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Chart 13(b) — QUARTERLY DIGITAL MAMMOGRAPHY REPEAT ANALYSISFacility:Manufacturer:Date from:Room/Unit:Model:Date to:Total exposures:Category Cause Number of exposures Percentage of repeats1 Positioning2 Patient motion3 Improper detector exposure4 Artefact5 X ray equipment failure6 Software failure7 Blank image8 No image9 OtherRepeat exposures (Sum 1 to 9)Total # Repeat rate (%)Corrective actions168
Chart 14 — CR PLATE SENSITIVITY MATCHING AND PLATE ARTEFACTSFacility:Room:Manufacturer (X ray):Model:Density control setting:AEC position:Target:Filter:kVp:Phantom:IP manufacturer:IP type:Month:Year:Plate size = 18 cm × 24 cmPlate size = 24 cm × 30 cmIP ID mAs ExposureindexLatches OK(Y/N)Artefacts(Y/N)IP ID mAs ExposureindexLatches OK(Y/N)Artefacts(Y/N)Min.Min.Max.Max.MeanMeanDev. (%) Dev. (%)Deviation in exposure index between IP plates of different size (%) =Acceptable tolerances on deviation from mean within same IP sizemAs Fuji, Philips & Konica (S#) Kodak (EI) Agfa (SAL/SALlog/PVIlog)≤5% ≤5% ≤20 units ≤2.5%/±220/±290Acceptable tolerances on deviation between means of different IP sizesmAs Fuji, Philips & Konica (S#) Kodak (EI) Agfa (SAL/SALlog/PVIlog)≤20% ≤20% ≤80 units ≤10%/±900/±1200169
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X raysdel matrixCs scintillatorLine
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QUALITY ASSURANCE PROGRAMMEFOR DIGI
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IAEA HUMAN HEALTH SERIES No. 17QUAL
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FOREWORDThe application of radiatio
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An effective QA programme is necess
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The Integrating the Healthcare Ente
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technology. Systems containing othe
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X raysTop electrodea-Se layerCharge
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dose received by inhomogeneous real
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2.3.8.1. Soft copy displayFlat pane
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3. ELEMENTS OF HIGH QUALITY MAMMOGR
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— The ability to mask edges of ma
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Disposal orsaleNew facility(start h
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4.2.3. Radiographer (mammography te
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5.2.2. Electronic versus geometric
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To allow full utilization of the di
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5.7. ARTEFACTSWhile the incidence o
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FIG. 10. Detector crystallization.
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FIG. 13. A more subtle example of a
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FIG. 16. An example of poor collima
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7. RADIOGRAPHER’S QUALITY CONTROL
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7.1. DAILY TESTS7.1.1. Monitor insp
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7.1.3. Daily flat field phantom ima
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7.1.4. Visual inspection for artefa
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7.1.5. Laser printer sensitometry7.
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7.1.6. Image plate erasure (CR syst
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FIG. 19. Modified TG18-QC pattern w
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FIG. 21. Radiologist workstation wi
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7.2.1.6. Time frame for corrective
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7.2.3. Weekly quality control test
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Note: It is not necessary to view t
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TABLE 7. TOLERANCES FOR IMAGING WEE
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7.2.4.4. Interpretation of results
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7.3.1.5. Recommendations and correc
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artefacts are typically best seen w
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7.3.3.5. Recommendations and correc
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7.4.1.3. Methodology(1) Annotate th
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RECORD OF DIGITAL MAMMOGRAPHY REPEA
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(3) Including examinations of at le
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7.5. SEMI-ANNUAL TESTS7.5.1. Comput
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8. MEDICAL PHYSICIST’S QUALITY CO
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8.1. NOTE ON IMAGE NAMING CONVENTIO
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(16) On any randomly selected patie
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FIG. 30. Positioning of bathroom sc
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(6) The target, filter, kV, grid, d
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(2) Stack the 20 and 25 mm PMMA sla
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TABLE 13. ACCEPTABLE AND ACHIEVABLE
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8.5. DETECTOR PERFORMANCE8.5.1. Bas
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8.5.2. Detector response and noise8
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the service engineer responsible fo
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(13) Using the annotation tool on t
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Breast supportPMMA slabBreast suppo
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(10) Place the thinner test object
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8.6. EVALUATION OF SYSTEM RESOLUTIO
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TABLE 17. ACCEPTABLE FREQUENCIES AT
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8.7. X RAY EQUIPMENT CHARACTERISTIC
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8.7.2. Incident air kerma at the en
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8.8. DOSIMETRY8.8.1. Mean glandular
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TABLE 21. ACCEPTABLE AND ACHIEVABLE
Page 129 and 130: FIG. 34. Suggested layout for ruler
Page 131 and 132: 8.10. IMAGE DISPLAY QUALITYThe accu
Page 133 and 134: FIG. 35. Modified TG18-QC test patt
Page 135 and 136: 8.10.1.5. Interpretation of results
Page 137 and 138: 8.10.2. Monitor luminance response
Page 139 and 140: TABLE 22. MONITOR PERFORMANCE TOLER
Page 141 and 142: FIG. 38. Measurement of illuminatio
Page 143 and 144: 8.11. LASER PRINTER8.11.1. Laser pr
Page 145 and 146: 8.11.1.5. Recommendations and corre
Page 147: 8.12.1.4. Interpretation of results
Page 150 and 151: iopsies are performed, a sink is of
Page 152 and 153: Appendix IISPECIFICATIONS OF TEST E
Page 154 and 155: TABLE 24. SPECIFICATIONS OF TEST EQ
Page 156 and 157: FIG. 40. Image acquired with a unif
Page 158 and 159: FIG. 43. The left hand image is par
Page 160 and 161: FIG. 45. A TG18-QC test pattern dis
Page 162 and 163: [29] ALSAGER, A., YOUNG, K.C., ODUK
Page 165 and 166: Annex IRADIOGRAPHER DATA COLLECTION
Page 167 and 168: Chart 2 — DIGITAL MAMMOGRAPHY (DM
Page 169 and 170: Chart 4 LASER PRINTER SENSITOMETRY
Page 171 and 172: Chart 6 — WEEKLY DISPLAY MONITOR
Page 173 and 174: Chart 7(b) WEEKLY QC TEST OBJECT:
Page 175 and 176: Chart 9 — SAFETY AND FUNCTION CHE
Page 177 and 178: Chart 11 — LASER PRINTER ARTEFACT
Page 179: Chart 13(a) — RECORD OF DIGITAL M
Page 183 and 184: Annex IIITHE MAMMOGRAPHY EXTRACTThe
Page 185 and 186: GLOSSARYair kerma. The energy depos
Page 187 and 188: image quality. The overall merit of
Page 189: CONTRIBUTORS TO DRAFTING AND REVIEW
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