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Covering Quality Control and Quality Assurance for Diagnostic Imaging

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
The invisible image on an unprocessed radiograph formed during exposure of the receptor   show
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Marks, spurious objects, motion, or unwanted optical density on the image that do not represent the anatomic structure   show
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show radiation fog  
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The ability to image small, high contrast objects   show
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Appears on a radiograph as a speckled background; occurs most often when high-kVp and low mAs techniques are used in cases of high DQE   show
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show luminance  
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show fluorescence  
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show phosphorescence  
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show Heat, radiation  
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show quantum mottle  
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show processing artifact  
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examples of exposure artifact   show
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a type of processing artifact   show
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show quality assurance  
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show quality control  
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minimum amount of filtration required for general purpose radiographic units   show
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show outcome analysis/outcome assessment  
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continuous quality improvement - an ongoing process that involves QA and QC; never ends   show
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If 50 mAs produces x-ray intensity of 100 mR then an exposure at 100 mAs should produce an x-ray intensity of 200 mR - this is an example of what? May also be expressed as EI number tracking in a linear fashion as a function of increasing exposure   show
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show reciprocity  
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Three steps of quality control for radiographic equipment   show
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Reason why TJC (the Joint Commission) QA program is used in hospitals?   show
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show supervising radiologist, QC technologist, medical physicist  
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show To ensure that only the anatomy of interest is imaged.  
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show +/-5% (most states); +/-10% federal  
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three QC tools to measure focal-spot size?   show
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show +/- 5%  
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What test is performed to check for geometric distortion/spatial accuracy in digital?   show
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How often should lead apparel be checked for integrity?   show
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show dedicated kV meter  
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show candela per meter squared or lumens  
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show Preventive maintenance reduces the probability of unscheduled maintenance  
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show 2% of the SID  
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Also known as the true negative fraction – ability to be given a negative diagnosis when no disease is present; How well are we able to rule out or eliminate the possibility of the disease not being there; has a low false positive rate   show
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Also referred to as the true positive fraction; indicates the likelihood of obtaining a positive diagnosis in a patient with the disease (ability to detect disease); How well can the exams pick things up; has a low false negative rate   show
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show accuracy  
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If a radiologist determines something on a film to be a disease and further lab tests confirm it is that disease   show
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If a radiologist dictates the presence of a disease on an image and further tests determine that a disease (or the disease dictated) is not present   show
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If a radiologist dictates no disease present and further testing results in demonstrating no disease present   show
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show false negative  
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show halo artifact  
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show Phantom image artifact /ghosting  
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Poor collimation leads to this error in CR and DR image processing   show
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scratches or dust/dirt on the PSP plate will appear ____ on the image   show
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dust in the path of the laser beam in the CR reader may cause this type of artifact   show
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When an erasure lamp is not working properly in PSP imaging, this artifact may result   show
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show Moire or Aliasing  
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show weekly  
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show daily  
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who is responsible for acceptance testing of radiologic equipment?   show
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show technologist  
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show vendor service personnel  
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skin exposure rate that should not be exceeded during fluoroscopy with ABS   show
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minimum SSD for mobile fluoroscopy units   show
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minimum SSD for fixed fluoroscopy units   show
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matrix is composed of _____   show
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TFT arrays are composed of _____   show
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show SMPTE test pattern  
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display monitor: has a greater viewing angle   show
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display monitor: has better contrast resolution   show
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show Veiling or flare  
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projection of image from a curved surface (such as the input phosphor) onto a flat surface (output phosphor) Distortion is greater on the lateral side of image. The magnification increased towards the middle of the image   show
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opposite of pincushion, but the mag is higher in the middle   show
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decrease in image brightness at the lateral portions of the image, due to a combo of pincushion and the coupling of the TV camera   show
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show S distortion  
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show radiation strikes IP, electrons of phosphors raised and trapped in higher energy state, IP exposed to laser light to release electrons, PMT detects light emission of electrons as they return to their stable state, IP exposed to intense white light  
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show ability of a screen to absorb x-rays  
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show ability to give off light in proportion to amount of radiation absorbed  
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type 1 histogram   show
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show abdomen; anatomy fills the IR  
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type 3 histogram   show
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show radiopaque  
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right side of histogram represents this type of anatomy   show
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where is EI measured from?   show
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show widens the histogram  
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used to evaluate collimation/beam restriction and central ray alignment   show
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show oscilloscope  
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show digital timer or electronic ion chamber  
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show photometer  
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show image magnification  
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in this fluoroscopy mode, the entire input phosphor is being used resulting in decreased patient dose   show
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visible image   show
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show dose creep  
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show CANNOT  
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_____ and ______ can be adjusted for most digital images reducing the need for repeats and allowing optimal patient dose techniques to be utilized.   show
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show FALSE  
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show 60,120  
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show 14  
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TFT   show
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DEL   show
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show photostimulable phosphor  
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show look up table  
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show photomultiplier tube  
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show analog to digital converter  
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IP   show
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VOI   show
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show region of interest  
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show dose area product  
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show 1024x1280 to 1200x1600  
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matrix size of typical radiologist workstation   show
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another name for technologist workstation   show
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show primary display or class I  
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show SMPTE or TG18-QC  
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test tool for evaluating the effect of ambient lighting on viewing conditions for a monitor   show
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test tool for evaluating display luminance and visibility of contrast resolution compared with other monitors   show
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test tool for evaluating spatial lumninance response of the system requiring the use of a photometer to measure and ensure luminance values are greater than 171cd/m2   show
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show TG18-CX  
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show routine, full inspection, system adjustment  
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QC test used to evaluate the ability of a system to completely remove previous exam data   show
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show uniformity/shading test  
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degree of angulation for the spatial resolution test pattern phantom to the laser scan or TFT detector array   show
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three parts of a QC program on equipment   show
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What organization released an advisory opinion statement on electronic cropping?   show
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show over 100% greater exposure of the target range  
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show less than 50% exposure of the target range  
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show No true black, Less viewing angle, brightness can diminish with room temperature extremes,  
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show +/-1% of SID or 2 degrees  
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how do you check for a dead pixel on a display monitor   show
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show use a solid white background to look for a black dot  
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show 15 or fewer bad pixels across entire screen, 3 or fewer bad pixels within any circle of 1cm diameter, 3 or fewer bad adjacent pixels  
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common causes of x-ray field and collimation field misalignment   show
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