Dose Calculation-CT Scanner Webform

Dose Calculation-CT Scanner Webform

Section

Dose Calculation-CT Scanner

CT scanner make/Model:

CT Scans

CTDI:

DLP:

DLP:

Upper Extent of scan: Scan position of upper slice (e.g. SP150)

Upper extent of scan: Scan position of upper slice(e.g. SP150)

Lower extent of scan: Scan position of lowest slice, (e.g. SP360)

Lower extent of scan: Scan position of lowest slice,(e.g. SP360)

Tube kVp:

Tube kVp:

Average Tube current [mA] at midsection

Average Tube current at midsection[mA]:

Rotation time for one revolution[s]:

Rotation time for one revolution[s]:

Average mAs:

Average mAs:

Average Effective mAs :

Average Effective mAs :

IEC pitch:

IEC pitch:

Beam width (Number of detectors x width of each detector) [mm]:

Beam width(Number of detectors x width of each detector)[mm]:

Table increment per rotation [mm]:

Table Increment per rotation[mm]

Location of fetus (slice number):

Location of fetus(slice number):

Patient height and weight (ok to estimate):

Patient height and weight (ok to estimate):

Estimated Dose:

For PTC Use Only

Patient height and weight (ok to estimate):

Patient height and weight (ok to estimate):

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