quality control for digital mammography · 2018. 4. 7. · fuji qc : test with 1shot phantom...

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Quality Control for Digital Mammography Chuttraporn Oatcharearnchai Radiologic technologist Maharaj Nakorn Chiangmai Hospital

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Page 1: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

Quality Control for Digital Mammography

Chuttraporn Oatcharearnchai

Radiologic technologist

Maharaj Nakorn Chiangmai Hospital

Page 2: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector
Page 3: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

OBJECTIVE

Reduce exposure to patients and personal

Consistent image quality

Detect and correct for potential problems, before they

impact image quality

Page 4: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

Mammography Machine

FUJI GE

Page 5: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

FUJI QC

Daily / Weekly Test

Equipment required : 1 shot phantom M plus

Page 6: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

FUJI QC : Test with 1Shot Phantom (exposure)

1. Place 1 Shot phantom and chest wall edge to edge on the center of detector.

2. Place compression paddle 40 mm. above the detector.

40 mm.

Page 7: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

FUJI QC : Menu registration and exposure menu selection.

1. Enter information.

2. Select [QC/TEST] in the exposure region list and [1Shot PhantomM] in the exposure menu list.

Page 8: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

Press [QC] to display the QC window

FUJI QC : QC Software startup

Page 9: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

FUJI QC : Exposure condition confirmation

Check the exposure conditions.

Page 10: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

FUJI QC : Test with 1Shot Phantom (user input)

Press [User input]. Enter the visual inspection results. - Geometric distortion - Artifact

Page 11: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

FUJI QC : Auto calculation and Test result confirmation

Page 12: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

FUJI QC : Details of 1Shot phantom

1. Missed tissue on chest wall edge 2. CNR 3. 1Shot Phantom sensitivity constancy 4. Geometric distortion 5. System artifact evaluation 6. Uniformity 7. Dynamic range 8. Spatial Resolution (SR) 9. Low Contrast Detectability (LCD) 10.Linearity/Beam quality constancy

Page 13: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

FUJI QC : 1. Missed tissue on chest wall edge

Page 14: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

FUJI QC : 2. CNR

Page 15: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

FUJI QC :

60 mm

3. 1Shot Phantom sensitivity constancy

Page 16: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

FUJI QC : 4. Geomatic distortion

Page 17: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

FUJI QC : 5. System artifact evaluation

Page 18: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

FUJI QC : 6. Uniformity

Page 19: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

FUJI QC : 7. Dynamic range

Page 20: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

FUJI QC :

4lp/mm

8lp/mm

2lp/mm

8. Spatial Resolution

Page 21: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

FUJI QC : 9. Low Contrast Detectability

Page 22: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

FUJI QC : 10. Linearity

Page 23: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

FUJI QC : RESULT

Page 24: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

Daily Test ACR Phantom

Weekly Test FLAT FIELD TEST

PHANTOM IQ CNR AND MTF MEASUREMENT

GE QC

Monthly Test AOP MODE AND SNR CHECK

Page 25: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : ACR phantom

Daily Test

Equipment required : ACR phantom

Page 26: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : ACR phantom

1. Placed ACR phantom laterally centered and towards chest wall on the bucky.

2. Take 1 Exposure.

Procedure

Page 27: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : ACR phantom

Fiber : 3 Speak group : 3 Masses : 4

Page 28: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : FLAT FIELD TEST

Weekly Test

Equipment required : Flat field test object

Page 29: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : FLAT FIELD TEST

Brightness non-uniformity

High frequency modulation (HMF)

SNR non-uniformity

Bad ROI

Bad pixel verification

Objective

Page 30: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : FLAT FIELD TEST

1. Remove the bucky/breast holder and the compression paddle.

2. Placed the flat field device on the image receptor.

3. Take 2 Exposures.

Automatic parameters : large focal spot, MO/MO, 26 kV, 200 mAs.

Procedure

Page 31: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : FLAT FIELD TEST

Page 32: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : FLAT FIELD TEST

Page 33: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

Mammographic Quality Control phantom : ACR phantom.

Weekly Test

GE QC : PHANTOM IQ

Equipment required

Page 34: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : PHANTOM IQ

Objective

Ensure adequate and consistent quality of image

acquired by the detector and displayed on the AWS

monitor and the printer

Page 35: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

1. Install bucky and compression paddle.

2. Placed ACR phantom laterally centered and towards chest wall on the bucky.

4. Take 1 Exposure.

Automatic parameters : large focal spot, Rh/Rh, 29 kV, 56 mAs.

3. Compress the phantom.

GE QC : PHANTOM IQ

Procedure

Page 36: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : PHANTOM IQ

Page 37: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : PHANTOM IQ

Page 38: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : FLAT FIELD TEST

Page 39: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

Weekly Test

GE QC : CNR AND MTF MEASUREMENT

Equipment required : IQST device

Page 40: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : CNR AND MTF MEASUREMENT

Objective

Contrast to noise ratio (CNR)

Modulation Transfer Function (MTF)

Page 41: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

1. Install bucky and remove compression paddle.

2. Placed IQST device on the bucky in the field of view.

3. Take 1 Exposure.

Automatic parameters : Rh/Rh, 30 kV, 56 mAs.

GE QC : CNR AND MTF MEASUREMENT

Procedure

Page 42: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : CNR AND MTF MEASUREMENT

Page 43: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : CNR AND MTF MEASUREMENT

Page 44: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : CNR AND MTF MEASUREMENT

Page 45: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

Set of acrylic (PMMA) plates allowing thickness of 25 mm, 50 mm and 60 mm.

Monthly Test

GE QC : AOP MODE AND SNR CHECK

Equipment required

Page 46: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : AOP MODE AND SNR CHECK

Objective

Correct choice of parameters in AOP mode

Correct level of SNR in the image

Page 47: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

1. Put 25mm acrylic plate on the bucky.

2. Align the longest side of the plates with the chestwall edge oft the bucky.

3. Center the plate left-right.

4. Apply compression force of 5 daN.

5. Take 1 Exposure.

* Repeat these steps for the 50 and 60 mm thicknesses.

GE QC : AOP MODE AND SNR CHECK

Procedure

Page 48: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : AOP MODE AND SNR CHECK

25 mm. 50 mm. 60 mm.

Page 49: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : AOP MODE AND SNR CHECK

Page 50: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : AOP MODE AND SNR CHECK

25 mm.

Page 51: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

50 mm.

GE QC : AOP MODE AND SNR CHECK

Page 52: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

60 mm.

GE QC : AOP MODE AND SNR CHECK

Page 53: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : AOP MODE AND SNR CHECK

Page 54: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

GE QC : RESULT

Page 55: Quality Control for Digital Mammography · 2018. 4. 7. · FUJI QC : Test with 1Shot Phantom (exposure) 1. Place 1 Shot phantom and chest wall edge to edge on the center of detector

THANK YOU