Welcome!

This is the online ePortfolio of Jun Hu, Justin Shek (0842536), and Arthur Wong (0957192), students in the Medical Radiation Sciences [Radiography] program with McMaster University and Mohawk College.

Radiographic imaging is a fundamental component of diagnosis in the clinical setting. However, there are various potential sources of error that can produce images that are unusable for diagnosis. The aim of quality control in the radiographic imaging setting is to minimize errors made because of human or apparatus error.

The content of this ePortfolio pertains to the labs, modules, assignments, and assessments of our quality control course, MEDRADSC 3H03: Quality Control in Radiography. By discussing the expectations, goals, and achievements of the aforementioned material, we hope to show how our understanding and appreciation of quality control practices in a radiographic setting will progress.

We have chosen to create this ePortfolio through an online blog format over other formats for three reasons:

1. Various media formats (text, audio, video, images, etc.) are supported
2. Online hosting makes updates and posts possible from virtually anywhere
3. Updates can be added at the poster's leisure and are not restricted to any one user's computer

Furthermore, by posting directly online it is our hope that information and knowledge in this ePortfolio can be more rapidly shared with the world than through conventional means.

Thursday, March 22, 2012

Reproducibility

Normally, when x-ray technologists input a given radiographic technique, the radiation intensity produced by the x-ray generator should be same from one exposure to another when using the same technique. In order to check the reproducibility of the x-ray unit and mammo unit, we need to take 10 consecutive exposures and record each reading from Rad Check. For each exposure, we need to change the factor settings to provide different combinations of mAs.


Before each exposure, we need to put an apron on table then put Rad Check on it. It is showed in the picture below:



Reproducibility for mammo unit:

Because the mammo unit in our department does not allow us to change exposure time or mA, the combination of mAs cannot be changed. In this lab, we keep mAs same for each exposure.

5 mAs @ 25 kVp, 100 cm SID:


Exposure #1
#2
#3
#4
#5
#6
#7
#8
#9
#10
Average
Rad Check Reading
0.096
0.097
0.097
0.096
0.097
0.097
0.096
0.097
0.096
0.097
0.0966


Xi = ith exposure measurement
 = mean value of exposure measurements
n = number of exposure measurements

C= 1/0.0966 * {[(0.096-0.0966)2 + (0.097-0.0966)2 + (0.097-0.0966)2 + (0.096-0.0966)2 + (0.097-0.0966)2 + (0.097-0.0966)2 + (0.096-0.0966)2 + (0.097-0.0966)2 + (0.096-0.0966)2 + (0.097-0.0966)2] / 9}1/2 = 0.0053457

For two extreme values 0.096 and 0.097:
(0.096-0.0966)/0.0966=-0.62%
(0.097-0.0966)/0.0966=0.41%
According to SC33, Coefficient of radiation for any 10 consecutive radiation should not be greater than 0.05. Mean value of 10 measurements should be within 15%. Therefore, the reproducibility of mammo unit in our department is within acceptable limits.


Reproducibility for a x-ray unit in room 4:

5 mAs @ 60 kVp, 100 cm SID:







Xi = ith exposure measurement

 = mean value of exposure measurements

n = number of exposure measurements



C = 1/0.0128{[(0.013-0.0128)2 * 8 + (0.012-0.0128)2 * 2]/9}1/2 = 0.03294


For the two extreme values 0.012 and 0.013:
(0.012-0.0128)/0.0128=-6.25%
(0.013-0.0128)/0.0128=1.56%



According to HARP, Coefficient of radiation for any 10 consecutive radiation should not be greater than 0.08. Mean value of 10 measurements should be within 20%.

According to SC35, Coefficient of radiation for any 10 consecutive radiation should not be greater than 0.05. Mean value of 10 measurements should be within 15%.

No matter which reference we choose, the x-ray unit in room 4 is within acceptable limits.




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