þÿ<html> <head> <meta http-equiv="Content-Type" content="text/html; charset=unicodeFFFE"> <title>Section Home&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Program O</title> <meta name="Microsoft Border" content="b, default"> </head> <body background="images/ribbon.gif" style="background-attachment: fixed"><!--msnavigation--><table dir="ltr" border="0" cellpadding="0" cellspacing="0" width="100%"><tr><!--msnavigation--><td valign="top"> <div align="center"> <table border="0" width="800" cellspacing="0" cellpadding="0" id="table1"> <tr> <td height="20"> &nbsp;</td> </tr> <tr> <td height="139" width="800" align="left" valign="top"> <p align="center"> <img border="0" src="images/mammobanner.jpg" width="796" height="141"></td> </tr> <tr> <td height="41" align="center"> <div> <p align="center"><b><a target="_self" href="http://ncradiation.net/"> <font color="#3333FF">Section Home</font></a><font color="#3333FF">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp; </font> <a target="_self" href="progoverview.htm"> <font color="#3333FF">Program Overview</font></a><font color="#3333FF">&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp; &nbsp;&nbsp; </font> <a target="_self" href="mammcontacts.htm"><font color="#3333FF">Mammography Contacts</font></a><font color="#3333FF">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; </font> <a target="_self" href="documents/ncac.rules.pdf"> <font color="#3333FF">NC Regulations</font></a><font color="#3333FF">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; &nbsp;&nbsp; </font> <a target="_self" href="http://www.fda.gov/Radiation-EmittingProducts/MammographyQualityStandardsActandProgram/default.htm"> <font color="#3333FF">MQSA Regulations</font></a></b></div> </td> </tr> <tr> <td> <p align="center">&nbsp;</p> <p align="center"><font color="#0000A0"><big><big><strong>When does a Medical Physicist need to become involved in Evaluations of Equipment Adjustments, Changes, or Repairs?</strong></big></big></font></p> <p align="center">&nbsp;</p> <ul> <li><p align="left"><font face="Arial" color="#000000"><small><strong>Newly Installed X-Ray unit (even if it is used equipment)</strong></small></font></p> </li> <li><p align="left"><font face="Arial" color="#000000"><small><strong>Newly Installed processor (even if it is used equipment)</strong></small></font></p> </li> <li><p align="left"><font face="Arial" color="#000000"><small><strong>X-ray unit or processor disassembled and reassembled at the same or new location</strong></small></font></p> </li> <li><p align="left"><font face="Arial" color="#000000"><small><strong>X-ray tube replacement</strong></small></font></p> </li> <li><p align="left"><font face="Arial" color="#000000"><small><strong>Collimator replacement</strong></small></font></p> </li> <li><p align="left"><font face="Arial" color="#000000"><small><strong>Filter replacement</strong></small></font></p> </li> <li><p align="left"><font face="Arial" color="#000000"><small><strong>AEC replacement</strong></small></font></p> </li> <li><p align="left"><font face="Arial" color="#000000"><small><strong>New Cassettes</strong></small></font></p> </li> </ul> <p align="left"><font color="#008040"><u><strong>Important Definitions:</strong></u></font></p> <p align="left"><font color="#008040"><em>MP Oversite= verification may be accomplished by a qualified individual other than the medical physicist. The medical physicist should be consulted as to whether an on-site visit is required or if other personnel can verify the standards are being met, with direction from the medical physicist via telephone or printed material from the physicist.</em></font></p> <p align="left"><font color="#008040"><em>Qualified Individual = ie: radiolgic technologist or service representative with appropriate training/experience.</em></font></p> <h5>Table: Medical Physicist Involvement in Equipment Adjustments, Changes, or Repairs</h5> <p>For any adjustment, change, or repair not listed in the table below, or if the facility is unsure as to the full extent of the adjustment, change, or repair, the facility should consult their medical physicist to determine the proper extent of his or her involvement in evaluating the item.</p> <div align="center"><center> <table border="2" cellpadding="0" width="99%" bordercolor="#000000" bordercolorlight="#8D8D8D" bordercolordark="#8D8D8D" cellspacing="0" id="table2"> <tr> <td width="53%"><strong><p align="center"><font color="#000000">Adjustments, Changes, or Repairs</font></strong></td> <td width="4%" align="center"><p align="center"><font color="#000000"><strong>Major Adjustment?</strong></font></td> <td width="44%"><p align="center"><font color="#000000"><strong>Medical Physicist Involvement</strong></font></td> </tr> <tr> <td width="53%"><font color="#800080"><strong><big>AEC</big></strong></font></td> <td width="4%" align="center">&nbsp;</td> <td width="44%">&nbsp;</td> </tr> <tr> <td width="53%" align="right"><font color="#800080">AEC Replacement&nbsp; </font></td> <td width="4%" align="center"><font color="#800080">Y</font></td> <td width="44%"><font color="#800080"> MP conducts evaluation in person</font></td> </tr> <tr> <td width="53%" align="right"><font color="#800080">Thickness compensation internal adjustment&nbsp; </font></td> <td width="4%" align="center"><font color="#800080">N</font></td> <td width="44%"><font color="#800080"> MP Oversite</font></td> </tr> <tr> <td width="53%" align="right"><font color="#800080">AEC Sensor Replacement&nbsp; </font></td> <td width="4%" align="center"><font color="#800080">Y</font></td> <td width="44%"><font color="#800080"> MP conducts evaluation in person</font></td> </tr> <tr> <td width="53%" align="right"><font color="#800080">AEC Circuit board replacement&nbsp; </font></td> <td width="4%" align="center"><font color="#800080">Y</font></td> <td width="44%"><font color="#800080"> MP conducts evaluation in person</font></td> </tr> <tr> <td width="53%" align="right"><font color="#800080">Density control-internal* adjustment &nbsp; </font></td> <td width="4%" align="center"><font color="#800080">N</font></td> <td width="44%"><font color="#800080"> MP Oversite</font></td> </tr> <tr> <td width="53%"><strong><big><font color="#0000FF">Bucky (new to facility) Replacement</font></big></strong></td> <td width="4%" align="center">&nbsp;</td> <td width="44%">&nbsp;</td> </tr> <tr> <td width="53%" align="right"><font color="#0000FF">AEC sensor also replaced&nbsp; </font></td> <td width="4%" align="center"><font color="#0000FF">Y</font></td> <td width="44%"><font color="#0000FF"> MP conducts evaluation in person</font></td> </tr> <tr> <td width="53%" align="right"><font color="#0000FF">AEC sensor not replaced&nbsp; </font></td> <td width="4%" align="center"><font color="#0000FF">N</font></td> <td width="44%"><font color="#0000FF"> MP Oversite</font></td> </tr> <tr> <td width="53%"> <p class="whs9">FFDM detector also replaced</td> <td width="4%" align="center">Y</td> <td width="44%">MP conducts evaluation in person</td> </tr> <tr> <td width="53%">FFDM detector not replaced</td> <td width="4%" align="center"> <p class="whs7" align="center">N</td> <td width="44%">MP oversight</td> </tr> <tr> <td width="53%"><font color="#008000"><strong><big>Cassette Replacement</big></strong></font></td> <td width="4%" align="center"><font color="#008000"><strong><big>&nbsp;</big></strong></font></td> <td width="44%"><font color="#008000"><strong><big>&nbsp;</big></strong></font></td> </tr> <tr> <td width="53%" align="right"><font color="#008000">Same screen speed&nbsp; </font></td> <td width="4%" align="center"><font color="#008000">N</font></td> <td width="44%">MP involvement optional</td> </tr> <tr> <td width="53%" align="right"> <p class="whs9">Faster screen speed&nbsp;</td> <td width="4%" align="center">N</td> <td width="44%">MP oversight</td> </tr> <tr> <td width="53%" align="right">Slower screen speed where the dose increase may exceed 3.0 mGy for the standard breast</td> <td width="4%" align="center">Y</td> <td width="44%">MP conducts evaluation in person</td> </tr> <tr> <td width="53%"><font color="#FF8000"><strong><big>Collimator</big></strong></font></td> <td width="4%" align="center"><font color="#FF8000"><strong><big>&nbsp;</big></strong></font></td> <td width="44%"><font color="#FF8000"><strong><big>&nbsp;</big></strong></font></td> </tr> <tr> <td width="53%" align="right"><font color="#FF8000">Replacement&nbsp; </font></td> <td width="4%" align="center"><font color="#FF8000">Y</font></td> <td width="44%"><font color="#FF8000"> MP conducts evaluation in person</font></td> </tr> <tr> <td width="53%" align="right"><font color="#FF8000">Reassembly with blade replacement &nbsp; </font></td> <td width="4%" align="center"><font color="#FF8000">Y</font></td> <td width="44%"><font color="#FF8000"> MP conducts evaluation in person</font></td> </tr> <tr> <td width="53%" align="right"><font color="#FF8000">Adjustment&nbsp; </font></td> <td width="4%" align="center"><font color="#FF8000">N</font></td> <td width="44%"><font color="#FF8000"> MP Oversite</font></td> </tr> <tr> <td width="53%"><font color="#800080"><strong><big>Compression Device</big></strong></font></td> <td width="4%" align="center"><font color="#800080">&nbsp;</font></td> <td width="44%"><font color="#800080">&nbsp;</font></td> </tr> <tr> <td width="53%" align="right"><font color="#800080">Pressure adjustment&nbsp; </font></td> <td width="4%" align="center"><font color="#800080">N</font></td> <td width="44%"><font color="#800080"> MP involvement optional</font></td> </tr> <tr> <td width="53%" align="right"><font color="#800080">Thickness scale accuracy adjustment but only if it affects AEC performance </font></td> <td width="4%" align="center"><font color="#800080">N</font></td> <td width="44%"><font color="#800080"> MP Oversite</font></td> </tr> <tr> <td width="53%" align="right"><font color="#800080">Repair of auto decompression&nbsp; </font></td> <td width="4%" align="center"><font color="#800080">N</font></td> <td width="44%"><font color="#800080"> MP involvement optional</font></td> </tr> <tr> <td width="53%"><font color="#0000FF"><strong><big>Compression Paddle</big></strong></font></td> <td width="4%" align="center"><font color="#0000FF"><strong><big>&nbsp;</big></strong></font></td> <td width="44%"><font color="#0000FF"><strong><big>&nbsp;</big></strong></font></td> </tr> <tr> <td width="53%" align="right"><font color="#0000FF">Paddle (new to facility) replacement &nbsp; </font></td> <td width="4%" align="center"><font color="#0000FF">N</font></td> <td width="44%"><font color="#0000FF"> MP Oversite</font></td> </tr> <tr> <td width="53%" align="right"><font color="#0000FF">Deflection adjustment&nbsp; </font></td> <td width="4%" align="center"><font color="#0000FF">N</font></td> <td width="44%"><font color="#0000FF"> MP Oversite</font></td> </tr> <tr> <td width="53%" align="right"><font color="#0000FF">Adjustment due to extension beyond allowable limit, or visibility on images </font></td> <td width="4%" align="center"><font color="#0000FF">N</font></td> <td width="44%"><font color="#0000FF"> MP Oversite</font></td> </tr> <tr> <td width="53%"><font color="#008040"><strong><big>Darkroom</big></strong></font></td> <td width="4%" align="center"><font color="#008040"><strong><big>&nbsp;</big></strong></font></td> <td width="44%"><font color="#008040"><strong><big>&nbsp;</big></strong></font></td> </tr> <tr> <td width="53%" align="right"><font color="#008040">Repair of light leaks&nbsp; </font></td> <td width="4%" align="center"><font color="#008040">N</font></td> <td width="44%"><font color="#008040"> MP involvement optional</font></td> </tr> <tr> <td width="53%" align="right"><font color="#008040">Safe light change&nbsp; </font></td> <td width="4%" align="center"><font color="#008040">N</font></td> <td width="44%"><font color="#008040"> MP involvement optional</font></td> </tr> <tr> <td width="53%"><font color="#FF8000"><strong><big>Film type/speed change change</big></strong></font></td> <td width="4%" align="center"><font color="#FF8000">N</font></td> <td width="44%"><font color="#FF8000"> MP Oversite</font></td> </tr> <tr> <td width="53%"><font color="#0000FF"><strong><big>Processor</big></strong></font></td> <td width="4%" align="center"><font color="#0000FF"><strong><big>&nbsp;</big></strong></font></td> <td width="44%"><font color="#0000FF"><strong><big>&nbsp;</big></strong></font></td> </tr> <tr> <td width="53%" align="right"><font color="#0000FF">Chemistry type change&nbsp; </font></td> <td width="4%" align="center"><font color="#0000FF">N</font></td> <td width="44%"><font color="#0000FF"> MP involvement optional</font></td> </tr> <tr> <td width="53%" align="right"><font color="#0000FF">Fixer/Developer replacement&nbsp; </font></td> <td width="4%" align="center"><font color="#0000FF">N</font></td> <td width="44%"><font color="#0000FF"> MP involvement optional</font></td> </tr> <tr> <td width="53%" align="right"><font color="#0000FF">Installation&nbsp; </font></td> <td width="4%" align="center"><font color="#0000FF">Y</font></td> <td width="44%"><font color="#0000FF"> MP conducts evaluation in person</font></td> </tr> <tr> <td width="53%" align="right"><font color="#0000FF">Reassembly&nbsp; </font></td> <td width="4%" align="center"><font color="#0000FF">Y</font></td> <td width="44%"><font color="#0000FF"> MP conducts evaluation in person</font></td> </tr> <tr> <td width="53%" align="right"><font color="#0000FF">Replenishment rate adjustment&nbsp; </font></td> <td width="4%" align="center"><font color="#0000FF">N</font></td> <td width="44%"><font color="#0000FF"> MP involvement optional</font></td> </tr> <tr> <td width="53%" align="right"><font color="#0000FF">Roller replacement&nbsp; </font></td> <td width="4%" align="center"><font color="#0000FF">N</font></td> <td width="44%"><font color="#0000FF"> MP involvement optional</font></td> </tr> <tr> <td width="53%"><strong><big><font color="#008040">X-ray Unit</font></big></strong></td> <td width="4%" align="center"><strong><big><font color="#008040">&nbsp;</font></big></strong></td> <td width="44%"><strong><big><font color="#008040">&nbsp;</font></big></strong></td> </tr> <tr> <td width="53%" align="right"> <p class="whs9">kVp, mA or time internal* adjustments</td> <td width="4%" align="center">N<font color="#008040"> </font></td> <td width="44%">MP oversight<font color="#008040"> </font></td> </tr> <tr> <td width="53%" align="right"> <p class="whs9">High voltage generator replacement</td> <td width="4%" align="center">Y<font color="#008040"> </font></td> <td width="44%">&nbsp;MP conducts evaluation in person</td> </tr> <tr> <td width="53%" align="right"> <p class="whs9">X-ray tube replacement</td> <td width="4%" align="center"><font color="#008040">&nbsp;</font>Y</td> <td width="44%"><font color="#008040">&nbsp;</font>MP conducts evaluation in person</td> </tr> <tr> <td width="53%" align="right"> <p class="whs9">Filter replacement</td> <td width="4%" align="center"> <p class="whs7" align="center">Y</td> <td width="44%">&nbsp;MP conducts evaluation in person</td> </tr> <tr> <td width="53%" align="right"> <p class="whs9">Installation</td> <td width="4%" align="center"> <p class="whs7" align="center">Y</td> <td width="44%"><font color="#008040">&nbsp;</font>MP conducts evaluation in person</td> </tr> <tr> <td width="53%" align="right"> <p class="whs9">Reassembly</td> <td width="4%" align="center">Y</td> <td width="44%">&nbsp;MP conducts evaluation in person</td> </tr> <tr> <td width="53%" align="right"> <p class="whs9">Manufacturer&#39;s software modifications (see approved alternative standard)</td> <td width="4%" align="center">Y</td> <td width="44%">&nbsp;MP conducts evaluation in person</td> </tr> <tr> <td width="53%" align="right"> <p class="whs9">FFDM detector replacement or repair</td> <td width="4%" align="center">Y</td> <td width="44%">&nbsp;MP conducts evaluation in person</td> </tr> <tr> <td width="53%" align="right">FFDM Display (monitor)/Printer Replacement</td> <td width="4%" align="center">Check FFDM manufacturer s QC manual</td> <td width="44%"><font color="#008040">&nbsp;</font>Follow FFDM manufacturmanualer s QC</td> </tr> </table> <div class="middle-column"> * Internal adjustments refer to equipment adjustments that typically cannot be made by the operator.<p>&nbsp;</div> </center></div> </td> </tr> <tr> <td> <p align="center"><b><font color="#000080" size="4"> <a target="_self" href="index.htm">Mammography Home</a></font></b></td> </tr> </table> </div> <!--msnavigation--></td></tr><!--msnavigation--></table><!--msnavigation--><table border="0" cellpadding="0" cellspacing="0" width="100%"><tr><td> <p>&nbsp;</p> <p>&nbsp;</p> </td></tr><!--msnavigation--></table></body> </html>