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14 Cards in this Set

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QA Definition

Planned and systematic actions to provide confidence that a product or service will satisfy its requirements for quality

QA in radiotherapy

Ensures consistency in medical prescriptions, safe fulfilment of prescription regard dose to target, minimal dose to healthy tissue, patient monitoring

Why QA?

Reduce uncertainty and errors


Reduce likelihood of accidents or errors occurring


Inter-comparison of results


Exploitation of improved tech

QC

Regulatory process


Quality performance measured with existing standards


Action necessary to keep conformance

Quality Standards

Acceptable criteria against which quality of an activity can be assessed

IR(ME)R

Implement basic measures for health protection of individuals against dangers of ionising radiation in relation to medical exposures

QA equipment structure

Initial spec, acceptance testing and calibration


QC tests


Additional QC tests post maintenance etc.


PPM

Where is there QA checks in radiotherapy?

Lasers


Dose output


Geometrical accuracy of treatment couch

QA audits

Systematic and independent exam to determine if quality activities and results comply with planned arrangements and if they are effective and suitable.

Which regulation does QA sit in?

IR(ME)R

QA Test types

Commissioning


Acceptance testing


Monitoring


Annual tests


Post repair or tube replacement

3 main QA tests

Beam alignment and collimation accuracy


Tube potential


X-ray output

How is tube potential measured

KvP divider with 2 copper plates of different thicknesses. The 2 attenuated x-ray results are converted into 2 low voltages by the ratio module.

How is X-ray output measured?

Ion chamber or semiconductor device.



Measured for a range of mAs using varying kVs


Ion chambers are multi directional