Results


Patient: MARIA LICHT MRN: AG0001141103
Accession: 155115041 Sex: Female
Date of Exam: 2024-08-15 Physician: CHAD SMITH

08-15-2024 23:20:39

X-Ray Radiation Dose Report

(observed: 2024-08-15 23:24:55)

Concept Modifier: Procedure reported [Annex 1]
Observation Context: Observer Type: = Device (121007, DCM)
Observation Context: Device Observer UID: = 1.2.840.113619.6.491
Observation Context: Device Observer Name: = "AGGRCCT01"
Observation Context: Device Observer Manufacturer: = "GE Medical Systems"
Observation Context: Device Observer Model Name: = "Revolution EVO"
Observation Context: Device Observer Serial Number: = "*"
Observation Context: Device Role in Procedure: = Irradiating Device (113859, DCM)
Observation Context: Device Role in Procedure: = Recording (121097, DCM)
Observation Context: Start of X-Ray Irradiation: = 2024-08-15 23:20:39
Observation Context: End of X-Ray Irradiation: = 2024-08-15 23:24:55
Observation Context: Scope of Accumulation [Annex 2]

CT Accumulated Dose Data

3 {events} 323.6 mGy.cm

CT Acquisition

6.1 Abdomen/Pelvis C+ Abdomen Constant Angle Acquisition 1.2.840.113619.2.491.3.363608172.641.1723697789.95

CT Acquisition Parameters

3.2 s 569.27 mm 65.09 mm -504.18 mm 1.2.840.113619.2.491.3.363608172.641.1723697789.93.19700.5 1.25 mm 569.27 mm 1 {X-Ray sources}

CT X-Ray Source Parameters

1 120.0 kV 10.0 mA 10.0 mA

CT Acquisition

6.1 Abdomen/Pelvis C+ Abdomen Constant Angle Acquisition 1.2.840.113619.2.491.3.363608172.641.1723697789.99

CT Acquisition Parameters

3.54 s 629.27 mm 125.09 mm -504.18 mm 1.2.840.113619.2.491.3.363608172.641.1723697789.93.19700.5 1.25 mm 629.27 mm 1 {X-Ray sources}

CT X-Ray Source Parameters

1 120.0 kV 10.0 mA 10.0 mA

CT Acquisition

6.1 Abdomen/Pelvis C+ Abdomen Spiral Acquisition 1.2.840.113619.2.491.3.363608172.641.1723697789.102

CT Acquisition Parameters

8.64 s 556.14 mm 521.25 mm 566.82 mm 118.12 mm -403.12 mm 135.88 mm -420.26 mm 1.2.840.113619.2.491.3.363608172.641.1723697789.93.19700.5 0.62 mm 40.0 mm 0.98 {ratio} 1 {X-Ray sources}

CT X-Ray Source Parameters

1 120.0 kV 400.0 mA 109.6 mA 0.6 s

CT Dose

5.82 mGy IEC Body Dosimetry Phantom 323.6 mGy.cm

Dose Check Alert Details

No Yes 1000.0 mGy

Dose Check Notification Details

No Yes 50.0 mGy

Source of Dose Information: Automated Data Collection (113856, DCM)

Annex

Annex 1

Procedure reported: Computed Tomography X-Ray (P5-08000, SRT)

Concept Modifier: Has Intent: = Diagnostic Intent (R-408C3, SRT)

Annex 2

Scope of Accumulation: Study (113014, DCM)

Properties: Study Instance UID: = 1.2.840.113619.2.491.3.363608172.641.1723697789.92