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Survey Report CT

This survey report summarizes the results of a diagnostic reference level survey conducted at RS PARU dr. ARIO WIRAWAN for head CT scans. Twenty patients between the ages of 33-74 underwent CT scans, all with a single phase and average CTDI of 9.98 mGy. The average DLP across all patients was 671.74 mGy.cm, above the Indonesian DRL of 0.00 but below the DRL CTDI of 50.00 mGy for head scans. The survey found the facility's head CT protocols exceeded local DRLs for radiation dose.

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48 views13 pages

Survey Report CT

This survey report summarizes the results of a diagnostic reference level survey conducted at RS PARU dr. ARIO WIRAWAN for head CT scans. Twenty patients between the ages of 33-74 underwent CT scans, all with a single phase and average CTDI of 9.98 mGy. The average DLP across all patients was 671.74 mGy.cm, above the Indonesian DRL of 0.00 but below the DRL CTDI of 50.00 mGy for head scans. The survey found the facility's head CT protocols exceeded local DRLs for radiation dose.

Uploaded by

Wira Sja
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as XLS, PDF, TXT or read online on Scribd
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SURVEY REPORT

RS PARU dr. ARIO WIRAW


INDONESIAN NATIONAL DIAGNOSTIC REFEREN
CT SCAN
HEAD INFO
Practice Name : RS PARU dr. ARIO WIRAWAN Age Group:
Protocol : CT Head Scanner:

SETTING
kVp 120 Rotation Time
mAs 250 No of Phases
Pitch Helical/Axial
Contrast 0 Detector Configuration
Dose Modulation 1 Iterative Constructive
CTDI vol
Comments

SURVEY RESULT
Dose Metric DRL (Q3) Indonesian DRL
DLP(mGy.cm) 671.74 0.00
CTDI(mGy) 9.98 50.00

INDONESIAN MDCT DRLs


Protocol DLP (mGy.cm)
CT Head -
CT Neck -
CT Chest -
CT AbdoPelvis -
CT ChestAbdoPelvis* -
CT Lumbar Spine* -
CT Pelvis / Hip -
CT Ekstrimitas -
CT Jantung -
Cervical+Thorax -
Head+Cervical -
Sinus CT -
CT Mastoids -
CTA Head -
CT Angiografi (CTA) -
CT Laring/Nasofaring -
CT Orbita -
CT Urologi -
SURVEY REPORT
ARU dr. ARIO WIRAWAN
ONAL DIAGNOSTIC REFERENCE LEVEL SURVEY
CT SCAN
HEAD INFO
Adults (15+ years) Start Date: 13 Jan 2018
PHILIPS - Philips MX 16 End Date: 03 Mar 2018

SETTING
0 Reconstruction slide width
0 Reconstruction Algorithm Kernel
Helical/Spiral/Volume Scan Field of View 0
16 x 1.50 Beam Shape Filter
0 Noise Index

SURVEY RESULT
Indonesian DRL Comments
0.00
50.00

INDONESIAN MDCT DRLs


DLP (mGy.cm) CTDI (mGy)
- 50
- -
- -
- 25
- -
- 35
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
SURVEY REPORT
Practice Name
INDONESIAN NATIONAL DIAGNOSTIC REFERE
CT SCAN

SURVEY DATA
Patient No Patient Name Gender Age (Years)
1 sujan male 53
2 Dodi Ashari male 38
3 Zamhuri male 55
4 Misriyat female 57
5 Alexander male 57
6 Emy female 54
7 Khusnul Khotmah female 33
8 Sumaryat female 66
9 Muinah female 56
10 Masruroh female 49
11 Zainal male 60
12 Fauziyah female 54
13 Sungadi male 71
14 Suwandi male 74
15 Kumariyat female 56
16 Kumini female 60
17 Moh Kambali male 57
18 Slamet Masrudin male 71
19 Sukini female 64
20 Bambang male 57
SURVEY REPORT
Practice Name
ONAL DIAGNOSTIC REFERENCE LEVEL SURVEY
CT SCAN

SURVEY DATA
Patient Weight (Kg) No of Phase (1/2/3/>=4) Average CTDI (mGy)
50 1 9.98
50 1 9.98
59 1 9.98
58 1 9.98
55 1 9.98
60 1 9.98
58 1 9.98
57 1 9.98
58 1 9.98
51 1 9.98
55 1 9.98
53 1 9.98
50 1 9.98
60 1 9.98
50 1 9.98
50 1 9.98
70 1 9.98
53 1 9.98
44 1 9.98
70 1 9.98
Total DLP (mGy.cm)
608.48
584.6
669.75
582.82
680.1
554.35
594.16
606.09
558.34
638.32
582.2
586.18
662.19
602.49
614.44
682.69
741.39
685.68
649.86
677.72

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