2017 AAPM Annual Meeting
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Session Title: Implementation of the 2016 ACR Digital Mammography Quality Control Manual
Question 1: What is the goal of the ACR Digital Mammography Quality Control Manual?
Reference:Berns EA, Baker JA, Barke LD, et al. Digital Mammography Quality Control Manual. Reston, Va: American College of Radiology; 2016.
Choice A:Standardize QC tests for all digital manufacturers.
Choice B:Standardize test frequencies.
Choice C:Standardize test performance criteria.
Choice D:To make tests clinically relevant and user/operator friendly.
Choice E:All of the above.
Question 2: Use of the entire ACR Digital Mammography Quality Control Manual:
Reference:FDA Mammography Quality Standards Act and Program website. #24: Approval of an Alternative Standard for Using the Quality Assurance Program Recommended by the ACR Digital Mammography Quality Control Manual for Full-Field Digital Mammography Systems, for Systems without Advanced Imaging Capabilities; February 17, 2016. https://www.fda.gov/Radiation-EmittingProducts/MammographyQualityStandardsActandProgram/Regulations/ucm489348.htm
Choice A:Is currently required under MQSA and ACR Accreditation.
Choice B:Will be required under MQSA and ACR Accreditation at some time in the future.
Choice C:Will always be optional under the current MQSA regulations; facilities may choose to continue to use the QC tests in their manufacturer’s QC manual.
Choice D:Is not required; facilities may use sections at their discretion instead of the tests provided in their manufacturer’s QC manual.
Question 3: At this time, the ACR Digital Mammography Quality Control Manual can be used for:
Reference:FDA Mammography Quality Standards Act and Program website. #24: Approval of an Alternative Standard for Using the Quality Assurance Program Recommended by the ACR Digital Mammography Quality Control Manual for Full-Field Digital Mammography Systems, for Systems without Advanced Imaging Capabilities; February 17, 2016. https://www.fda.gov/Radiation-EmittingProducts/MammographyQualityStandardsActandProgram/Regulations/ucm489348.htm
Choice A:Full-field digital mammography systems without advanced imaging capabilities.
Choice B:Full-field digital mammography systems with tomosynthesis.
Choice C:Full-field digital mammography systems with contrast-enhancement functionality.
Choice D:Full-field digital mammography systems with tomography functionality.
Choice E:All of the above.
Question 4: Before a mammography facility can use the new ACR Digital Mammography Quality Control Manual for routine technologist QC, the medical physicist must:
Reference:Berns EA, Baker JA, Barke LD, et al. Digital Mammography Quality Control Manual. Reston, Va: American College of Radiology; 2016.
Choice A:Conduct all of the tests specified in the unit manufacturer’s QC manual.
Choice B:Conduct all of the tests specified in the ACR Digital Mammography Quality Control Manual and set up new techniques and procedures for the technologist QC.
Choice C:Conduct all of the tests specified in the unit manufacturer’s QC manual AND all of the tests specified in the ACR Digital Mammography Quality Control Manual.
Choice D:The technologists can transition to the tests in the new ACR manual at any time without prior testing by the medical physicist.
Question 5: The passing score in the new digital mammography phantom is..
Reference:Berns EA, Baker JA, Barke LD, et al. Digital Mammography Quality Control Manual. Reston, Va: American College of Radiology; 2016.
Choice A:4 fibers, 3 speck groups, 3 masses.
Choice B:3 fibers, 3 speck groups, 3 masses.
Choice C:2 fibers, 3 speck groups, 2 masses.
Choice D:2 fibers, 2 speck groups, 2 masses.
Question 6: Which of the following is NOT a required technologist test in the ACR Digital Mammography Quality Control Manual?
Reference:Berns EA, Baker JA, Barke LD, et al. Digital Mammography Quality Control Manual. Reston, Va: American College of Radiology; 2016.
Choice A:Phantom Image Quality.
Choice B:Acquisition Workstation Monitor QC.
Choice C:Radiologist Workstation Monitor QC.
Choice D:Repeat Analysis.
Question 7: Which of the following correctly describes the Facility QC Review?
Reference:Berns EA, Baker JA, Barke LD, et al. Digital Mammography Quality Control Manual. Reston, Va: American College of Radiology; 2016.
Choice A:It is optional
Choice B:May be accomplished in person or by remote means
Choice C:Only technologist QC tests are reviewed
Choice D:The facility CEO must sign at least annually
Question 8: The Automatic Exposure Control (AEC) test allows which type of phantom(s) for performing the measurement(s)?
Reference:Berns EA, Baker JA, Barke LD, et al. Digital Mammography Quality Control Manual. Reston, Va: American College of Radiology; 2016.
Choice A:Acrylic.
Choice B:BR-12.
Choice C:BR 50/50.
Choice D:All of the above.
Question 9: Beam quality performance criteria for the new ACR Digital Mammography Quality Control Manual is set by:
Reference:Department of Health and Human Services. FDA Mammography Quality Standards, Final Rule. Federal Register, Vol 62, No 208; October 28, 1997.
Choice A:The manufacturer’s requirements.
Choice B:The FDA performance standards (but also published in the ACR Digital Mammography Quality Control Manual).
Choice C:The 1999 ACR Mammography Quality Control Manual for screen-film.
Choice D:The Dance paper describing the dose calculation.
Question 10: Which of the devices, or components, below need to be evaluated by a medical physicist at least annually?
Reference:Berns EA, Baker JA, Barke LD, et al. Digital Mammography Quality Control Manual. Reston, Va: American College of Radiology; 2016.
Choice A:Mammography unit.
Choice B:Radiologist workstation.
Choice C:Technologist quality control program.
Choice D:All of the above.
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