Testing Instructions - American College of Radiology
Contents
1. 1 Breast MRI Accreditation Program Frequently Asked Questions see Accreditation menu at www acr org 2 Email breastmri accred acr org 3 Breast Imaging Accreditation Help Line 800 227 6440 4 Contact your MRI manufacturer s representative if you have difficulty obtaining the requested items ANNUAL SYSTEM PERFORMANCE EVALUATION AND TECHNOLOGIST S QC EVALUATION A Required items for testing 1 MRI Equipment Evaluation Summary form also see page 131 in the 2004 ACR Magnetic Resonance Image Quality Control Manual 2 Evaluation of Site s Technologist QC Program form also see page 129 in the 2004 ACR Magnetic Resonance Image Quality Control Manual 3 Identification labels to be affixed to the forms B Compliance with the ACR requirements for the medical physicist MR_ scientists Annual MRI System Performance Evaluation and QC 1 The entire most recent Annual System Performance Evaluation report that includes O A completed MRI Equipment Evaluation Summary form signed by the medical physicist MR scientist with a survey date within 1 year of the application date for ACR accreditation O A completed Evaluation of Site s Technologist QC Program form O Alldata pages 2 Corrective action taken if the medical physicist MR scientist s Annual System Performance Evaluation noted any problems i e test failures or data outside of action limits C Label the forms as indicated on the enclosed labels For multiple pages of the same form2. staple pages together and place the label on the first form IMPORTANT You must utilize the services of a qualified medical physicist MR Scientist for the Annual System Performance Evaluation The ACR requires these evaluations be performed at least annually The ACR strongly recommends using the services of a qualified medical physicist or MR scientist during both the process of accreditation and for oversight of your site s technologist quality control program This document is copyright protected by the American College of Radiology Any attempt to reproduce copy modify alter or otherwise change or use this document without the express written permission of the American College of Radiology is prohibited Page of 3 S AccredMaster BMRAP 6 TESTING MATERIALS Forms Manual System BMRAP_Testing_Instructions doc Revised 9 23 11 CLINICAL IMAGES A Required items for testing 1 2 Breast MRI Test Image Data form Identification labels to be affixed to the clinical images and the Test Image Data form B Select clinical images for accreditation 1 2 Review the Program Requirements and Clinical Image Quality Guide for guidance on image quality Submit 1 case with a known enhancing biopsy proven carcinoma clearly visible in the breast parenchyma Indicate its laterality and location on the form Select an example of your facility s best work ACR reviewers will evaluate the case accordingly The case may not
3. be older than 6 months from the date on the Testing Memorandum The case must be a bilateral exam of native breasts i e no TRAM or autologous tissue reconstructions The MRI must be performed prior to any surgery on the breast with cancer e g excisional biopsy or lumpectomy Do not submit exams from mastectomy patients The case must be of a patient not a model or volunteer and must have been formally interpreted but do not submit the patient s report O Allimages of a case must be from the same patient QO OF OOO C Sequences the case must include the following k Required Sequences O Scout localizer images O T2 weighted bright fluid series O Multi phase T1 weighted series Pre contrast T1 Early phase first post contrast T1 Delayed phase last post contrast T1 If possible only submit the required sequences Incomplete or incorrect sequences will fail the unit If possible each sequence should be presented separately and not as stacked or interleaved sequences Contact your MRI manufacturer representative for assistance All sequences must demonstrate adequate breast positioning and include both breasts including the axillary tails The T2 weighted bright fluid series may be run as a single series on both breasts or as 2 separate series 1 on each breast In the latter case enter the 2 separate series numbers on the Test Image Data form Aurora systems only Th
4. AGCGR Breast MRI Accreditation Program AMERICAN COLLEGE OF RADIOLOGY 1891 Preston White Drive Reston VA 20191 4397 Testing Instructions Please read the Diagnostic Modality Accreditation Program Overview the Breast MRI Accreditation Program Requirements and the Breast MRI Clinical Image Quality Guide before beginning this process GENERAL INFORMATION A There are 2 portions to your ACR Breast MRI Accreditation Program submission 1 Annual System Performance Evaluation and Technologist s Quality Control QC Evaluation 2 Clinical Image testing B Materials due date 1 See enclosed labels for the image submission due dates You must collect your test images and return them with your completed application to the ACR by the date indicated on the labels Incomplete applications will be returned 2 Failure to meet the due date will jeopardize completion of your accreditation Thus if your facility is renewing its accreditation we cannot guarantee completion before your ACR certificate expires 3 If your site cannot submit the required materials by your due date please notify the ACR immediately C Your lead interpreting physician must review and approve all cases and forms submitted for accreditation Incorrect clinical images or incorrect information on the form may result in accreditation failure Make and retain copies of all images forms and other documents submitted for accreditation E For help or more information
5. ese units acquire a pre contrast scan that is weighted to give bright fluid If this pre contrast series is sufficiently T2 weighted it can be evaluated as both the T2 weighted bright fluid series and the pre contrast T1 weighted series In this case O Enter the acquisition parameters under Pre Contrast T1 on the Test Image Data form O In the Sequence name type space under T2 Weighted Bright Fluid Series check see pre contrast T1W O Do not fill out the remaining parameters for the T2 weighted bright fluid series All multi phase T1 weighted series should match in terms of spatial and temporal parameters with the exception noted above Some manufacturer s systems may display small unavoidable differences in TR and TE that are tenths of milliseconds or less in their DICOM headers these differences are acceptable Aurora EDGE software uses a distinctly different acquisition time for the pre contrast series compared with that of the post contrast series This difference is acceptable If chemical shift i e frequency selective fat suppression is not used or is not evident in the multiphase T1 weighted series subtraction of pre contrast from post contrast series may be used to eliminate the bright signal from fat If this is done then both the unsubtracted source series and the subtracted series i e pre contrast subtracted from post contrast slice by slice must be submitted for both the early and dela
6. ossible Burn 2 copies of the carcinoma case each on a separate disc Images must be in DICOM format without compression Other formats jpeg bitmap etc are not acceptable The discs must include an embedded viewer After burning open and check each disc on a different computer to make sure that O The embedded viewer displays all required exam identification and labeling information or they are easily accessed through the DICOM header O The case on each disc opens within 2 minutes It will be returned for replacement if it does not PoNM gt Do G Label the discs and forms see examples below 1 Place the appropriate label CA CD1 or CA CD2 on the disc case Do not put the labels on the disc 2 Using a permanent marker label the discs with the CD and your BMRAP ID or use a disc label 3 Label the Test Image Data form with the indicated label IMPORTANT The correct labeling of your images forms and discs is critical to properly identify the materials submitted for accreditation Incorrect or incomplete labeling will delay the accreditation process The ACR will return your package to you if your images are not labeled properly MAILING INSTRUCTIONS A Return all requested materials including the discs to the following address by a traceable method BREAST MRI ACCREDITATION PROGRAM AMERICAN COLLEGE OF RADIOLOGY 1891 PRESTON WHITE DRIVE RESTON VA 20191 4397 B The images submitted for review
7. will be returned once the accreditation evaluation is complete This document is copyright protected by the American College of Radiology Any attempt to reproduce copy modify alter or otherwise change or use this document without the express written permission of the American College of Radiology is prohibited Page 3 of 3 S AccredMaster BMRAP 6 TESTING MATERIALS Forms Manual System BMRAP_Testing_Instructions doc Revised 9 23 11
8. yed phases D Fill out the entire Test Image Data form 1 2 3 Indicate the laterality and location of the malignancy with the reason for exam Provide all information in the units specified on the form e g FOV must be in mm Leave no blanks ncomplete or incorrect forms will be returned Contact your MRI manufacturer representative if you have difficulty finding the requested information This document is copyright protected by the American College of Radiology Any attempt to reproduce copy modify alter or otherwise change or use this document without the express written permission of the American College of Radiology is prohibited Page 2 of 3 S AccredMaster BMRAP 6 TESTING MATERIALS Forms Manual System BMRAP_Testing_Instructions doc Revised 9 23 11 E Check the exam identification and labeling all of the parameters below should be displayed on the image or be available through the DICOM header If laterality is absent or incorrect the case will fail Exam Identification and Labeling Requirements Checklist O Patient s first and last names O Facility name O Patient age or date of birth O Examination date O Patient Identification number O Laterality left or right of midline section F Burn the images on discs You may submit your clinical images on 5 inch CD or DVD media 3 inch discs are not acceptable Burn the discs from the acquisition station rather than from a CAD system if p
Download Pdf Manuals
Related Search