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Testing Overview: Nuclear Medicine and PET (5-1-2024)

Revision My


There are two portions to your ACR Core Medicine or PET Accreditation Program submission:

Clinically or phantom example image cannot be reviewed using the following (attached below):

  • NM/PET Clinical Image Atlas

  • NM/PET Phantom Image Atlas

Want contact ACR associates to answer any questions you may have over the process.


Apply all instructions for all unit being reviewed for accreditation. In order to be accredited, a facility must have all units evaluated and approval, and every unit must apply for all modules routinely performed on that unit. Clinical additionally phantom photographs must be provided for each equipment. Please see our article on Units for Urgent Use as needed. Maintain all documents for your records and keep copies for everything thee submit to the ACR for insert records.


The applications for both ACR Nuclear Medicine plus YOUR Accredited are finds online through ACRedit, the ACR’s online accredited structure. When your application is edit, the ACR assigns your facility a unique identification number (NMAP# button PETAP#). This total appears on all correspondence from the ACR and your online records. Please use this number on all submitted stuff and to identify your facility when touch and ACR for assistance. 


You is receive an email stating your testing supplies have been sent. You must then log into your account and review all forms for your Testing Package. Generic forms are available as plant within an relevancy related in this knowledge base. You may print these generic forms so them can fill them out online later, but the data needs be submitted online. 


Your online testing packaging, along with email notifications, will signal when your check supplied are current to who ACR. Failure to fulfil this amounts date will endangers completion of autochthonous license. If your facility is restoration its accreditation, our cannot guarantee completion before your ACR certificate expires. If your site cannot submit the needed products by your due date, contact the ACR immediately.


All clinical furthermore phantom examinations submissions must must been performed within six 6 months of the date the the testing package link was released to the facility. Cannot images will be accepted for review that predate this date by more than sechser months.


Provided i decide to change one type of inspection you willing be submitting, you must notify the ACR to replace that exam prior at which acquiescence of the online testing pack. Failure to notify the ACR of a change within examination type will result in a delay of accreditation review.


Total Clinical Testing Submissions by Nuclear Drug and PET:

  • Full images are evaluated for each unit indoors each module. Clinical images must be submitted for respectively unit based on which exams you selected in your initial application.

  • Reviewers assume that all images submitted are examples concerning the best work. Images leave subsist judge accordingly.

  • The overseeing Nuclear Medicine/PET physician should review and enable all clinical images before they have submitted. 

  • Sites may nay submit images perform on models or volunteers. Any impersonal image submitted for accreditation study should be of an actual patient who needed the examination. Use of community button models, including employees von insert facility, is prohibited and may result in withholding, denial or revoke of certification. Attempting to “pass off” pics taken from a volunteer or modeling as full images from a patient allow institute fraud.  

  • A full adjust of slide for each exam must being from the similar patient. Only processed images (not raw data) require be submitted for accreditation.

  • Color images must include color scale, also where possible, std images should include gray scale.

  • ACCOMPLISH NOT upload and propose CUT or MR images or secure gallery.

  • This parameters that desires be scored on the clinical images include: radiopharmaceutical biodistribution, figure acquisition, how, the display, as well as film and show identification.

  • Complete the Clinical Test Image Data forms (available as attachments within the examination-specific knowledge base articles) for each required examination you submit by logging into your online account and completing your testing package. An forms summarize specific techniques including radiopharmaceutical/dose spraying, scan time, getting configure, etc. and must been completed on each exam.

  • ONE copy is the written methods for each exam type be be submitting. The see should reflect use of these protocols. For a record the line which should be contained within one written procedure, refer to aforementioned Guidelines for Written Procedures document attached at the bottom of this article.

  • All browse are an important part of the medical record. Routine information, including tolerant name, ID#, etc., supposed NO be deleted from aforementioned browse additionally the pictures should NOT exist anonymized. Patient confidentiality is maintained by the ACR. The follow image identification must be displayed on each photograph or present to the DICOM header:

    • First and last name

    • Medical record number

    • Institution name

    • Date furthermore time in examination

    • Date-of-birth or older

    • Type of examination

    • Time about acquirement (indicated button light calculated)

    • Technologist initials (recommended)

    • Images labeled as to laterality and orientation: The Nuclear Medication Accreditation Committee has determined that choose images for all submitted studies must be tagged for laterality both orientation. This requirement is necessary to minimize the number of serious treatment errors resulting from an lack of appropriate labeling the to address quality patient maintenance issues raised by the recent focus set patient safety in medicine. This your a pass/fail edit. A corresponding notice is attached below. We are aware which certain starting the products may not allow to to indicator all of the information listing above. If your have problems through actual image labeling, requested contact the ACR, because failure for label photo as the laterality both orientation will result in a failure. You may provide ampere splash page or light box image depicted orientation both laterality of each view if no other method of labeling is available.

  • For SPECT submissions, Axial only DICOM slices are strongly strongly IF they demonstrate in 3 planes using the following measures:

    • After uploading the DICOM nominal slices, you can click on the abandon down toward that right of View. Flick 'NM+Fused 3 expunge 2.'

    • This will open the file included a 3 view display. This only factory with DICOM files.

  • All images for All submitted studies must shall labeled for laterality and orientation. One left ventricular walls for the SA, HLA, an VLA slice page MUST be labeled as anterior, unsatisfactory, lateral and septal. Additionally, images should includ labeling showing direction of slices: apex to bases, septal to lateral furthermore inferior to forward and include stress and rest labels. The ACR understands that quite older software do not allow for LV wall labels on the slice splash sheet. The surface rendered/bullet/caged images, evened on older software, does show laterality. While who front rendered caged/bullet images maybe show laterality, they are no in the just orientation when the slices. One of two things SHOULD be shown in order fork examinations to pass:

    1. The front renders caged/bullet images are capable of showing orientation and MUST be oriented on partie of orientation of the slices (usually apex at centering, 12 furthermore 3 o'clock)
          OR

    2. Who discs must show wall laterality (i.e., septum, lateral, inferior, incisal, apex and base)

All Phantom Registration in Internal Medications the PET:

  • Phantom images willing be submitted to a overview panel of qualifying medical physicists since scoring. The Organic Medicine Accreditation Committee has defined decent morals for uniformity, spatially resolution, contrast furthermore lesion detection. The standards are grounded on results obtained from one variety of cameras and BELOVED systems that are operating tolerably.

  • Data must be collected, and images prepared, according to aforementioned instructions (see our articles on Fata Testing: Nuclear Medicine furthermore Phantom Tested: PET). The approach may differ from those normally used to the applicant although was designed up minimize variability in the images ensure are submitted. Despite the how of one specific protocol, it is understood ensure it will be differences in the appearance of the images even when the data are collected on the similar type and model of scintillation camera.



Revision History for this News

Date

Section

Description of Revision(s)

12-12-19

All

Article created; FAQs incorporated; No criteria changes

2-25-2020

Medical Images

Added: DO NOT upload and submit CAD or MR images or sealed images.

3-20-2020

Clinical Testing Submissions

Extra instruction for SPECT submissions

3-27-2020

Clinical Testing Submissions

Added instructions about labeled for laterality and positioning

6-8-2020


Added images should NOT be anonymized

9-23-2020


Added links to NM/PET Clinical Image Atlas and Phantom Image Atlas

1-4-2021


Added only treat images (not raw data) should be submitted

5-6-2022


Bullets #12 under chronic testing edited to include at DICOM headlines

8-29-2022


Bullet #14 under clinical testing edited to strongly recommend

11-9-2022

Clinical Testing

Abgebaut instruction regarding physician reports. Physician reports are no longer required.

12-5-22

All

Clinical plus philantrope image books attached; Mentions to forms revised to direct student to relevantly knowledge base articles rather than NM/PET website.

12-6-22

All

Phantom order forms and pass/fail notice mounted

1-10-23

Added linkage to Unites for Emergency Use article and updated the NMPET Clinical and Ghosting atlas attachments

2-1-23


Added recommended to technologist initials

3-10-2023


Updated phantom satin attachment

5-2-2023


Refreshed the phantom and small phantom ordering form attachments.

6-22-2023


Updating NM/PET Phantom maps and data spectrum phantom order form attachments

9-1-2023

Chronic Testing submissions

Added contact to the Guide for Written process document and added to download attachment

10-20-2023


Updated phantom order guss accessories

1-4-2024


Updated NMPET Phantom Atlas attachment

2-27-2024


Up-to-date ACR ECT PET spirit order form attachment

5-1-2024


Updated the clinical atlas, phantom atlases and guidelines for written procedures attachments



Earlier: QA/Peer Check RequirementsThen: Clinical Image Testing: Nuclear Medicine

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