Quality Control in Medical Imaging and Radiotherapy

Base Knowledge

Equipment and Instrumentation in Medical Imaging and Radiotherapy.

Atomic and Nuclear Physics.

Radiation Physics and Radiological Protection.

Clinical Dosimetry.

Teaching Methodologies

The syllabus and standards on the quality control for each equipment will allow the student to know and distinguish the Good Practice. The student will have the basic tools to carry out Medical Imaging service and Radiotherapy clinical audits applied, from the equipment evaluation, to the analysis of the procedure and protocols and considering the quality of the image produced or treatment.

The theoretical-practical classes worked in an expository register with student interaction on the quality control of each Medical Imaging and Radiotherapy equipment and the existing recommendations and regulations, simultaneously in the practical lectures Quality Control equipment will be used and exercises will be performed in order to analyse and evaluate the obtained results.

Learning Results

The student must acquire:

•Knowledge in quality control of practices (legislation, regulation, recommendations, equipment tests, its methodology, procedure and occurrence registration), Clinical audit including the practical concepts associated with patient care and the establishment of Diagnosis Reference Levels .

•Skills to carry out, record and analyse quality control activities including: legislation, regulation, recommendations, equipment tests, its methodology, procedure and occurrence registration. General and new ideas or innovative solutions to recognise problems and situations.

• Competences for a multidisciplinary context, contributing to the assessment, improvement and maintenance of the quality of professional practice, contributing to the development and professional profile by initiating and implementing quality and innovation management processes and applying new developments and implementing new recommendations in professional practice .

Program

Quality control performed on:

• General radiology

• Mammography

• Fluoroscopy

• Computed Tomography

• Magnetic Resonance

• Bone Densitometry

• Dose Calibrator

• Radiation Monitoring Instruments

• Probes (Thyroid and Intraoperative Capture) and Well Counters

• Camera Gamma

• SPECT

• PET

• SPECT / CT and PET / CT

• simulator

• safety, geometric and fluoroscopic tests

• Frequency

• tolerance and action levels

• linear accelerators

• safety, mechanical and geometric tests

• dosimetric testicles

• Frequency

• tolerance and action levels

• HDR

• security and geometric tests

• source calibration

• dosimetric testicles

• tolerance and action levels

brachytherapy seeds

• source calibration

• Frequency

• IMRT

• radiosurgery

• VMAT

Curricular Unit Teachers

Joana Margarida Rodrigues dos Santos

Grading Methods

The assessment will be conducted in two midterms (F1 and F2), with exclusion of material, grouping modules 1 and 2 into F1 and module 3 into F2. The F1 assessment will assess the theoretical-practical and practical components, with minimum grades established in accordance with the academic regulations. A minimum of 4 points in modules 1 and 2 and 8.5 in module 3 are required for passing the course. Attendance will be considered if in-person participation (P) occurs in 80% of classes.

The final grade will be calculated using the following formula: (F1 x 0.45) + (F2 x 0.45) + (P x 0.1), with a final passing grade resulting from the previous formula being at least 9.5 points.

Students may opt for an exam, including all material, with a minimum of 2 points in modules 1 and 2 and 4.5 points in module 3 required for passing.


    Internship(s)

    NAO

    Bibliography

    Primary references are non available considering the fast publication.

    Secondary references available for free on the internet:

    European Comission – Publications on medical exposure (RP 109, 154, 159, 162, 180, 181): http://ec.europa.eu/energy/en/publications-medical-exposure

    American College of Radiology – Quality and safety – https://www.acr.org/Quality-Safety

    Eurosafe Imaging – European Society of Radiology: http://www.eurosafeimaging.org

    Image Genlty -The Image Gently Alliance – http://www.imagegently.org

    Image Wisely – Radiation Safety in Adult Medical Imaging – http://www.imagewisely.org

    International Atomic Energy Agency (IAEA) – Radiation Protection of Patients (RPOP): https://www.iaea.org/resources/rpop

    American Association of Physics in Medicine (AAPM) Publications: https://www.aapm.org/pubs/

    Quality Control of Nuclear Medicine Instrumentation and Protocol Standardisation, European Association of Nuclear Medicine, October 2017: https://www.eanm.org/publications/technologists-guide/qualitycontrol/

    IAEA, Nuclear Medicine, Instruments QA/QC; https://humanhealth.iaea.org/HHW/NuclearMedicine/Instruments_QA-QC/index.html

    Complete Accreditation Information for Nuclear Medicine and PET, https://www.acraccreditation.org/modalities/nuclear-medicine-and-pet

    Comprehensive Audits Of Radiotherapy Practices: A Tool For Quality Improvement, Quality Assurance Team
    For Radiation Oncology (Quatro), International Atomic Energy Agency Vienna, 2007 : https://www-pub.iaea.org/MTCD/Publications/PDF/Pub1297_web.pdf

    Safety is no accident, A framework for quality Radiation Oncology care, ASTRO: https://www.astro.org/ASTRO/media/ASTRO/Patient%20Care%20and%20Research/PDFs/Safety_is_No_Accident.pdf