Medical Physics in the Breast Screening Programme Kath Schofield & Anne McCurrach NSS Medical Physics
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1 Medical Physics in the Breast Screening Programme Kath Schofield & Anne McCurrach NSS Medical Physics COR V1
2 Who we are John Wright Assistant Director Facilities Services MPE Medical Physics Expert RPA Radiation Protection Adviser NSS Medical Physics Katherine Schofield Lead Mammography Physicist & MPE Anne McCurrach Deputy Lead Mammography Physicist, RPA & MPE John Robertson Mammography Physicist, RPA & MPE Gordon Mitchell Clinical Technologist & Product Specialist Michael Lemmon, Clinical Technologist & Product Specialist
3 What we provide Comprehensive medical physics service to Scottish Breast Screening Programme (SBSP) NSS
4 Once for Scotland
5 Comprehensive Medical Physics Service Technical quality assurance of imaging equipment Expert professional advice on radiation safety Training of NSS and mammography staff
6 Technical quality assurance of imaging equipment Performing physics surveys Setting up and oversight of user tests Audit of performance across all units E.g. doses to patients / clients
7 Imaging equipment Reporting workstation Mammography X-ray Biopsy attachment Ultrasound scanner
8 Growth of Digital X-ray Units in Scottish Breast Screening Programme (SBSP) Total no. of units 40-42
9 The SBSP mobile fleet 21 X-ray units located on 20 mobile units One double unit with pullout pod Powered by generators and electrical hook-ups Looked after by: John Greig Maintenance Engineer Trevor Perry Fleet Engineer Transport Officers
10 Quality Assurance Standards
11 Physics QA User QA
12 Routine QA - Users Suspension Level Remedial Level
13 Routine QA - Users AEC recalibration Suspension Level Remedial Level
14 artefact
15 artefact
16 Age (years) Detector lifespan Detector Ages of Hologic Dimensions & Fuji units in Scotland Detector 3 age Detector 2 age Detector 1 age Increasing age of unit
17 Threshold gold thickness (µm) Routine QA - Physics Image Quality Predicted Threshold Contrast Measurements 1.00 Predicted Data Fit to Data Acceptable Achievable Detail Diameter (mm) CDMAM test object
18
19 Number of systems Routine QA - Physics Threshold gold thickness values for 0.1mm details Achievable Acceptable Improving image quality Threshold gold thickness (um)
20 MGD (mgy) Routine QA Physics Patient Dose Survey Units by screening centre
21 Mean Dose (mgy) Routine QA Physics Dose Surveys ANALOGUE DIGITAL YEAR
22 Mean Dose (mgy) Routine QA Physics Dose Surveys National Reference Level 3.5 mgy Proposed Reference Level 2.5 mgy 2.00 Scottish Level 1.75 mgy YEAR
23 Threshold gold thickness (um) at 0.1mm Increasing image quality Routine QA - Physics 3 Achievable Acceptable 2 Acceptable Achievable 1 Decreasing Dose MGD (mgy)
24 Expert professional advice on radiation safety Ionising Radiation (Medical Exposure) Regulations Protecting patients - Medical Physics Expert Regulatory Compliance Ionising Radiations Regulations Protecting staff & others - Radiation Protection Adviser
25 RPA Employer must consult RPA on radiation... New technologies / techniques Radiation Risk assessment Radiation incidents Staff Dosimetry If in doubt just ask!
26 Room specification
27
28 Full range of safety tests Mechanical Radiation Electrical
29
30 Mobile replacement Next generation of trailers: Hybrid battery / generator technology 56% reduction in carbon footprint per mobile Silent running Improved sustainability
31 Training of staff Mammography staff lectures Radiation protection training
32 Summary All aspects of equipment lifecycle Scotland-wide approach Close working Screening centres Manufacturers Just ask...
33 Kath Schofield & Anne McCurrach NSS Medical Physics Thank you
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