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ARPANSA National diagnostic Reference Level Survey User Guide

1. National Diagnostic Reference Level Survey User Manual Diagnostic Imaging and Nuclear Medicine Section ARPANSA 38 At the top of the page the Protocol CT Scanner Make Model and Additional Identifier Age Group and Start Date of the survey are listed Protocol Head Scanner GE LightSpeed VCT Room 1 Age Group Adult 15 years of age Start Date 27 Feb 2013 Below this are a series of fields relating to the technical settings used to acquire the images In this section we request the settings used for the general protocol The 20 sets of patient data from this survey do not have to match all of the settings exactly but they should be close Settings You must complete all questions marked with an asterisk Rotation Time Reconstruction Slice Width Reconstruction Alogorthm Ho of Phases Please Select Helical or Axial O Helical C Axial Scan Field of View EE Detector Configuration Beam Shaping Filter iterative T um Reconstruction e m Noise Index All mandatory fields in this section must be filled out before any patient data can be added to the table below For guidance on the information required for each field please see Appendix B The field titles for each setting parameter are also hyperlinked to a help page There is also a comments box below the scan settings in which you can record any other information about the protocol to better define the specifi
2. IMS Australian Government es Y Australian Radiation Protection and Nuclear Safety Agency ARPANSA National Diagnostic Reference Level Survey User Guide Version 1 2 Notice Commonwealth of Australia 2011 Copyright Notice and Disclaimer This work is copyright You may download display print and reproduce this material in unaltered form only retaining this notice for your personal non commercial use or use within your organisation Apart from any use as permitted under the Copyright Act 1968 all other rights are reserved Requests and inquiries concerning reproduction and rights should be addressed to Manager Knowledge Management ARPANSA 619 Lower Plenty Road Yallambie VIC 3085 email info arpansa gov au All care has been taken in the preparation of this work and its conclusions However where the data or results presented are utilised by third parties the Commonwealth of Australia shall not be liable for any special indirect consequential or other damages whatsoever resulting from such use Nor will the Commonwealth of Australia be liable for any damages arising from or in connection with any errors or omissions that have inadvertently occurred in this work National Diagnostic Reference Level Survey User Manual Diagnostic Imaging and Nuclear Medicine Section ARPANSA TABLE OF CONTENTS 1 INTRODUCTION RR OE EO EO 3 1 1 PURPOSE OF THE AUSTRALIAN NATIONAL DIAGN
3. Please note also that all five fields in the table must be filled in for each patient If all five fields are Save not filled in and you select Aa only the data up to the point where the last complete set of five fields is filled in will be saved Save Please note that if you have filled in all 20 data sets and you select ENE will also automatically submit the survey 5 5 2 Save and Close Save and Close i l If you select Save and Close the data in the patient data table will be saved and you will return to the survey home page This will also cause the data you have entered to be locked You may return to this survey and add more data at any time Save and Close Please note that if you have filled in all 20 data sets and you select ELI will also automatically submit the survey 5 5 3 Show Scattergram The show scattergram button will only become active when you have entered data for at least 1 patient and saved the data Show Scattergram By selecting i a scattergram of the DLP data vs patient number you have entered will be displayed This will also cause the data you have entered to be locked Show Scattergram Please note that if you have filled in all 20 data sets and you select his will also automatically submit the survey National Diagnostic Reference Level Survey User Manual 41 Diagnostic Imaging and Nuclear Medicine Section ARPANSA Aurstrallan i overnmeni Tee Apri
4. Age Group the number of Completed Data Sets and the Report Type National Diagnostic Reference Level Survey User Manual 48 Diagnostic Imaging and Nuclear Medicine Section ARPANSA There are two Report Types these are Indicates that the survey has been submitted with between 10 and 19 patient data sets The report for this survey is available but the statistical significance of the PRLs are limited Indicates that the survey has been submitted with a full 20 patient data sets Report To view a report you should select the appropriate button Each report is in the form of a PDF which you can open and or save to your computer You can download the same report multiple times National Diagnostic Reference Level Survey User Manual 49 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 6 3 A GUIDE TO YOUR PRACTICE REPORT The Australian National Diagnostic Reference Level MDCT Survey report enables each practice to document and record Practice Reference Levels for individual scanners protocols and age groups The Practice Reference Levels PRLs can then be compared against established Diagnostic Reference Levels DRLs enabling a practice to compare their dose efficiency performance in relation to their peers The practice report comprises four pages provided in an easy to understand format The purpose of the report is to provide you with a record of the range of doses submitted for the specific acquisit
5. Details National Diagnostic Reference Level Survey User Manual 11 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 2 4 1 Practice Details and Radiologist Details National Diagnostic Reference Level Database Registration Process Step 1 Practice and Radiologist s Details Registration Step 1 Practice and Radiologists Details gt Step 2 Add Scanners gt Step 3 Add Contact gt Complete Please complete all fields marked with an asterisk Practice Details Practice Name Practice LSPN Type of Practice Please Select Address Address Line 1 Address Line 2 Address Line 3 Town Suburb State Please Select Postcode Radiologist s Details Title Please Select Other Specify E Family Name First Name Middle Name Phone Office Phone Mobile Fax Save amp Continue For more information on the specifics of any mandatory fields see section 2 3 1 and 2 3 2 Also the title of some details are hyperlinked to a help page which provides more information Once you have filled in all fields marked with an and checked the disclaimer box you should select Save amp Continue Back Selecting will take you back to the log in page and none of your data will be saved Save amp Continue we recommend you select to proceed through the remainder of the registration process You will then be ta
6. Practice and Radiologists Details gt Step 2 Add Scanner s gt Step 3 Add Contact gt Complete Scanner successfully added for the practice Add New MDCT Scanner Please complete all fields marked with an asterisk Select Scanner Make Select Scanner Model Additional Identifier e g Emergency CT Room 1 etc Please Select v Please Select Scanner v EI Add This Scanner Can t find your scanner in the list above You can Request a Scanner to be added to our list My MDCT Scanner List Exit Registration To delete a CT Scanner from this list you select the Q next to the CT Scanner you wish to delete To alter the Additional Identifier for a CT Scanner you should alter the text in the field then select to save your changes Please note that if your practice does have more than one CT scanner it is not mandatory to provide dose data for each individual machine It is however mandatory to list each individual machine If your CT Scanner is not listed The CT Scanner Models are listed as defined by the manufacturer If a CT scanner at your practice is not in the drop down lists you can select Can t find my Scanner Make Can t find my Scanner Model from either the Make or Model drop down list or Request a SCanner see section 2 5 for more details Once you have listed all the CT Scanners at your practice you should select Continue Exit Registration By selecti
7. e contains at least one number Please note that your new password cannot be identical to any of the last 8 passwords you have used and this is case sensitive Change Password Once you have filled in all fields marked with an you should select Change Passwort and you will be notified that the Password for your account is updated successfully B E Australian Government pv EETL ED L A Ese Australian Radiation Protection and Nuclear Safety Agency National Diagnostic Reference Level Database TNC0000239 Log Out Manage Passwords Update Details a Password for your account is updated successfully Radiologist Details Please select the account you wish to update password for Scanner Details Contact Details Manage Passwords Password Last Set On 20 Aug 2012 amp Surveys MDCT Survey Password Last Set On 09 Aug 2012 H Reports For 2012 Contact Us 4 2 7 Changing the generic user password Generic Account If you select you will be taken to the following page B Australian Government fedem Australian Radiation Protection and Nuclear Safety Agency National Diagnostic Reference Level Database TNC0000239 Log Out Home Change Practice User Password Update Details Practice Details Radiologist Details Scanner Details Reset password for Generic Practice User by providing new password Con
8. Depart con De need did SCE OCUmpiree dT AP eon Losie er Praca for jons of laning Radiation RPS 14 Section 3 1 8 a Download the full HDRL Survey User Guide PDF 3 mh Login to the National Diagnostic Reference Level Database Top of Page 1 Taayi Secun D sctsimer Accessi Langues Freedom afinf nmsrion 10 Diagnostic Imaging and Nuclear Medicine Section ARPANSA From the Login page you should select x Australian Government J Australian Radiation Protection and Nuclear Safety Agency Welcome to the Please login to the NDRLD website National Diagnostic Reference Level Database The aim of the Australian National Diagnostic Reference Level Database NDRLD project is to work with the medical and paramedical professions to ensure the most effective use of ionizing radiation in diagnostic imaging by undertaking surveys of patient exposures to assist in establishing Australian National Diagnostic Reference Levels This portal will be used as a means of undertaking these surveys initially starting with multidetector computed tomography MDCT This portal has been developed by and is operated and maintained by the Australian Radiation Protection And Nuclear Safety Agency ARPANSA Please refer to the following information before you register for the NDRLD Before you Register a Register This will take you to the first stage in the registration process which is the Practice and Radiologist
9. Details Please complete all fields marked with an asterisk Radiologist Details Scanner Details Title Contact Details Manage Passwords If Other Specify amp Surveys MDCT Survey amp Reports For 2012 Middle Name Contact Us Mr Family Name First Name Occupation Phone Office 0394332291 Phone Mobile Fax John Smith Australiar All fields on the page will be pre filled with your current details To change any details simply delete the details that have been pre filled and enter your new details Updat Once you are happy with the changes you should select ELLEN and you will be notified that A request to update contact details has been submitted and is pending approval National Diagnostic Reference Level Survey User Manual 30 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 4 2 5 Manage Password You are able to change your password at any time Both the Radiologist and the Contact can update their own password and the generic user password Please note that when logging in using the generic username you are not able to update any details including the passwords If you selected Manage Passwords you will be taken to the Manage Passwords page Australian Government iras Australian Radiation Protection and Nuclear Safety Agency National Diagnostic Reference Level Database TNC0000239 Home amp Update Details Practice Details Manage Passwords Please select the accoun
10. Details The Generic practice user is now active Radiologist Details The purpose ofthe Australian National Diagnostic Reference Level Survey is to gather individual practice data Practice Details Scanner Details that will be used to establish National Diagnostic Reference Levels for common imaging procedures Contact Details Australian Radiology Manage Passwords The objective of developing DRLs is to establish a measure of indicative doses for current diagnostic imaging 009999 B Surveys procedures in Australia allowing individual practices to compare their doses againstthose oftheir peers i 619 Lower Plenty Road a i i Yallambie Currently the survey is collecting data on Multi Detector Computed Tomography doses only Future website 7 em 12 developments will encompass other medical radiation imaging modalities such as VIC interventional fluoroscopic and general examinations mammography and nuclear medicine 3085 Contact Us A comprehensive dosimetry report will be made available for each submitted data set This report will detail your practice doses compared with European DRLs When enough data has been collected to calculate J Citizen Show details Australian National DRLs these will be used for comparison These reports will be taken as complying with ARPANSA Code of Practice RPS 14 Section 3 1 8 Show details National Diagnostic Reference Level Survey User Manual 23 Diagnostic Imaging and Nuclear Medicine Section
11. Fa rV Yn ERE EN Ge EG KEER 23 4 1 i nenibape Mt v 23 4 2 B sip TUNG DISP ERR TR N OO ER N OE EE Ee 23 5 COMPLETING A SURVEY cccccccccccccccccccccccccccccccccccccceccccccccccccccccccccccccccccccccccccccecccccccccccccecccccceccccccecs 34 5 1 WHY ARE WE PARTICIPATING IN THE SURVEY ccccscececcecscecscscaseccecucseecececncseseececusteececscutaseececueutataececueataneeeess 34 5 2 SURVEY ETEGORIES ee ER oe oe oe Se Ge n GE ee ER Ge ER ER GE ee GE ER GE OG EE RE OS ee ER Ge ee od 34 5 3 INFORMATION COLLECTED IN A SURVEY ees ees ese ese ese ese ee es ees ee ee ee ee ee ee ee ee ae ee ee ee ee ee ee ee ee ee ee ee ee ee gee ee 35 5 4 NAVIGATING TO THE SURVEY PAGE Jc ees see ee Ge ie se oe Onuncedivs ipse nc Semin cuts ss ots ee Core aree V ens ou UN ee TER 36 5 5 STARTING A NEW SURVEY ee es ese es ee es ee ee ee ee ee ee ee ee ee ee ee ee sesesese sese ese ese ese ese ese ese ese ese esee eee 37 5 6 CONTINUING A SURVEY NR 44 5 7 WHAT HAPPENS WHEN YOU SUBMIT A SURVEY eie ee De ee ee ee ee ee ee ee ee ee ee ee eie 46 6 PRACTICE REPORTS os see de Oe ek ee ee ea Ee We ee Ge ed ER REOR eves ed Oe YAT ERVE FRIES E APERUIT RETE ee Ge Re FEVER ee oe Na 47 6 1 WHAT ARE THE PRACTICE REPORTS ccccscscecsccccecececatcececucacascecscucesascececuseaeeecscecseececscataseececssetataececusataeaeeess 47 6 2 HOW TO ACCESS PRACTICE REPO
12. Manual 13 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 2 4 2 MDCT Scanner Details In this section you are required to give information on the make and model of each CT Scanner related to the LSPN at your practice To add a scanner to your list of scanners you should select the make and model of the scanner from T r Add This Sci the drop down lists fill in the Additional Identifier field then select National Diagnostic Reference Level Database Add MDCT Scanner Registration Step 1 Practice and Radiologists Details gt Step 2 Add Scanner s gt Step 3 Add Contact gt Complete Add New MDCT Scanner Please complete all fields marked with an asterisk Additional Identifier Select Scanner Make Select Scanner Model e g Emergency CT Room 1 etc sr n i Peswesded no Select Pease Select Scanner Select Scanner Add This Scanner Can t find your scanner in the list above You can Request a Scanner to be added to our list My MDCT Scanner List No Scanners added for the practice Exit Registration For more information on the Additional Identifier please see section 2 3 3 Once you have added a CT Scanner it will appear under My MDCT Scanner List National Diagnostic Reference Level Survey User Manual 14 Diagnostic Imaging and Nuclear Medicine Section ARPANSA National Diagnostic Reference Level Database Add MDCT Scanner Registration gt Step 1
13. Room 2 Adut 27 02 2013 NN Status Hide details JES Status Type of Scanner Date Started Date Survey Completed Toshiba Aquilion 16 Slice Room 2 dut 07 03 2013 7103 2013 AbdoPelvis Hide details JES p Date Started Date Survey Completed Completed Data Sets Status Child 2710212013 2710212013 METH No survey has been attempted for this protocol Type of Scanner 3 GE LightSpeed VCT Room 1 IE No survey has been attempted for this protocol The list includes the Type of Scanner including the Additional Identifier the Age Group the Date Started the Date Survey Completed the number of Completed Data Sets and Status of the survey National Diagnostic Reference Level Survey User Manual 44 Diagnostic Imaging and Nuclear Medicine Section ARPANSA There are several Survey Status s these include Indicates that the survey has been started but less than 10 patient data sets have been completed This survey can be continued at any time Indicates that the survey has been started and between 10 and 19 data patient data sets have been completed This survey can be continued at any time Indicates that the survey has been submitted but with between 10 and 19 patient data sets completed The data entry page for this survey can be viewed at any time but this survey cannot be continued Indicates that the survey has been submitted with all 20 patient dat
14. above lung apices to below symphysis pubis Scan region is within red lines as shown on the diagram e g oncology trauma other pathology Table of Contents National Diagnostic Reference Level Survey User Manual 66 Diagnostic Imaging and Nuclear Medicine Section ARPANSA Lumbar Spine Neck Chest AbdoPelvis ChestAbdoPelvis Lumbar Spine Scan Range between T12 to S1 Scan region is within red lines as shown on the diagram e g impingement trauma pain Table of Contents National Diagnostic Reference Level Survey User Manual 67 Diagnostic Imaging and Nuclear Medicine Section ARPANSA APPENDIX B SCAN SETTINGS TECHNICAL INFORMATION Beam Shaping Filter The filter used to shape the x ray beam to the body habitus What filter was used to shape the x ray beam e g bow tie large bow etc Comments Any additional comments about the survey To better define the specific protocol e g what mAs value was used starting reference etc if it was a survey of paediatric patients was the 16 or 32 cm reference phantom used for DLP and CTDI values and or something relevant to you at the practice to help you differentiate between surveys Contrast Contrast used during the image acquisition Was contrast used during the image acquisition YES NO Detector Configuration The geometrical configuration of detectors used during image acquisition The first part is the number of detectors in the z axi
15. data for your site can only be accessed by authorised persons 3 2 FIRST LOGIN Once you have been issued with a username and temporary password you will be able to use these to login to the system from the Login page x Australian Government iussi Australian Radiation Protection and Nuclear Safety Agency Welcome to the National Diagnostic Reference Level Database Please login to the NDRLD website The aim of the Australian National Diagnostic Reference Level Database NDRLD project is to work with the medical and paramedical professions to ensure the most effective use of ionizing radiation in diagnostic imaging by undertaking surveys of patient exposures to Username assist in establishing Australian National Diagnostic Reference Levels Password This portal will be used as a means of undertaking these surveys initially starting with multidetector computed tomography MDCT This portal has been developed by and is operated and maintained by the Australian Radiation Protection And Nuclear Safety Agency ARPANSA Forgotten Username and or Password If this is your first time to this site then please Please refer to the following information before you register for the NDRLD register to obtain your username and password Before you Register On your first log in you will be required to change your temporary password National Diagnostic Reference Level Survey User Manual 19 Diagnostic Imaging and Nuclear Medi
16. e Baby Infant 0 4 years of age e Child 5 14 years of age e Adult 15 years of age There is a set list of protocols these are e Head e Neck e Chest e AbdoPelvis e ChestAbdoPelvis e Lumbar Spine Indicates a protocol available only if you have selected the Adult age group The type of scanner drop down list will be made up only of the scanner s you listed in the registration process Start New Surve Once you have selected the Age Group Protocol and Scanner you should select Start New Survey This will take you to the data entry page for the survey you have just created National Diagnostic Reference Level Survey User Manual 37 Diagnostic Imaging and Nuclear Medicine Section ARPANSA Australian Government 3 Australian Radiation Protection and Nuclear Safety Agency National Diagnostic Reference Level Database TNC0000239 ME CT Scan Survey Update Details Practice Details Radiologist Details Head Survey Scanner Details Contact Details Protocol Head Scanner Manage Passwords Age Group Adult 15 years of age Start Date 27 Feb 2013 amp Surveys MDCT Survey amp Reports For Settings 2012 Contact Us You must complete all questions marked with an asterisk GE LightSpeed VCT Room 1 m Dose Modulation D Yes No Configuration Iterative Reconstruction Reconstruction Alogorithm Kernel
17. forms and pages of the survey from the web To participate in the survey you must first register your practice online via the website Once registered you may then access the data entry sections of the survey National Diagnostic Reference Level Survey User Manual 5 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 1 5 WHAT DATA WILL BE COLLECTED Initially the Australian National Diagnostic Reference Level Survey will collect data on CT imaging only Other modalities such as Interventional Fluoroscopy Mammography and Nuclear Medicine will follow in time The CT section of the survey asks for data on six common protocols for three age groups The three age groups are e Baby Infant 0 4 years e Child 5 14 years e Adult 15 years The six protocols are e CT Head e CT Neck e CT Chest e CT AbdoPelvis e CT ChestAbdoPelvis e CT Lumbar Spine Indicates a protocol available only for the Adult age group For more information on the scan margins for each protocol see Appendix A For each protocol we require technical parameter data on the protocol settings used as well as basic dose data from 20 patients The technical data includes the following fields e kVp e starting or reference mAs e pitch e if contrast media was used e if dose modulation was used e rotation time e the number of phases e if the image was acquired helically or axially e detector configuration e if iterative reconstruction was used e recon
18. value for the survey National Diagnostic Reference Level Survey User Manual 52 Diagnostic Imaging and Nuclear Medicine Section ARPANSA fre ia NR FR r sye imde 1 ed ps C Australian National L Iagnosuc Reference evel SUIVEeY Protocol Chest Age Group Adult DLP Australian National Data No of Patients Australian National Data No of Patients amp i ee ee ty 013 ER EEREERREEREEREEEEEE hand Dose Length Product mGy cm Australian Radiology No of Patients Austre amp an National Data No of Patients c S A c c 3 EE EE EE EE l wo 2 SR RSR SR SRESSESS RES EEE EE Dose Length Product mGy cm Page 2 of 4 National Diagnostic Reference Level Survey User Manual 53 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 6 3 3 A Guide to Page 3 This page also shows two graphs the first graph is a histogram showing the spread of national data in terms of CTDI for the relevant protocol with a dashed red line showing the Australian DRL value The second graph is a histogram showing the spread of CTDI values recorded in the submitted survey The red dashed line on the histogram shows the Australian DRL and the solid blue line on the histogram shows your Practice Reference Level PRL for the submitted survey Your PRL is simply the median CTDI value for the survey National Diagnostic Reference Level Survey Us
19. 15 00 350 00 71 00 67 F 20 18 00 400 00 765 00 49 M Page 4 of 4 Table of Contents National Diagnostic Reference Level Survey User Manual 57 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 7 CONTACT US 7 1 CAN YOU CONTACT US Yes The Australian National Diagnostic Reference Level Survey has been designed with user accessibility in mind however we are continually looking for ways to improve the system If you have any problems with the system questions or suggestions for improvements please feel free to contact us 7 2 HOW TO CONTACT US There are a number of ways you can contact us You can write to us at Diagnostic Imaging and Nuclear Medicine Section ARPANSA 619 Lower Plenty Road Yallambie VIC 3085 Australia You can call us on 1800 033 972 a free call from anywhere in Australia You can email us at ndrid arpansa gov au National Diagnostic Reference Level Survey User Manual 58 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 7 2 1 If you are logged in If you are logged in to the survey you can also use the Contact Us page to send us a message To do this you should select Contact Us from the menu on the left hand side of the screen x i Australian Government i 3 Australian Radiation Protection and Nuclear Safety Agency National Diagnostic Reference L vel Database Home Update Details Practice Details Radiologist Details Scanner Details Contact Details Man
20. ARPANSA 4 2 1 Update Practice Details If you selected Practice Details you will be taken to the Practice Details Page National Diagnostic Reference Level Database TNR0000238 Log Out Home amp Update Details Practice Details Radiologist Details Scanner Details Practice Details Contact Details Practice Details Please complete all fields marked with an asterisk Practice Name Australian Radiology Manage Passwords 3 Surveys Practice LSPN 009999 MDCT Survey a Reports For xis Address Contact Us Type of Practice Private Clinic Address Line 1 619 Lower Plenty Road Address Line 2 Address Line 3 Town Suburb Yallambie State VIC Postcode All fields on the page will be pre filled with your current details to change any details simply delete the details that have been pre filled and enter your new details Updat Once you are happy with the changes you should select ELLEN Any changes you make will need to be approved by a survey administrator before they are saved to the database This should take no longer than five working days and you will be able to continue to access the survey in this time Please note changing your practice address or LSPN may require you to register as a new practice If you select you will be asked if you wish to discard any changes you have made and you will return to the survey home page National Diagnostic Reference Level Survey User Manual 24 Diagnostic Imagin
21. Al ARPANSA Electricity and Hea National Diagnostic Reference Level Survey Km alle st Australausan College af Physical Stclantists E Enginarrs in Medicina duer laere Covverrient Pd au LN The Rayal Australiar lepartment of Health and Ageing and New Zeala College of Radiologis wl f T CONTACT For more AE please get In nach with ARPANSA 1800 023 372 Frescal Hi Jam TEE tional Diagnostic Reference Levels for MDCT C ETE ARPANSA Current Australian Introducing the Hationgzl Diagnostic Reference Level Database The purpose of the Ausjfalisn National Diagnostic Reference Level Survey is to gather individual practice data that will be collati and used to establish National Diagnostic Reference Levels for common diagnostic imaging opere SEREGE i eveloping DRLs is to establish a measure of indicative doses for current diagnostic imaging practi m Australia allowing individual practices to compare their doses against those of their peers Initialhy te survey is collecting data on Multi Detector Computed Tomography doses onhy Further website develogfments will encompass other medical radiation imaging modalities such as interventional fluonecopic and afneral examinations mammography and nuclear medicine A comprehensive confidential dosimetry report will be made available to the submitting practice for each data set This report will detail your practices doses compared with These AE MOES
22. BERRA ACT DARWIN MT RIHGSTOUM TAS MELBOURKE VIC HEWCASTLE HS PERTH WWA SYDNEY MSV TOWNSVILLE GLD View Full UV Index Data FEATURE 9 LY prctection factor tasting Reporting a Health or Safety Personal monitors Concern Learn how Equiprnent calibration JAPAN NUCLEAR ADVISORY Radio analytical services F a b p nt 3 1 A R F A P 5 A E i n al ith uit more 3 National Diagnostic Reference Level Survey More about Our Services YOU MIGHT LIKE TO v Learn about radiation from mobile phones Learn about radiation from ARPANSA CEO chairs international forum Dose Register ANRDR for microwave ovens i i i i Uranium Mining and Dr ar Magnus Larsson Chief Executive Officer of ARPANSA is t a Find out how sunglasses work chaired the International Atomic Energy Agency s recent Milling Workers International Experts Meeting on Decommissioning and Remediation After a Muclear Accident ARPANSA Licenses Australian Synchrotron From 1 January 2013 the Australian Synchrotron will be managed by the Australian Nuclear Science and Technology Organisation ANSTO under a licence issued by the Australian Radiation Protection and Nuclear Safety Agency LARPANSA on 20 December 2072 one FOL p nd Page updated 11 February 2013 i2 Commonwealth of Australia 2007 Freecall 1800 022 333 ABR 613211951 55 National Diagnostic Reference Level Survey Report a health concern related to p
23. OSTIC REFERENCE LEVEL SURVEY sssssssssesssseessseesseeesseessseerserersseree 3 1 2 WHAT ARE DIAGNOSTIC REFERENCE LEVELS csccccscscsccscscecscccecscscncescececscataseececneatassecscutaseececscntasaeaecscasanaes 3 1 3 WHO IS PARTICIPA TING RR ee Ee N EE ER GE Ge ee ee EE Ee EE ER ee ER ee GE RE 3 1 4 SURVEY OR RE N N AE ON OE EE OE EE EE Eee cu fos 4 1 5 MEAT BATH SIRE B LS AR se S 6 1 6 WILL FEEDBACK BE GIVEN TO PARTICIPATING PRACTICES cscsceccccececscccccecucecascccecucesaseececuceseeeecscusasaeaecncusaeans 7 2 REGISTRATION PROCES Si osse idees sees Ge oe oe ee G bed oe de SES Ie ea uv Va UR ET NES oe ee SES Ge ae oe ee De Ge de oe ae oe Ge ie 8 2 1 jie eds ie AE EEN EE RR RE OE ET EE ER OE EN EE 8 2 2 INFORMATION COLLECTED IN THE REGISTRATION PROCESS ee ese ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 8 2 3 SPECIFICS OF INFORMATION COLLECTED sis oorsese be SEG ee ee ee Re oe eb eo Ge ee EG ie ee ee Ge Ge GE GE Ge 8 2 4 HE TO REGISTER EG DS AAA GE Ge GE ER AGE ED GE AG GE ee EE GE 10 2 5 MY CT SCANNER IS NOT LISTED ccececcccscececccccececscaecececuceseecscscueaeeececucusasaececucusaseececusseececscusasaececucasataeeees 17 3 dale GING TIN EE RO EE ER EO RE EE EE N N 19 3 1 MEN BO EED TE HOENER Ge ORN GE GE a OE EE RE a Ge GEE ER EE EE ED 19 3 2 leget 19 4 UPDATING DETAILS ese Ese N Ge Ge Ee UE V RM ee KPENEEME Ua PEKRAUER KENN VE MYNVEEKPEN UNE
24. RTS see ee Se au eu auae Dee SR re ipee p Ge Ge Ge seu ie eb Ge se n Ge sued e Ne UEM ee Ed 47 6 3 A GUIDE TO YOUR PRACTICE REPORT as ese Ke ie GED eg Ge IE E FEE URU MEL D EE Cena OR UP ee be Deer E EEFES MN CEN PATERE EE 50 7 CONTACT US c Ee 58 7 1 CAN YOU CONTACT US ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 58 7 2 gay aeree yag eT a 58 APPENDIX A PROTOCOL SEAN MARGINS osse ie eie dee io TEE FEE SERV VEU UMEN DCHIM UTE EE CRM VAN SUZ 62 APPENDIX B SCAN SETTINGS TECHNICAL INFORMATION cccccccccccccccccccccccccccccccccccccccccccccccecccccceccs 68 APPENDIX C PATIENT DATA INFORMATION ccssccccsscccccsccccansccccanscccessccccessccccsssccccsscccsssccccssscccesssccces 71 APPENDIX D GLOSSARY OF TERM ccccccscsccccsscccccsvccecscvccassccccsscccccssccccssvccccsccccasscccessccccessscccsssccessoscess 72 National Diagnostic Reference Level Survey User Manual 2 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 1 INTRODUCTION 1 1 PURPOSE OF THE AUSTRALIAN NATIONAL DIAGNOSTIC REFERENCE LEVEL SURVEY The purpose of the Australian National Diagnostic Reference Level Survey is to gather data that will be used to establish and update National Diagnostic Reference Levels for common diagnostic imaging procedures The s
25. The Generic practice user is now active Radiologist Details The purpose ofthe Australian National Diagnostic Reference Level Survey is to gather individual practice data Practice Details Scanner Details that will be used to establish National Diagnostic Reference Levels for common imaging procedures Contact Details Australian Radiology Manage Passwords The objective of developing DRLs is to establish a measure of indicative doses for current diagnosticimaging 009999 procedures in Australia allowing individual practices to compare their doses againstthose of their peers Surveys 619 Lower Plenty Road MDCT Survey 1 d Yallambie Sater Currently the survey is collecting data on Multi Detector Computed Tomography doses only Future website m ge developments will encompass other medical radiation imaging modalities such as VIC interventional fluoroscopic and general examinations mammography and nuclear medicine 3085 Contact Us A comprehensive dosimetry report will be made available for each submitted data set This report will detail your practice doses compared with European DRLs When enough data has been collected to calculate Australian National DRLs these will be used for comparison These reports will be taken as complying with ARPANSA Code of Practice RPS 14 Section 3 1 8 J Citizen Show details Show details From the survey home page there are a number of menu options on the left
26. a maximum of three decimal places The Algorithm Kernel used in the image reconstruction process What Algorithm Kernel was used in the image reconstruction process e g bone standard soft etc The slice width in mm of the reconstructed image What was the slice width in mm in the reconstructed image can be multiples e g 2 5 10 The time in sec of one 360 rotation What is the rotation time in sec during image acquisition must be a number between 0 and 2 with a maximum of two decimal places The size in cm of the field of view used in the image acquisition What is the scan field of view in cm during image acquisition can also be non numeric e g large Table of Contents National Diagnostic Reference Level Survey User Manual 70 Diagnostic Imaging and Nuclear Medicine Section ARPANSA APPENDIX C PATIENT DATA INFORMATION For each survey 20 patient data sets are required Each patient data set includes the CTDI the DLP the Patient Weight the Patient Age and the Patient Gender CTDI sr The CTDI s should be displayed on the scanner console at either the beginning or end of the scan DLP The DLP should be displayed on the scanner console at either the beginning or end of the scan Patient Weight This can be obtained by simply asking the patient Accuracy to within 2 kg is sufficient Patient Age The patient age in years months for the Baby Infant age group Patient Gender Either M
27. a sets completed The data entry page for this survey can be viewed at any time and this survey cannot be continued If no survey has been started for a protocol the following message will be shown along with the protocol name National Diagnostic Reference Level Survey User Manual 45 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 5 7 WHAT HAPPENS WHEN YOU SUBMIT A SURVEY When you submit a survey you will be taken to the Thank You page Australian Government f 1 3 Australian Radiation Protection and Nuclear Safety Agency National Diagnostic Reference Level Database TNC0000239 Log Out uas AI Thank You Update Details Practice Details Radiologist Details Scanner Details Your survey has been submitted An email will be sentto you confirming the availability of the report Contact Details Manage Passwords 9 View Available Reports amp Surveys MDCT Survey B Reports For 2012 2013 Contact Us View Available Reports From here you can select the current year this will take you to the Survey Reports page for Also every time a survey is submitted an email will automatically be sent to the Radiologist and Contact informing them that a Survey report is now available Please note that if you have filled in all 20 patient data sets and you select Show Scattergram the survey will be submitted automatically and emails will be sent to the Radiologist and Contact but you w
28. a whole number between 70 and 150 Location Specific Practice Number The LSPN is a unique identifier determined by Medicare which is required to be submitted as part of each Medicare Claim What is the LSPN for your practice must be given as a six digit number with leading zeros milli Ampere second What is the starting or reference mAs for your image acquisition protocol must be a number between 50 and 1000 with a maximum of two decimal places The Image Quality Reference Parameter for Dose Modulation Also known as e Reference Image Philips e Quality Reference mAs Siemens e Standard deviation 96 low dose or high quality Toshiba It is expected that the nomenclature of these parameters will change over time must be given as a whole number between 0 and 999 Table of Contents National Diagnostic Reference Level Survey User Manual 69 Diagnostic Imaging and Nuclear Medicine Section ARPANSA No of Phases Reconstruction Algorithm Kernel Reconstruction Slice Width Rotation Time Scan Field of View The number of phases in the image acquisition How many phases were in the complete scan not including the scout topogram view 1 2 3 4 The ratio of the table feed to the total slice collimation e Pitch d MxS d is the number of 360 rotations M is the number of slices S is the individual slice collimation width MXxS is the isocentric beam width must be a number between 0 and 3 with
29. ace T ELA and you will be notified that A request to replace this radiologist has been submitted and is pending approval Once this has been approved by a survey administrator it will be saved to the database This should take no longer than five working days and you will be able to continue to access the survey in this time National Diagnostic Reference Level Survey User Manual 26 Diagnostic Imaging and Nuclear Medicine Section ARPANSA Please note that replacing the Radiologist will render the username and password for the previous Radiologist invalid A new username and temporary password will be emailed to the new Radiologist in Charge within five working days If you are only changing the title phone fax or email of the Radiologist the username and password for the Radiologist will remain valid If you select you will be asked if you wish to discard any changes you have made and you will return to the survey home page National Diagnostic Reference Level Survey User Manual 27 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 4 2 3 Update Scanner Details If you selected Scanner Details you will be taken to the Scanner Details Page SES WM Australian Government x rat demi Australian Radiation Protection and Nuclear Safety Agency National Diagnostic Reference Level Database TNC0000239 Log Out PO Practice MDCT Scanners Update Details Practice Details Radiologist Details New MDCT Scanner Sca
30. age Passwords Surveys MDCT Survey amp Reports For 2012 2013 Contact Us TNC0000239 Log Out Welcome Australian Radiology The purpose ofthe Australian National Diagnostic Refeefhnce Level Survey is to gather individual practice data Practice Details that will be used to establish National DiagnostReference Levels for common imaging procedures Australian Radiology 009999 The objective of developing DRLs ja establish a measure of indicative doses for current diagnostic imaging procedures in Australia alloyafig individual practices to compare their doses against those of their peers 619 Lower Plenty Road pf y is collecting data on Multi Detector Computed Tomography doses only Future website Yallambie will encompass other medical radiation imaging modalities such as VIC 3085 Currently the s develop intesfentional fluoroscopic and general examinations mammography and nuclear medicine A comprehensive dosimetry report will be made available for each submitted data set This report will detail Cena I your practice doses compared with Australian National DRLs These reports can be used an an indication of cC compliance with ARPANSA Code of Practice RPS 14 Section 3 1 8 Show details y Show details py This will take you to the Contact Us page t Australian Government eem T Australian Radiation Protection and Nuclear Safety Agency Home S Update Details Practice Details Radiologist Details Scan
31. ale or Female It may be useful to have a set of scales handy for patient measuring patient weight Acquisitions involving multiple runs For acquisitions that involve multiple runs the CTDI and DLP that represent the entire procedure should be recorded e g If you perform a ChestAbdoPelvis scan as two separate scans i e as a Chest scan then an AbdoPelvis scan and you obtain a CTDI and DLP for each separate scan then the CTDI and DLP recorded on the data entry page should be calculated as such The CTDI recorded should be the average of the CTDI from each part of the scan CTDIyo1 chestt CTDIvoL AbdoPelvis CT Digg renes ol Loto Pens The DLP recorded should be the sum of the DLPs from each part of the scan DLP DLP cnest t DLP apaoPelvis e g If you perform a two phase Head scan with and without contrast and you obtain a CTDI and DLP for each phase then the CTDI and DLP recorded on the data entry page should be calculated as such The CTDI recorded should be the average of the CTDI from each phase of the scan CTDIvol Phase 1 CTDIvol Phase 2 CTD pop eee oes The DLP recorded should be the sum of the DLPs from each phase of the scan DLP DLP pnase1 DLP phase 2 Table of Contents National Diagnostic Reference Level Survey User Manual 71 Diagnostic Imaging and Nuclear Medicine Section ARPANSA APPENDIX D GLOSSARY OF TERMS AEC Automatic Exposure Control Var
32. at your practice who will in most instances manage the survey for e g the Chief Radiographer CT Supervisor or Medical Physicist etc It is expected that this person will be registering the practice The mandatory details required are e e e e Title Family Name First Name Phone Office Email Non mandatory details that can be provided are National Diagnostic Reference Level Survey User Manual Occupation e g Head Radiographer CT Supervisor etc Phone mobile Fax Diagnostic Imaging and Nuclear Medicine Section ARPANSA 2 4 HOW TO REGISTER From the NDRLD page on the ARPANSA website select HOME ABOUT US Our services Hime Dei m e zi UBF Testing Uv Data UV mesource Gake Medgauokxye Phoon TLO Ade Senke Higi Energy Radiation Beams LINAC radiation Say Advice and Polk Evaluasticn ELF Magnet Fleid Meter Hi Dosimetry Senk MEE e esce Enter Dota Atala fusion Radiation Dose Register ANRDR Fame REEN See 7017 TWEE pg Asaf National Diagnostic Reference Level Survey User Manual Ee Australian Radiation Protection and Nuclear Safety Apency RADIATION PROTECTION NDRL Login d 3 47 FI Contact lis Links Site Map OUR SERVICES REGULATION A LICENSING PUBLICATIONS PENSE EVENTS iawnEde Aeee bee Xie QUICKLINKS ke Fact Sers mad Exec Lr Protection Factor Testing Service Solar raiot UV maison Mobile Telephones and Heat Science
33. ation MxS is the isocentric beam width Practice Reference Level The median value of the spread of DLPs or CTDl s for an individual practice for a single protocol A practice reference level is defined by the protocol chosen the age group and the scanner it was acquired on Therefore an LSPN with multiple scanners could have multiple PRLs for the same age group and protocol Each individual protocol should then be compared against the Australian National DRL The Algorithm or Kernel used in the image reconstruction process The slice width in mm of the reconstructed image The time in seconds of one 360 rotation The size in cm of the field of view used in the image acquisition Cancer and Heritable Effects Cancer and heritable effects involving either cancer development in exposed individuals owing to mutation of somatic cells or heritable disease in their offspring owing to mutation of reproductive cells Malignant disease and heritable effects for which the probability of an effect occurring but not its severity is regarded as a function of dose without threshold Table of Contents National Diagnostic Reference Level Survey User Manual 75 Diagnostic Imaging and Nuclear Medicine Section ARPANSA
34. c Reference Level Database NDRLD The details you have provided will be reviewed by our admin team and you will receive credentials to log on to the NDRLD system via email Close This completes the registration process Once the details you have submitted have been checked by a survey administrator a username and temporary password will be emailed to the Radiologist and Contact Person within five working days These usernames and temporary passwords can then be used to login from the Login page Selecting will close the webpage Back By selecting you will return to the CT Scanner Details Page and none of the data you entered will be saved National Diagnostic Reference Level Survey User Manual 16 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 2 5 MY CT SCANNER IS NOT LISTED The survey administrators have ensured that all CT Scanners in current use in Australia are listed in the drop down boxes The CT Scanners in the drop down lists are worded as defined by the manufacturer so please check the wording carefully If a CT Scanner in use at your practice is not in the drop down lists you should select Can t find my Scanner Make Can t find my Scanner Model from either the Make or Model drop down list or Request Scanner from the Scanner Details page National Diagnostic Reference Level Database Add MDCT Scanner Registration Step 1 Practice and Radiologists Detail
35. c protocol e g what mAs value was recorded was it starting reference minimum etc if it was a survey of paediatric patients was the 16 or 32 cm reference phantom used for DLP and CTDI values and or something relevant to you at the practice to help you differentiate between surveys When you have filled in all fields marked with an you should select EER You will be informed that Proceeding will lock scanner settings Are you sure you wish to continue By selecting OK the data in the scan settings table will become locked and you will not have another chance to edit it At this point the patient data entry table will become unlocked By selecting you will return to the survey home page and none of the data you entered will be saved You can now enter data into the patient data entry table Print Also at the top right of the page there is an option to mto this will produce a black and white copy of the data entry page which will print to a single A4 page We recommend recording your patient data on this printed page then entering the full 20 patient data sets electronically in one go National Diagnostic Reference Level Survey User Manual 39 Diagnostic Imaging and Nuclear Medicine Section ARPANSA n Australian Government rea Australian Radiation Protection and Nuclear Safety Agency National Diagnostic Reference Level Database TNC0000239 Home amp Update Details Practice Details Radiologist Deta
36. cine Section ARPANSA National Diagnostic Reference Level Database Change Password You must complete all questions marked with an asterisk Your password has now expired Please provide a new password for your account Your new password must be atleast 7 characters long contain at least one capital letter one lower case letter and one number and must not contain special characters Current Password New Password Confirm Password Change Password When changing your password you must choose a new password that e is at least seven characters long e contains at least one capital letter e contains at least one number Change Password Once you have filled in all fields marked with a correctly you should select and you will be notified that you have successfully updated your password National Diagnostic Reference Level Database Password Updated You have successfully updated your password Continue By selecting MTN will either be prompted to complete the registration process if you have not already done this for more details on completing the registration process see section 2 4 or you will go to your practices home page National Diagnostic Reference Level Survey User Manual 20 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 3 2 1 Generic Login The first person i e Radiologist or Contact to login to the survey will also be asked to set a password for a generic user login T
37. e Level Survey is to gather individual practice PORE DRE data that will be collated and used to establish National Diagnostic Reference Levels for common Reference Level Survey fi dy wee hires 7 mo The objective of developing DRls is to establish a measure of indicative doses for current diagnostic curet DALE imaging practice m Australis allowing individual practices to compare their doses against those of their Auk DALS iomain Initialhy the survey is collecting data on Multi Detector Computed Tomography doses only Further website Paediatric DRL developments will encompass other medical radiation imaging modalities such as interventional fluoroscopic A comprehensive confidential dosimetry report will be made available to the submitting Before You Register practice for each data set This report will detail your practices doses compared with Bere You NUM Thess ARPANSA reparti can bu asad aa syidenick ST complies wifi ARPANSA Code of Precticn fat y T of lanizing Radiation RPS 14 Section 3 1 B a epin E Download the full NDRL Survey User Guide PDF 3 mb NDRL Login Airain Mioral Radai Dose Register 1 z IT Pe mers Login to the National Diagnostic Reference Level Database Top of Page 1 ane HEET 30 heer 2712 Commonwediin of Asati Comit Securf Disctskmer Febe Access Langasges Freedom afinf nmerion The collection of survey data is entirely online There are no physical paper mail outs but it is possible to print
38. eference Level Database NDRLD project is to work with the medical and paramedical professions to ensure the most effective use of ionizing radiation in diagnostic imaging by undertaking surveys of patient exposures to assist in establishing Australian National Diagnostic Reference Levels This portal will be used as a means of undertaking these surveys initially starting with multidetector computed tomography MDCT This portal has been developed by and is operated and maintained by the Australian Radiation Protection And Nuclear Safety Agency ARPANSA Please refer to the following information before you register for the NDRLD Before you Register login to the NDRLD website Username Password Forgotten Username and or Password If this is your first time to this site then please register to obtain your username and password Copyright Security Disclaimer Privacy Policy Contact Us ABN 613 211 951 55 This will take you the Contact NDRL Team page National Diagnostic Reference Level Survey User Manual Diagnostic Imaging and Nuclear Medicine Section ARPANSA 60 di Ei V Australian Government Ee GL iui Australian Radiation Protection and Nuclear Safety Agency Contact NDRLD Team Contact Details If you have any questions or require any further assistance please do not hesitate to contact us Mailing Address Diagnostic Imaging amp Nuclear Medicine Section 619 Lower Plenty Road Ya
39. er Once Request Scanner X you have filled in both fields you should select and a notification will be sent to the survey administrators e f you are requesting a CT Scanner during the registration process and this is the only scanner you are registering and you do not have any other CT Scanners listed you cannot complete the registration process at this time You should select Back Exit Registration then select on the CT Scanner Details page The Radiologist will receive notification from the survey administrator via email once the CT Scanner has been added to the system Once the Radiologist has received this notification they will be able to login and complete the registration process e If you have any other available CT Scanner to add apart from this one please select Back after completing the CT Scanner request above and continue the registration process e f you have already completed the registration process and are adding another CT Scanner you should select dq or use the menu items on the left hand side of the screen to navigate to another page National Diagnostic Reference Level Survey User Manual 18 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 3 LOGGING IN 3 1 WHY DO I NEED TO LOG IN To access the survey you are required to login with a username and password This is to ensure that all data submitted is legitimate that each participating practice is recognised and that the
40. er Manual 54 Diagnostic Imaging and Nuclear Medicine Section ARPANSA i r 3 TF ET am 1 i m m i T dz l C Em Australian National Diagnostic Reference Level Survey Protocol Chest Age Group Adult CTDI Australian National Data Na of Patients 100 i Australian Nationa Data i i i i i i E x i i i i i i i i L ad RAAR An v F amp F 5h gd TP Kk L8 E Hh E S Computed Tomography Dose Indexy mGy Australian Radiology Mo of Patents ax Australian Nationa Data PRL si 154 14 1 12 f ij E a 54 aj i a T a IE N TE TT T TT T T c ET H m m wv v WR ih B B m rn 2 amp 8B 2 TR Computed Tomography Dose Indexs4 my Carl Maanus Larsson CEO ARPANSA IF you have any enquiries about this report please contact the Diagnostic Imaging and Nuclear Medicine Section at ARPANSA Email ndrldi amp arpansa gov au Phane 1800 033 972 National Diagnostic Reference Level Survey User Manual 55 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 6 3 4 A Guide to Page 4 This page shows a record of the technical settings and patient dose data for the submitted survey At the top of the page there is a summary of the following Practice Name Protocol CT Machine Make Model and Additional Identifier Age Group Survey Start and End Date Below this summary is a copy of the technical scan settings en
41. g and Nuclear Medicine Section ARPANSA 4 2 2 Update Radiologist Details If you selected Radiologist Details you will be taken to the Radiologist Details Page e f you used the Radiologist login you will see the following screen i Australian Government ems Australian Radiation Protection and Nuclear Safety Agency National Diagnostic Reference Level Database TNRO000238 Log Out a Radiologist Details Update Details Practice Details Radiologist Details Scanner Details Title Contact Details Manage Passwords If Other Specify Surveys Family Name MDCT Survey amp Reports For 2012 Middle Name Please complete all fields marked with an asterisk First Name Contact Us Phone Office 0394332291 Phone Mobile Fax Email Jane Citizen Australia All fields on the page will be pre filled with your current details to change any details simply delete the details that have been pre filled and enter your new details Updat Once you are happy with the changes you should select ELLEN and you will be notified that the Request to update radiologist details has been submitted and is pending approval The updates made will be checked by a survey administrator and if they are not approved you will be notified by email This should take no longer than five working days and you will be able to continue to access the survey in this time National Diagnostic Reference Level Survey User Manual 25 Diagnostic Imagin
42. g and Nuclear Medicine Section ARPANSA e f you used the Contact login you will see the following screen A EP Australian Government uem Australian Radiation Protection and Nuclear Safety Agency National Diagnostic Reference Level Database Home amp Update Details Practice Details Radiologist Details Scanner Details Contact Details Manage Passwords B Surveys MDCT Survey amp Reports For 2012 TNC0000239 Radiologist Details Title Family Name First Name Middle Name Phone Office Phone Mobile Fax Dr Citizen Jane 0394332291 Contact Us Jane Citizen AustralianRadiology com Replace Radiologist To make a change to any field you must first select ee NONE which will take you to the Replace Radiologist page where you can enter all new details for your Radiologist Australian Government Pirms Australian Radiation Protection and Nuclear Safety Agency National Diagnostic Reference Level Database TNC0000239 Log Out O Replace Radiologist dj Update Details Practice Details Please complete all fields marked with an asterisk Radiologist Details Scanner Details Title Please Select Contact Details Manage Passwords If Other Specify EE Surveys Family Name MDCT Survey Reports For 2012 Middle Name First Name Contact Us Phone Office Phone Mobile Fax Cancel Once you have filled in all fields marked with an you should select Repl
43. hand side of the page these are e Home e Update Details e Surveys e Reports For e Contact Us On the right hand side of the page are your Practice details as well as the details of the Radiologist and Contact In the upper left side of the screen your username is displayed and in the upper right hand side of the screen there is an option to Log Out Table of Contents National Diagnostic Reference Level Survey User Manual 22 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 4 UPDATING DETAILS 4 1 INTRODUCTION The details you submit in the initial registration process may not be applicable to your practice in the future The Update Details option allows you to update certain parts of your registration details as it becomes necessary 4 2 UPDATING DETAILS All of the details entered during the registration process can be updated at any time Please note that updating the practice LSPN may require you to register as a new practice To update any of your details at any time simply select the details you wish to update from the menu on the left hand side of the screen You may select to update e Practice Details e Radiologist Details e Scanner Details e Contact Details e Manage Passwords Australian Government dd J Australian Radiation Protection and Nuclear Safety Agency National Diagnostic Reference Level Database TNR0000238 Log Out oe Welcome Australian Radiology Update Details Practice
44. his generic login will only provide access to the survey data entry pages They will not be able to update any details or access practice reports National Diagnostic Reference Level Database TNR0000238 Activate Practice User Please complete all fields marked with an asterisk A generic practice user for your practice has been created Please activate the generic practice user by providing Password Please note this username This Generic account credentials can be allocated to the appropriate of the staff at your practice This account will allow the staff to complete survey data input but WILL NOT allow them to view survey reports or update the practice registration details Your password must be at least 7 characters long contain at least one capital letter one lower case letter and one number and must not contain special characters Practice General User TNG0000240 New Password Confirm Password Change Password Change Password Once you have filled in all fields marked with an you should select You will go to the Home page for your practice and you will be notified that the Generic practice user is now active National Diagnostic Reference Level Survey User Manual 21 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 3 2 2 Your Practice Home page National Diagnostic Reference Level Database TNR0000238 Log Out Welcome Australian Radiology amp Update Details Practice Details
45. i Radiation Protection and Nuclear Safety Agen Return to Survey Head 1060 1010 OLP may emi ud e a Precice Relerence Level 875 810 760 1 I I I j I I I j i j i 1 2 3 E 5 6 7 8 9 10 78 84 162 87 75 73 45 85 72 B Patient Mo Weight in Kg Return ta Survey This is intended to give you a graphical representation of the spread of the DLPs for the patients you have entered You will also notice that the patient weight is displayed on the x axis below each patient number in parenthesis Also below the scattergram some brief statistics of your DLPs will be displayed These include the minimum DLP maximum DLP and median DLP Return to Survey To return to the Data Entry page for this survey you should select National Diagnostic Reference Level Survey User Manual 42 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 5 5 4 Submit Survey The Submit Survey button will only become active when you have entered and saved data for at least 10 patients Submit Survey You should only select if you have entered data for a full 20 patients You may submit the survey with data from between 10 and 19 patients entered but the statistical significance of the PRLs generated will be limited Once a survey has been submitted all the data will become locked You will be able to view the data entry page but you will not be able to make any change
46. iation of the nominal tube current selected at the start of the examination Additional Identifier An Additional Identifier for your MDCT Scanner This is a mandatory free field in which you must enter some words relating to your MDCT Scanner For example e the physical location of the MDCT Scanner e g 2 Floor East Wing or Room 210 e the department the MDCT Scanner is used in e g Emergency CT This is meant as a tool to help you at your practice differentiate between your MDCT Scanners particularly if you have more than one of the same make and model Anatomical Protocol The specifications of the scan in terms of body region margins and indicators ARPANSA Australian Radiation Protection and Nuclear Safety Agency http www arpansa gov au Axially Mode of acquiring image Conventional method of CT scanning in which each requested slice is measured at a fixed z position followed by an appropriate transport of the object in the z direction Beam Shaping Filter The filter used to shape the x ray beam to the body habitus Contrast Contrast used during the image acquisition Table of Contents National Diagnostic Reference Level Survey User Manual 72 Diagnostic Imaging and Nuclear Medicine Section ARPANSA CTDlya Computed Tomography Dose Index volume CTDI TD CP CTDly Computed Tomography Dose Index weighted CTDL 1 3 CTDI 2 3 CTDI Detector Configuration The geometrical configuration of detec
47. ic Hospital e Private Clinic in a Public Hospital e Private Clinic in a Private Hospital e Private Clinic Practice Address This should be the address of the practice as registered with Medicare Australia 2 3 2 Radiologist Details This refers to the Radiologist in Charge of the Practice or the Head of Department if your practice is part of a large Hospital Organisation The mandatory details required are e Title e Family Name e First Name e Phone Office e Email Non mandatory details that can be provided are e Phone mobile e Fax National Diagnostic Reference Level Survey User Manual 8 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 2 3 3 CT Scanner Details This refers to the CT Scanners in use at your practice The mandatory details required are e Scanner Make e Scanner Model as defined by the manufacturer e Additional Identifier The Additional Identifier field is intended as a tool for you at your practice to help differentiate if you have more than one CT Scanner of the same make and model What you enter in the Additional Identifier field is entirely up to you but we suggest that it reflect the location of the CT Scanner e g Emergency CT Room 1 or 2 Floor East Wing etc between CT Scanners particularly Please note that the Additional Identifier field is mandatory even if your practice only has one CT Scanner 2 3 4 Contact Details This refers to another person
48. ill not navigate to the Thank You page To obtain the report for this survey you will have to navigate to the Reports Page by selecting the relevant year from the menu on the left under the Reports For title Table of Contents National Diagnostic Reference Level Survey User Manual 46 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 6 PRACTICE REPORTS 6 1 WHAT ARE THE PRACTICE REPORTS For each survey submitted ARPANSA will provide a comprehensive dosimetry report This report will detail the following for the submitted data set e the spread of DLPs and CTDl s e provide a Practice Reference Level PRL in terms of DLP and CTDI q e make a comparison between the PRLs and the national DRLs for that protocol 6 2 HOW TO ACCESS PRACTICE REPORTS Only the Radiologist and Contact can access the practice reports the Generic user cannot On submission of a survey you will be taken to the Thank You page National Diagnostic Reference Level Database TNC0000239 Log Out el AT Thank You Update Details Practice Details Radiologist Details Scanner Details Contact Details Manage Passwords 9 View Available Reports amp Surveys MDCT Survey a Reports For 2012 2013 Contact Us Your survey has been submitted An email will be sentto you confirming the availability of the report View Available Reports From here you can select this will take you to the Survey Reports page for the current
49. ion protocol you used for that group of patients The principle units of dose are the Dose Length Product DLP mGy cm and the Computed Tomography Dose Index volume CTDl mGy 6 3 1 A Guide to Page 1 This page displays the following information At the top of the page there is a summary of the following details e Practice Name e Protocol e CT machine Make Model and Additional Identifier e Age Group e Survey Start and End Date Below this is a table titled Survey Outcome This table shows the PRLs in terms of DLP and CTDl 4 for the survey in blue the corresponding national Australian adult DRLs in red and a comment comparing the PRL and DRL for both dose metrics If your PRL is below the Australian Adult DRL then no comment will be made If your PRL is above the national DRL then a comment suggesting protocol optimisation will be made Note by definition 25 of practices will have a PRL that is above the national DRL At the bottom of the page is a table summarising the Australian DRLs for MDCT in terms of DLP and CTDl a National Diagnostic Reference Level Survey User Manual 50 Diagnostic Imaging and Nuclear Medicine Section ARPANSA j ie a7 ig N Her f m Er z a ry cd ae Report For Australian Radiology Protocol Chest Machine Toshiba Aquilion 16 Slice Room 2 M Australian Government Australian Radiation Protection and Nuclear Safety Agency Australian National Diagnostic Reference Le
50. is BREED Scanner Details CT Scan Survey Contact Details Protocol Head Scanner GE LightSpeed VCT Room 1 Manage Passwords MEER N Start Date 27 Feb 2013 12 35 PM Surveys MDCT Survey 7 E iiiar Settings 2012 Contact Us You must complete all questions marked with an asterisk Detector 64 0 125 Confiquration X Kernel sdyE selundE sarie ELSIE IE IE ma Select v Select v Select v Select v Select v Select v Select v Select v Select v Select v a Select v Select v Select v Select v Select v Select v Select v Select v Select v National Diagnostic Reference Level Survey User Manual 40 Diagnostic Imaging and Nuclear Medicine Section ARPANSA In the patient data entry table you should enter the average CTDI total DLP patient weight patient age and sex information you have collected There are a number of options you can select once you have entered your data These are Back Show Scattergram Save Save and Close and Submit Survey 5 5 1 Save Save To save your data at any time you can select Please note that selecting will lock any data you have entered in the table
51. ken to the Registration Step 1 Complete Page National Diagnostic Reference Level Survey User Manual 12 Diagnostic Imaging and Nuclear Medicine Section ARPANSA National Diagnostic Reference Level Database Registration Step 1 Complete Registration gt Step 1 Practice and Radiologist s Details gt Step 2 Add Scanners gt Step 3 Add Contact gt Complete Thank you for Registering for the National Diagnostic Reference Level Database Your details have been recorded on our system and you will receive correspondence by email regarding your log in details once the registration is reviewed and approved Please continue to fill in the additional required information to complete your registration Continue At this stage your Practice and Radiologist details will be sent to the survey administrators once these details have been confirmed as valid the Radiologist will be sent an email listing a username and temporary password By selecting you will proceed through the remainder of the registration process If you close the window at this stage only the Radiologist will be able to login and complete the registration process when their details have been approved and they receive a username and Continue temporary password We recommend that you select to proceed through the remainder of the registration process The next step in the registration process is the Add MDCT Scanner Details National Diagnostic Reference Level Survey User
52. l participating practices will receive reports detailing how their individual Practice Reference Level for each protocol compares with the national Diagnostic Reference Level for that protocol Reports will be generated when each data set is submitted so practices may complete the survey at their own pace There will however be a cut off time for submitting data sets based on the calendar year after which you will no longer be able to access your data For a detailed explanation of the reports see section 6 3 Table of Contents National Diagnostic Reference Level Survey User Manual 7 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 2 REGISTRATION PROCESS 2 1 INTRODUCTION In order to participate in the survey each practice must first register their details This is to ensure all data submitted is legitimate and to ensure that each participating practice is recognised 2 2 INFORMATION COLLECTED IN THE REGISTRATION PROCESS The registration process involves collection of the following data e Practice Details e Radiologist Details e CT Scanner Details e Contact Person Details 2 3 SPECIFICS OF INFORMATION COLLECTED 2 3 1 Practice Details Practice Name This should be the name of the practice as registered with Medicare Australia Practice LSPN This is the Location Specific Practice Number as registered with Medicare Australia Practice Type There are four options for Practice Type e Public Clinic in a Publ
53. llambie VIC 3085 Australia Phone 1800 033 972 Email ndridimarpansa qov au Send us your feedback comments Please complete all fields marked with an asterisk Your Email amp ddress Comments On this page you will find our mailing address phone number and email address There is also an option to type in a message To use this option you should type your email address in the box provided type your message in the box below and select ELLEN This will automatically send your message as an email to the NDRLD mailbox with your email address as an identifier Once your message has been sent you will be notified that Your message successfully sent to ARPANSA Table of Contents National Diagnostic Reference Level Survey User Manual 61 Diagnostic Imaging and Nuclear Medicine Section ARPANSA APPENDIX A PROTOCOL SCAN MARGINS The survey is collecting data on six common protocols We have defined scan margins for each protocol with the intention that any scans performed at your practice that fall within the scan margins can be included in the survey The red lines on each of the following images represent the limits of each scan range A verbal description of the scan range is also given Head Head Neck Chest AbdoPelvis ChestAbdoPelvis Lumbar Spine Head Scan Range between base of skull to vertex Scan region is within red lines as shown on the diagram e g brain pathology suspected or k
54. maging Radiation Oncology and Other Measures Act 2003 requires these sites to be registered with Medicare Australia in order for Medicare benefits to be payable Registered sites and bases for mobile equipment are allocated a Location Specific Practice Number LSPN The LSPN is a unique identifier which is required to be submitted as part of each Medicare claim for diagnostic imaging or radiation oncology services Medicare Australia has an online data base of registered LSPNs that can be searched via their website http www medicareaustralia gov au provider medicare Ispn js milli Ampere seconds Multi Detector Computed Tomography Also known as Multi Slice Computed Tomography MSCT Image Quality Reference Parameter for AEC Also known as Reference Image Philips Quality Reference mAs Siemens and Standard Deviation or standard low dose or high quality Toshiba It is expected that the nomenclature of these parameters will change over time The number of phases in the image acquisition Table of Contents National Diagnostic Reference Level Survey User Manual 74 Diagnostic Imaging and Nuclear Medicine Section ARPANSA Pitch PRL Reconstruction Algorithm Kernel Reconstruction Slice Width Rotation Time Scan Field of View Stochastic Effects The ratio of table feed and total slice collimation Where d is the number of 360 rotations M is the number of slices S is the individual slice collim
55. ner Details Contact Details Manage Passwords amp Surveys National Diagnostic Reference Level Database TNC0000239 Log Out Contact Us If you have any questions or require any further assistance please do not hesitate to contact us Mailing Address Diagnostic Imaging amp Nuclear Medicine Section 619 Lower Plenty Road Yallambie VIC 3085 Australia MDCT Survey amp Reports For 2012 2013 Contact Us Phone 1800 033 972 Email ndrid arpansa gov au Send us your feedback comments On this page you will find our mailing address phone number and email address There is also an option to type in a message To use this option you should type your message in the box provided and select sew This will automatically send your message as an email to the NDRLD mailbox with your username as an identifier Once your message has been sent you will be notified that Your message successfully sent to ARPANSA National Diagnostic Reference Level Survey User Manual 59 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 7 2 2 Ifyou are not logged in You can also use the website to send us a message if you are not logged in to the survey From the Login page you should select Contact Us from the bottom of the screen Australian Government Australian Radiation Protection and Nuclear Safety Agency Welcome to the National Diagnostic Reference Level Database The aim of the Australian National Diagnostic R
56. ng the data entered will be saved but you will be logged out of the registration process Only the Radiologist will be able to login and complete the registration process when their details have been approved and they receive a username and temporary password We Continue recommend that you select to proceed through the remainder of the registration process This will take you to the final part of the registration process which is the Add Contact Details National Diagnostic Reference Level Survey User Manual 15 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 2 4 3 Contact Person Details National Diagnostic Reference Level Database Add Contact Registration Step 1 Practice and Radiologists Details gt Step 2 Add Scanners gt Step 3 Add Contact gt Complete Please complete all fields marked with an asterisk Title Please Select f Other Specify EE Family Name First Name Middle Name Occupation Phone Office Phone Mobile Fax Complete Registration For more information on the specifics of any mandatory field see section 2 3 4 Complete Registration Once you have filled in all fields marked with an you should select National Diagnostic Reference Level Database Thank you Registration gt Step 1 Practice and Radiologists Details gt Step 2 Add Scanners gt Step 3 Add Contact gt Complete Thank you for Registering with the National Diagnosti
57. nner Details Contact Details Please complete all fields marked with an asterisk Manage Passwords Select Scanner Make Select Scanner Model mL i MDCT Survey e g Emergency CT Room 1 etc 4 Reports For 2012 Please Select Please Select Scanner X CO Add This Scanner Contact Us Can t find your scanner in the list above You can Request a Scanner to be added to our list My MDCT Scanner List Back to Home The CT scanners you have already listed will appear under the title My MDCT Scanner List If you wish to add a new scanner you should select the make and model of the scanner from the drop T Add This Scanner down lists fill in the Additional Identifier field then select AddThis Scanner For more information on Additional Identifiers see section 2 3 3 To delete a CT Scanner from this list you select the Q next to the CT Scanner you wish to delete To alter the Additional Identifier for a CT Scanner you should alter the text in the field then select to save your changes If your CT Scanner is not listed The CT Scanner Models are listed as defined by the manufacturer If a CT scanner at your practice is not in the drop down lists you can select Can t find my Scanner Make Can t find my Scanner Model from either the Make or Model drop down list or Request a Scanner see section 2 5 for more details Once you have made all the desired changes you
58. nostic Reference Levels for common imaging procedures Scanner Details Contact Details The gafective of developing DRLs is to establish a measure of indicative doses for current diagnostic imaging 009999 Manage Passwords procedures in Australia allowing individual practices to compare their doses against those of their peers 619 L PI Road amp Surveys MDCT Survey Currently the survey is collecting data on Multi Detector Computed Tomography doses only Future website Yallambie developments will encompass other medical radiation imaging modalities such as vic interventional fluoroscopic and general examinations mammography and nuclear medicine 3085 Australian Radiology amp Reports For 2012 2013 Contact U A comprehensive dosimetry report will be made available for each submitted data set This report will detail ontact Us your practice doses compared with Australian National DRLs These reports can be used an an indication of compliance with ARPANSA Code of Practice RPS 14 Section 3 1 8 Expand All Collapse All Show details amp 4 Show details 7 Currently the only survey open is the Multiple Detector Computed Tomography MDCT Survey By selecting MDCT Survey you will be taken to the MDCT Survey page Australian Government Australian Radiation Protection and Nuclear Safety Agency National Diagnostic Reference Level Database TNC0000239 eae MDCT Survey Update Details Practice Details Radiologist De
59. nown Table of Contents National Diagnostic Reference Level Survey User Manual 62 Diagnostic Imaging and Nuclear Medicine Section ARPANSA Neck AbdoPelvis ChestAbdoPelvis Lumbar Spine Scan Range between external auditory meatus to T2 Scan region is within red lines as shown on the diagram e g Image Pathology of cord nerve roots or spine lymph node pharyndlarynx thyroid Table of Contents National Diagnostic Reference Level Survey User Manual 63 Diagnostic Imaging and Nuclear Medicine Section ARPANSA Chest Chest AbdoPelvis ChestAbdoPelvis Lumbar Spine Scan Range between lung apices to adrenal glands Scan region is within red lines as shown on the diagram e g mediastinal pleural pulmonary pathology and oncology No HRCT Table of Contents National Diagnostic Reference Level Survey User Manual 64 Diagnostic Imaging and Nuclear Medicine Section ARPANSA AbdoPelvis AbdoPelvis ChestAbdoPelvis Lumbar Spine AbdoPelvis Scan Range from above diaphragm to below symphysis pubis Scan region is within red lines as shown on the diagram e g oncology trauma renal colic abdominal pain other pathology Table of Contents National Diagnostic Reference Level Survey User Manual 65 Diagnostic Imaging and Nuclear Medicine Section ARPANSA ChestAbdoPelvis Head Neck Chest AbdoPelvis ChestAbdoPelvis Lumbar Spine ChestAbdoPelvis Scan Range from
60. ommendations of the International Commission on Radiological Protection Vol 21 No 1 3 1991 1 3 WHO IS PARTICIPATING All practices in Australia that carry out diagnostic imaging procedures are invited to participate and all participation is voluntary National Diagnostic Reference Level Survey User Manual 3 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 1 4 SURVEY FORMAT The Australian National Diagnostic Reference Level Survey is an online survey The survey can be accessed via the services section on the ARPANSA web page http WWW arpansa gov au HOME ABOUT US RADIATION PROTECTION OUR SERVICES Protecting People and the Environment from the Harmful Effects of Radiation SCIENCE REGULATION 9 Lv radiation exposure F Far licence applicants F Far licence holders 2 Radiafrequency energy b ELF electromagnetic fields Reporting ar accident b Medical exposure import and export permits F Environmental radiation Security of radiological b n Inspection Reports More about Science Mare about Regulation NEWS amp MEDIA New Fact Sheet How to Reduce Exposure from Mobile Phones amp other Wireless Devices The Australian National REGULATION amp LICENSING 9 SERVICES CURRENT ACTIVITIES Australian Clinical Dosimetry Service ContactUs Links Site Map PUBLICATIONS NEWS amp EVENTS DAILY UV INDEX ADELAIDE SA ALICE SPRINGS HT BRISBANE OLO CAN
61. ossible exposure to EMF fields See an index of fact sheets iN ARPANSA news feeds Copyright Security Disclaimer Privacy Statement Feedback This link will take you to the NDRLD page of the ARPANSA website National Diagnostic Reference Level Survey User Manual Diagnostic Imaging and Nuclear Medicine Section ARPANSA gt a a bee J Contact Us Links Site Map HOME ABOUT US RADIATIOH PROTECTION OUR SERVICES REGULATION L LICENSING PUBLICATIONS MEWS A EVENTS gur services Hame Der Senec Faradoc National Diagnostic Reference Level Survey OUICK LINKS he Emmeni Callirston and r Favor Testing Senate Testing M Soler Lifraviotet UV ok Australian Government The Royal Australian Australasian Collage of Physical ere em Pope TIA Department of Health and Ageing and New Zealand eS Diere in Stee ears m VICTOR College of Radiologists Science At ARPANSA UPF Testing DTIC and raam UM Data UV Resource Guide CONTACT gt For more information epok Photon TLO please get In iiu with Ada Benke ARPANSA Mweline High Enengy Radiation Beams LINAC ee a a TR ie Freeman B 4513854521835 Radiation Safety Adice ne and Filsk Pakain Current Australian National Diagnostic Reference Levels for MDCT Ej Biel ARPANSA ELF Magnetic Fileki Meter Hire Pa dd ae Introducing the National Diagnostic Reference Level Database Dosimetry Service y The purpose of the Australian National Diagnostic Referenc
62. rocedures in Austi allowing individual practices to compare their doses against those of their peers amp Reports For 2012 A comprehensive dosimetry report will be made available for each submitted data set This report will detail Contact Us your practice doses compared with European DRLs When enough data has been collected to calculate Expand Sli Delapse 5l Australian National DRLs these will be used for comparison These reports will be taken as complying with ARPANSA Code of Practice RPS 14 Section 3 1 8 J Citizen Show details Show details v This will take you to the Survey Reports page for 2013 i Australian Government R 3 Australian Radiation Protection and Nuclear Safety Agency National Diagnostic Reference Level Database TNC0000239 Log Out MDCT Survey amp Update Details Practice Details MDCT Survey 2013 Radiologist Details Scanner Details Survey Reports Contact Details Manage Passwords Expand All Collapse All amp Surveys MDCT Survey amp Reports For 2012 om rene eai ET Contact Us Mar 7 2013 Toshiba Aguilion 16 Slice Room 2 AbdoPelvis Hide details JES On this page you will see a list of each survey you have submitted under the protocol name for that survey Protocol names for which you have not submitted any surveys will not be shown This list includes the Survey Start Date Type of Scanner including the Additional Identifier the
63. rts For 2012 Middle Name First Name Contact Us Phone Office Phone Mobile Fax Email Occupation National Diagnostic Reference Level Survey User Manual 29 Diagnostic Imaging and Nuclear Medicine Section ARPANSA Once you have filled in all fields marked with an you should select Replace m i Replace f and you will be notified that A request to replace this contact has been submitted and is pending approval Once this has been approved by a survey administrator it will be saved to the database This should take no longer than five working days and you will be able to continue to access the survey in this time Please note that replacing the Contact Person will render the username and password for the previous Contact Person invalid A new username and temporary password will be emailed to the new Contact Person within five working days If you are only changing the title phone fax or email of the Contact Person the username and password for the Contact Person will remain valid If you select you will be asked if you wish to discard any changes you have made and you will return to the survey home page e f you used the Contact login you will see the following screen Australian Government fumi Australian Radiation Protection and Nuclear Safety Agency National Diagnostic Reference Level Database TNC0000239 Log Out Contact Details Home Update Details Practice
64. s How many detectors were used in the image acquisition must be a whole number between 0 and 400 The second part is the width of each detector What is the width in mm of each detector must be a number between 0 and 10 with a maximum of three decimal places Dose Modulation Also known as Automatic Dose Modulation Automatic Exposure Control and Tube Modulation The nomenclature of this parameter will be manufacturer dependent and subject to change over time e g Smart mA DoseRight Care Dose etc Was Dose Modulation used during the image acquisition YES NO Table of Contents National Diagnostic Reference Level Survey User Manual 68 Diagnostic Imaging and Nuclear Medicine Section ARPANSA Helical or Axial Iterative Reconstruction Noise Index The mode of acquiring the image e Helical also known as Spiral refers to the method of image acquisition in which the gantry is continuously rotating while objects are simultaneously being translated in the z direction e Axial refers to the method of image acquisition in which each individual slice is measured at a fixed z position followed by an appropriate translation in the z direction Was the image acquired Helically or Axially Helical Axial The application of adaptive statistical iterative reconstruction algorithm s Was iterative reconstruction used to process the image Yes No kilo Voltage peak What was the set kVp for the protocol must be
65. s gt Step 2 d Scanner s gt Step 3 Add Contact gt Complete Add New MDCT Scanner Please complete all fields marked with an asterisk Additional Identifier Pewesded ono Select Pease Selec Scanner Select Same gt err This Scanner Can t find your scanner in the list above You can Request a Scanner to be added to our list My MDCT Scanner List No Scanners added for the practice Exit Registration This will take you to the Request Scanner page National Diagnostic Reference Level Survey User Manual 17 Diagnostic Imaging and Nuclear Medicine Section ARPANSA National Diagnostic Reference Level Database Request Scanner Please complete all fields marked with an asterisk Scanner Make Scanner Model Please Note A notification will be sentto you once the scanner has been confirmed with the manufacturer and added to our list Ifthis is the only scanner you are registering and you do not have any other scanner listed you will need to wait until you receive a notification from us before you will be able to log back in to complete the registration process However if you have any other available scanner to add apart from this one please click the Back button after completing the scanner request above and continue the registration process We apologise for any inconvenience this may have caused On this page there are two fields where you can type in the make and model of your scann
66. s including entering additional data If you submit a survey set with less than 20 data sets you will not be able to add more patient data at a later date Once a survey is submitted you will only be able to view the data National Diagnostic Reference Level Survey User Manual 43 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 5 6 CONTINUING A SURVEY On the bottom half of the CT Survey home page is a list of Surveys in Progress once expanded this list will show you all the surveys you have started in the current calendar year i Australian Government bas 7 Australian Radiation Protection and Nuclear Safety Agency National Diagnostic Reference Level Database TNC0000239 Log Out MDCT Survey amp Update Details Practice Details Radiologist Details Scanner Details Start New Survey Contact Details MDCT Survey 2013 Manage Passwords You must complete all questions marked with an asterisk Surveys View Scan Margins MDCT Survey amp Reports For 2012 Age Group Anatomical Region Protocol Type of Scanner 2013 IEEE EN mr EE E Contact Us Please Select v Please Select Age Group v Please Select X Start New Survey Surveys in Progress Overview Expand All Collapse All Hide details IS Type of Scanner Date Started Date Survey Completed EF EF oO A K Hide details amp Type of Scanner Date Started Date Survey Completed Toshiba Aquilion 16 Slice
67. should select EYE MI National Diagnostic Reference Level Survey User Manual 28 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 4 2 4 Update Contact Person Details If you selected Contact Person Details you will be taken to the Contact Details Page e f you used the Radiologist login you will see the following screen x p Australian Government i 3 Australian Radiation Protection and Nuclear Safety Agency National Diagnostic Reference Level Database TNR0000238 o Contact Details amp Update Details Practice Details Radiologist Details Scanner Details Family Name Contact Details First Name Manage Passwords Title Middle Name amp Surveys MDCT Survey Occupation amp Reports For Phone Office 0394332291 2012 Contact Us Phone Mobile Fax John Smith AustralianRadiology com To make a change to any field you must first select i which will take you to the Replace Contact page where you can enter all new details for your Contact Person Australian Government imi Australian Radiation Protection and Nuclear Safety Agency National Diagnostic Reference Level Database TNRO000238 Log Out AE Replace Contact Update Details Practice Details Please complete all fields marked with an asterisk Radiologist Details Scanner Details Title Please Select Contact Details Manage Passwords If Other Specify Nm Surveys Family Name MDCT Survey Repo
68. struction slice width e reconstruction algorithm kernel e scan field of view e beam shaping filter e noise index More specific information on what is required for each of these fields is given in Appendix B The basic dose data from 20 patients includes e The average CTDI for the examination e The total Dose Length Product DLP for the examination e The patient weight in kg e The patient age in years months for baby infant age group e The patient gender More specific information on what is required for each of these fields is given in Appendix C Information on how to report the CTDI and DLP for acquisitions that involve multiple runs e g with and without contrast or ChestAbdoPelvis scans done in two parts is given in Appendix C National Diagnostic Reference Level Survey User Manual 6 Diagnostic Imaging and Nuclear Medicine Section ARPANSA Each set of data collected will be used to calculate a Practice Reference Level PRL that is specific to the protocol age group and CT Scanner used For practices with more than one scanner at the one location ie same LSPN e A practice reference level is defined by the protocol chosen the age group and the scanner it was acquired on Therefore an LSPN with multiple scanners could have multiple PRLs for the same age group and protocol Each individual protocol should then be compared against the Australian National DRL 1 6 WILL FEEDBACK BE GIVEN TO PARTICIPATING PRACTICES Al
69. t you wish to update password for Radiologist Details Scanner Details Password Last Set On 09 Aug 2012 Manage Passwords B Surveys Password Last Set On 09 Aug 2012 MDCT Survey amp Reports For 2012 Contact Us My Account To change your own login password you should select ET Generic Account To change the Generic Users password you should select 4 2 6 Changing the Radiologist or Contact Person password If you select you will be taken to the following page Australian Government 5 Australian Radiation Protection and Nuclear Safety Agency National Diagnostic Reference Level Database TNC0000239 Log Out Change Password Update Details You must complete all questions marked with an asterisk Radiologist Details Scanner Details Contact Details Please provide existing and new password for your account Manage Passwords Your new password must be atleast 7 characters long contain at least one capital letter one lower case letter and one number and must not contain special amp Surveys characters MDCT Survey amp Reports For Current Password 2012 Contact Us New Password Confirm Password l National Diagnostic Reference Level Survey User Manual 31 Diagnostic Imaging and Nuclear Medicine Section ARPANSA When changing your password you must choose a new password that e is at least seven characters long e contains at least one capital letter
70. tact Details Manage Passwords Your new password must be at least 7 characters long contain at least one capital letter one lower case letter and one number and must not contain special a Surveys characters MDCT Survey amp Reports For Practice Generic User TNG0000240 Please complete all fields marked with an asterisk 2012 New Password Contact Us Confirm Password When changing the generic user password you must choose a new password that e is at least seven characters long e contains at least one capital letter e contains at least one number Please note that the new password cannot be identical to any of the last 8 passwords you have used and this is case sensitive National Diagnostic Reference Level Survey User Manual 32 Diagnostic Imaging and Nuclear Medicine Section ARPANSA Note that for the generic user account the username will be displayed and you do not have to enter the current password i Reset Password Once you have filled in all fields marked with an you should select ELT and you will be notified that The Generic practice user password is reset successfully Australian Government n Australian Radiation Protection and Nuclear Safety Agency National Diagnostic Reference Level Database TNC0000239 Home Update Details Practice Details Manage Passwords dd The Generic practice user password is reset successfully Radiologist Details Please select the account you wish to upda
71. tails Scanner Details Start New Survey Contact Details Manage Passwords You must complete all questions marked with an asterisk Surveys View Scan Margins MDCT Survey Reports For Contact Us Please Select v Please Select Age Group v Please Select Y MDCT Survey 2013 Surveys in Progress Overview and All Collapse All Head No survey has been attempted for this protocol Ne survey has been attempted for this protocal No survey has been attempted for this protocol AbdaPelvs No survey has been attempted for this protocol ChestAbsoPeivis Mo survey bas been attempted for this prorocol Lumbar Spine Ne survey has been attempted far this protocol National Diagnostic Reference Level Survey User Manual 36 Diagnostic Imaging and Nuclear Medicine Section ARPANSA This page is split into two parts Start New Survey and Surveys in Progress Overview There is also an option to view the scan margins From this page you have the option to start a new survey or continue a survey you have started previously 5 5 STARTING A NEW SURVEY To start a new survey you need to select the protocol CT scanner and age group of the survey you wish to begin from the drop down lists under Start New Survey at the top of the page Age Group Anatomical Region Protocol Type of Scanner Status Please Select Please Select Age Group Please Select Start New Survey There are three Age Groups
72. te password for Scanner Details Contact Details Manage Passwords Password Last Set On 20 Aug 2012 amp Surveys MDCT Survey Password Last Set On 20 Aug 2012 4 Reports For 2012 Contact Us Table of Contents National Diagnostic Reference Level Survey User Manual 33 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 5 COMPLETING A SURVEY 5 1 WHY ARE WE PARTICIPATING IN THE SURVEY Each set of survey data that is submitted will be used to create a national data set from which Australian National DRLs will be calculated and updated Also for each set of survey data you submit a comprehensive dosimetry report will be available detailing the specific protocol doses and a comparison with the national DRLs This report can be taken as an indication of compliance with the ARPANSA Code of Practice Radiation Protection in the Medical Applications of lonising Radiation RPS 14 Section 3 1 8 a 5 2 SURVEY CATEGORIES Each new survey you begin must be specified by the age group protocol and CT scanner used The three age groups are e Baby Infants 0 4 years e Children 5 14 years e Adults 15 years The six protocols are e Head e Neck e Chest e AbdoPelvis e ChestAbdoPelvis e Lumbar Spine Indicates a protocol available only for the Adult age group For more information on the scan range and indications for each protocol see Appendix A The CT scanner used will be a choice of the CT scanners
73. tered for the survey as well as the patient data entry table You can cross reference the patient data with the corresponding histograms on pages two and three This page is provided so you can make comparisons between surveys completed for the same protocol over time National Diagnostic Reference Level Survey User Manual 56 Diagnostic Imaging and Nuclear Medicine Section ARPANSA Practice Name Australian Radiology Protocol Chest Age Adult Machine Toshiba Start Date 07 Mar 2013 Aquilion 16 Slice End Date 07 Mar 2013 Room 2 kVp 120 Rotation Time 0 80 Reconstruction Slice Width S s mAs 200 00 Mo of Phases 1 Reconstruction Algorithm standard Kernel chest Pitch 140 Helical Axial Helical Scan Field of View Contrast NO Detector Configuration 4 X 50 Beam Shape Filter bow tie Dose Modulation YES Iterative Reconstruction No Noise Index 11 standard chest protocol mAs is reference value Patient Average CTDI 4 Total DLP Patient Weight Patient Age Sex 1 15 00 350 00 64 00 G1 F 2 18 00 400 00 78 00 46 M 3 20 00 450 00 62 00 a1 F 4 17 00 380 00 95 00 36 F 3 15 00 350 00 58 00 52 F 6 15 00 350 00 72 00 7 2 F Fi 16 00 350 00 68 00 63 M 8 20 00 450 00 79 00 4 F 18 00 400 00 92 00 48 M 10 15 00 350 00 46 00 65 M 11 18 00 400 00 98 00 68 M 12 15 00 350 00 87 00 69 F 13 15 00 350 00 68 00 62 F 14 18 00 400 00 76 00 38 M 15 18 00 400 00 73 00 It F 16 18 00 400 00 68 00 72 M 17 15 00 350 00 94 00 3 M 18 17 00 380 00 32 00 68 M 19
74. tors used during image acquisition Dose Constraint Dose Constraint A prospective and source related restriction on the individual dose from a source which provides a basic level of protection for the most highly exposed individuals from a source and serves as an upper bound on the dose in optimisation of protection for that source There are no dose constraints for medical procedures DLP Dose Length Product DLP mGy cm CTDI 5 mGy x Scan Length cm Dose Modulation Also known as Automatic Dose Modulation Automatic Exposure Control Tube Modulation DRL Diagnostic Reference Level The 75 percentile value of a range of medians for a population of practices for a single anatomical protocol and age group Helically Mode of acquiring image Method of CT scanning with continuous gantry rotation and simultaneous continuous object translation in the z direction In contrast to the sequential scanning technique Table of Contents National Diagnostic Reference Level Survey User Manual 73 Diagnostic Imaging and Nuclear Medicine Section ARPANSA Iterative Reconstruction kVp LSPN mAs MDCT Noise Index No of Phases Iterative Reconstruction The application of adaptive statistical iterative reconstruction algorithm s kilo Voltage peak Location Specific Practice Number Where a practice site provides diagnostic imaging or radiation oncology services Health Insurance Amendment Diagnostic I
75. urvey is being conducted by the Australian Radiation Protection and Nuclear Safety Agency ARPANSA in consultation with various stakeholders These stakeholders include e Royal Australian and New Zealand College of Radiology RANZCR e Australian Institute of Radiography AIR e Australasian College of Physical Scientists and Engineers in Medicine ACPSEM e Australian and New Zealand Society of Nuclear Medicine ANZSNM e Department of Health and Aging DoHA e State and Territory Regulators 1 2 WHAT ARE DIAGNOSTIC REFERENCE LEVELS Put simply a Diagnostic Reference Level or DRL is a method for evaluating whether the patient dose with regard to stochastic effects is unusually high or low for a particular medical imaging procedure Diagnostic Reference Levels apply to radiation exposure of patients resulting from procedures performed for medical imaging purposes The objective of a diagnostic reference level is to help avoid radiation dose to patient that does not contribute to the clinical purpose of a medical imaging task A Diagnostic Reference Level is not a dose constraint It should be applied with flexibility to allow higher doses where indicated by sound clinical judgment 1 ICRP Publication 105 Radiological Protection in Medicine Vol 37 No 6 2007 2 ICRP Publication 103 The 2007 Recommendations of the International Commission on Radiological Protection Vol 37 No 2 4 2007 3 ICRP Publication 60 1990 Rec
76. ut the protocol and or something relevant to you at the practice to help you differentiate between surveys The patient data required is e The total Dose Length Product DLP in mGy cm e The average Computed Tomography Dose Index volume CTDI s in mGy e The patient weight in kg it may be useful to have set of scales handy e The patient age in years in months for the Baby Infant age group e The patient gender Male or Female More specific information on what is required for each of these fields is given in Appendix C This is required for 20 patients to complete the survey You may submit a survey with data from between 10 and 19 patient data sets but the statistical confidence of the PRLs calculated will be limited National Diagnostic Reference Level Survey User Manual 35 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 5 4 NAVIGATING TO THE SURVEY PAGE From the survey home page the list of modalities available in which to complete a survey is listed under the Surveys menu on the left hand side of the screen Australian Government YT Australian Radiation Protection and Nuclear Safety Agency National Di gnostic Reference Level Database TNC0000239 Hare Welcome Australian Rgefology 5 Update Details Practice Details The purpose ofthe Aa fralian National Diagnostic Reference Level Survey is to gather individual practice data Practice Details Radiologist Details that will be useg4 establish National Diag
77. vel Survey Diagnostic Imaging amp Nuclear Medicine Section 619 Lower Plenty Road Yallambie 3085 Age Group Adult start Date 7 Mar 2013 End Date 7 Mar 2013 Survey Outcome Your practice falls within the Australian Adult Your PRL is greater than the Australian Adult DRL Unless clinically justified the implementation Protocol DLP mGy cm Head Neck Chest AbdoPelvis ChestAbdoPelvis Lumbar Spine E mail ndrid arpansa gov au Web ww w arpansa gowv au Freecall 1800 033 972 a free call from fixed phones in Australia ABN No 513 211 951 55 National Diagnostic Reference Level Survey User Manual Diagnostic Imaging and Nuclear Medicine Section ARPANSA of an optimisation process is recommended PO Bax 655 MIRANDA NSW 1490 Phone 612 25418333 Fax 612 9541 8314 619 Lower Plenty Road YALLAMBIE WIC 3085 Phone 613 04332211 Fax 61 3 9432 1835 3 5 National Circuit BARTON ACT 2600 51 6 3 2 A Guide to Page 2 This page shows two graphs the first graph is a histogram showing the spread of national data in terms of DLP for the relevant protocol with a dashed red line showing the Australian DRL value The second graph is a histogram showing the spread of DLP values recorded in the submitted survey The red dashed line on the histogram shows the Australian DRL and the solid blue line on the histogram shows your Practice Reference Level PRL for the submitted survey Your PRL is simply the median DLP
78. year Also every time a survey is submitted an email will automatically be sent to the Radiologist and Contact informing them that a Survey report is now available National Diagnostic Reference Level Survey User Manual 47 Diagnostic Imaging and Nuclear Medicine Section ARPANSA Available practice reports can also be accessed anytime via the Reports For item on the menu Practice reports for surveys submitted in the year 2013 can be accessed by selecting 2013 x Australian Government n Australian Radiation Protection and Nuclear Safety Agency National Diagnostic Reference Level Database TNC0000239 Home Welcome Australian Radiology H Update Details Practice Details The purpose ofthe Australian National Diagnostig ference Level Survey is to gather individual practice data Practice Details Radiologist Details that will be used to establish National Diagar Stic Reference Levels for common imaging procedures Scanner Details EE Fb ology 009999 619 Lower Plenty Road Surveys MDCT Survey Curpewrffj the survey is collecting data on Multi Detector Computed Tomography doses only Future website Yallambie fevelopments will encompass other medical radiation imaging modalities such as VIC interventional fluoroscopic and general examinations mammography and nuclear medicine 3085 Contact Details The objective of developingfLs is to establish a measure of indicative doses for current diagnostic imaging Manage Passwords p
79. you listed during the registration process National Diagnostic Reference Level Survey User Manual 34 Diagnostic Imaging and Nuclear Medicine Section ARPANSA 5 3 INFORMATION COLLECTED IN A SURVEY For each survey you must enter information on the technical scan settings used and data on 20 patients The data on the 20 patients is entirely anonymous no personal patient information data is required The scan settings data required is e kVp set kVp e mAs starting or reference mAs e pitch set pitch e if contrast media was used YES NO e if dose modulation was used YES NO e rotation time in sec e the number of phases 1 2 3 4 e how the image was acquired Helically Axially e detector configuration number of detectors and detector slice width in mm e if iterative reconstruction was used YES NO e reconstruction slice width in mm e reconstruction algorithm kernel will be manufacturer dependent e scan field of view in cm not mandatory e beam shaping filter will be manufacturer dependent not mandatory e noise index numerical not mandatory With the exception of the scan field of view beam shaping filter and noise index all scan settings data is mandatory and must be filled in before you may enter any patient data More specific information on what is required for each of these fields is given in Appendix B There is also a comments box below the scan settings in which you can record any other information abo

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