Quality Control for Standardized Clinical Trials为规范临床试验的质量控制.ppt

The CT Scanner also requires a phantom to be scanned on a daily basis to ensure the proper Hounsfield Units are being applied to structures within the body. Always be sure to center the phantom in all three axes (X,Y, Z). * Each column within the phantom represents a different material simulating different tissue samples. These must be tested on a daily basis to ensure the CT is sending back the proper signal to the detectors. If involved in a clinical trial, the vendor may ask for a daily chart listing of these values. * Uniformity is defined as consistent signals (HUs) and noise measured by ROIs distributed in homogeneous material. * There are many types of CT protocols amongst the imaging community. Do not assume your institution is the same one the vendor endorses! Be sure to check the parameters, length, mAs, kev, and reconstructions. Do not use different CT scanners for the same study, if at all possible. * There are many PET technologists who are not familiar with the kVp, and mAs of an operating system, unless they have been trained by the commercial vendor. The more you know and able to adapt knowledge about your system, the more standardized your images will be. Always check the error logs on a daily basis and report them to the proper personnel. * Your FSE may perform these duties on a routine basis but I personally recommend learning what they are, what they mean, and how to perform them in order to better track and follow thru on artifacts. * The LAP Laser Alignment should be performed monthly and after calibrations. The lasers are mounted on the opposing walls and ceiling. When all X,Y, Z axis lasers are on, they assure proper patient placement on a flat pallet. The patient should be placed as straight as possible so all anatomy is displayed in the same plane. This is critical when undergoing treatment planning. If utilized properly, the patient data may be used for several evaluations which reduces patient radiation and procedure visits. This