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MR/CT Registry – user Manual
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1. MR form light blue CT form You may select the desired form under the section Switch to MDCT MR registry European Society of Cardiac Radiology MR CT REGISTRY You are in MR Database Switch to MDCT registry To create a new record click here To edit existing records click here After logging in you find two diagrams on the home page Number of Submissions personal institutional MR SUBMISSIONS MISSING FOR ESCR DIPLOMA STATUS 14 54 of necessary HR subrnissions M95 5 of nissing HR subnissions ESCR European Society of Radiology www escr org MR CT Registry ESCR www mrct registry org EUROPEAN SOCIETY OF CARDIAC RADIOLOGY a The bar chart shows you the CT red bar and MR examinations blue chart that are already entered in the registry It is distinguished between personal institutional and total examinations of all centres b The pie chart describes the percentage of CT MR examination numbers that are lacking to complete the ESCR Cardiac Diploma of missing CT MR submissions and how many percent of the required examination numbers have already been entered of necessary MR submissions ESCR European Society of Radiology www escr org EROS RADIOLOGY MR CT Registry ESC R www mrct registry org EUROPEAN SOCIETY OF CARDIAC RADIOLOGY OPEAN SOCie Vi Data Entry The MR Database gives the possibility to create a new examination record or open and edit an existing o
2. MR CT Registry ESCR www mrct registry org EUROPEAN SOCIETY OF CARDIAC RADIOLOGY MR CT REGISTRY User Manual ESCR European Society of Radiology www escr org MR CT Registry www mrct registry org EUROPEAN SOCIETY OF CARDIAC RADIOLOGY Content l LOO I ee E EE E A E O E E 3 II Centre Registration FO eea taeamettenesen etneateoencceiness 4 III User Registration FOM essiensa ra a Da 5 IV EOS MY A seek oe E E E E E E enews euina eaeaeens 6 V Pon Uy Oee E E 7 Vi DAEN e center acesstectessnausus we dieaeneconeeieedeonwapaseranudias au carensndiodes E S 9 VII Create a New Record 2 ccccccsssssscccccsesseecccseesseccccssesseecesseuusececeseusececeseusseseesseussesesssanseseessagaes 10 VIII Specification of Indication Suspected CAD sssssssssssseeesssssrrrrrrrrrrrrrrrreessssserrrrrrerrrrereeeesssseens 11 IX Foar DIJEN O I oca eat sg veces S T E R 12 X OS CCS aacurceteciecicenttea coisa AEE S 13 XI Complications MR ScanNe eresse enana E EE EEEE 14 XII MR Examination Contrast Material cccccccsseccccsssececeessceccescccsesececeeececeeeeceeseusesesaueseesenss 15 XI MRECG A POStPrOCESSiNE secretiei EE 16 A R PONE r E ieipoersiautdeaumnureceeaeeauueeel 17 AW FOURE A Daa SO e E PaceveaaeesseneadacsceasascunoPacswejaseeiaonss 18 2 ESCR European Society of Radiology www escr org WROPEAN SOCie gt PAROS PADIS MR CT Registry ESC R www mrct registry org EUROPEAN SOCIETY OF CARDIAC RADIOLOGY
3. gender of the patient If you leave all fields blank you find all your examinations of the respective form 18 ESCR European Society of Radiology www escr org MR CT Registry www mrct registry org Suchergebnisse 9 Akten Dateof ion Age Gender Aktenanmerkungen 012 60 male i 2012 73 female 08 Mai 2012 74 female T 09 Mai 2012 67 male T 21 Mai 2012 65 female C 24 Mai 2012 47 male T m 24 Mai 2012 60 female C 24 Mai 2012 80 male T m 25 Mai 2012 81 male AKTE ANLEGEN OPEAN SOCie 7 La Phpowe ESCR EUROPEAN SOCIETY OF CARDIAC RADIOLOGY By clicking on the grey box marked by the red arrow on the figure above you can open the individual examinations Date of Examination 08 Mai 2012 Age Gender To open examinations without editing them click on MR as marked by the red arrow in the figure above Date of Examination 08 Mai 2012 Age 43 Gender i MR ndem 5919 brenneis hzi Idem To edit examinations click on the edit logo ESCR European Society of Radiology www escr org 19
4. writing the report Reporter Radiologist C Consensus Reading Radiologist and Cardiologist Cardiologist Separate Reading Radiologist Cardiologist other Role Consultant Resident Responsible Consultant Second Observer Please select Before saving please specify who wrote the examination report Save amp leave Save Cancel Reset After having filled in all mandatory fields you may now save your entries or reset the form Before saving please ensure you filled in all mandatory fields marked with a red star Only if all mandatory fields are filled in you may continue 17 ESCR European Society of Radiology www escr org MR CT Registry ESCR www mnrct registry org EUROPEAN SOCIETY OF CARDIAC RADIOLOGY XV Editing Data Search ESCR European Society of Cardiac Radiology MR CT REGISTRY You are in MR Database Switch to MDCT registry To create a new record click here To edit existing records click here Short manual SE CT MR SUBMISSIONS IN DATABASE personal institutional total Already existing examination data can be opened by clicking on here as marked by the arrow in the figure above Record Search View Edit Record Date of Examination yyy mm dd Age Gender lt Please select I invers Next gt gt Reset A search mask opens which gives the possibility to filter by examination date and age and
5. GLUBINE AUSTRIA BELGIUM CZECH REPUBLIC DENMARK FINLAND FRANCE GERMANY ITALY LUXEMBOURG NETHERLANDS NORWAY SLOVAK REPUBLIC SPAIN SWEDEN SWITZERLAND UNITED KINGDOM 15 queore AN SOCig PLROWe RADIOLOG MR CT Registry ESCR ESCR www mrct registry org EUROPEAN SOCIETY OF CARDIAC RADIOLOGY XIII MR ECG Postprocessing ECG during examination Please select Mean Heart Rate between 65 and 5 min tr 30 min between 30 and 60 rnin Heart Rhythm during scan Please select sinus rhythm VESISVES atrial fibrillationsflatter Please specify mean heart rate and heart rhythm of the patient during the examination in the section ECG Postprocessing Postprocessing Multiple answers possible ip 30 Reconstruction 40 Reconstruction Separate Coro MPRs Analysis of Ventricular Volumes and Func To select more than one answer Calculation of Muscle Mass please use the CTRL or STRG key Evaluation of Right ventricle Quantitative Analysis of Perfusion Flow Calculations 40 Flow calculations Ti Mapping T2 Mlapping T2 Analysis Others All post processing that has been carried out afterwards is to be stated here Again multiple answers can be selected by pressing the CTRL or STRG key 16 ESCR European Society of Radiology www escr org OPLAN SOc que Er CARDS RADIOLOGY MR CT Registry ESCR www mrct registry org EUROPEAN SOCIETY OF CARDIAC RADIOLOGY XIV Reporting Who was
6. O Congenital Heart Disease CHD Post Heart Transplantation HTX very good no artefacts brilliant image quality good a few artefacts which did not influence image quality Additional new non cardiac DX very poor not assessable Others Image Quality T Overy good O good adequate artefacts which did not influence image interpretation poor a lot of artefacts which influence image interpretation O adequate O poor Overy poor The next step is to make a diagnosis on the basis of the MRT Please note that at least one check box L has to be ticked for the diagnosis The information sign Ga supports the classification of the image quality ESCR European Society of Radiology www escr org 12 OPLAN SOc que Er CR ROIG RADIOLOGY MR CT Registry ESCR www mrct registry org EUROPEAN SOCIETY OF CARDIAC RADIOLOGY X Consequences Consequences Did Cardiac MRI influence Therapy Outcome yes ono Mo further invasive diagnostic nipase Select an option Please select CT Coronary ered was performed eee eee ee l Direct referral to Surgery Patient participation in other tralreqistry yes Ono Biers qed aa Cetin Leth Patient was sent home Please select an option Please select Sheng of drug aen Please select No further treatment necessary Euro CMR or Euro CCT Registry Consultation of another specialist Industry sponsored trial Testing for ischemia necessary Investigator Initiated trial Imp
7. USER MANUAL hitps www mrct registry org I Log In European Society of Cardiac Radiology MR CT Registry User Registration Form gt gt MR CT Registry Login here gt gt Forms for User Registration Centre Registration Statistics will be displayed here In order to enter examination data in the MRCT Registry page of the ESCR a login code is required To complete the personal user registration your institute has to be registered beforehand Whether your institute is already registered in the database or not can be identified in the user registration area under the section nstitutes lf your institute is already registered you find it in the drop down menu If this is the case you may continue with the personal User Registration European Society of Cardiac Radiology MR CT Registry User Registration Form Use this form to register a new user to participate in ESCR MR CT Registry please register the institute first Asklepios Klinik Altona Diakoniekrankenhaus Henriettenstiftung Hannover Gemeinschaftskrankenhaus Bonn HELIOS Klinikum Aue Herzzentrum Leipzig GmbH Institut f Diagn amp Interv Radiologie Kardio MR CT K ln Bonn Klinikum der Ludwig Maximilians Universitat Munchen Personal In Medizinisches Zentrum am Siegerlandflughafen Radiologisches Institut Dr von Essen Title St Josef Krankenhaus Moers GmbH First name Stadtische Kliniken Neuss Lukaskrankenhaus GmbH Stadtisches Klinik
8. act on Interventional Procedure Trial according to ClinicalTrials gov Mo Impact on Interventional Procedure Others Others Under the section Consequences the various effects of the findings on the following treatment of the patient have to be stated and whether the patient participates in any other trial or registry In case the findings have no further consequences or the patient is in no other study or register select no By selecting yes a drop down menu with various pre formulated answers opens 13 ESCR European Society of Radiology www escr org MR CT Registry www mrct registry org lt UROPEAN SOCIE PLROWE RADIOLOGY ESCR EUROPEAN SOCIETY OF CARDIAC RADIOLOGY Xl Complications MR Scanner This section is to state possible complications that appeared during the examination Complications Complications Adverse Events AE Multiole answers possible i To select more than one answer please use the CTRL or STRG key yes Ono extravasation Injury hypersensitive reaction to contrast material dyspnoe pulmonary edema severe allergic reaction symptomatic bradycardia symptomatic hypotension renal failure thyreotoxicosis resuscitation heating accidentially Facemaker lCO detected Others In order to select more than one answer hold the CTRL or STRG key Field Strength T Name MAR Scanner Centre Specific Presets Please select Please sel
9. bmit your data will be forwarded Upon receipt and approval of your application your institutional access is being created and an email with your username and password will be sent to you The authorisation process usually takes 1 work day As soon as your institute is authorised and appears in the drop down menu you can continue with your User Registration ESCR European Society of Radiology www escr org yrore t SOC gt F Ease RADIOLOG MR CT Registry ESC R ESCR www mrct registry org EUROPEAN SOCIETY OF CARDIAC RADIOLOGY III User Registration Form As soon as you have received your username you may log in to the Registry and create further user accounts e Continue with the user registration MR CT Registry User Registration Fomm gt gt MRICT Registry Login here gt gt Forms for Centre Registration gt gt Short manual Hil Statistics will be displayed here a European Society of Cardiac Radiology MRICT Registry Ure Registration Form Use this form to register a new institute to participate in ESCR MRICT Registry institutes Sd e a si comm O Institute director Responsible person Title Do Firstname O O Sumamey Email o Phone _ ee required informations In this form as well all fields marked with a red star are mandatory hence have to be filled in in order for the user data being saved and the registration process being continued Onl
10. ect 7 Please select the device used for the examination from the drop down menu Name The Field Strength IT will be specified automatically According to your institution selection there will only be a limited choice of devices to choose from in regards to the MR scanners used in your institution gt Incase a scanner is missing in the list the allocations for your institute have to be altered ESCR European Society of Radiology WWwW eSCr Org 14 MR CT Registry www mrct registry org XII MR Examination Contrast Material OPEAN SOCie 7 F oac ESCR EUROPEAN SOCIETY OF CARDIAC RADIOLOGY The section MR Examination is for general information concerning the examination which sequences contrast medium flow rate etc MR Examination Please select one or more Morphology Coronary MRA CMR Diffusion OTZ Imaging Haemorrhage R Stress Examination a yes Ono OT1 Spinecho post CM Contrast Material Late Enhancement LGE 10 20 min MR Pertusionstudy Rest IMR Perfusionstudy Stress Regadenoson Cjother GADUBUTROL v Product Name GADOVIST Concentration of CM Ot v A hst of product names can be found here r Amount of CM 4 Flow Rate Perfusion Scan Concentration Perfusion Scan Flow Rate ceMRA otal Scan duration ini otal Examination Time between 30 and 6O min emedcation forfduring MR u Muitpie answers possible sedatson ei nitrates T
11. his menu is to enter information about the patient Fields marked with a red star Examination date age and gender are mandatory fields that have to be filled out The date of birth is used for the automatic age calculation and will not be saved in the registry Please mind the date format Year Month Day which are separated with a As soon as all mandatory fields are filled in the data can be saved and the pop up window closes 10 ESCR European Society of Radiology www escr org OPLAN SOc que Er CARDING RADIOLOGY MR CT Registry ESCR www mrct registry org EUROPEAN SOCIETY OF CARDIAC RADIOLOGY VIII Specification of Indication Suspected CAD Indications Please select at least one indication Suspected Coronary Artery Disease CAD Suspected CAD lv Please select patient s risk according Please select to this table modified from Taylor cca Please select tal JACC 2010 me low risk less than 10 intermediate risk between 10 90 S ECET EET OMDCT Perfusion Stress test Pe d multiple answer a high risk more than 90 Please select one or more checkboxes Known CAD Suspected H x Rejection Suspected HTx Allograft Vasculopathy Visualisation of Pulmonary Veins Visualisation of Coronary Veins C Is a mouse over info field that provides further information when placing the mouse cursor on it At least one indication question has to be specified by
12. ne ESCR European Society of Cardiac Radiology MR CT REGISTRY You are in MR Database Switch to MDCT registry To create a new record click here To edit existing records click here CTMR SUBMISSIONS IN DATABASE institutional ESCR European Society of Radiology www escr org WROPEAN SOCie gt MR CT Registr CT Registry ESCR www mrct registry org EUROPEAN SOCIETY OF CARDIAC RADIOLOGY Vil Create a New Record Examination Examined by Fabian Juhrich Date of Examination lywyyy mm dd Patient a 2 https Avww mrct registry org Examination Windows Internet Explorer Registry ID t giztry org z Age Examination naer m na R Date of Examination 2012 08 15 Es Date of Birth 1 1976 07 10 YYYY MM DD ody Weight Height Agee E years Gender male 4 Body Weight 85 kg 184 cm OMDCT Perfusion Approve Data S vertrauensw rdige Sites f R10 Indications Suspected CAL Known CAD Suspected HTx Ree Suspected HTx Allograft Vasculopathy Visualisation of Pulmonary Veins When creating a new record usually a pop up window opens automatically If this is not the case click on the button Edit Identification Data CREATE RECORD Examination Examined by Matthias Gutberlet Date of Examination lywyryy mm dd Patient Registry ID poo0109 Age Gender gt Body Weight Height years kg cm Edit Identification Data T
13. o select more than one answer beta blocker iv the CTR G key beta blocker orally please use the CTRL or STRG key kebr Cachannel blocker emedication for contrast aller dobutarune for perfusion study OMR Wall Motion Analysis Stress Dobutamin CINE MRI 2D Flow Measurement CT 1 Mapping CIMR Tagging 3D Flow Measurement C T2 Mapping OEdema imaging e g STIR SPAR OMR Wall Motion Analysis Physical Stress DceMRA OEary Enhancement lt 10 min COMR Perfusionstudy Stress Adenosine CIMR Perfusionstudy Stress Dobutamin Distributor Company Bayer The indication of the contrast medium depends on the family By clicking on here as marked by the red arrow in the above figure a pop up window opens witha pdf file containing a table for family contrast medium classification gt For the premedication multiple answers are possible HUNGARY IRELAND ITALY LATVIA LITHUANIA LUXEMBOURG MALTA NETHERLANDS NORWAY POLAND PORTUGAL ROMANIA SLOVAK REPUBLIC SLOVENIA SPAIN SWEDEN SWITZERLAND TURKEY UNITED KINGDOM MAGNEVIST MULTIHANCE GADOTERIDOL PROHANCE ESCR European Society of Radiology www escr org GADOPENTETATE DIMUGLUMINE Bayer AUSTRIA BELGIUM CZECH REPUBLIC DENMARK FINLAND FRANCE GERMANY GREECE HUNGARY IRELAND ITALY LUXEMBOURG NETHERLANDS NORWAY POLAND PORTUGAL ROMANIA SLOVENIA SPAIN SWEDEN SWITZERLAND TURKEY UNITED KINGDOM GADOBENATE Bracco DIME
14. ticking the check box If a suspicion of Coronary Artery Disease CAD exists the individual risk for the patient has to be assessed gt by clicking on table a pdf file containing a table for risk classification opens By means of this table the individual risk of a present CAD case can be assessed Se MR CT REGISTRY Pretest Probability of Coronary Artery Disease CAD by Age Sex and Symptoms modified from Taylor AJ et al JACC 2010 Atypical Probable Nonanginal Angina Pectoris Chest Pain Intermediate Intermediate pt Very Low High Intermediate Intermediate tow High Intermediate Intermediate tow Intermediate Low 11 ESCR European Society of Radiology www escr org MR CT Registry www mrct registry org IX Final Diagnosis Final Diagnosis based on MR results Please select at least one indication Exclusion of CAD O Coronary Artery Disease CAD O Visualisation of Pulmonary Veins O Visualisation of Coronary Veins O Please select one or more O Coronary Anomaly or Fistula OCABG or IMA Graft Patency O Aortic Dissection OPatient suitable for TAVI WROPEAN SOCie gt F PAROS RADIOLOG ESCR EUROPEAN SOCIETY OF CARDIAC RADIOLOGY O Pulmonary Embolism LICABG or IMA Graft Stenosis gt 50 Occlusion C Constrictive Pericarditis O Patient not suitable for TAVI O Myocardial Infarction Non Viable Myoeardium Cardiomyopathy O Myocarditis O Valve Disease Cardiac Tumour
15. um Magdeburg Surname Universitatsklinikum Aachen ait Universitatsklinikum Essen Email Universitatsklinikum Freiburg mit Universitatsherzzentrum Phone Universitatsklinikum Heidelberg 3 Universitatsklinikum Mannheim Address Institute lt Please select gt z Note lf your institute doesn t appear in this dropdown list ESCR European Society of Radiology www escr org WROPEAN SOCie gt Eroe PAD OGy MR CT Registr co CT Registry ESCR www mrct registry org EUROPEAN SOCIETY OF CARDIAC RADIOLOGY Il Centre Registration Form European Society of Cardiac Radiology MR CT Registry Centre Registration Form gt gt STARTPAGE Use this form to register a new institute to participate in ESCR MR CT Registry Institute Type of institute Academic Hospital Address Zip City Country PT Institute director Responsible person for Continuing Education Title FO First name FN Surname FO Email FO If your institute is not yet registered this has to be done one time using the registration form provided Centre Registration Information concerning the hospital institute the person responsible for maintenance of the account as well as the equipment used has to be provided e All fields marked with a red star are mandatory and have to be filled in e Blank mandatory fields prevent the saving process and hence generating an institute e By clicking the button su
16. y then your examinations can be allocated to you personally European Society of Cardiac Radiology MRICT Registry User Registration Form gt STARTPAGE Your data has been send successfully to ESCR office Confirmation will be send by email Thank you for your registration To registrate a new user please click here After saving a Username and a Password will be generated and sent to your stated e mail address This process takes approximately one work day ESCR European Society of Radiology www escr org MR CT Registr CT Registry ESCR www mrct registry org EUROPEAN SOCIETY OF CARDIAC RADIOLOGY IV Log In Page a B European Society of Cardiac Radiology MR CT Registry User Registration Form gt gt MR CT Registry Login here gt gt Forms for User Registration Centre Registration gt gt Short manual Hl Statistics will be displayed here As soon as you received your Username and Password you may log in via clicking on the button Login here gin After you successfully logged in you may continue filling out the MR or CT form ESCR European Society of Radiology www escr org WROPEAN SOC gt MR CT Registry ESCR www mrct registry org EUROPEAN SOCIETY OF CARDIAC RADIOLOGY V Registry Data The form for the MR database and the CT database can be distinguished by their differently coloured backgrounds and by their caption Pink
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