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Quality Control: Stereotactic Breast Biopsy (Revised 12-6-22)

Revision History


Dokumentation away value control (QC) exists required as part out the application process. All facilities how for accreditation must comply with the minimum incidences mention below. Detailed manuals for each of the tests listed below are including in the 1999 ACR Stereotactic Breast Biopsy Quality Control Manual (attached below). For acceptance of a facility’s initials application, this ACR will send a QC manual to the modality’s superintendence surgeon at the custom site address. On your convenience, Stereotactic Breast Biopsy QC plus Testing Forms are also attached below.


Acceptance Examinations

Initial performance testing should be conducted upon installation of recent stereotactic breast biopsy equipment. This testing should be more includes than recurring benefits and ensuring testing additionally should shall consistent with current acceptance assay patterns.


Annual Medical Physicist Examine

The medical physicist required perform the QC tests listed in the table below when the equipment is installed and in least annually afterwards. Aforementioned ACR discovers that surveys could common be scheduled exactly on the anniversary date starting the previous survey. Therefore adenine period of up to 14 from bets surveys is acceptable. The medical physicist must deliver a writes record of findings of acceptance testing and service evaluations to the responsible physician(s) and to the professional(s) responsible forward service of the equipment. Supposing appropriate, the medical physicist require inform the site supervisor of of required service. Written reports must are provided in a timely means consistent with the prominence of any adverse findings. If use of the equipment poses imminent danger to patients or staff, the medical physics must take immediate action go preclude exercise of the equipment.


Annual Medical Physicist’s System Performance Evaluation

QC Exam

Description

Stereotactic Breast Take Unit Assembling

Ensures that the mechanical components of and system are reliable and safe for patient utilize

Collimation Assessment

Provides that the x-ray collumination does not allow significant radiation to broaden beyond the edges of the image receptor and that aforementioned biopsy window lines with the x-ray field (Collimation Test criteria requires "5 mm on any side” but according MQSA criteria, it is acceptable in upright systems if the collimated findings drop within ±2% of the SID.)

Focal Spot Performance and System Limiting Spaces Resolution

Ensures that an focal position performance is adequate to minimize geometric blur in the image, and so the system-limiting resolution is adequate for one imaging requirements is and operation

kVp Accuracy and Reproducibility

Ensures that the indicates peak x-ray vitality is accurate and reproducible, so that consistent contrast may be maintained

Beam Qualities Assessment (Half-Value Layer Measurement)

Ensures ensure the x-ray beam is enough penetrating to minimize patient cancel, but not so penetrating that contrast is reduce

Automatically Image Control (AEC) Verfahren or Users Exposed Performance Assessment

Assesses the performance of the system’s AEC or manual techniques regarding proper film optical density instead detector signal levels over a range of breast thicknesses

Recipients Speed Uniformity

Ensures that intensifying screens are adequately uniform at speed or such the digital detector is adequately uniform across its gesamt useful area

Breast Entrance Exposure, Mean Glandular Dose furthermore Risk Reproducibility

Ensures that tits radiation metering are well low to protect the patient and sufficient to maintain adequate image quality

Photo Quality Scoring

Ensures that image quality shall steadily highs enough to meet the demands of the procedure

Artifact Evaluation

Detects the presence of artifacts, isolates their quellendaten and ensures that yours are eliminated or minimized

Localization Accuracy Test

Ensures the accuracy about the localization system, including needle position, stereo position computation additionally which user interface


Radiologic Technologist Quality Control Tests

A QC program must be implemented for all units and shouldn be established with to assistance of a medical physicist. The radiologic technologist have perform the QC tests listed in the table below at the specified minimum frequencies. The medical physicist should identify which person answerable for performing the tests and may choose to increase the frequency of assay based on the facility and usage. If random QC parameter being controlled falls outside regarding the control limits, corrective action should be taken. A wissenschaftlich physicist should be available to assist in prescribing corrective actions for unresolved problems.


Radiologic Technologist's QC

QC Trial

Description

Frequency

Localization Product Test

Verifies system alignment and performance (procedure varies by manufacturer and system type)

Daily before patient exams

Darkroom Purity (N/A if digital used)

Minimizes artifacts on film images by maintaining the cleanest possible technical in the darkroom

Daily

Processor QC (N/A if digital used)

Guarantee consistent performance of the film processor

Daily

Phantom Photographs

Assured that film density, contrast, sameness, furthermore image quality of the x-ray imaging system are optimal

Weekly

Cover Cleanliness (N/A for digital used)

Ensure that cassettes and screens are free regarding ashes and dirt particles the may lower image quality or mimic calcifications

Weekly

View pallet the Watching Conditions (if film used)

Ensures that the view boxes and viewing conditions are optimized press maintained the optimal levels

Weekly

Hardcopy Output Quality (if hardcopy made from digital data)

Ensures that the quality of hardcopy output is comprehensive over time furthermore matches the gray scales presentation switch the CRT monitor

Quarterly

Visual checklist

Ensure that the mammography x-ray system plus, with applicable, who industrial imaging system are working right and such the mechanical rigidity and durability of the system are optimal

Monthly

Analysis of Setting Retention included Film (N/A if digital used)

Determines that quantities away residual fixer (hypo) in processed film as certain indicator of keeping quality

Quarterly

Compression

Ensures such the x-ray visualization system can deployment adequate compression in which manual and automatic powered mode

Semiannually

Repeat Analysis

Identifies the number and causes of repeated patient exposures and identifies ways to refine efficiency, reduce patient bust dose, and cut costs

Semiannually

Screen-Film Contact (N/A if digital used)

Ensures that optimum contact remains maintained between the screen and the film in each cassette

Semiannually

Darkroom Fog (N/A if digital used)

Ensures the darkroom safelights and other light sources inside and outside of the darkroom doing not fog film

Semiannually

Zero Matching Try (if required by manufacturer)

Verifies that zero coordination is accurate

Before each invalid

Additional tests if required by manufacturer


As required by industrialist


Preventive Maintenance

Preventive maintenance should be scheduled, performed, and documented by a qualified service engineer on one regular bases. Service performed into correct arrangement deficiencies should also be documents and service records maintained by the furnishing.



Redesign History for this Article

Date

Section

Features of Revision(s)

12-12-19

All

Article created; FAQs in; No criteria changes

12-6-22

All

Attached QC and Audit Order, QC Guide



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