Tabel 1.

Program Quality Control Manual CT Scan (Standar ACR)

DURA
BATAS ALAT FREQUENCY
PROCEDURE SI TES RESPONSIBLE
TOLERANSI UKUR MINIMUM
(min)
Water CT number Nilai HU air 0 ACR CT 5 Radiografer Daily
and standard 5 HU, but Phantom
deviation must be 0 7
HU.
Artefact evaluation >3 HU ACR CT 5 or Radiografer Daily
diantara phantom less
artefak berati
CT number
(dalam ring
atau
lingkaran)
Wet laser printer Densitometer 10 Radiografer Weekly (jika
quality control Laser film digunakan untuk
- QC chart alat interpretasi
SMPTE test utama)
pattern
Visual cheklist Tidak ada Meliputi : 5 Radiografer Monthly
toleransi, Table height
apabila terjadi indicator
malfungsi functioning
harus segera Table position
dilaporkan indicator
functioning
untuk
Angulation
dibenarkan
indicator
functioning
Laser
localization
light
functioning
High-voltage
cable/other
cables safely
attached
(and not
frayed)
X-ray on
indicator
functioning
Exposure
switch
 functionin
Display
window
width/level
Dry laser printer Densitometer 10 Radiografer Monthly (jika
quality control Laser film digunakan untuk
- QC chart alat interpretasi
SMPTE test utama)
pattern
Display monitor SMPTE test 5 Radiografer Monthly
quality control - pattern or
equivalent

Tabel 2. Program Quality Control CT Scan

PARAMETER
BATAS ALAT FREQUENCY
OR PARAMETER RESPONSIBLE
TOLERANSI UKUR MINIMUM
PROCEDURE
CT alignment CT alignment 5 mm Phantom CT radiografer Monthly
light (IAEA) light standar

CT number CT number 5 mm from water filled Radiografer + Annually

accuray, image accuracy, baseline value test object (or fisikawan medis (phantom head
noise, image noise, (ct number phantom and body)
uniformity, uniformity, accuracy) containing a
uniform
artefact (IAEA) artefact 25% of
material)
baseline value
(image noise)
10
(uniformity)
No artefacts that
have the
potential to
compromise
diagnostic
confidence
(artefact)
Radiation dose Radiation Dose Dosimeter Fisikawan Uji
(IAEA) dose Calculation Phantom medis penerimaan
in Air : CT dose Anually
Output at Calibrated Setelah
every kVp electrom perbaikan
5% from eter and
baseline
 CTDIvol for CTDI
clinical pencil
protocols : ionizatio
Less than n
Dose chamber
Reference (10- or
Level 15-cm
Verify long)
scanner 16-cm
CTDIvol : (head)
10% CTDI
dosimetr
y
phantom
32-cm
(adult
body)
CTDI
dosimetr
y
phantom
kVp and HVL kVp and HVL kVp 5 Detektor Fisikawan Uji
(IAEA) nominal medis penerimaan
HVL >= dan setelah
spesifikasi perbaikan
sesuai regulasi
batas toleransi
Image Noise Image Noise 25 of baseline phantom Fisikawan Komisioning
medis dan annually
X-ray Beam X-ray Beam Spesifikasi External Fisikawan Uji
Width (IAEA) Width manufacture radiation medis penerimaan
Within 3mm detector dan setelah
or 30% of (CR perbaikan
Applied Plate, Annually
Colimator Gafchro Komisioning
mic Film,
TLD
array)
Atenuator
Plate
Image Slice Image Slice 0,5 mm for Sensitifity Fisikawan annually
Width (IAEA) Width <1,0 mm test object medis
50% for 1-2 (sensitifity
mm; 1 mm phantom
for above 2 PMMA)
mm
High contrast High Contrast Phantom Fisikawan Uji
Spatial resolusi Spatial catphan medis penerimaan
Resolution dan setelah
perbaikan
Low contrast Low Contrast CNR melalui A phantom Radiografer dan Acceptance
resolution resolution perhitungan that fisikawan medis test,
(IAEA) ROI : incorporat Annualy or
Adult Head es low- after
1.0 Pediatric contrast relevant
Head 1.0 targets of services
Adult known
Abdomen 1.0 contrast
Pediatric
Abdomen 0.5
Slice thickness Slice thickness >= 5 mm Phantom Radiografer dan Semi annually
(JEFFREY variasi 1 mm. berupa fisikawan medis
PAPP) <= 5 mm spiral,
variasi 0,5 stepwedge
mm dan sisi
miring dari
segitiga siku

Linieritas Linieritas Nilai rerata CT Phantom Radiografer Semi annually

(JEFFREY number (HU) standard atau fisikawan
PAPP) tidak medis
menyimpang
dari :
Udara 1000
Teflon 990
Acrylyc 120
Low density
polyethylene
90
Radiation Radiation Tidak ada phantom air Fisikawan Annually
scatter and scatter and ( laju paparan ( medis
leakage leakage tertinggi dekat head size
(JEFFREY pasien) ), survey
PAPP) meter
(GM) / large
volume ion
chamber /
integrating
exposure
meter
Kvp waveform kVp waveform Selisih Kv kVp meter Radiografer Annually
(JEFFREY terukur dan storage
PAPP) maximal 2 oskiloskop
kV

STANDARD PHANTOM SIEMENS

STANDARD PHANTOM PHILIPS