Reference Level Management

In this video you will learn more on the Reference Level Management. You will see in detail how to employ those automatically and how to assign the appropriate Radlex Standard examinations to your institutional examinations. To access the Dose Reference Level Management and the examination mapping page, just click on any of the tiles. The dose application starts. Select the dose reference level or DRL management configuration from the Team Play dose menu bar. The reference levels are categorized by modality and the corresponding physical radiation dose units are displayed. In addition, different levels are assigned to the Raidlex standard examination. Each Raidlex Standard examination has a Radlex playbook identifier called RPID. Let's take a look at some examples. ACT Head without contrast media examination has the RPID 22 based on the Radlex playbook and the national DLP Max reference level for RPID 22 examination is for an adult 850 milligray centimeter. The National Radiation Protection Regulation authorities provide the national dose reference values depending on the country in which your institution is located. Team Play already displays the national values which are relevant for your institution. Besides the given national DRLS, you have the option to set up your own institutional reference levels. Why should you do that? One case is that there is no reference value given for certain examinations such as ACT head perfusion and you want to monitor your institutional dose performance for these examinations. Then enter your internal reference levels. In our example shown here, the CT head perfusion with the RPID 96 has no specific national reference level. Nevertheless, your institution may perform this type of examination regularly, and it's very experienced regarding the radiation dose. Click the edit button to insert your internal reference level. In the future, Team Play will report a dose event whenever ACT Head Perfusion examination exceeds your internal reference value. This approach can be seen as an internal radiation dose monitoring. The list displays only the standard examinations with some internal reference levels.

47 30 06:27 78:32 31 141 1/1/2021 12/31/2021 140,22 20.00 18.00 16.00 14.00 12.00 10.00 8.00 4.00 0.00 986.2 6.00 144.95 200.00 160.00 120.00 425.3 60 850 0.0021 55 800 0.0032 50 650 35 450 0.0067 300 0.011 16 32 0.01 0.004 0.003 0.002 900 Reference Level Management teamplay Dose SIEMENS . Dashboard Dose Target Dose Event Percentage of all exams Number of Exams Patients & Exams Exam Duration Patient Change Time min Al-Rad Companion Usage Exams processed by all extensions Digital Marketplace Exams within target above internal reference above national reference Number of patients Warming up Alerts Patients Analytics Configuration RadLex Modalities Units Age Groups All Age Groups No Body regions found Distribution Modality ( ... ) Exam Protocols ( ... ) Locations ( ... ) Operators ( ... ) CT DLP (MAX) Summary Interval Display Linear Body regions Head Head/Neck Neck No of exams Chest Abdomen 144 95 Sort box plots Upper Head - RPID373-CT Head Angio w Modality (7) (MAX) [mGy cm] We have rolled out new features for you I Click here to see whats newll Mapping Examination(s) ++ Exam Rules Creation Reference Levels You can set up specific internal threshold values for each RadLex protocol. The appropriate national reference values are supplemented in brackets to serve as a guildeline. Anytime dose is above internal or national reference levels you will get a notification in form of an event. MG NM PT RP XA XR RF Body Regions All Body Regions Rese Make k-factor editable Filter List for any combination of Internal Reference Levels that are set. Phantom Size [cm] DLP-max [mGy cm] Accumulated DLP [mGy cm] K-Factor > Head Head/Chest Teeth Chest/Heart Heart C-Spine Max Dose value in AGD [mGy] AGD-acc [mGy] Make nat. ref . level editable L Filter List for any combination of Internal Reference Levels that are set. Injected Activity [MBq] Injected Activity [MBq / kg] Tumor > Lymph Node Research Extremity WholeBody Unknown Bone DAP-acc [cGy cm2] RP-acc [mGy] Fistography SSDE-max [mGy] Head/C-Spine Maxillofacial > Arm T-Spine Sella RPID1803 - CT Peds Head Wo IVcon Edit > RPID1850 - CT BRN WO IVCON > RPID213 - CT HEAD > RPID218 - CT Head Perfusion Xenon > RPID22 - CT Head wo > RPID372 - CT HEAD BRN > RPID373 - CT Head Angio w > RPID7 - CT Head Angio wiwo > RPID96 - CT Head Perfusion Orbits Sinuses Head . Standard 16 32 By Age Groups > 18 years (adult) 16-17 years 11-15 years 6-10 years 2-5 years 0-1 years RPID23 - CT Head w/wo v By Age Groups RPID22 - CT Head wo > RPID23 - CT Head wiwo 6 32 v Standard Cance Save Cancel Save Cancel You can set up specific internal threshold values for each RadLex protocol. The appropriase national reference values are supplemented in brackets to serve as a guildeline.Anytime dose is above internal or national reference levels you will get a notification in form of an event. Make nat. ref , level editable Save All Reset RPID96 - CT Head Perfusion v Head Please note that the learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively "Operator Manual") issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively "Functionality") may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Siemens Healthcare GmbH 2022 SIEMENS Hea Healthineers