System Performance Evaluation

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					            Annual System Performance Evaluation Report
                MRI Equipment Evaluation Summary
Site:
System MRAP #:                                                                    Report Date:
System BMRAP #:                                                                  Survey Date:
MRI System Manufacturer:                                                      Model:
Medical Physicist/MRI Scientist:
Signature:


                                       Equipment Evaluation Tests
                             Test                                 Pass/Fail              Comments
1. Magnetic field homogeneity
2. Slice position accuracy
3. Slice thickness accuracy
4. Radiofrequency coil checks (overall)
         a. Volume coils' signal-to-noise ratio
         b. Volume coils' image uniformity
         c. Volume coils' ghosting ratios
         d. Surface coils' signal-to-noise ratio
5. Soft Copy displays (monitors)


Medical Physicist's or MRI Scientist's Recommendations for Quality Improvement:




         You must send ACR the entire, most recent medical physicist/MR scientist Annual System
         Performance Evaluation report. It must include:
           • MRI Equipment Evaluation Summary form, signed by the medical physicist/MR scientist
           • Evaluation of Site’s Technologist QC Program form, AND
           • All data pages from the report (not just the summary forms)




C:\Docstoc\Working\pdf\4982078f-193b-4a2b-9841-0bd06d4d0c31.xls                                     Revised: 7/7/11
   MRAP #:                                 BMRAP #:                            Survey Date:



                     Evaluation of Site's Technologist QC Program
                                                          Minimum
                        Test                             Frequency Pass/Fail     Comments
1. Table positioning                                        weekly
2. Setup and scanning                                       weekly
3. Center (central) frequency                               weekly
4. Transmitter gain or attenuation                          weekly
5. Geometric accuracy                                       weekly
6. High Contrast (spatial) resolution                       weekly
7. Low-contrast resolution (detectability)                  weekly
8. Artifact analysis                                        weekly
9. Film (hardcopy image) QC                                 weekly
10. Visual checklist                                        weekly


Specific Comments:




C:\Docstoc\Working\pdf\4982078f-193b-4a2b-9841-0bd06d4d0c31.xls                               Revised: 7/7/11
P-F
Pass
Fail
NA


Mfr
Aurora
Fonar
General Electric
Hitachi
Philips
Siemens
Toshiba

				
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