RT Book, Section
A1 Miller, Sue
A1 DiGregorio, Frank
A1 Selvin, Sunil
A2 Heller, Gary V.
A2 Hendel, Robert C.
SR Print(0)
ID 1145443419
T1 Quality Control in SPECT and PET Imaging
T2 Nuclear Cardiology: Practical Applications, 3e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781259644993
LK accesscardiology.mhmedical.com/content.aspx?aid=1145443419
RD 2024/04/25
AB Quality  control  (QC)  of  single-photon  emission  computed  tomography  (SPECT)  and  positron  emission  tomography  (PET)  nuclear  cardiology  procedures  is  a  multiple-step  process  that  begins  before  the  patient  enters  the  laboratory,  continues  during  the  acquisition,  and  after  the  patient  leaves  the  laboratory.  SPECT  QC  and  PET  QC  require  the  close  attention  of  all  personnel  and  physicians  that  are  involved  with  the  laboratory.  Requirements  for  imaging  systems  QC  are  based  on  Nuclear  Regulatory  Commission  (NRC)  requirements,  agreement  state  requirements,  accepted  imaging  guidelines,  and  the  Intersocietal  Accreditation  Commission  Nuclear/PET  (IAC  Nuclear/PET),  and  American  College  of  Radiology  (ACR)  Accreditation  standards.1–8  The  terminology  used,  requirements,  and  frequency  may  vary  slightly  between  the  standards,  the  model  of  scanners,  and  the  original  equipment  manufacturers  (OEM)  recommendations.  However,  the  basic  premise  of  why  it  is  necessary  is  the  same  in  all  situations:  to  ensure  adequate  camera  performance,  identify  any  potential  sources  of  error  or  artifact  within  an  acquisition,  and  ultimately  provide  the  patient  and  referring  physician  with  the  best  quality  information  possible.  If  QC  procedures  are  not  followed,  it  may  lead  to  an  equivocal  or  falsely  interpreted  study,  which  may  result  in  increased  downstream  costs  as  well  as  poor  outcomes.  This  chapter  will  review  the  routine  QC  procedures  performed  by  the  nuclear  medicine  technologist  before,  during,  and  after  the  acquisition  of  a  nuclear  cardiology  study.  Additional  QC  procedures  and  calibrations  that  are  performed  by  camera  service  engineers  or  medical  physicist  will  not  be  discussed.