title: [Quality assurance in diagnostic radiology using an automated system. Experience and results].
abstract: The authors report their personal experience with the use of an integrated quality control system in the radiology department. The system we used was the RTI DIGI-X Plus, a Swedish-made product, allowing a wide range of parameters to be measured on diagnostic X-ray units for general radiography, mammography and fluoroscopy. Data can be retrieved with a minimum number of measurements. The "oRTIgo" software improves the quality assurance system and ensures document compliance with international recommendations. The equipment consists of a detector unit, a processor and a display unit. The detector consists of a rotating holder with 12 combinations of metal filters of various thickness mounted in front of two photo-diodes covered with identical X-ray intensifying gadoliniumoxysulfide screens. This unit is connected to a data acquisition system controlled by a microcomputer. Peak tube voltage and total tube filtration are derived from the ratio of detector signals. The relationship between this ratio and the measured quantity is determined by a calibration procedure. Furthermore, exposure time "mAs" value, "mAs" linearity and exposure (or kerma in air) can be measured. Digital storage can be performed and input signals displayed. A serial interface is used to communicate with a PC for QC management purposes. An error propagation model is used to determine the inaccuracy of peak tube voltage measurements. With the DIGI-X Plus system, measurements can be carried out in a shorter time and the stored data reprocessed later on. After QA testing on 20 X-ray units in the radiology department, in vivo doses were measured using a TLD Harshaw 100 on 46 randomly selected patients undergoing chest examinations. The results are reported and analyzed following the NRPB protocol and show high agreement with the recommended values.
authors.affiliation: Servizio di Fisica Sanitaria, Ospedale Umberto I, Mestre, Venezia.
authors.forename: M
authors.initials: M
authors.lastname: Princivalli
authors.forename: L
authors.initials: L
authors.lastname: Stea
authors.forename: P L
authors.initials: PL
authors.lastname: Ordóñez
authors.forename: L
authors.initials: L
authors.lastname: Bussoli
authors.forename: C
authors.initials: C
authors.lastname: Marchetti
mesh_terms: D006801:Humans; D055585:Physical Phenomena; D010825:Physics; D011785:Quality Assurance, Health Care; D011786:Quality Control; D011829:Radiation Dosage; D011859:Radiography / Q000295:instrumentation / Q000592:standards; D012984:Software