The laboratory is also equipped with qc tools and equipment fig. Quality control schedules for nuclear medicine instrumentation draft. These recommendations must be considered in the light of any national guidelines and. This book is important to the nuclear medicine community as there is no other book like it. Along with simple, progressive, highly illustrated topics, the. It is an essential part of quality assurance in nuclear medicine and the aim is that the. Radiation counting systems this part of iec 61948, which is a technical report, describes test methods of instruments that count and measure the energy of photons emitted by radionuclides in vivo and in vitro without the.
All staff starting at the nuclear medicine department must take part in a theoretical introductory lecture about handling radioactive nuclides. The chemistry of contrast agents in medical magnetic resonance imaging, wiley, 20. The current report on graduate achievement data, identified by program, is available on the jrcnmt website by clicking on the following link. Along with simple, progressive, highly illustrated topics, the authors present nuclear medicine related physics and. Most conditions and diseases are best treated when caught early. This also includes medical and technologist students placed at the department for more than two weeks. The purpose of this document is to provide nuclear medicine practitioners physicists, technologists, physicians with general guidelines in performing and interpreting quality control qc of all instruments of a nuclear medicine department counting devices, imaging systems with a special focus on new, sophisticated, digital technologies.
Routine quality control of clinical nuclear medicine instrumentation. Routine quality control recommendations for nuclear medicine. Introduction these recommendations cover routine quality control qc of instrumentation used within a nuclear medicine department. Graduate achievement data is an indicator of program effectiveness, demonstrating the extent to which a program achieves its goals. Quality control procedures applied to nuclear instruments. Nonhodgkins lymphoma patients who do not respond to. Quality control of radiopharmaceuticals and diagnostic. Scintillation cameras and single photon emission computed tomography imaging spect iec 619482. This report,scintillation camera acceptance testing and performance evaluation, is the sixth in a series of aapm reports. However, the knowledge base for nuclear medicine technology continues to change. Both theoretical and experimental aspects of the field are presented together, with specific information on its applications. Performance evaluation of quality control was conducted in five nuclear medicine departments in sudan. This softcover textbook on nuclear instrumentation was written for an audience of nuclear medicine technology students, medical imaging technologists, nuclear medicine physicians, radiologists, medical imaging residents, biomedical engineers, and any individual interested in gaining an understanding of the. The text includes more than 400 photographs, tables and illustrations, as well as sample calculations.
Nuclear medicine consulting services medical physics. The author, jennifer prekeges, spent more than 9 years putting the text together. Proven nuclear medicine test flashcards raise your score on the nuclear medicine test. These recommendations cover acceptance and reference tests that should be performed for acceptance testing of instrumentation used within a nuclear medicine department.
Routine quality control of clinical nuclear medicine. Nuclear medicine instrumentation article pdf available in journal of nuclear medicine technology 412. In this paper, the authors share their experience with type acceptance testing of valves. Establishment of a national program for quality control of. The university of iowa has graciously allowed the use of. Small instruments, gamma camera, single photon emission computed tomography spect.
Quality control of iaea scientific and technical publications. Acceptance testing for nuclear medicine instrumentation eanm. Annual physics survey a physics survey must be performed on each nuclear medicine. The far more rigorous and more extensive acceptancetesting procedures performed for. Optimization involves developing the test methods and techniques so that attention is paid continuously to patient exposure and clinical image quality see item 3. A basic diagnostic imaging quality assurance program is a regulatory requirement in many provinces footnote 1, footnote 2 footnote 3 footnote 4 footnote 5 and in federal institutions. Covering everything from geiger counters to positron emission tomography systems, this text provides students with an understanding of the practical aspects of these instruments and their uses in nuclear.
Quality assurance of nuclear medicine instrumentation. If performing nuclear medicine therapies, independent performance of a least 20 nuclear medicine therapies required. If you are experiencing any highrisk factors you should talk to your doctor about imaging testing and healthcare screenings. The results of these routine tests are compared to the reference data determined during or after acceptance test. In conclusion, the minimum requirements 23 after instrument acceptance or initial testing for a satisfactory quality control program for each data acquisition system in nuclear medicine are.
An extensive series of parameters has been developed over the years for acceptance testing and performance characterization of. The nuclear medicine image acquired with the gamma camera provides a snapshot of the patients in vivo radiopharmaceutical distribution from a certain view and at a particular point in time. The linearity for each analyte is assessed by checking the performance of recovery throughout the manufacturers stated range of the testing system. It is designed to provide users of the scintillation cameras with test procedures for performance evaluation. The stateoftheart spect and pet scanners used today in the clinic illustrate how critical it is to have the infrastructure and funding to support the flow of technology from the nuclear and highenergy laboratories that develop new detectors and electronics to the nuclear medicine instrumentation laboratories that develop new imaging tools. Acceptance test procedure for new pumping instrumentation. The quality control program for the gamma camera includes acceptance testing and tests that need to be performed on a routine basis. Contents of quality management in nuclear medicine. Additional periodic tests may be carried out to provide more. Criminal background check at this completed application portfolio must be submitted to the nuclear medicine program director no later than may 31 for consideration for admission into the fall semester of the same year. Gamma radiation counting system foreword 1 the international electrotechnical commission iec is a worldwide organization for standardization comprising all national electrotechnical committees iec national committees. Tests performed at acceptance may be carried out either completely by the installing vendor, or together with the vendor, but the. These recommendations cover acceptance and reference tests that should be performed for acceptance testing of instrumentation used within a nuclear. For instruments used in the measurement of ionizing radiations accredia accreditation lat 065.
Chapter 27 nuclear medicine imaging instrumentation mark t. Nuclear medicine instrumentation jennifer prekeges, ms, cnmt. In many instances, qc tests of nuclear medicine instrumentation are. Pdf acceptance testing for nuclear medicine instrumentation. Footnote 10 an ineffective quality assurance program can lead to poor quality radiograms that can impair diagnosis, increase operating costs and contribute to unnecessary radiation exposure to both patients and. Call testing services at 3715445 for the assessment schedule.
Through appropriate testing, inspection and maintenance programs, monitoring organizations can be assured that equipment is capable of operating at acceptable performance levels. Initial testing of imaging equipment must be performed upon installation and should be completed before clinical use. The nuclear medical techniques include spect singlephotonemissioncomputedtomography in which tracers emit gamma rays, and pet positronemissiontomography in which tracers emit positrons. These methods are mainly designed for the acceptance test. Acceptance testing for nuclear medicine instrumentation. This handson workshop will focus on proper performance and qc testing of gamma cameras, spect and spectct units as wells as pet and petct units. Fundamental testing methodologies applied to the popular python language testing python. Acceptance testing for nuclear medicine instrumentation article pdf available in european journal of nuclear medicine 373. Designed to enable students to perform highquality imaging, nuclear medicine instrumentation, second edition emphasizes quality control, explaining how instruments can fail and how to improve the images obtained. Positron emission tomographs, 2005 iec technical standard for medical nuclear physics performance monitoring of petct imaging equipment, 2011 acr busemann sokole e. Technical quality control of nuclear medicine equipment involves continuous supervision of the working order and performance characteristics of the equipment throughout its whole life cycle. The proposed quality control program for nuclear medicine instrumentation included the following aspects. Quality control guidance for nuclear medicine equipment. Python is a natural choice for new and experienced developers, and this handson resource is a much needed guide to.
There is a common set of core knowledge, skills, and abilities consistent with contemporary practice that all nuclear medicine technologists should be able to demonstrate as a part of continuing competence. For those nuclear medicine instruments that interface directly with patientsthe intraoperative probe, organ uptake probe. There are several kinds of testing on nuclear instruments, for example, type testing done by suppliers to ensure that equipment meets design criteria and functionality, it is similar to the acceptance testing that must be made at the reception of the equipment by the end users. Guidelines on quality control for nuclear medicine instrumentation 3. Implementing an ambient air monitoring network, with the various types of equipment needed, is no easy task. Nuclear medicine instrumentation routine tests part 1. Instrumentation in nuclear medicine discusses both the fundamentals and the developments of important instruments used in nuclear medicine. Positron emission tomographs reference number iectr 619483. In conclusion, the minimum requirements23 after instrument acceptance or initial testing for a.
Final nm qc guidelines diagnostic nuclear medicine. Written at the technologist level, nuclear medicine instrumentation focuses on instruments essential to the practice of nuclear medicine. It provides students with concise and straightforward information pertaining to the operation and use of each instrument. Nuclear regulatory commission nrc and multiple state agencies by helping our clients maintain a high level of. As part of quality control, this document is defining routine tests to be performed by the user of positron emission tomographs to maintain proper operation conditions. Download pdf nuclear medicine instrumentation free. Nuclear medicine uses small amounts of radioactive materials called radiotracers that are typically injected. Program graduate application instructions nuclear medicine. Applying unit testing, tdd, bdd and acceptance testing is the most comprehensive book available on testing for one of the top software programming languages in the world. Acceptance and reference tests must be performed by the medical physics expert in nuclear medicine or other experienced nuclear medicine physicist who is competent in applying the appropriate test procedures. A practical exercise in decontaminating a small accident with 99m tc is. Cardiac nuclear medicine imaging evaluates the heart for coronary artery disease and cardiomyopathy diseases of the heart muscle. We have earned and gained an excellent reputation with the u. In conclusion, the minimum requirements after instrument acceptance or initial testing for a satisfactory quality control program for each data acquisition system in nuclear medicine are.
Routine qc testing starts after installation of the instrument, and after acceptance testing, and continues on a regular basis throughout its lifetime. Prepare with our nuclear medicine practice test questions. Manual spectrum acquisition may be used for acceptance testing. Acceptance testing for nuclear medicine instrumentation semantic.
A comprehensive guide to the practical aspects of nuclear medicine instruments, nuclear medicine instrumentation, second edition prepares students to. The purpose of the american registry of radiologic technologists arrt nuclear medicine technology examination is to assess the knowledge and cognitive skills underlying the intelligent performance of the tasks typically required of thenuclear medicine technologist. Accreditation by the acr requires both acceptance testing and annual performance testing be performed by a qualified individual. Faculty are present at all times for acceptance testing, acraccreditation testing, and all testing of mammography and nuclear medicine equipment. To make an appointment or learn more about houston area nuclear medicine testing at oakbend medical center please call 28400. This is done using a set of standards containing varying levels of an analyte in high enough and low enough concentrations so as to span the entire range of the test system. Nuclear medicine instrumentation and quality control. Efficient quality assurance programs in radiology and nuclear. Pet and petct in terms of acceptance testing, as well as in terms of qc and. The iac standards and guidelines for nuclearpet accreditation 6. Nuclear medicine consulting services mpc places special emphasis on regulatory assistance, along with administrative and radiation safety officer rso support. Nuclear medicine instrumentation is made up of four parts.
Acceptance testing is not within the scope of these guidelines and the reader is referred to the international recommendations mentioned above. Additional periodic tests may be carried out to provide more indepth testing. After observing, assisting, and then leading equipment testing with assistance in a specific modality, the resident will be ready for a competency assessment. A comprehensive guide to the practical aspects of nuclear medicine instruments, nuclear medicine instrumentation, second edition prepares students to become skilled technologists. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Iaea human health series quality assurance for pet and petct systems iaea human health series no. Covering everything from geiger counters to positron emission tomography systems, this text provides students with an understanding of the practical aspects of these instruments and their uses in nuclear medicine.
Jul 11, 2015 the quality control program for the gamma camera includes acceptance testing and tests that need to be performed on a routine basis. To support handson training acceptance testing and qc of medical physics aspects in nuclear medicine, the iaea has setup a gamma camera laboratory with the kind support of an equipment supplier. Part ii written exam magnetic resonance imaging physics. An excellent introduction to the basic concepts of nuclear medicine physics.
Quality assurance of nuclear medicine instrumentation springerlink. Instrumentation and computational sciences advancing. Performance and acceptance testing of scintillation. Nuclear medicine instrumentation routine tests part 3.
A baseline set of quality control results should be recorded, after a thorough evaluation of the system at installation and acceptance testing, to serve as a reference for the life of the equipment. Such features include manual emergencyoff switches panic buttons, collisiondetection. Guidelines on quality control for nuclear medicine instrumentation eanm working group authors. Nuclear medicine instrumentation flashcards quizlet. Qc instruments are nationally insufficient in ensuring good quality images for diagnosis in nuclear medicine. Iaea support to medical physics in nuclear medicine. Nuclear medicine contact sales enquiries customer support request a. Pdf routine quality control recommendations for nuclear.
Dr m lyra1, dr r klett2, dr w b tindale3 1university of athens, greece. Quality control of nuclear medicine instruments, iaeatecdoc317, was printed in late 1984. These data form the start of a logbook or digital record for the instrument. Nuclear medicine instrumentation and quality control presentation. A document entitled national protocols for quality control of nuclear medicine instruments was created. Nuclear medicine instrumentation is the first text to covers instruments vital to nuclear medicine at a technologists level. Show a general understanding of radioactive decay modes with special emphasis on those most appropriate for nuclear medicine detection and imaging. Routine quality control recommendations for nuclear. The increasing regulatory requirements for accreditation of facilities that offer nuclear medicine services including pet are driving an increased demand for medical physics support services.
These tests must be performed after installation and before the instrument is put into clinical use, and before final payment for the device. This softcover textbook on nuclear instrumentation was written for an audience of nuclear medicine technology students, medical imaging technologists, nuclear medicine physicians, radiologists, medical imaging residents, biomedical engineers, and any individual interested in gaining an understanding of. The purpose is to provide updates, clarify topics, and make corrections. Nuclear medicine instrumentation by jennifer prekeges. Upon completion of this article, the reader should be able to. Essentials of nuclear medicine physics and instrumentation. This testing should be more comprehensive than periodic performance testing and should be consistent with current acceptance testing practice. Nuclear medicine accreditation, acceptance testing and annual.
Recommendations for acceptance testing are covered in a. Download pdf nuclear medicine instrumentation free online. It also may be used to help determine whether the heart has been damaged by chemotherapy or radiotherapy. This article should be particularly useful for residents, fellows, and other trainees in nuclear medicine, nuclear cardiology, and radiology. This report was prepared by the nuclear medicine committee of the. Amarillo college nuclear medicine technology admission process. These questions will help you increase your nuclear medicine test score. Patients may receive unnecessary radiation risk due to lack of a proper national quality control program. Nuclear medicine also offers therapeutic procedures, such as radioactive iodine i1 therapy that use small amounts of radioactive material to treat cancer and other medical conditions affecting the thyroid gland, as well as treatments for other cancers and medical conditions. Graduate achievement report the nuclear medicine technology program prepares students to sit for the. Type acceptance testing of valves by subjecting the valve to a combination of mechanical, pressure and temperature cycling simulates the actual operating conditions the valve will be subjected to during normal operation.
This is the second edition of a book on nuclear medicine, pet, and mri instrumentation. Nuclear medicine instrumentation, second edition is included in the 2015 edition of the essential collection of doodys core titles. Pdf keywordsquality controlquality assuranceacceptance testingnuclear medicine instrumentationgamma cameraspectpetctradionuclide. This talk will focus primarily on understanding the acr requirements and procedures for accreditation of pet, and nuclear medicine imaging services, with a focus on the physicists role in the process.
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