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RADT 412 QC

Quality Control

QuestionAnswer
QC deals with _______ EQUIPMENT Routine checks reduces need for maintenance
QA deals with _______ PEOPLE How techs are performing
CQI (Continuous Quality Improvement) Combination of both QA & QC; ensures quality patient care is being given! (Regulated by government)
3 parts of QC Program *Checks overall quality of equipment 1) Visual inspection 2) Environmental Inspection 3) Performance Testing
Visual Inspections should happen ______ DAILY
Visual Inspection checks (list 5) 1. Control panel 2. Overhead tube crane (no exposed wires, broken ties, etc) 3. Table 4. Lead aprons/shields (check aprons when new then every 6 months) 5. Ancillary equipment: sponges, calipers, filters, grids, etc.
Environmental Inspections checks ______ High tension cables (visible wires for fraying, discoloration, sparking) Room temperature (equipment can get too hot)
Performance testing levels include - Acceptance testing - Baseline performance parameters: est. baseline 1 or 2 months of use - Preventative maintenance & Routine testing: service engineer/medical physicist; checks after major component replaced - Daily, weekly, monthly checks
Exposure (mA) Linearity Definition: accuracy of mA station relative to another used ANNUAL + or - 10% of adjacent station *Least reliable technique factor
Exposure Reproducibility Definition: ability of equipment to repeat the same overall technique settings to get same results in exposure + or - 5% ANNUAL
filtration & Half Value Layer (HVL) Definition: thickness of absorber material required to reduce the intensity of the xray beam to 1/2 its original value ANNUAL
HVL is the most _________ and the most ________ quality accurate measurement of beam penetration; important
High HVL = _________ penetrating beam HIGH
kVp Accuracy use kVp meter, ion chambers/photodiodes ANNUAL + or - 5%
Timer Accuracy Measures accuracy of exposure timer selected ANNUAL + or - 5%
Beam Alignment Checks the crosshairs of collimator light using metal screw & BB SEMI-ANNUAL + or - 2 degrees off vertical
Collimator Accuracy Checks projected xray field vs. the actual xray field (penny test) SEMI-ANNUAL + or - 2% of SID (0.8")
Distance Measure SID to see if indicator reads the same SEMI-ANNUAL + or - 2% of SID
Focal Spot Size & Condition Checks for last resolved line pair (LP/mm) ANNUALLY + or - 50% of stated size of focal spot
AEC Looking for repeatability; making sure back up timer shuts off when it should ANNUAL + or - 10% same unit
IR calibration is done ______ daily
IR maintenance is done _________ semi-annual
IR tests done for (list 4) Intrinsic (dark noise) Erasure thoroughness Plate/ Field Uniformity Spatial Resolution
Intrinsic (dark noise) comes from ___________ ___________ so we must erase CR detectors every _________ background radiation; 48 hours
Erasure thoroughness is known as Ghosting or Image Lag
Determine ghosting with 2 exposures (1 with high attenuator object 1 without object)
Plate / Field Uniformity Use long SID (don't change contrast) and check similarity of contrast boxes DAILY or SEMI-ANNUALLY
Spatial Resolution Uses wire mesh, line pair took, or digital test test should look uniform in shade and crosses
KNOW TABLE 37.1 :) so sorry
3 main parts of the fluoro unit 1. x-ray tube 2. generator 3. image intensifier (I.I.)
Image intensifier parts Glass envelope (vacuum), input phosphor, photocathode, electrostatic focusing lenses, anode, output screen/phosphor
Minification Gain input diameter squared / output diameter squared
Flux Gain "Flow" Acceleration of electrons increases kinetic energy so more light is released
Brightness Gain minification gain x flux gain
Image is magnified in an I.I by _________ moving the focal point closer to input phosphor
Unique feature of fluoroscopy = meter that detects _______ Air Kerma/ DAP meters or the radiation interactions occurring in the air when x-rays sent toward patient
2 examples of phantom tests Spatial resolution & uniformity AND contrast linearity
Exposure rate (fluoro) should not exceed _________ 100 mGy/min or 10R/min
_______ kVp and ______ mA is desired High; low
Source-to-skin distance (SSD) needs to be ________ for mobile c-arm 12 inches
SSD needs to be ______ for standard stationary/fixed 15 inches
Collimator Accuracy (fluoro) shutters should be visible on monitor field within 4% of SID
Visible/Audible Monitors for fluoro exposure time Cumulative timer: every 5 min Visible indicator: beam on light
Automatic Brightness Systems (ABS) are used to _________ maintain a constant image brightness
The exposure switch is a _________ switch, meaning if exposure button is released, then it will stop Deadman switch aka if you die, the exposure will stop x.x
Veiling Glare light reflected "glare" shows up white
Pincushion distortion input phosphor curve compared to flat output phosphor shape creates distortion around periphery
Barrel distortion opposite to pincushion (looks like barrel)
Vignette lateral borders are darker
S-distortion strong magnetic field creating s-shape distortion
Protective Apparel QC checked ANNUALLY Includes lead gloves, aprons, and protective curtains
Primary Display Devices are used by _________ radiologists! Interpretation & diagnosis larger matrix and smaller pixel size
Secondary Display Devices are used by ______ technologists/PACS used for everything else
Interpolation definition mapping of image of one matrix to a display of another size; ex. small artifacts to a tech can look HUGE to a radiologist monitor
Aspect ratio definition ratio of width to height of display
Refresh rate definition how many times each second the monitor rewrites the image on the display
2 main types of electronic display devices 1. Liquid Crystal Diodes (LCD) displays 2. Light emitting diodes (LED) displays
Disadvantages of LCDs viewing angle is best head on (glare), lack of true black color, time/temperature dependency for brightness
LEDs are NOT used in radiologic imaging
QC of electronic display devices clean front screen MONTHLY
Luminance definition intensity of light emitted
Resolution definition ability to differentiate between things
Grayscale standard display function (GSDF) use photometer to check consistency/intensity of gray scale appearance on screen regardless of monitor device
Dead Pixels appear as _____ a dot! 12 pt font will appear as a white spot on black background
Stuck pixels appear as ____ a black dot on a white background it is any signal not refreshed or "stuck" from previous image
QC benefits (list them) Patient Safety (#1 benefit! All about the pt) Reduced radiation Exposure Efficacy of Patient care Departmental efficiency Consistent image quality Cost-effectiveness
Created by: SavHoffman25
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