Quality Management Flashcards

(36 cards)

1
Q

Measure of the sensitivity and accuracy by which the image receptor converts the incoming data to the output viewing device.

A

Detective Quantum Efficiency

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2
Q

The measurement of the quantity and quality of the external radiation beam.

A

external beam evaluation

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3
Q

All activities that provide adequate confidence that a radiology service will render consistently high-quality images and services.

A

Quality Assurance

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4
Q

The aspect of quality assurance that monitors technical equipment to maintain superior standards.

A

Quality Control

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5
Q

Focal Spot Estimation

Radiographic Systems

A

Ensures proper spatial resolution

Line pair tool
Star test pattern
Pinhole camera
Slit camera

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6
Q

Half Value Layer

Radiographic Systems

A

2.5 mm Al for 70 kV beam

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7
Q

Collimator
Central Ray
Bucky Tray Accuracy

(Radiographic Systems)

A

2% SID error is allowed between the primary beam & light field size

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8
Q

Distance indicators
centering indicators

(Radiographic Systems)

A

Distance indicators +/- 10%

Centering indicators +/- 2%

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9
Q

Angulator or protractor accuracy

Radiographic Systems

A

Angle +/- 1%

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10
Q

kV Accuracy

Radiographic Systems

A

+/- 5 of control panel setting

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11
Q

Timer Accuracy

Radiographic Systems

A

+/- 5%

time setting

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12
Q

mA/mAs linearity

Radiographic Systems

A

+/- 10% of each mA station

i.e. 50, 100, 200, 300, 400

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13
Q

Exposure Reproducibility

Fluoroscopy

A

+/- 5% mAs/mR of several different exposures of the same exposure factors

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14
Q

Exposure Rate

Fluoroscopy

A

must not exceed 10 mR/min for equipment with ABS (0.1 /min

- ABS may need calibration

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15
Q

Field Size Accuracy & Beam Alignment

Fluoroscopy

A

Should display everything within 1cm of the edge of Image Intensifier

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16
Q

Source-to-skin distance limits

Fluoroscopy

A

Tube target should NOT be closer than 38 cm (15”) stationary
30cm (12”) for mobile

17
Q

Viewing System Resolution

Fluoroscopy

A

Fluoroscopy mesh tool

18
Q

Viewing System Contrast

Fluoroscopy

A

Test tool - two plates of aluminum with 1-7 mm holes drilled into one plate
Plates are put together and viewed with fluoroscope - low contrast based on being able to see the smallest visible hole

19
Q

Image Display System

Fluoroscopy

A

Fluoroscopic mesh test tool or resolution test tool

20
Q

Automatic Brightness Control

A

Computerized Dosimeter is used to measure exposure after the beam passes through a phantom
- Phantom thickness reduced to 1/2 and exposed again

21
Q

Ion Chamber Sensitivity

AEC

A

produce an image of ion chamber using low kV
- use lead to block all but one chamber (test each)
All - chambers should respond to +/- 10% of each otherif not, recalibration of generator AEC circuitry

22
Q

IR exposure variation control accuracy

AEC

A

Measures density differences
computerized dosimeter measures the mR/mAs to verify the intensity differences of each control
(-3 -2 -1 0 +1 +2 +3)

23
Q

Back-up timer verification

AEC

A
  • Lead plate over AEC chamber & make exposure
  • back-up timer should terminate the exposure with an audible & visual warning
  • 6 seconds or 600 mAs
24
Q

LUMINANCE

A

The intensity of light emitted from a surface in any given direction

higher maximum luminance is preferred for medical images (300 - 600 cd/m2)

25
SMPTE
Society of Motion Picture & Television Engineers
26
AAPM TG 18
American Association of Physicists in Medicine Task Group Report 18
27
geometric distortion
display image is geometrically different original image
28
reflection
luminance is the light generated by device itself…however ambient light plays a role to light reflected
29
specular reflection
generation of mirror images of light sources surrounding the monitor
30
diffuse reflection
light is randomly scattered on the digital display device
31
luminance response
Digital images are stored as an array of pixel values…these pixels are gray-scale values and sent to display as presentation values (p values)
32
display resolution
quantitative measure of the ability to a display system to produce separate images of different points of an object with high fidelity - (resolution is…ability of a system to image two separate object and visually distinguish one from another)
33
Display noise
High-frequency fluctuations (pixel starvation) can interfere with true signal and is called noise. (quantum mottle).
34
- Clean computer keyboard and mouse - Clean display screen - Clean air intakes of imaging plate reader (or PC's) - Clean & inspect receptors
Weekly QC Duties for R.T.'s
35
- Inspect laser printer - Verify digital interfaces & network transmission - Erase imaging plates (for CR systems) - Inspect hinges & latches (CR system) and/or detectors and grid - Inspect and clean IR/detector
Daily QC Duties for R.T.'s
36
- Reject analysis (may reveal imaging system problems or technologist skill issues) - Reject reasons - Problem reporting - Artifact identification - Clean imaging plates - Equipment malfunction errors - Marker errors - Positioning errors
Monthly QC Duties for R.T.'s