Before you enter data

The National Diagnostic Reference Level Service MDCT survey collects data for three age groups and eight imaging protocols. The three age groups are:

  • baby/infant (0-4 years)
  • child (5-14 years)
  • adult (15+ years)

The eight protocols are:

To start a new survey you select the Age Group, Protocol and CT Scanner used from the drop down lists and then select ‘Start New Survey’.

Screen shot from NDRL Database - 'Start new suvey'

This takes you to the data entry page for the survey you have just created. There are two main sections to this page, the scan settings data and the patient data. Before you can fill in any patient data you must fill in the scan settings data and select ‘Save Settings’.

Screen shot from NDRL Database - 'Settings'

Some settings such as ‘Reconstruction Algorithm Kernel’ and ‘Scan Field of View’ allow you to enter numbers and/or words/symbols, eg. ‘Standard’ or ‘35 cm’.

The ‘Reconstruction Slice Width’ box allows you to enter multiple widths, eg. ‘2, 5, 10’.

The comments box is a free field where any additional information can be recorded.

There is an option to print out this data entry page. It may be easier to fill in the patient data table by hand then log back in and enter the data electronically later.

In the patient data entry table, for single and multiple phase scans, the average CTDIvol, the total DLP, patient weight, patient age and patient sex is required.

Screen shot from NDRL Database - 'Patient Data'

To obtain the patient weight you should just ask them, accuracy to the nearest 2 kg is sufficient.

It is easiest to enter the patient data across each row rather than down each column.

Each time you select ‘Save’ or ‘Save and Close’ the patient data you have entered will become locked and you will not be able to edit it.

The ‘Show Scattergam’ button will only become active once you have saved data for at least one patient. By selecting ‘Show Scattergam’ you will be able to view a graph showing DLP vs patient number.

The ‘Submit Survey’ button will only become active once you have entered data for at least 10 patients and saved the data.

Caution: Do not select the ‘Submit Survey’ button until you are sure that you wish to submit the data. Once you submit the data the survey will become locked and you will not be able to add any additional data. A warning message will appear to ask you if you are sure you wish to submit the data.

Like all parts of the service, the webpage will time out after 10 minutes of no activity, when this happens you will have to log back in to continue.

Protocol specifications

Below are images and descriptors of various MDCT scan protocols. Scan region approximates to the region marked with red lines on the respective image.

Head

Scan range Example Exclusions
Base of skull or C2 to vertex

Non-contrast CT brain

Trauma, headache

-

MDCT head scan region

Soft-tissue neck

Scan range Example Exclusions
External auditory meatus to include aortic arch Oncology No carotid angiography

MDCT soft tissue neck scan region

Cervical spine

Scan range Example Exclusions
External auditory meatus to T2 Trauma, neck pain -

MDCT cervical spine scan region

Chest

Scan range Example Exclusions
Lung apices to adrenal glands, including liver if specified Post contrast for oncology

No HRCT

No pulmonary nodule follow up

No ultra-low dose protocol

MDCT chest scan region

Abdomen pelvis

Scan range Example Exclusions
Diaphragm to below symphysis pubis

Post contrast for oncology or abdominal pain

Single portal venous phase

No kidney-ureter-bladder

MDCT abdo-pelvis scan region

Kidney-ureter-bladder (KUB)

Scan range Example Exclusions
Superior pole of kidneys to symphysis pubis Renal colic No stone follow-up

MDCT kidney-ureter-bladder scan region

Chest-abdomen-pelvis (CAP)

Scan range Example Exclusions
Above lung apices to below symphysis pubis

Arterial chest plus portal venous abdomen, single or dual acquisition

Oncology

-

MDCT chest-abdo-pelvis scan region

Lumbar spine

Scan range Example Exclusions
Between T12 to S1 Non-contrast for degenerative disease -

MDCT lumbar spine scan region