SErIES IAEA HumAn HEAltH SErIES IAEA Hum

There should be a radiographer responsible for a radiography image QA
programme, with feedback to radiography staff. Regular image reviews and
audits for all modalities should be performed and include:
—Repeat rate and analysis of rejected films;
—Peer reviewed critical evaluation of individual image quality by
radiographers;
—Evaluation of image quality by radiological medical practitioners.
Critical evaluation can employ criteria such as the:
(a) Image quality criteria for plain radiography, proposed by the CEC [13];
(b) United Kingdom PGMI (perfect, good, moderate, inadequate) method of
evaluation of clinical image quality in mammography [25].
The reporting radiological medical practitioner is ultimately responsible for
the radiological interpretation, and should be consulted if there are difficulties in
obtaining the appropriate image quality.
4.1.4. The imaging report
The imaging report is integral with radiology practice, and all examinations
should be reported by qualified and trained radiological medical practitioners/
physicians, or trainee radiological medical practitioners/physicians under
appropriate supervision.
The report should include:
—The referring medical practitioner’s name;
—The patient’s name and unique identifier;
—The clinical indications;
—The title of the examination and the date of performance;
—The body part examined and, as appropriate, any laterality;
—A description of the examination technique and views taken;
—A description of the imaging findings;
—A comparison with previous examinations, as appropriate;
—A correlation with complementary examinations;
—The significance of the imaging findings;
—Any correlation with clinical symptoms and findings, if present;
—Conclusions and guidance to further patient management;
—Untoward effects of the examination;
—The name of the reporter and facility, and the date.
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