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Mammography is the most used modality for breast cancer screening and diagnosis. However, since ionizing radiation has been classified as a carcinogen and since the breast is sensitive to low radiation doses, quality control (QC) of the mammographic imaging chain is essential. The study aims to develop a national protocol for QC tests for screen film mammography (SFM). It provides a comprehensive analysis of the two most prominent guidance documents for QC in SFM. QC tests were compared in terms of the ease in the acquisition of the specified recommended devices and tools to be used, the importance of the test, and the ease in carrying out the test procedures. The measured and calculated results were assessed as to whether they met the recommended performance criteria. The difference in the performance criteria between the ACR and the IAEA for each test was analyzed. If there was a failed test result, corrective maintenance was done based on the suggested corrective action in the test protocol. Data gathering was done at the Breast Imaging Unit of Benavides Cancer Institute, University of Santo Tomas Hospital. Several QC tests were found to be common to both protocols. A few QC tests were found to be present only in either ACR or IAEA protocols. Eight (8) common tests were found in the radiologic technologist's list of tasks and sixteen (16) common tests in the medical physicist's list. Majority of the tests had significant differences in their acceptability criteria. Further, there were two additional QC tests found only in the IAEA protocol - the test of system constancy by the radiologic technologist and the test of radiation leakage by the medical physicist. The proposed protocol was developed based on the results of the study. It could serve as a reference for use by the DOH Technical Working Group (TWG) tasked to review the technical specifications of and the performance test protocols for SFM equipment.
This manual provides a harmonized approach to quality assurance (QA) in the emerging area of digital mammography. It outlines the principles of, and specific instructions that can be used for, a QA programme for the optimal detection of early stage breast cancer within a digital environment. Intended for use by Member States that are now using digital mammography or that are assessing the implications of using digital mammography, it addresses major areas such as considerations concerning the transition from screen film to digital mammography, basic principles of QA, clinical image quality, quality control tests for radiographers, and quality control tests for medical physicists, including dosimetry assessment. Instructional materials to supplement the knowledge of professionals already working in the field of diagnostic radiology, as well as quality control worksheets, are also provided.
This publication presents a harmonized approach to quality assurance in the field of computed tomography applied to both diagnostics and therapy. It gives a careful analysis of the principles and specific instructions that can be used for a quality assurance programme for optimal performance and reduced patient dose in diagnostic radiology. In some cases, radiotherapy programmes are making a transition from 2-D to 3-D radiotherapy, a complex process which critically depends on accurate treatment planning. In this respect, the authors also provide detailed information about the elements needed for quality assurance testing, including those relating to accurate patient characterization as needed for radiotherapy treatment planning.
Bogen er en grundlæggende lærebog om digital mammografi, hvori digital mammografi og traditionel mammografi også sammenlignes i forhold til screening, diagnoser og radiografisk billedteknik. Der er en komplet billedsamling af cases indenfor digital mammografi.
Breast cancer is the most frequent cause of cancer-related deaths in women in Europe, and demographic trends indicate a continuing increase in this substantial public health problem. Systematic early detection through screening, effective diagnostic pathways and optimal treatment have the ability to substantially lower current breast cancer mortality rates and reduce the burden of this disease in the population. This is the fourth edition of these guidelines which contains information on recommended standards and procedures for breast cancer screening and diagnostic services, including chapters on multi-disciplinary aspects of quality assurance, data collection and monitoring, effective communication of information, requirements of a specialist unit, and a certification protocol.
This book offers a single publication to be utilised comprehensively as a reference manual within current mammographic clinical practice for use by assistant practitioners and practitioners as well as trainees in radiography and related disciplines. In recent years mammographic clinical practice and technology have evolved rapidly and become increasingly sophisticated, this book will cover these issues. The public feel increasingly empowered to ‘have a say’ in their care and expectations of their mammography experience is high. Consequently a well-trained, well-informed practitioner is of paramount importance in clinical practice today. This book addresses patient/client-related issues in the form of psychological and emotional support they may require. This will enable the reader to gain insight into the patient/client perspective and thereby assist in meeting their needs.
This publication is intended to support those working in the field of diagnostic radiology dosimetry, both in standards laboratories involved in the calibration of dosimeters and those in clinical centres and hospitals where patient dosimetry and quality assurance measurements are of vital concern. This code of practice covers diverse dosimetric situations corresponding to the range of examinations found clinically, and includes guidance on dosimetry for general radiography, fluoroscopy, mammography, computed tomography and dental radiography. The material is presented in a practical way with guidance worksheets and examples of calculations. A set of appendices is also included with background and detailed discussion of important aspects of diagnostic radiology dosimetry.
This publication is aimed at students and teachers involved in programmes that train medical physicists for work in diagnostic radiology. It provides a comprehensive overview of the basic medical physics knowledge required in the form of a syllabus for the practice of modern diagnostic radiology. This makes it particularly useful for graduate students and residents in medical physics programmes. The material presented in the publication has been endorsed by the major international organizations and is the foundation for academic and clinical courses in both diagnostic radiology physics and in emerging areas such as imaging in radiotherapy.
Medical X-ray equipment technology has evolved exponentially in the last decades, shifting steadily from analogue to digital radiology, from single slice to multidetector-row computed tomography or from fluoroscopy to complex angiography systems. This, however, comes with associated radiation risk for patients and staff. It is therefore vital that all X-ray equipment is monitored in terms of performance to ensure accurate and safe use. Quality control (QC) represents the basic level of managing safety and quality in diagnostic radiology. This publication compiles all existing QC tests in literature for all X-ray modalities. To facilitate the use of this handbook, spreadsheets and video tutorials have been developed to help with the execution of tests.
In the last few years the use of medical imaging has increased exponentially in routine clinical practice. This has been reflected in a rapidly increasing use of medical imaging in clinical trials, through all phases. More recently this has culminated in a number of inter-disciplinary meetings with the various stake holders, including the FDA. Changes in the regulatory process has resulted, when it comes to the submission of data to the FDA, in a therapeutic agent where one or more of the trial end-points is the assessment of a radiological end-point. No longer is it sufficient to have the images read by the local investigator site. The FDA has also identified Medical Imaging as one of the key 6 points in the Critical Path initiative which was launched in 2004. This puts a keen focus on the role of imaging and the need to clearly identify and understand this aspect of clinical trials. As the pharmaceutical, biotech and medical device industry continues to identify ways to improve and speed up product development, medical imaging plays a more significant role. An understanding of the methodology and the metrics is therefore required but difficult to ascertain in one easy to read volume for individuals entering this field. This book will therefore fulfill this void, be it for the pharmaceutical personnel from medical director to monitor, or the Principal Investigator who is having to understand the complexities of the imaging and why it is having to be sent off-site for a 'central read.'