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Quality Assurance01:19

Quality Assurance

Quality assurance is the overarching term used to describe the activities employed to ensure the proper performance of a system. These activities can be classified into three categories: quality control, quality assessment, and internal corrective measures. Typically, these activities work cyclically: quality control is performed before and during the analysis, while quality assessment occurs during and after the investigation. Internal corrective measures are implemented based on the findings...

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Position paper: recommendations for a digital mammography quality assurance program V4.0.

J C P Heggie1, P Barnes2, L Cartwright3

  • 1BreastScreen Victoria, Carlton, Australia. john.heggie@bigpond.com.

Australasian Physical & Engineering Sciences in Medicine
|September 16, 2017
PubMed
Summary

This document updates quality assurance (QA) protocols for digital mammography, addressing new technologies like digital breast tomosynthesis (DBT) and teleradiology. It recommends updated quality control (QC) tests and dosimetry methods for the Australasian region.

Keywords:
BiopsyDBTDRLsDiagnostic reference levelsDigitalDigital breast tomosynthesisMammographyQuality assuranceQuality control

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Area of Science:

  • Medical Imaging
  • Radiology
  • Quality Assurance

Background:

  • Established screen-film mammography QA protocols are insufficient for digital mammography.
  • Digital mammography presents new challenges in image quality and radiation dose.
  • Teleradiology in mammography requires specific quality assurance considerations.

Purpose of the Study:

  • To review current international and local practices in digital mammography QA.
  • To recommend updated quality control (QC) test procedures for the Australasian environment.
  • To address the evolving landscape of digital imaging technologies in mammography.

Main Methods:

  • Review of current overseas practices and local experience in digital mammography QA.
  • Analysis of technological advancements and international consensus on QC tests.
  • Inclusion of QA programs for digital biopsy units and digital breast tomosynthesis (DBT).

Main Results:

  • Identified the need for updated QA protocols to ensure diagnostic image quality and manage dose implications of digital mammography.
  • Recommended specific QC test procedures suitable for the Australasian context.
  • Incorporated guidelines for DBT testing and dosimetry calculations using the Dance et al. methodology.

Conclusions:

  • The document provides updated QA recommendations for digital mammography in the Australasian region.
  • Continuous review and updates are necessary due to rapid technological advancements in digital imaging.
  • Alignment with RANZCR and BreastScreen Australia standards ensures consistent quality and safety.