AERB/RSD/MDX/CT/ATR/2009 ACCEPTANCE / PERFORMANCE TEST FOR COMPUTED TOMOGRAPHY (CT) SCANNER RADIOLOGICAL SAFETY DIVISION ATOMIC ENERGY REGULATORY BOARD, NIYAMAK BHAVAN, ANUSHAKTINAGAR MUMBAI-400 094 TESTS TO BE CARRIED OUT FOR THE TYPE APPROVAL OF THE COMPUTED TOMOGRAPHY(CT) SCANNER PART-I 1.1. Name & Address of the manufacturer : 1.2 Name and Address of local agent/supplier : 1.3. Name and address of the institution, where the CT scanner is tested : 1.4 Model name of the scanner : 1.5 Type Approval No. : 1.6 Features of the scanner : Conventional / Spiral Single slice/ Multiple slice 1.7 Tests conducted by Date: : Signature Name Designation Company seal PART-II SPECIFICATIONS & TECHNICAL DETAILS OF THE SCANNER A. X-RAY GENERATOR 1. Make & Model 2. Operating potential : (kVp) 3. Operating current (mA) : 4. Mains Requirement : 5. Generator Capacity (power) : 6. Scan time per rotation : 7. Scan time for full helical scan : 8. Type of rectification B. : : Full wave/ Multi-pulse X-RAY TUBE 1. Make & model of the tube : 2. Type of anode/material/angle : Rotating/Stationary 2. No. of focal spots : One/ Two Focal spot dimensions C. : Focus-1 ------------- mm X ----------- mm Focus-2 ------------- mm X ----------- mm BEAM COLLIMATION SYSTEM 1. Selectable slice thickness in mm/ Slice acquisition mode : 2. Pre-patient/post-patient collimator (collimator width)/(detector width) 3. Fan angle of scan beam : D. : GANTRY 1. Type of the scan motion : Rotate-Rotate/ Stationary-Rotate 2. Continuous rotation : available (Limits : ) : not available 3. Rotation mechanism : slip ring/ other 4. Gantry aperture diameter : ---------------- cm 5. Gantry tilt (maximum) Gantry top towards couch : ------------- Gantry top away from the couch : ------------- Angular accuracy : 6. Light-field localizer type Position of light field localizer :Laser/focussed light beam : At scan plane/ external to scan aperture 7. Focus-isocentre distance : 8. Focus-detector distance : 9. Maximum Field of View (FOV) : 10. Bi-way patient communication system : E. PATIENT SCANNING TABLE 1. Maximum movements (Full out to full in scan table length) : ---------- cm Minimum table incrementation available: -------- mm Indexing accuracy : --------- mm Minimum table height : --------- cm Maximum table height : ± --------- cm 2. Location of table position indicators 3. Gantry Table Control console Scan Image : Yes/No : Yes/No : Yes/No : Yes/No Table tilt : Possible/ Not possible a. If possible F. Head end up : ------------- Head end down : ------------- Angulation accuracy : ------------- DETECTORS 1. Type : Scintillator/Photodiode Scintillator/PM tube Pressurised xenon chamber Other (specify) Type of scintillator 2. Number of detectors(Total) Number of Reference Detectors Number of Measuring Detectors Total No. of Detector rows Number of measuring channels : : : : : : 3. Recommended calibration frequency Air calibration scans : Water calibration scans : 4. Availability of imaging phantom : Yes / No PART-III A. A.1 MECHANICAL TESTS Alignment of table to gantry Check the congruence between the gantry midline and table midline using plumb Line. Result (Gantry midline to table midline) Tolerance A.2 : : 5 mm Scan localization light accuracy (use film without screen) Exposure parameters: kVp : mAs : Slice thickness (min) : Result : Alignment error : Internal laser light :------------ mm External laser light:------------ mm Tolerance A.3. : 2.0 mm Gantry tilt Exposure parameters : kVp : Result Actual gantry tilt : Measured gantry tilt : Tolerance : 30 mAs : A.4. Table position /incrementation ( same film can be used for tests A2, A3, and A4) Initial table position (arbitrary): Load on couch : Exposure parameters : kVp : mAs : Slice thickness : Applied table incrementation : Table position from reference position 1cm 2 cm Expected Measured Tolerance B. : 2.0 mm COLLIMATION TEST B.1. Radiation Profile Width Exposure parameters : kVp : Result : Applied Slice thickness (mm) mAs : Measured density profile width (FWHM) Tolerance : 1.0 mm (without post patient collimator) C. TESTS ON X-RAY GENERATOR C.1 Set kV Measurement of operating potential Measured kVp 3 cm 4 cm 5 cm mA station I mA station III mA station IV Ave kVp : 2 kVp Tolerance C.2 4. mA station II Timer Accuracy Set Time Observed Time % Error Tolerance: Tolerance : 10 % C.3. Measurement of mA linearity Operating parameters : kVp : Slice thickness : mA settings Output in Gy II mAs I Xmax – Xmin Coefficient of linearity (COL) = -------------Xmax+ Xmin Tolerance in COL : 0.1 Time: III Gy/mAs (X) C.5 Output Consistency Operating parameters : mAs : kVp 1 2 Slice thickness : Output 3 Mean (X) 4 COV 5 Coefficient of Variation (COV) = X-1 ( [Xi -X ]2/n-1)½ Tolerance in COV D.1. : 0.05 Low contrast resolution Use low contrast resolution test phantom. Operating parameters : kVp : mAs : Window width : Result : Slice thickness Low contrast resolution : ---------- mm at -------- % contrast difference Tolerance D.2. : 5.0 mm at 1% contrast difference (minimum) 2.5 mm at 0.5 % contrast difference (expected) High contrast resolution Use high contrast resolution test phantom. Operating parameters : kVp : Window width : mAs : Slice thickness : Use high resolution algorithm. Result : Size of the smallest resolvable bar/hole pattern : -----------mm (-------- lp/cm) Tolerance : At 10% contrast difference the size of the bar/hole pattern that could be resolvable should be 1.6 mm ( 3.12 lp/cm). Expected high contrast resolution : 0.8 mm ( 6.25 lp/cm) F. RADIATION DOSE TESTS F.1. Measurement of Computed Tomography Dose Index (CTDI) Use pencil ionization chamber connected to a suitable electrometer or TLD, in conjunction with a head/body phantom. Measure the dose in the axial and peripheral cavities of the phantom for typical techniques. Operating parameters : kVp : 80 / 100 / 140 mAs : 100 Result: Head Slice thickness : Body Axial dose : --------- mGy/mAs -----------mGy/mAs Peripheral dose : --------- mGy/mAs -----------mGy/mAs : --------- mGy/mAs -----------mGy/mAs : ---------mGy/mAs -----------mGy/mAs : ---------m Gy/mAs -----------mGy/mAs Peripheral dose(Mean): ---------mGy/mAs -----------mGy/mAs CTDIc : --------- mGy/mAs ----------mGy/mAs CTDIp (mean) : --------- mGy/mAs ----------mGy/mAs Weighted CTDI (CTDIw) = 1/3 CTDIc + 2/3 CTDIp CTDIw : ----------- mGy/mAs Tolerance : 20% of the quoted value (Expected) 40% of the quoted value (maximum) G. Radiation leakage levels from X-ray tube housing at 1 M from the focus Operating Potential: kV, mAs: mA X Sec ( use maximum kV available in the machine for leakage measurement) Radiation Leakage Level (mR/hr) Front(Cathode) Back (Anode) Max leakage = Left Right --------- mAmin X ----Max leakage mR/hr 60 X -----mA used for measurement Maximum radiation leakage from tube = ------------- mR in one hour Result: Maximum radiation leakage at 1 meter from the focus for workload of 180 mAmin in one hour is mR. Recommended upper limit: Leakage radiation level at 1 meter from the focus should be 115 mR in one hour. Date: Tested by: Signature Name Designation Company Signature of customer/user Seal of the institution Compilation of QA test results of Computed Tomography equipment Model Name: Sr. No. Parameters tested Specific values 1 Alignment of table to gantry ±5 mm 2 Gantry tilt ±30 3 Table indexing accuracy (mm) ±2 mm 4 Slice thickness (mm) ±1 mm 5 Accuracy of Operating Potential (kV) ±2 kV 6 Accuracy of Timer < 10 % 7 Linearity of tube current (CoL) ± 0.1 8 Reproducibility of output (CoV) CoV < 0.05 9 Radiation dose test CTDI –( mGy/100 mAs) at 120 kV ± 20 % 10 Low contrast resolution 5.0 mm at 1% contrast 11 High contrast resolution 3.12 lp/cm 12 Radiation Leakage level from X-Ray tube housing 140 kV at 100 mA < 1mGy in one hour Measured values Tolerance Remarks I hereby undertake that all the information provided above is correct and in accordance with the detailed Quality Assurance report enclosed herewith. Date: Tested by: Signature Name Designation Company Signature of customer/user Seal of the institution