ACR MRI Accreditation: Medical Physicist Role in the Application Process

Size: px
Start display at page:

Download "ACR MRI Accreditation: Medical Physicist Role in the Application Process"

Transcription

1 ACR MRI Accreditation: Medical Physicist Role in the Application Process Donna M. Reeve, MS, DABR, DABMP Department of Imaging Physics University of Texas M.D. Anderson Cancer Center Educational Objectives Present an overview of the new modular ACR MRI Accreditation program as it applies to phantom image acquisition for accreditation application. Discuss the role of the medical physicist in the application process. Discuss phantom image quality failures, possible causes and potential remedies. Provide advice for avoiding common pitfalls in the phantom image submission process. ACR MRI Accreditation Program Modular program launched October 20, modules (head, spine, body, MSK, MRA, cardiac) Allows accreditation of whole body, dedicated and certain specialty MRI systems Added a second, small phantom for use in small bore orthopedic MRI systems Previous programs Whole body Cardiac New Modular Program *Breast MR: to be included with Breast Imaging Accreditation programs (Mammography, Stereotactic Breast Biopsy, Breast Ultrasound) Head Spine Musculoskeletal (MSK) Body Magnetic Resonance Angiography (MRA) Cardiac ACR MRI Accreditation Program Unit based facility accreditation program: For every unit must apply for all modules routinely performed on that unit for a facility to be accredited. Allowances made for loaner units and emergency use of magnets <10 exams in 30 day period, or <50 exams in any 12 month period MRI scanners dedicated to Interventional MRI and Radiation Therapy treatment planning are exempt. ACR MRI Accreditation Program Additional guidance documents Guidance documents available Online application process Longer time period to acquire phantom and clinical images (+/- 1 month from phantom exam) 1

2 Guidance documents Clinical images guidance documents Describes criteria ACR uses to evaluate clinical images submitted for each of the six modules: Head Spine MSK Body MRA Cardiac ACR Technical Standards 2004 ACR MRI Quality Control Manual Radiologist s section Technologist s section Medical Physicist s section In the process of being revised. Medical Physicist/MR Scientist Medical Physicist: Board Certification in radiological physics or diagnostic radiological ogical physics (recommended) Ref: ACR Accreditation Program Requirements, 2009 Board Certification in appropriate subfield(s) ) by the American Board of Radiology (ABR), the Canadian College of Physics in Medicine, or for MRI, by the American Board of Medical Physics (ABMP) in magnetic resonance imaging physics. Ref: ACR Technical Standard for Diagnostic Medical Physics Performance Monitoring of MRI Equipment, 2006 Medical Physicist/MR Scientist MR Scientist: A qualified MR Scientist is an individual who has obtained a graduate degree in a physical science involving nuclear MR or MRI. Should have 3 years documented experience in a clinical MRI environment. Refs: ACR Accreditation Program Requirements, 2009; ACR Technical Standard for Diagnostic Medical Physics Performance Monitoring of MRI Equipment, 2006 Medical Physicist / MR Scientist role Member of team: supervising physician, MRI technologist; involved in the accreditation process. Acquires or assists in acquisition of phantom images Performs phantom image evaluation to assess image quality and determine if images will pass ACR. Evaluates spatial and temporal resolution of submitted clinical images 2

3 Medical Physicist / MR Scientist role Scanner purchase specifications and MRI system siting Acceptance testing and scanner testing after installation and after major upgrade or repair* Annual medical physicist performance evaluation* Establishment and oversight of equipment QC & performance monitoring* Protocol development and optimization *topics covered by next two speakers ACR MR Accreditation Phantoms Manufacturer: J.M Specialty Parts San Diego, CA $1050 large phantom $780 small phantom Guidance for Phantom tests Guidance for Phantom tests ACR (large) Phantom Analysis #1 #5 #7 #8 #9 #10 #11 #1) Slice thickness and position, geometric accuracy, high contrast resolution #5) Geometric accuracy #7) Percent image uniformity, ghosting #8-11) Low contrast object detectability, and slice position (in #11) ACR (small) Phantom Analysis Sag localizer) Geometric accuracy #1) Slice thickness and position, geometric accuracy, high contrast resolution #3) Geometric accuracy #5) PIU, ghosting #6-7) LCD 1 sag 20 mm slice 7 axial 5mm slices w/ 3mm gap FOV 12 cm 192 x 152 matrix Slide courtesy of E.F. Jackson, PhD From Phantom Test Guidance for Small MRI Phantom for the ACR MRI Accreditation Program 3

4 ACR Accreditation: Preparation Service engineer check system prior to acquiring phantom & clinical images. Physicist acquire and evaluate phantom images in advance of starting accreditation process. Identify and correct scanner and coil problems. Re-acquire phantom images and evaluate to ensure images meet ACR limits. Common pitfalls phantom images Phantom image quality problems Causes Potential remedies available to the Medical Physicist Phantom position Scan 3-plane 3 localizer prior to acquiring sagittal series to optimize phantom position Axial rotation Sagittal tilt Coronal alignment Poor phantom positioning (off isocenter) Geometric accuracy (gradient non-linearity, B 0 inhomogeneity) Low contrast detectability (LCD), high contrast resolution Phantom not centered in coil: PIU (non-uniform RF) Large phantom - Slice Position Slice 1 Slice 11 Criteria: <5mm Small phantom - Slice Position Phantom position Criteria: <5mm Slice 1 Isocenter Off isocenter 100 mm inferior 4

5 Phantom position Phantom position: small bore orthopedic systems Important to position phantom at center of bore Off-isocenter isocenter: : potential for distortion due to gradient non- linearity and field inhomogeneity Isocenter Off isocenter 100 mm superior Common pitfalls clinical images Poor image quality on Site T1 and Site T2 series due to incorrect slice positions. Solution: Scan 3-plane 3 localizer to optimize phantom position Slices must intersect correct areas of the phantom. Large phantom: 5mm thick / 5mm gap image spacing 10mm Small phantom: 5mm thick / 3mm gap image spacing 8mm Low contrast detectability Factors that impact LCD score: Field strength Slice position accuracy Phantom position off isocenter Coil, coil connection, whether coil is working properly (passes QC test) Reference: Site Scanning Instructions for use of the MR Phantom for the MRI Accreditation Program, Large phantom Low Contrast Detectability (LCD) Small phantom Low Contrast Detectability (LCD) Slice 8: 1.4% Slice 9: 2.5% Slice 10: 3.6% Slice 11: 5.1% Criteria: 1.5T - at least 9 spokes (total) 3T - at least 37 spokes (total) Slice 7 Slice 6: 3.6% Slice 7: 5.1% Criteria: at least 9 spokes (total) 5

6 Low field systems SNR vs. Field strength Lower SNR Challenge: to pass low contrast detection test Clinical protocols modified to increase SNR Increase number of averages (impacts scan time) Narrow bandwidth (impacts chemical shift, geometric distortion) Use of higher SNR pulse sequences Phantom alignment and slice position in LCD sections is important 1.5T 0.2T Slice 11 Low Contrast Detection section of large ACR MRI phantom (ACR T1 series) LCD score sensitive to slice position SNR vs. Field strength Geometric accuracy Factors that impact geometric accuracy: Phantom position off isocenter Gradient non-linearity, B 0 field inhomogeneity Gradient non-linearity correction Gradient correction application is a user choice on some, but not all scanners Receive bandwidth 3.0T 1.5T Slice 8 Low Contrast Detection section of large ACR MRI phantom (8 channel array, ACR T1 series, SCIC) Large phantom - Geometric Accuracy Small phantom - Geometric Accuracy Slice 1 Slice 5 Criteria: 190 ± 2 mm Sag Loc Criteria: 148 ± 2 mm Slice 1 Slice 3 Sag Loc Criteria: 100 ± 2 mm 6

7 Gradient nonlinearity correction Correction ON Correction OFF Receive bandwidth: geometric accuracy +/- 4 khz = Hz/pixel +/- 16 khz = Hz/pixel 190 mm 196 mm Isocenter Isocenter ACR T1 series, Slice 5 large ACR MRI phantom frequency ACR Sag T1 large ACR MRI phantom Receive bandwidth: geometric accuracy Receive bandwidth: chemical shift +/- 4 khz = Hz/pixel +/- 16 khz = Hz/pixel +/- 4 khz +/- 16 khz frequency ACR Axial T1 large ACR MRI phantom ACR Axial T1 large ACR MRI phantom Uniformity Factors that impact PIU score: Dielectric effect at 3T Use of 8 channel phased array coils Phantom position inside coil Gradient non-linearity, B 0 field inhomogeneity; geometric distortion correction Both phantoms - Percent Image Uniformity PIU=[1-(max-min)/(max+min)] T: Criteria: PIU 87.5% 3.0T: Criteria: PIU 82 % 7

8 3 Tesla systems Dielectric effect Decreased uniformity: Reduced RF penetration with increasing frequency Phased array coils Small coil elements improve SNR Multiple elements for anatomical coverage Independent receivers enables parallel imaging Apply Surface Coil Intensity Correction Composite image 1.5T 3T Impacts Uniformity measurement MRI Devices 8 channel HR Brain array: Images acquired from individual channels 8 channel head coils Uniformity vs. Coil If your facility uses an eight channel head coil, it is necessary to perform all phantom scans using the surface coil intensity correction option. 1.5T Quad head coil 1.5T 8 channel array 1.5T 8 channel array SCIC applied Reference: ACR MRI Accreditation Program Testing Instructions, rev , ACR T1 series, Slice 7 Uniform section of large ACR MRI phantom High contrast resolution Factors that impact resolution score: Excessive phantom rotation Excessive ghosting due to motion or vibration Ensure that coil is stable Immobilize phantom in coil Excessive low pass filtration Filter application and degree of filtration is a user choice on some, but not all scanners Large phantom High Contrast Spatial Resolution Must be able to resolve 1.0 mm holes vertically and horizontally. 25 cm FOV, 256 x 256 matrix Pixels: 0.98 mm x 0.98 mm 1.1mm 1.0mm 0.9 mm 8

9 Small phantom High Contrast Spatial Resolution 0.9 mm 0.8 mm 0.7 mm Must be able to resolve 0.8 mm holes vertically and horizontally. FILTER ON Low pass filter FILTER OFF 12 cm FOV, 192 x 152 matrix Pixels: 0.63 mm x 0.79 mm Reduces truncation artifacts May impact high contrast resolution score Prominent truncation artifacts ACR T1 series, Slice 5 large ACR MRI phantom Common pitfalls phantom images ACR Sagittal T1 image localizer not included on CD CD not readable by the reviewer Not uncompressed DICOM format Embedded viewer ACR reviewer unable to evaluate DICOM images Solution: Review images on PC(s) ) separate from PACS and MRI systems using (Osiris( and/or K-PACS) K before submitting to ACR. Verify correct series and scan parameters - view DICOM header information. Summary Presented a brief overview of the new modular ACR MRI Accreditation program. Medical physicist involvement in the application process is important as part of the accreditation team. Discussed phantom image quality problems, possible causes and potential remedies, with focus on solutions available to the physicist. Provided advice for avoiding common pitfalls in the phantom image submission process. 9

ACR MRI Accreditation Program. ACR MRI Accreditation Program Update. Educational Objectives. ACR accreditation. History. New Modular Program

ACR MRI Accreditation Program. ACR MRI Accreditation Program Update. Educational Objectives. ACR accreditation. History. New Modular Program ACR MRI Accreditation Program Update Donna M. Reeve, MS, DABR, DABMP Department of Imaging Physics University of Texas M.D. Anderson Cancer Center Educational Objectives Present requirements of the new

More information

ACR Breast MRI Accreditation Program - DRAFT

ACR Breast MRI Accreditation Program - DRAFT ACR Breast MRI Accreditation Program - DRAFT Donna M. Reeve, MS, DABR, DABMP Department of Imaging Physics Educational Objectives Provide an overview of the ACR Breast MRI Accreditation Program (BMRAP)

More information

ACR Accreditation Update in MRI

ACR Accreditation Update in MRI ACR Accreditation Update in MRI Whole Body Systems Extremity (MSK) Ron Price Vanderbilt University Medical Center Nashville, TN Dedicated Breast MRI Accreditation Update 1. ACR MRI Accreditation: Overview,

More information

MRI FAQs. After reading these documents and checking your protocols, you can apply online here: https://acredit.acr.org.

MRI FAQs. After reading these documents and checking your protocols, you can apply online here: https://acredit.acr.org. MRI FAQs Application - General Q. My facility plans to apply for ACR MRI Accreditation, where do I start? A. Start by reading the following documents, available on the ACR website: The Diagnostic Modality

More information

MR QA/QC for MRgRT. Rick Layman, PhD, DABR Department of Radiology July 13, 2015

MR QA/QC for MRgRT. Rick Layman, PhD, DABR Department of Radiology July 13, 2015 MR QA/QC for MRgRT Rick Layman, PhD, DABR Department of Radiology July 13, 2015 The Ohio State University Comprehensive Cancer Center Arthur G. James Cancer Hospital and Richard J. Solove Research Institute

More information

CT Quality Control Manual FAQs

CT Quality Control Manual FAQs CT Quality Control Manual FAQs General Question: How often will the QC Manual be updated and how will those updates be communicated? Answer: The ACR CT Physics Subcommittee will review any comments, issues

More information

AAPM Annual Meeting. ACR Accreditation Update in CT

AAPM Annual Meeting. ACR Accreditation Update in CT AAPM Annual Meeting ACR Accreditation Updates in CT, Ultrasound, Mammography and MRI: ACR Accreditation Update in CT Michael McNitt-Gray, PhD, DABR, FAAPM Professor, Department of Radiological Sciences

More information

BICOE Stereotactic Breast Biopsy and Breast Ultrasound Accreditation. Introduction. Educational Objectives

BICOE Stereotactic Breast Biopsy and Breast Ultrasound Accreditation. Introduction. Educational Objectives BICOE Stereotactic Breast Biopsy and Breast Ultrasound Accreditation William Geiser, MS DABR Senior Medical Physicist MD Anderson Cancer Center Houston, Texas wgeiser@mdanderson.org 1 Introduction Objectives

More information

BICOE Stereotactic Breast Biopsy and Breast Ultrasound Accreditation. Introduction. Educational Objectives

BICOE Stereotactic Breast Biopsy and Breast Ultrasound Accreditation. Introduction. Educational Objectives BICOE Stereotactic Breast Biopsy and Breast Ultrasound Accreditation William Geiser, MS DABR Senior Medical Physicist MD Anderson Cancer Center Houston, Texas wgeiser@mdanderson.org 1 Introduction Objectives

More information

BICOE Breast Imaging Center of Excellence. What is it? - Requirements. National Mammography Database. What do you get? ACR Accreditation in:

BICOE Breast Imaging Center of Excellence. What is it? - Requirements. National Mammography Database. What do you get? ACR Accreditation in: BICOE Breast Imaging Center of Excellence What is it? - Requirements William Geiser, MS DABR Senior Medical Physicist MD Anderson Cancer Center Houston, Texas wgeiser@mdanderson.org ACR Accreditation in:

More information

ACR Accreditation Toolkit for Validation Site Surveys

ACR Accreditation Toolkit for Validation Site Surveys ACR Accreditation Toolkit for Validation Site Surveys The ACR will be performing unannounced validation site surveys as part of the accreditation process. This checklist is designed to assist you in gathering

More information

Nuts and Bolts of MRI Physics Tests or Selling Preparation H. Robert A. Bell, PhD. Learning Objectives

Nuts and Bolts of MRI Physics Tests or Selling Preparation H. Robert A. Bell, PhD. Learning Objectives Nuts and Bolts of MRI Physics Tests or Selling Preparation H Robert A. Bell, PhD (858) 759-0150 bell3660@sbcglobal.net Robert A. Bell, PhD Since 1987 RAB has provided independent consulting services to

More information

High Field MR of the Spine

High Field MR of the Spine Department of Radiology University of California San Diego 3T for MR Applications Advantages High Field MR of the Spine Increased signal-to-noise Better fat suppression Increased enhancement with gadolinium

More information

The American College of Radiology Breast Ultrasound Accreditation Program: Frequently Asked Questions (Revised: July 31, 2017)

The American College of Radiology Breast Ultrasound Accreditation Program: Frequently Asked Questions (Revised: July 31, 2017) The American College of Radiology Breast Ultrasound Accreditation Program: Frequently Asked Questions (Revised: July 31, 2017) Table of Contents APPLICATION - GENERAL... 1 MOVED FACILITIES AND UNITS...

More information

Implementation of the 2012 ACR CT QC Manual in a Community Hospital Setting BRUCE E. HASSELQUIST, PH.D., DABR, DABSNM ASPIRUS WAUSAU HOSPITAL

Implementation of the 2012 ACR CT QC Manual in a Community Hospital Setting BRUCE E. HASSELQUIST, PH.D., DABR, DABSNM ASPIRUS WAUSAU HOSPITAL Implementation of the 2012 ACR CT QC Manual in a Community Hospital Setting BRUCE E. HASSELQUIST, PH.D., DABR, DABSNM ASPIRUS WAUSAU HOSPITAL Conflict of Interest Disclaimer Employee of Aspirus Wausau

More information

The American College of Radiology Breast MRI Accreditation Program: Frequently Asked Questions (Updated: October 4, 2017)

The American College of Radiology Breast MRI Accreditation Program: Frequently Asked Questions (Updated: October 4, 2017) The American College of Radiology Breast MRI Accreditation Program: Frequently Asked Questions (Updated: October 4, 2017) To navigate in this document, either click a section in the Table of Contents or

More information

Mammography Quality Control: A Refresher

Mammography Quality Control: A Refresher Mammography Quality Control: A Refresher MATT WAIT, MS, DABR Objectives Attendees will re-familiarize themselves with the purpose of quality assurance and quality control Attendees will re-familiarize

More information

X-Ray & CT Physics / Clinical CT

X-Ray & CT Physics / Clinical CT Computed Tomography-Basic Principles and Good Practice X-Ray & CT Physics / Clinical CT INSTRUCTORS: Dane Franklin, MBA, RT (R) (CT) Office hours will be Tuesdays from 5pm to 6pm CLASSROOM: TIME: REQUIRED

More information

The Key to Confidence

The Key to Confidence WITH The Key to Confidence The Key to Confidence More detail, better accuracy, greater confidence The G-scan Brio is a revolutionary MRI approach for all musculoskeletal applications, which allows you

More information

FieldStrength. Achieva 3.0T enables cutting-edge applications, best-in-class MSK images

FieldStrength. Achieva 3.0T enables cutting-edge applications, best-in-class MSK images FieldStrength Publication for the Philips MRI Community Issue 33 December 2007 Achieva 3.0T enables cutting-edge applications, best-in-class MSK images Palo Alto Medical Clinic Sports Medicine Center employs

More information

3/22/2017. MR Protocol Review Clinical Opportunities for Physicists. AAPM Newsletter March/April Technical to Clinical Transition - How?

3/22/2017. MR Protocol Review Clinical Opportunities for Physicists. AAPM Newsletter March/April Technical to Clinical Transition - How? AAPM Newsletter March/April 2017 Clinical Opportunities for Physicists Anshuman Panda, Ph.D. AAPM Spring Clinical Meeting New Orleans, LA March 2017 No conflict of interest to declare Physics Summit on

More information

Personalized Solutions. MRI Protocol for PSI and Signature Guides

Personalized Solutions. MRI Protocol for PSI and Signature Guides Personalized Solutions MRI Protocol for PSI and Signature Guides 2 Personalized Solutions MRI Protocol for PSI and Signature Guides Purpose and Summary This protocol is applicable for the Zimmer Biomet

More information

Quality Assurance of Ultrasound Imaging in Radiation Therapy. Zuofeng Li, D.Sc. Murty S. Goddu, Ph.D. Washington University St.

Quality Assurance of Ultrasound Imaging in Radiation Therapy. Zuofeng Li, D.Sc. Murty S. Goddu, Ph.D. Washington University St. Quality Assurance of Ultrasound Imaging in Radiation Therapy Zuofeng Li, D.Sc. Murty S. Goddu, Ph.D. Washington University St. Louis, Missouri Typical Applications of Ultrasound Imaging in Radiation Therapy

More information

KNEE ALIGNMENT SYSTEM (KAS) MRI Protocol

KNEE ALIGNMENT SYSTEM (KAS) MRI Protocol KNEE ALIGNMENT SYSTEM (KAS) MRI Protocol Sample referral sticker Referral Sticker Insert here Corin 17 Bridge Street Pymble NSW Australia 2073 P: +61 (0)2 9497 7400 F: +61 (0)2 9497 7498 E: KAS.customerservice@coringroup.com

More information

Please follow all instructions carefully.

Please follow all instructions carefully. Nuclear Medicine Accreditation Program 1891 Preston White Drive, Reston VA 20191-4397 NUCLEAR MEDICINE TESTING INSTRUCTIONS General Instructions Please follow all instructions carefully. The enclosed labels

More information

Kish chakrabarti, Ph.D. Senior Physicist CDRH/FDA

Kish chakrabarti, Ph.D. Senior Physicist CDRH/FDA Facility Certification Extension Requirements, Quality Assurance and Medical Physicists role for Hologic Selenia Dimensions Digital Breast Tomosynthesis (DBT) System Kish chakrabarti, Ph.D. Senior Physicist

More information

Debbie Childs RDMS, RVT Sonographer Murphy Medical Center Murphy, NC

Debbie Childs RDMS, RVT Sonographer Murphy Medical Center Murphy, NC Debbie Childs RDMS, RVT Sonographer Murphy Medical Center Murphy, NC Worked at Murphy Medical Center as a sonographer for 18 years Registered in Abdomen, OB/GYN, Breast, & Vascular Ultrasound ACR Accredited

More information

Non Contrast MRA. Mayil Krishnam. Director, Cardiovascular and Thoracic Imaging University of California, Irvine

Non Contrast MRA. Mayil Krishnam. Director, Cardiovascular and Thoracic Imaging University of California, Irvine Non Contrast MRA Mayil Krishnam Director, Cardiovascular and Thoracic Imaging University of California, Irvine No disclosures Non contrast MRA-Why? Limitations of CTA Radiation exposure Iodinated contrast

More information

American College of Radiology CT Accreditation Program. Testing Instructions

American College of Radiology CT Accreditation Program. Testing Instructions American College of Radiology CT Accreditation Program Testing Instructions (Revised January 6, 2017) This guide provides all of the instructions necessary for clinical tests, phantom tests and general

More information

MR Advance Techniques. Vascular Imaging. Class II

MR Advance Techniques. Vascular Imaging. Class II MR Advance Techniques Vascular Imaging Class II 1 Vascular Imaging There are several methods that can be used to evaluate the cardiovascular systems with the use of MRI. MRI will aloud to evaluate morphology

More information

NONE. Disclosures. Accreditation Update

NONE. Disclosures. Accreditation Update ACR Ultrasound Accreditation: Requirements and Pitfalls Presented to: American Association of Physicists in Medicine Presented by: Jennifer Walter RDMS,RVT, RT(R) ACR Quality & Safety August 03, 2016 Disclosures

More information

Preparing for Medical Physics Components of the ABR Core Examination

Preparing for Medical Physics Components of the ABR Core Examination Preparing for Medical Physics Components of the ABR Core Examination The ABR core examination for radiologists contains material on medical physics. This content is based on the medical physics that is

More information

Ultrasound Accreditation and Regulatory Compliance from A to Z

Ultrasound Accreditation and Regulatory Compliance from A to Z Jim Rickner presents: Ultrasound Accreditation and Regulatory Compliance from A to Z Sponsored by: Conquest Imaging Wednesday, September 28, 2016, 2:00pm ET PRESENTER: JIM RICKNER, CONQUEST IMAGING Jim

More information

Medical Diagnostic Imaging

Medical Diagnostic Imaging Medical Diagnostic Imaging Laboratories Medical Diagnostic Imaging Lab Name Location Person in Charge Programs Served Courses Served Patient Care and Management (2) Introduction to MDI Radiographic Technique

More information

Overview. ACR Accreditation Update in Mammography. New ACR Activities. Requirements Today. What s New For Tomorrow. ACR: Recognized by FDA and CMS

Overview. ACR Accreditation Update in Mammography. New ACR Activities. Requirements Today. What s New For Tomorrow. ACR: Recognized by FDA and CMS ACR Accreditation Update in Mammography Eric Berns, PhD University of Colorado Hospital Denver Health Medical Center Denver, CO *No financial disclosures to report Overview New ACR Activities Requirements

More information

created by high-voltage devices Examples include medical and dental x-rays, light, microwaves and nuclear energy

created by high-voltage devices Examples include medical and dental x-rays, light, microwaves and nuclear energy What is radiation? Radiation is energy emitted from a source, that travels through space and can penetrate matter. Listed below are two types that we are exposed to and contribute to our overall radiation

More information

Routine Quality Assurance Cookbook

Routine Quality Assurance Cookbook This Cookbook is a companion guide to the AIUM Routine Quality Assurance (QA) for Diagnostic Ultrasound Equipment document, which outlines the basic QA requirements for AIUM-accredited practices. The Guide

More information

Overview. ACR Update on FFDM Accreditation. New ACR Activities. QC Today. QC Tomorrow. ACR Breast Imaging Centers of Excellence BICOE

Overview. ACR Update on FFDM Accreditation. New ACR Activities. QC Today. QC Tomorrow. ACR Breast Imaging Centers of Excellence BICOE ACR Update on FFDM Accreditation Overview New ACR Activities Eric Berns, PhD University of Colorado Hospital Denver Health Medical Center Denver, CO QC Today QC Tomorrow *No financial disclosures to report

More information

MRI to fit your planning. Philips Panorama HFO Oncology Configuration

MRI to fit your planning. Philips Panorama HFO Oncology Configuration MRI to fit your planning Philips Panorama HFO Oncology Configuration MR Imaging that fits Philips Panorama HFO Oncology Configuration allows radiation oncologists to take full advantage of MRI s excellent

More information

Prepublication Requirements

Prepublication Requirements Issued Prepublication Requirements Standards Revisions for Organizations Providing Fluoroscopy Services The Joint Commission has approved the following revisions for prepublication. While revised requirements

More information

Echelon Oval provides a robust suite of leading musculoskeletal imaging capabilities for detailed assessment of all anatomy for your most challenging

Echelon Oval provides a robust suite of leading musculoskeletal imaging capabilities for detailed assessment of all anatomy for your most challenging Echelon Oval provides a robust suite of leading musculoskeletal imaging capabilities for detailed assessment of all anatomy for your most challenging cases. Hitachi Medical Systems America, Inc. 1959 Summit

More information

Goals and Objectives MRI (First Year)

Goals and Objectives MRI (First Year) Goals and Objectives MRI (First Year) 1. Protocol cases, in consultation with the attending, to assure that the MRI 2. Describe basic physics concepts used in generating clinical MR images and identify

More information

Musculoskeletal Imaging at 3T with Simultaneous Use of Multipurpose Loop Coils

Musculoskeletal Imaging at 3T with Simultaneous Use of Multipurpose Loop Coils Clinical Orthopedic Imaging Musculoskeletal Imaging at 3T with Simultaneous Use of Multipurpose Loop Coils Elena Ferrer 1 ; Rafael Coronado Santos 2 1 Radiology Department, Clínica Creu Blanca, Barcelona,

More information

Orthopedic Hardware Imaging Part II: MRI v. Metal

Orthopedic Hardware Imaging Part II: MRI v. Metal Orthopedic Hardware Imaging Trent Roth, MD And Lauren Ladd, MD Indiana University School of Medicine IU Health Physicians-Radiology Recap: Imaging Techniques Radiography Standard for initial and surveillance

More information

Magnetic Resonance Angiography

Magnetic Resonance Angiography Magnetic Resonance Angiography 1 Magnetic Resonance Angiography exploits flow enhancement of GR sequences saturation of venous flow allows arterial visualization saturation of arterial flow allows venous

More information

The latest developments - Automated Breast Volume Scanning. Dr. med. M. Golatta

The latest developments - Automated Breast Volume Scanning. Dr. med. M. Golatta The latest developments - Automated Breast Volume Scanning Dr. med. M. Golatta Automated Breast Volume US: Why? o Mammography is limited in dense breasts: high false negative rate o Many of these tumors

More information

Diagnostic Imaging Providers Privileging Guidelines

Diagnostic Imaging Providers Privileging Guidelines Diagnostic Imaging Providers Privileging Guidelines The following guidelines are intended to promote reasonable and consistent quality and safety standards for the provision of imaging services. These

More information

Q. Where can I find out if my state currently requires stereotactic breast biopsy accreditation?

Q. Where can I find out if my state currently requires stereotactic breast biopsy accreditation? The American College of Radiology Stereotactic Breast Biopsy Accreditation Program: Frequently Asked Questions (Revised: September 7, 2017; updated questions in red) Table of Contents Application - General...

More information

Multicenter Trial, Phase I Assessment of 2-D FFDM Versus Combo of 2-D and 3-D Tomosynthesis in Breast Cancer Screening

Multicenter Trial, Phase I Assessment of 2-D FFDM Versus Combo of 2-D and 3-D Tomosynthesis in Breast Cancer Screening ACRIN PA 4006: Comparison of Full Field Digital Mammography with Digital Breast Tomosynthesis Image Acquisition in Relation to Screening Call-Back Rate Imaging Manual Multicenter Trial, Phase I Assessment

More information

Powered by. Dedicated MRI

Powered by. Dedicated MRI Powered by Dedicated MRI Provides the latest software and hardware upgrade configuration powered by exp technology: boosting productivity, increasing image quality, and adding new acquisition techniques.

More information

Introduction. Cardiac Imaging Modalities MRI. Overview. MRI (Continued) MRI (Continued) Arnaud Bistoquet 12/19/03

Introduction. Cardiac Imaging Modalities MRI. Overview. MRI (Continued) MRI (Continued) Arnaud Bistoquet 12/19/03 Introduction Cardiac Imaging Modalities Arnaud Bistoquet 12/19/03 Coronary heart disease: the vessels that supply oxygen-carrying blood to the heart, become narrowed and unable to carry a normal amount

More information

Hands-On Ultrasound Physics and Quality Control Workshop. Outline

Hands-On Ultrasound Physics and Quality Control Workshop. Outline Slide 1 Hands-On Ultrasound Physics and Quality Control Workshop Z. F. Lu, PhD Radiology Department Columbia University New York, NY R. L. Kruger, PhD Radiology Department Marshfield Clinic Marshfield,

More information

MQSA Physicist Qualifications. Jon J. Erickson, Ph.D., DABR

MQSA Physicist Qualifications. Jon J. Erickson, Ph.D., DABR 2027 North 36 th Street Saint Joseph, Mo 64506 (86) 390-90 (800) 306-4477 MQSA Physicist Qualifications Jon J. Erickson, Ph.D., DABR Contents Missouri Mammography Physicist Initial Qualifications Certificate

More information

HEALTHCARE AI DEVELOPMENT CYCLE

HEALTHCARE AI DEVELOPMENT CYCLE Dr. Keith Dreyer Chief Science Officer, ACR Data Science Institute ACR Board of Chancellors, Chairman Informatics Commission Chief Data Science Officer, MGH, BWH, Partners Healthcare Associate Professor

More information

Dental ConeBeam Computed Tomography (CBCT) X-ray Systems

Dental ConeBeam Computed Tomography (CBCT) X-ray Systems Dental ConeBeam Computed Tomography (CBCT) X-ray Systems PROPOSED REVISIONS TO 4732.XXXX, 1.0 4732.#### DENTAL CONEBEAM COMPUTED TOMOGRAPHY (CBCT) X-RAY SYSTEMS; STATIONARY AND MOBILE. Subpart 1. Applicability.

More information

CARDIAC MRI. Cardiovascular Disease. Cardiovascular Disease. Cardiovascular Disease. Overview

CARDIAC MRI. Cardiovascular Disease. Cardiovascular Disease. Cardiovascular Disease. Overview CARDIAC MRI Dr Yang Faridah A. Aziz Department of Biomedical Imaging University of Malaya Medical Centre Cardiovascular Disease Diseases of the circulatory system, also called cardiovascular disease (CVD),

More information

This presentation is the intellectual property of the author. Contact them for permission to reprint and/or distribute.

This presentation is the intellectual property of the author. Contact them for permission to reprint and/or distribute. MRI of the Knee Jennifer Swart, M.D. Musculoskeletal Radiology South Texas Radiology Group Outline Coils, Patient Positioning Acquisition Parameters, Planes and Pulse Sequences Knee Arthrography Normal

More information

Contrast-enhanced Breast MRI RSSA 2013

Contrast-enhanced Breast MRI RSSA 2013 Contrast-enhanced Breast MRI RSSA 2013 Prof. dr. Maurice van den Bosch University Medical Center Utrecht, the Netherlands Index 1) Breast cancer 2) Why MRI of the breast 3) Technique 4) Interpretation

More information

This presentation is the intellectual property of the author. Contact them at for permission to reprint and/or distribute.

This presentation is the intellectual property of the author. Contact them at for permission to reprint and/or distribute. MRI of the Knee Jennifer Swart, M.D. Musculoskeletal Radiology South Texas Radiology Group Financial Disclosure Dr. Jennifer Swart has no relevant financial relationships with commercial interests to disclose.

More information

CT Imaging at the Point-of-Care

CT Imaging at the Point-of-Care ENGLISH True Dedication The new Planmed Verity Extremity CT Scanner revolutionizes extremity CT imaging. The compact unit brings 3D imaging at emergency departments, orthopedic clinics or trauma centers

More information

BioMatrix Tuners: CoilShim

BioMatrix Tuners: CoilShim MAGNETOM Vida special issue Head and Neck Imaging Clinical 11 BioMatrix Tuners: CoilShim Miriam R. Keil, Ph.D.; Jörg Rothard; Carmel Hayes, Ph.D. Siemens Healthineers, Erlangen, Germany A cervical spine

More information

How Much Tesla Is Too Much?

How Much Tesla Is Too Much? How Much Tesla Is Too Much? Johnny U. V. Monu, MB, BS; MSc Professor of Radiology and Orthopedics University of Rochester School of Medicine Rochester, New York Historical Timeline Clinical Imaging 1970

More information

CT SCAN PROTOCOL. Shoulder

CT SCAN PROTOCOL. Shoulder CT SCAN PROTOCOL Shoulder Purpose and Summary CT images made with this protocol are used to provide the orthopedic surgeon with a detailed 3D anatomical reconstruction of the patient s scapula and proximal

More information

PET/MR. Are You Ready?? Derek Lee, BS, CNMT, PET

PET/MR. Are You Ready?? Derek Lee, BS, CNMT, PET PET/MR Are You Ready?? Derek Lee, BS, CNMT, PET Allow Myself to Introduce Myself I ve been around a while: 23+ years in Nuclear Medicine and counting PET & PET/CT for 13 years and counting Currently working

More information

MAMMOGRAPHY QC: MORE THAN PHANTOM IMAGES. Stephanie Schofield RTR QC Technologist Nova Scotia Health Authority

MAMMOGRAPHY QC: MORE THAN PHANTOM IMAGES. Stephanie Schofield RTR QC Technologist Nova Scotia Health Authority 1 MAMMOGRAPHY QC: MORE THAN PHANTOM IMAGES Stephanie Schofield RTR QC Technologist Nova Scotia Health Authority Disclaimer 2 I have nothing to disclose. Outline 3 QC tests for the mammography technologist

More information

PINPOINTING RADIATION THERAPY WITH THE PRECISION OF MR.

PINPOINTING RADIATION THERAPY WITH THE PRECISION OF MR. GE Healthcare PINPOINTING RADIATION THERAPY WITH THE PRECISION OF MR. MR Radiation Oncology Suite MAXIMIZE YOUR PRECISION. HELP MINIMIZE PATIENT COMPLICATIONS. Our goal in MR radiation oncology is to

More information

UK Biobank. Imaging modality Cardiovascular Magnetic Resonance (CMR) Version th Oct 2015

UK Biobank. Imaging modality Cardiovascular Magnetic Resonance (CMR) Version th Oct 2015 Imaging modality Cardiovascular Magnetic Resonance (CMR) Version 1.0 http://www.ukbiobank.ac.uk/ 30 th Oct 2015 This document details the procedure for the CMR scan performed at an Imaging assessment centre

More information

REGULATION: QUALITY ASSURANCE PROGRAMS FOR MEDICAL DIAGNOSTIC X-RAY INSTALLATIONS N.J.A.C. 7:28-22

REGULATION: QUALITY ASSURANCE PROGRAMS FOR MEDICAL DIAGNOSTIC X-RAY INSTALLATIONS N.J.A.C. 7:28-22 REGULATION: QUALITY ASSURANCE PROGRAMS FOR MEDICAL DIAGNOSTIC X-RAY INSTALLATIONS N.J.A.C. 7:28-22 New Jersey Department of Environmental Protection Bureau of X-ray Compliance PO Box 420, Mail Code 25-01

More information

Herlev radiation oncology team explains what MRI can bring

Herlev radiation oncology team explains what MRI can bring Publication for the Philips MRI Community Issue 46 2012/2 Herlev radiation oncology team explains what MRI can bring The radiotherapy unit at Herlev University Hospital investigates use of MRI for radiotherapy

More information

Hands-on. Physics Workshop. 2-day Workshop June 1-2, 2018 Ann Arbor, MI. Program Director: Brian Fowlkes, PhD

Hands-on. Physics Workshop. 2-day Workshop June 1-2, 2018 Ann Arbor, MI. Program Director: Brian Fowlkes, PhD Hands-on Ultrasound Physics Workshop 2-day Workshop June 1-2, 2018 Ann Arbor, MI Program Director: Brian Fowlkes, PhD Faculty: Paul Carson, PhD Mitch Goodsitt, PhD Oliver Kripfgans, PhD Sandra Larson,

More information

Process Improvement: High Quality Breast MRI

Process Improvement: High Quality Breast MRI Process Improvement: High Quality Breast MRI Joshua Smith M.D. Jennifer Harvey M.D. Brandi Nicholson M.D. Heather Peppard M.D. Carrie Rochman M.D. *No Financial Disclosures High Quality Breast MRI Breast

More information

Update on MQSA and Mammography Accreditation

Update on MQSA and Mammography Accreditation MQSA - Who s Who Update on MQSA and Mammography Accreditation The Law: Mammography Quality Standards Act (MQSA) The Regulator: US Food and Drug Administration (FDA) Priscilla F. Butler, M.S. Senior Director,

More information

IAEA activities in Medical Physics

IAEA activities in Medical Physics IAEA activities in Medical Physics Giorgia Loreti Training Officer (Medical Physics) G.Loreti@iaea.org IAEA - International Atomic Energy Agency Department of Nuclear Sciences and Applications Division

More information

RECENT ADVANCES IN CLINICAL MR OF ARTICULAR CARTILAGE

RECENT ADVANCES IN CLINICAL MR OF ARTICULAR CARTILAGE In Practice RECENT ADVANCES IN CLINICAL MR OF ARTICULAR CARTILAGE By Atsuya Watanabe, MD, PhD, Director, Advanced Diagnostic Imaging Center and Associate Professor, Department of Orthopedic Surgery, Teikyo

More information

Tissue-engineered medical products Evaluation of anisotropic structure of articular cartilage using DT (Diffusion Tensor)-MR Imaging

Tissue-engineered medical products Evaluation of anisotropic structure of articular cartilage using DT (Diffusion Tensor)-MR Imaging Provläsningsexemplar / Preview TECHNICAL REPORT ISO/TR 16379 First edition 2014-03-01 Tissue-engineered medical products Evaluation of anisotropic structure of articular cartilage using DT (Diffusion Tensor)-MR

More information

COMPUTED TOMOGRAPHY AND MAGNETIC RESONANCE OF THE THORAX

COMPUTED TOMOGRAPHY AND MAGNETIC RESONANCE OF THE THORAX page 1 / 5 page 2 / 5 computed tomography and magnetic pdf A CT scan, also known as computed tomography scan, and formerly known as a computerized axial tomography scan or CAT scan, makes use of computer-processed

More information

Sensitivity and Specificity in Detection of Labral Tears with 3.0-T MRI of the Shoulder

Sensitivity and Specificity in Detection of Labral Tears with 3.0-T MRI of the Shoulder Magee and Williams MRI for Detection of Labral Tears Musculoskeletal Imaging Clinical Observations C M E D E N T U R I C L I M G I N G JR 2006; 187:1448 1452 0361 803X/06/1876 1448 merican Roentgen Ray

More information

Info Packet. Sacramento Ultrasound Institute. AAS Degree in MRI Technology Session: 2016/17

Info Packet. Sacramento Ultrasound Institute. AAS Degree in MRI Technology Session: 2016/17 Sacramento Ultrasound Institute Info Packet Admissions: (916) 484-7666 admissions@sui.edu For more information abour the MRI Technology program, please visit www.sui.edu AAS Degree in MRI Technology Session:

More information

Radiologic Imaging Magnetic Resonance Imaging (MRI)

Radiologic Imaging Magnetic Resonance Imaging (MRI) Radiologic Imaging X-ray has always been the golden rule in diagnosing and treating podiatric patients. Unfortunately, for some patients the diagnosis is not as evident. That is when we need to utilize

More information

354 Korean J Radiol 9(4), August 2008

354 Korean J Radiol 9(4), August 2008 Review of Failed CT Phantom Image Evaluations in 2005 and 2006 by the CT Accreditation Program of the Korean Institute for Accreditation of Medical Image Hye Jung Park, MD 1 Seung Eun Jung, MD 1, 2 Young

More information

Radiology Center Assessment Tool (RCAT)

Radiology Center Assessment Tool (RCAT) Radiology Center Assessment Tool (RCAT) Please complete this form for each site location and return with all required documentation to: Horizon Blue Cross Blue Shield of New Jersey Attention: Network Programs

More information

8/2/2018. Working on MRI Simulator for MP who are NOT trained in MRI. Background What does trained in MRI mean?

8/2/2018. Working on MRI Simulator for MP who are NOT trained in MRI. Background What does trained in MRI mean? Working on MRI Simulator for MP who are NOT trained in MRI Oana Craciunescu, PhD, DABR Department of Radiation Oncology, Duke University Medical Center, Durham, NC 27710 SAM Session: Technical and Professional

More information

Highmark Privileging Application. 1. Complete this application if you provide any diagnostic

Highmark Privileging Application. 1. Complete this application if you provide any diagnostic Highmark Privileging Application INSTRUCTIONS 1. Complete this application if you provide any diagnostic imaging services. 2. Please complete a separate application for each physical location where imaging

More information

Ultrasound Accreditation Program Requirements

Ultrasound Accreditation Program Requirements Ultrasound Accreditation Program Requirements OVERVIEW... 2 MANDATORY ACCREDITATION TIME REQUIREMENTS... 2 PERSONNEL QUALIFICATIONS... 2 PHYSICIAN QUALIFICATIONS... 3 TECHNOLOGIST QUALIFICATIONS... 4 QUALITY

More information

Introduction. The goal of TRUS QA is to ensure your system can do all of this accurately.

Introduction. The goal of TRUS QA is to ensure your system can do all of this accurately. TRUS QA Workshop Introduction The goals of using TRUS in prostate brachytherapy Visualize the prostate Need the US to penetrate deeply enough Need sufficient grey scale resolution to be able to visualize

More information

CT Low Dose Lung Cancer Screening. Part I. Journey to LDCT LCS Program

CT Low Dose Lung Cancer Screening. Part I. Journey to LDCT LCS Program CT Low Dose Lung Cancer Screening Part I Journey to LDCT LCS Program Paul Johnson, M.S., DABHP, DABR Cleveland Clinic September 26, 2015 Lung Caner is No. 1 In Cancer Related Death In The United States

More information

Ingenia MR-RT. MR Systems. The comprehensive MR-sim solution to fit your planning

Ingenia MR-RT. MR Systems. The comprehensive MR-sim solution to fit your planning Ingenia MR-RT MR Systems The comprehensive MR-sim solution to fit your planning Table of contents Experience the difference MRI makes 3 A comprehensive MR-sim solution 4 Position with precision 6 Tailored

More information

SOMATOM Drive System Owner Manual Dosimetry and imaging performance report

SOMATOM Drive System Owner Manual Dosimetry and imaging performance report www.siemens.com/healthcare SOMATOM Drive System Owner Manual Dosimetry and imaging performance report Table of contents 1 Dosimetry and imaging performance report 5 1.1 Dose information 5 1.1.1 General

More information

Descriptions of NDT Projects Fall 2004 October 31, 2004

Descriptions of NDT Projects Fall 2004 October 31, 2004 Descriptions of NDT Projects Fall 2004 October 31, 2004 Introduction There are two separate NDT labs in Magister: ULTRA for ultrasound and EDDY for eddy current. Both labs are equipped with mechanical

More information

RADIOLOGIC AND IMAGING SCIENCE (RIS)

RADIOLOGIC AND IMAGING SCIENCE (RIS) Kent State University Catalog 2017-2018 1 RADIOLOGIC AND IMAGING SCIENCE (RIS) RIS 34001 INTRODUCTION TO DIAGNOSTIC MEDICAL SONOGRAPHY 1 Credit Provides an introduction to diagnostic medical sonography.

More information

MRI PEDIATRIC PROTOCOLS (Updated 6/19/2018)

MRI PEDIATRIC PROTOCOLS (Updated 6/19/2018) MRI PEDIATRIC PROTOCOLS (Updated 6/19/2018) *Please get or let us know where radiologist can review plain films. *For Texas Orthopedics and other Docs requesting only MSK section read for their pediatric

More information

Current Ultrasound Quality Control Recommendations and Techniques

Current Ultrasound Quality Control Recommendations and Techniques Current Ultrasound Quality Control Recommendations and Techniques Evan J. Boote, Ph.D. University of Missouri-Columbia Thank you for your interest - today I hope to provide some basic recommendations for

More information

Clinical Applications

Clinical Applications C H A P T E R 16 Clinical Applications In selecting pulse sequences and measurement parameters for a specific application, MRI allows the user tremendous flexibility to produce variations in contrast between

More information

FOR CMS (MEDICARE) MEMBERS ONLY NATIONAL COVERAGE DETERMINATION (NCD) FOR MAGNETIC RESONANCE IMAGING:

FOR CMS (MEDICARE) MEMBERS ONLY NATIONAL COVERAGE DETERMINATION (NCD) FOR MAGNETIC RESONANCE IMAGING: National Imaging Associates, Inc. Clinical guidelines SINUS MRI Original Date: November 2007 Page 1 of 5 CPT Codes: 70540, 70542, 70543 Last Review Date: July 2014 NCD 220.2 MRI Last Effective Date: July

More information

Personal use only. MRI Metal Artifact Reduction: Shoulder Implants and Arthroplasty. Reto Sutter, MD

Personal use only. MRI Metal Artifact Reduction: Shoulder Implants and Arthroplasty. Reto Sutter, MD MRI Metal Artifact Reduction: Shoulder Implants and Arthroplasty Reto Sutter, MD University Hospital Balgrist Zurich University of Zurich Cor PD fat sat 56-year old male patient with positive lift-off

More information

Look differently. Invenia ABUS. Automated Breast Ultrasound

Look differently. Invenia ABUS. Automated Breast Ultrasound Look differently. Invenia ABUS Automated Breast Ultrasound InveniaTM ABUS from GE Healthcare offers a view beyond mammography, with breast screening technology that looks differently. 40 % The unseen risk.

More information

Breast MRI Update. Jeffrey C. Weinreb, MD, FACR Yale University School of Medicine

Breast MRI Update. Jeffrey C. Weinreb, MD, FACR Yale University School of Medicine Breast MRI Update Jeffrey C. Weinreb, MD, FACR jeffrey.weinreb@yale.edu Yale University School of Medicine I disclose the following financial relationships with relevant commercial interests: Bracco Bayer

More information

ACCREDITATION CASE REVIEW 2: US AND US-GUIDED BIOPSY CRITERIA

ACCREDITATION CASE REVIEW 2: US AND US-GUIDED BIOPSY CRITERIA ACCREDITATION CASE REVIEW 2: US AND US-GUIDED BIOPSY CRITERIA Stamatia Destounis, MD, FSBI, FACR Elizabeth Wende Breast Care, LLC Clinical Professor University of Rochester School of Medicine and Dentistry

More information

Overview of TG225 - Medical Physics Practice Guideline #1

Overview of TG225 - Medical Physics Practice Guideline #1 Overview of TG225 - Medical Physics Practice Guideline #1 Evaluation and quality assurance of x-ray based image guided radiotherapy systems Jonas Fontenot, Ph.D. MPPG #1 Evaluation and Quality Assurance

More information

Visualization strategies for major white matter tracts identified by diffusion tensor imaging for intraoperative use

Visualization strategies for major white matter tracts identified by diffusion tensor imaging for intraoperative use International Congress Series 1281 (2005) 793 797 www.ics-elsevier.com Visualization strategies for major white matter tracts identified by diffusion tensor imaging for intraoperative use Ch. Nimsky a,b,

More information