FR18-002

CAWANGAN KESELAMATAN SINARAN

BAHAGIAN PERKHIDMATAN KEJURUTERAAN

BORANG PENGUJIAN PRESTASI RADAS PENYINARAN AM

(GENERAL X-RAY & MOBILE UNIT)

BUTIR-BUTIR KLINIK/HOSPITAL

NO. FAIL :
NAMA KLINIK/HOSPITAL :

BUTIR-BUTIR MESIN X-RAY

MODEL/JENIS : (Static/Mobile) :
NO. SIRI (PANEL KAWALAN) : : TAHUN DIBELI :
(KEPALA TIUB) :

RENGKASAN KEPUTUSAN PENGUJIAN

Keperluan Plan/Sheilding HVL Measurement

General Mechanical Condition Collimation & Beam Alignment
kV Accuracy Focal Spot Size Measurement
kVp/Exposure Reproducibility Quality image
Timer Accuracy Leakage Radiation
mAs Linearity Scattered Radiation

P - pass, F - fail, N/A - not applicable, N/P - not performed; NOTE - recommendation suggested

BAHAGIAN 1 : KEMUDAHAN BILIK X-RAY

Keperluan Teknikal (Y/ N /N/a)

a) Kedudukan/susun atur plan bilik x-ray
b) Saiz bilik x-ray
c) Struktur/material yang digunakan untuk dinding/pintu/chest stand
d) Kedudukan bilik kawalan
e) Saiz dan ketebalan lead glass
f) Tambahan kepingan Pb pada lantai (jika bilik di tingkat atas)
g) Tanda amaran/lampu amaran pada pintu

Version: 2.0 01-09-2001 Page 1 of 6

 FR18-002

BAHAGIAN 2 : PENGUJIAN KEADAAN FIZIKAL & PRESTASI MESIN X-RAY

General Condition of Mechanical and Electrical Components

a) Are there any frayed or exposed electrical wires?
b) Could the electrical wires interfere with the use of the unit?
c) Is there a play in the couch when it is locked?
d) Does it have the freedom of movement it was designed for?
e) Is the couch level in the tube and perpendicular directions?
f) Is there a play in the tube when it is locked?
g) Does the visual and/or beam-on indicator function properly?
h) Are all the indicator lamps functioning properly?

Test 1: kV Accuracy
The purpose of this test is to verify that the average kVp is within 5 % or 5kV, whichever
is greater of set kVp

Testing equipment used :

SID : cm Waveform :

Set kVp mA mA mA
Measured % of Dev Measured % of Dev Measured % of Dev
50
60
70
80
90
100
110
120

TEST 2: kVp/Exposure Reproducibility

The purpose of this test is to verify that radiation exposure or kVp is reproducible with a
a coefficient of variation (CV) of 0.05 or less.

Set kVp 80.0 Set mAs 0.0

1 2 3 4 5
Measured kVp
Exposure (mR)
kVp Reproducibility Exposure Reproduce.
Mean Exposure
Standard Deviation
Coefficient of Variation
Result (Pass/Fail)

Version: 2.0 01-09-2001 Page 2 of 6

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TEST 3: Timer Accuracy

The purpose of this test is to verify that the measured time is within 10% of the set time.
A set of three typical times are used for this test

Set kVp :

Set Timer (sec)

Measured Timer (sec)
% of Deviation

Test 4: mAs Linearity

The purpose of this test is to verify that mR/mAs measured at two adjacent mA station
or mAs settings are linear and retain a Coefficient of Variation (COV) less than 0.1.
Select around 80 kVp and time close to 0.1ms

Set kVp : 80
FS (S/L) Ave kVp mA Sec mAs mAs mR mR/mAs COV
S
S
L
L
L
L

Test 5: Half Value Layer (HVL) Measurement

The purpose of this test is to verify that there is minimum of 2.3mm of Al HVL in the beam
at 80kVp

Set kVp :
Filter Thickness Exposure
mm of Al mR
0.0
2.5
3.8 HVL : mm of Al

Test 6: Focal Spot Size Measurement

Purpose : To determine the size of the focal spot at a known technique with a view to
detect degradation of the focal spot.

Set kVp : Set mA: Set time:

Degree of Star: Large or Small Focal Spot:

Star dimension:
Actual : 5.5 Radiographic:
Blurr : 7 Manufacturer specification:

Computed Focal Spot Size: Meets NEMA:

Version: 2.0 01-09-2001 Page 3 of 6

 FR18-002

Test 7 : Collimation and Beam Alignment

Purpose : To determine the alignment of the light & radiation field, the light field cross hair
indicates the central axis of the x-ray beam and beam alignment within +/- 2% of
indicated SID

SID : 100 cm
a) Congruence of Light and Radiation Field

Field Size Light Field Size Radiation Field Size Result

Measured Measured Measured Measured % of Pass/
Longitudinal Transverse Longitudinal Transverse Variation Fail
x
x
x

b) Cross Hair Centering Pass/Fail

Deviation between radiation and optical field centers :

c) Beam Alignment

Field Size Beam Alignment Result

(Degree) (Fail/Pass)

X
X
X

Test 8 : Image Quality

Purpose : to verify quality for the overall system

a) Contrast b) Unsharpness
Previous Latest Previous Latest
Date: Date:
kVp : kVp :
mAs: mAs:
Filter Thickness : 2 mm Cu
Background Density : B/g density :
Circle Seen Lp/mm seen :
(Large) :
(Small) :

Version: 2.0 01-09-2001 Page 4 of 6

 FR18-002

Test 9 : Scattered Radiation Test

Purpose : to verify exposure rate at every occupied outside the x-ray room and at the
position normally occupied by the operator should not exceed 10mR/week

Set-up : kVp : 100 mA : 100

No. of case/week Time : 1 Sec Survey Meter Response Time : 1.2 Sec

Location Reading (mR/h) Result

Survey Meter Radioactive Source (mR/week)
A
B
C
D
E
F
G
H

Version: 2.0 01-09-2001 Page 5 of 6

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Test 10 : Leakage Radiation Test

Purpose : to verify exposure from the leakage radiation at 1 meter from the x-ray tube in
an hour at every rating specified by the manufacture should not excedd 10 mR

mR
A
100 cm

mR mR
Anode Cathode
B 100 cm 100 cm D

100 cm
C
mR

COMMENT :

Inspection Done by : a)
b)

Date :

Version: 2.0 01-09-2001 Page 6 of 6

 DATA
kV Accuracy (please set different timer for different mA station )

mA set : Timer : mAs : SID : Waveform

kV set kV Ave kV eff kV peak Timer Dose
50
60
70
80
90
100
110
120

mA set Timer mAs 0

kV set kV Ave kV eff kV peak Timer Dose
50
60
70
80
90
100
110
120

mA set Timer mAs 0

kV set kV Ave kV eff kV peak Timer Dose
50
60
70
80
90
100
110
120

kV/Exposure Reproducibility

mA : Time : mAs : 0
kVp kV Ave kV eff kV peak Timer Dose
80
80
80
80
80
mA/mAs Linearity

Set kVp
Time Reading
mA mAs kV Ave kV eff kV peak Timer Dose
100
200
250
300

HVL Measurement

Set kVp Reading

Filter (mm) kV Ave kV eff kV peak Timer Dose
0
2.5
3.8

50% of LF open

Timer Accuracy
(Please select timer differs from timer setting in kV Accuracy Test )

Set kVp Reading

Set Timer kV Ave kV eff kV peak Timer Dose