2013 acr ct quality control manual

Quality control of ct image using american college of radiology acr. The phantom is designed to evaluate all test parameters required in national and international protocols for ct quality control iaea publication 19, eu criteria publication 162 and acr qc manual, as well as to test noise reduction algorithms and tube current modulation. The objective of ct accreditation is to validate that the quality and safety of care provided is adequate and meets standards. A single phantom for objective quality control of both ct and. Acraapmsiim technical standard for electronic practice of. For more detail about each quality control qc procedure select the relevant link in the tables below. For additional information, see the acr guidance document on mr safe practices, 20 and the acr manual on contrast media. How will you comply with joint commission standards for ct dose monitoring. Acrin will provide an acr ct phantom, on loan, to sites who do not own. Role of the medical physicist presented by douglas pfeiffer, m. If you are accredited by the joint commission, the facility will be required to analyze ct radiation doses and compare it external benchmarks and collect data where radiation dose limits have been exceeded. Daily equipment quality control for ct equipment effective. May 24, 2016 6014105 acr mri quality control manual 2014. May 03, 20 legislation, such as mqsa, california sb 1237 ct dosing, mn accreditation, such as acr advisory, including the joint commission, aapm e.

Acr manual on contrast media version 9, 20 preface 3 preface this ninth edition of the acr manual on contrast media replaces all earlier editions. The european framework for quality and safety in imaging consists of the euratom directive of 20 applicable from 2018 council directive 2014, which outlines the principles of justification, optimisation, diagnostic reference levels, quality control, clinical audit and workers safety for x. The european framework for quality and safety in imaging consists of the euratom directive of 20 applicable from 2018 council directive 2014, which outlines the principles of justification, optimisation, diagnostic reference levels, quality control, clinical audit and workers safety for xray imaging. In our research the control chart that better suits the image quality control of a radiology department is the type p control chart, based on the proportion of conform and conconform exams with 70% for the central limit, 95% for the superior control limit and 45% for the inferior control limit. To be accredited by the acr effective 1201 20, all facilities applying for accreditation must maintain a documented qc program and must comply with the minimum frequencies of testing outlined in the 2012 acr computed tomography qualitycontrol manual. The parameters that are used in all the following tests, were from instruction manual for the acr ct accreditation. American college of radiology acr ct quality control qc manual for the acr ct accreditation program ctap7 3. European commission ec report 162 on ct quality assurance10 11. Achieving the full potential of ct requires careful attention to quality assurance qa, both in regard to equipment. Sites that have achieved acr ct accreditation provide assurance to patients and referring providers that the quality of ct services is. Apr 12, 2017 quality assurance for computed tomography simulators and the computed tomography simulation process.

Ct sites applying for the first time or renewing will receive an electronic copy of the manual via email. James barkovich, md,2 charlotte bell, md,3 james p. Ct phantom acrin will provide a phantom, on loan, or you may. Quality control of ct image using american college of radiology. Ct phantom is relatively easy to use and is a widely employed qc phantom. Pdf quality control of ct image using american college of. Recently, the american college of radiology acr ct accreditation. Evaluation of over 100 scanneryears of computed tomography daily. Implementation of the 2012 acr ct qc manual in a community. This digital manual details the quality control responsibilities of the radiologist, radiologic technologist, and medical physicist for ct. Legislation, such as mqsa, california sb 1237 ct dosing, mn accreditation, such as acr advisory, including the joint commission, aapm e.

Specifics of the qc program for ct are provided by the acr in this manual. American college of radiology imaging network cqie manual of procedures version 3. Analysis of image quality has meaning primarily in the context of a particular imaging task. Sep 20, 2012 performance testing and monitoring of official or primary interpretation display devices should be performed in accordance with any relevant acr modality accreditation program quality control manual recommendations, the equipment manufacturer specifications, applicable industry guidelines, and state and federal regulations. Quality control of ct systems by automated monitoring of. Radiology and ct quality control procedures workbook quality control procedures radiographycrdr 1 quality control procedures radiographycrdr safety code 35 summary. Performance testing of ct computer tomography using acr american college of radiology phantom slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Record both the mean ct number and the standard deviation from the roi into the qa. Sep 20, 2012 analysis of image quality has meaning primarily in the context of a particular imaging task. The new acr ct quality control manual role of the medical physicist.

Content changes may take place as a result of changes in technology, clinical treatment, or other evidence ba sed decisions from the contrast committee. All acr accredited ct facilities and those applying for accreditation must maintain a documented qc program and must comply with the minimum frequencies of testing outlined in the 2012 acr ct qc manual, revised edition 2017. Performance evaluation of computed tomography systems the. Ct number values are clinically relevant in determining the composition of various tissues in the body. Quality control recommendations for diagnostic radiography conference of radiation control programme directors inc. Quality control of ct image using american college of radiology acr phantomncnd license.

Performance testing and monitoring of official or primary interpretation display devices should be performed in accordance with any relevant acr modality accreditation program quality control manual recommendations, the equipment manufacturer specifications, applicable industry guidelines, and state and federal regulations. The american college of radiology is producing a qc manual for ct under the auspices of the ct accreditation program. Written performance reports and followup acr guidance document for safe mr practices. Special communication acr guidance document on mr safe practices. Quality control testing of ct scanners in our region includes a measurement of ct numbers in the american college of radiology acr ct phantom using a. Version 2020 of the acr manual on contrast media was published in january 2020 as a webbased product. A practical overview of tests, methods, and acr accreditation requirements on vimeo. All of the above may vary with qc manual revisions of same manufacturermodel acr dm qc manual project subcommittee on quality assurance chair eric berns, phd university of colorado subcommittee all volunteers with day jobs clinical representatives mita representatives equipment and phantom. Click the manual checkbox a small diamond and then click on the manual box. This manual was developed by the acr committee on drugs and contrast media of the acr commission. Routine quality control can help ensure equipment operates appropriately and delivers high quality imaging. The image analysis tool, shown in the image below, will appear e. Scanner and kvp dependence of measured ct numbers in the. Improving performance of mammographic breast positioning in.

This digital manual details the quality control responsibilities of the radiologist, mri technologist, and medical physicistmri scientist for mri. Quality control of ct image using american college of. May 14, 2019 american college of radiology acr ct quality control qc manual for the acr ct accreditation program ctap7 3. A multidetector ct scanner was used to measure parameters of image. Ct quality control manual 8 computed tomography ct is a widely used imaging method. Click the image quality icon and then pick image analysis. The draft manual is currently under final stages of.

Quality assurance for computed tomography simulators and the computed tomography simulation process. A waterfilled, cylindrical phantom, which is typically provided by the scanner manufacturer at installation, should be used for the qc program. An operators manual is available on the autoqa lite installation cd or provided with the download link the autoqa lite installation loads theautoqa lite program, and the irisqa reports program which includes microsoft. The 2018 acr digital mammography quality control manual is now available. Routine quality control can help ensure equipment operates appropriately and delivers highquality imaging. To study image quality of ct scanner using the american college of radiology acr phantom.

Acraapmsiim practice guideline for determinants of image. Description of advanced ct qc tests is beyond the scope of. The new acr ct quality control manual role of the medical. The performance criteria set by acr 2012 ct quality control manual are that the measured radiation beam width should be accurate to within 3 mm or 30% of the nominal collimated beam width nxt, whichever is less. The annual medical physicistmr scientist performance evaluation must include an assessment of the mri safety program signage, access control, screening procedures and cryogen safety, in addition to an inspection of the. Diagnostic accreditation program radiology and ct quality. There must be careful selection of technical parameters that control exposure of the patient and the display of the images and also regular checking of scanner performance with measurement of physical image parameters as part of program of quality assurance for achieving accredited status for ct through the american college of radiology acr. Ct qc testing under the draft acr qc manual on vimeo. Report of the aapm radiation therapy committee task group no. Providing feedback continually, both positive and negative, to radiographers on image quality and qc procedures quality assurance programme for computed tomography. Tg142 for therapy centers a well designed qc program is necessary to ensure image quality may 3, 20 3 jordan, s. The ct accreditation program involves submission of clinical and phantom images. However, there may be significant variability in the quality of ct imaging performed at different sites. Scanner and kvp dependence of measured ct numbers in the acr.

In line with recommendations of the american college of radiology, all cqie sites are. Aug 06, 2009 performance testing of ct computer tomography using acr american college of radiology phantom slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. This manual is intended to guide the development and implementation of your quality control program for digital mammography imaging equipment including detailed responsibilities of the radiologist, technologist and medical physicist. Ct quality control manual american college of radiology. This online activity was recorded in 2014 at the 9th annual armrit meeting and seminar. Each section incorporates best practices and includes stepbystep instructions for daily, weekly, monthly, and yearly quality control tests. Mri continuing education for mri technologists, radiologic technologists, and other medical imaging professionals. As such, quality control of imaging equipment is fundamental to the goal of image standardization in imaging and therapy trials. A baseline mammogram audit performed in june 20 showed that 67% 82122 met acr passing criteria for positioning. The centers for medicare and medicaid services cmsmippa requires that. Acr ct accreditation program and the lung cancer screening.