 3 9.6

DICOM RT

2.2

2.2.1

2.2

DICOM RT

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

Philips Medical Systems

4598 004 81171 A

:
:
Pinnacle 3 9.6

DICOM RT

23

DICOM RT

2.2

2.2.2


Pinnacle3

Philips Medical Systems

:
:
24

DICOM RT

Pinnacle 3 9.6

DICOM

DICOM Image 9
. DICOM Image 4.4e
Application Note(
) 2008-01 , InCenter .

Pinnacle3 DICOM .
Pinnacle3 DICOM
. Pinnacle3
Pinnacle3 . DICOM
DICOM
.
Pinnacle DICOM
.
P C = X C Y C ZC 1

3.1

Pinnacle3 , DICOM
. .

Pinnacle3

Philips Medical Systems

4598 004 81171 A

xterm
.

Pinnacle3

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

Echo = VolumeList.##0.YPixDim;

Echo = VolumeList.##0.YDim;

Echo = VolumeList.##0.PatientPosition;

Pinnacle 3 9.6

DICOM

25

3.2

3.2


Pinnacle3
. DICOM
.
.

3.2.1

Pinnacle3
Pinnacle3 Pinnacle3
Pinnacle3 .
Pinnacle3 .
PPINN
INN OR
IG IN = X P Y P Z P 1
ORIGIN

.
Xp = Pinnacle3 X
Yp = Pinnacle3 Y

Philips Medical Systems

Zp = Pinnacle3 Z

26

DICOM

Pinnacle 3 9.6

3.2.2

3.2

Pinnacle3 DICOM
Pinnacle3 DICOM
.
DICOM .
DICOM
DIC
OM OR
IG IN = X D Y D Z D 1
ORIGIN

.
XD = 10 Xp Xsign
YD = 10 (Yp + (Ydim (Yr 1))) Ysign
ZD = 10 Zp Zsign
Xp = Pinnacle3 X
Yp = Pinnacle3 Y
Zp = Pinnacle3 Z
Yr = Y
Ydim = Y
Xsign, Ysign Zsign .
.

4598 004 81171 A

Xsign

Ysign

Zsign

-1

-1

-1

-1

-1

-1

DICOM

27

Philips Medical Systems

Pinnacle 3 9.6

3.3

3.3


Pinnacle3 DICOM
.
. T
. Pinnacle3 DICOM
.
S
c a le
0
0
0

S c a le
0
He ad
F ir s t
S up ine

==
0
0
S
c a le
X
Y
Z

0
0
0
1

S
c a le
0
0
0
S
c a le
0
He
a d F
irs t P ro
ne ==

0
0
S
c a le
X
Y
Z

0
0
0
1

S
c a le
0
0
0

S c a le
0
F e
e t F irs
t S up
ine ==

0
0
S c a le
X
Y
Z

0
0
0
1

S
c a le
0
0
0
S
c a le
0
e e t F
irs t P ro
ne ==
F
0
0
S
c a le
X
Y
Z

0
0
0
1

T .
T 1 1 T 1 2 T 13 T 1 4
T =

T 2 1 T 2 2 T 23 T 2 4
T 3 1 T 3 2 T 33 T 3 4
Philips Medical Systems

T 4 1 T 4 2 T 43 T 4 4

28

DICOM

Pinnacle 3 9.6

Pinnacle 3 DICOM

3.4

3.4

Pinnacle3 DICOM
Pinnacle3 DICOM
.
PPTT == (P
( PCC PINN
P INNORIGIN
T
OR IG IN) ) T

T = . 10 X, Y Z DICOM
.
PC = Pinnacle3
PINNORIGIN = Pinnacle3
.
XT = (XC XP) T11 + T41
YT = (YC YP) T22 + T42

Philips Medical Systems

4598 004 81171 A

ZT = (ZC ZP) T33 + T43

Pinnacle 3 9.6

DICOM

29

DICOM Pinnacle 3

3.5

3.5

DICOM Pinnacle3
DICOM Pinnacle3
.
PPT == (P
( PCC DICOM
DIC OMORIGIN
OR IG IN) ) T

T = . 0.1 X, Y Z Pinnacle3
.
PC = DICOM
DICOMORIGIN = DICOM
.
XT = (XC XD) T11 + T41
YT = (YC YD) T22 + T42

Philips Medical Systems

ZT = (ZC ZD) T33 + T43

30

DICOM

Pinnacle 3 9.6

IEC

Pinnacle3 IEC . Pinnacle3


IEC .

.
.

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

4.1


Pinnacle3
.
, . ,
,
.

Philips Medical Systems

4598 004 81171 A

Pinnacle 3 9.6

IEC

31

4.1

IEC IEC 0
. IEC 0

.

X1

X2

Y1

Y2

Elekta .
360 . 0-359.9
180 .
0
180-179.9 .
IEC 0
. Pinnacle3
IEC 0
. IEC 0
.
.
1: IEC 0 . .
IEC 0

Philips Medical Systems

32

IEC

Pinnacle 3 9.6

4.1

2: IEC 0
(1 ).

Y2

Y2

Y2

Y2

Philips Medical Systems

4598 004 81171 A

X1

X1

X1

X1

X2

X2

Y1

Y1

X2

Y1

Y1

X2

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

Pinnacle 3 9.6

IEC

33

4.2

4.2


IEC
0
.
IEC
.

Philips Medical Systems


IEC 0 .

34

IEC

Pinnacle 3 9.6

4.3

4.3


IEC
0
.
IEC
.

IEC 0 .

Philips Medical Systems

4598 004 81171 A

Pinnacle 3 9.6

IEC

35

4.4

4.4


IEC
0
.

. 0 IEC 0

. .

.

90

180

270

Philips Medical Systems

36

IEC

Pinnacle 3 9.6

Philips Medical Systems


Royal Philips Electronics
www.medical.philips.com
medical@philips.com


Philips Medical Systems (Cleveland), Inc.
5520 Nobel Drive, Suite 125
Fitchburg, WI 53711
United States of America

Koninklijke Philips Electronics N.V. 2013


.
,

.

0086


93/42/EEC
.

4598 004 81171 A * 2013 02

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