title: Establishment and results of a magnetic resonance quality assurance program for the pediatric brain tumor consortium.
abstract: OBJECTIVE
  Magnetic resonance (MR) imaging is used to assess brain tumor response to therapies, and a MR quality assurance (QA) program is necessary for multicenter clinical trials employing imaging. This study was performed to determine overall variability of quantitative imaging metrics measured with the American College of Radiology (ACR) phantom among 11 sites participating in the Pediatric Brain Tumor Consortium (PBTC) Neuroimaging Center (NIC) MR QA program.
  
  
  METHODS
  An MR QA program was implemented among 11 participating PBTC sites and quarterly evaluations of scanner performance for seven imaging metrics defined by the ACR were sought and subject to statistical evaluation over a 4.5-year period. Overall compliance with the QA program, means, standard deviations, and coefficients of variation (CV) for the quantitative imaging metrics were evaluated.
  
  
  RESULTS
  Quantitative measures of the seven imaging metrics were generally within ACR recommended guidelines for all sites. Compliance improved as the study progressed. Intersite variabilities, as gauged by CV for slice thickness and geometric accuracy, imaging parameters that influence size or positioning measurements in tumor studies, were on the order of 10% and 1%, respectively.
  
  
  CONCLUSIONS
  Although challenging to establish, MR QA programs within the context of PBTC multisite clinical trials when based on the ACR MR phantom program can indicate sites performing below acceptable image quality levels and establish levels of precision through instrumental variabilities that are relevant to quantitative image analyses (eg, tumor volume changes).
authors.affiliation: Department of Radiology, Children's Hospital Boston, 300 Longwood Avenue, Boston, MA 02115, USA.
authors.forename: Robert V
authors.initials: RV
authors.lastname: Mulkern
authors.forename: Peter
authors.initials: P
authors.lastname: Forbes
authors.forename: Kevin
authors.initials: K
authors.lastname: Dewey
authors.forename: Stravoula
authors.initials: S
authors.lastname: Osganian
authors.forename: Maureen
authors.initials: M
authors.lastname: Clark
authors.forename: Sharon
authors.initials: S
authors.lastname: Wong
authors.forename: Uma
authors.initials: U
authors.lastname: Ramamurthy
authors.forename: Larry
authors.initials: L
authors.lastname: Kun
authors.forename: Tina Young
authors.initials: TY
authors.lastname: Poussaint
mesh_terms: D001932:Brain Neoplasms / Q000175:diagnosis*; D002648:Child; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000592:standards*; D019047:Phantoms, Imaging; D011785:Quality Assurance, Health Care; D012955:Societies, Medical; D014481:United States