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This chapter provides detailed instructions for performing the Ventri quality
control procedures, and specifies their regular performance schedule.
WARNING
The default parameters that appear for the QC tests are dependent upon the
QC default values selected during system configuration (see QC Default
Parameters on page 13-46). Parameters can be changed as desired.
z Trends for values tested during QC can be viewed via the History
Browser where they are categorized by the Isotope used and the
front end mode. Refer to QC Trend Analysis on page 10-26.
Usage
The Logs panel allows the user to view, print, and export reports to HTML
for diagnostic purposes.
Technologist
and Admin Click Technologist and Admin Reports
Reports
QC Data Management
Transfer to Archive
QC Procedure Data Management
Xeleris on Ventri
QC Images
NM Daily QC patient name: Manual yes
NM Daily QC
QC Images
Periodical NM Calibration & QC patient name: Manual yes
NM Periodic QC
Local Database
C.O.R. Test patient name: Manual no
C.O.R. test
QC Images
Bar Phantom Test patient name: Manual yes
Bar Phantom Test
z NM Daily QC
z C.O.R. Test
Table 10-2 shows the radionuclide sources, source activity, and collimator
that should be used, depending on the QC procedure to be performed.
1 mCi=37 MBq
or
27µCi=1 MBq
Rec.
Source
Count Usage
Activity
Rate Req.
Source
Collim.
NM Daily Period. COR Bar
mCi MBq cc/sec
QC QC Test Phantom
Co57 ~ 10 to
370-740 <45
LEHR or
9 9 9
Flood Source 20 LEGP
Tc99m ~ 10 to LEHR or
Flood Source 370-740 <45 9 9 9
20 LEGP
(re-fillable)
Collimator Decoy
• L QC D1 for Detector 1
• L QC D2 for Detector 2
Start Position
Note: Daily QC is activated separately for each detector, creating a
separate study and report for each detector.
a. If distance of 2.0 m is not possible, the point source can be placed closer, but not less
than 1.5 m away from the active detector. Positioning the source so close to the active
detector may affect the QC result.
Note The minimal size of the flood source should be 240 mm x 420mm in order to
provide adequate exposure of the entire FOV and to simplify the positioning of
the flood source between the detectors.
WARNING
Failing to perform the relevant daily quality control procedure before starting
the corresponding scans may cause non-identification of serious
deterioration in image quality, resulting in misinterpretation of the acquired
images.
NM Daily QC Procedure
Usage:
Overview
The table below shows details of a few of the user home positions supplied
by the factory.
Table 10-4 Predefined QC User Home Positions/Modes
Start Positions
Gantry
Usage
Mode Motion
QC reports can be reviewed any time from the Logs. For more information
on the Logs, refer to page 10-3.
QC Procedure Description
Performed without a radioisotope in the area. Checks whether
Background Rate
there is any radiation in the area that could interfere with
Measurement test
image acquisition.
Energy Peak Position Checks whether peaks are in the correct position and that
and Resolution test energy resolution is acceptable.
Uniformity Test This test checks Flood Field Uniformity Stability (not NEMA).
Self-healing Procedure
When this pop-up appears, the user has the option of stopping Daily QC
and starting NM Periodic QC in order to diagnose (and possibly fix) the
problem. The pop-up also shows the estimated time for NM Periodic QC
to finish. If ignored, the pop-up remains and NM Daily QC continues in
the background. The popup does not close until either [OK] or [Cancel]
are pressed. Any time [OK] is pressed, the self-healing action begins
(even after NM Daily QC is completed).
NM Daily QC continues.
NM Periodic QC Performed
To rebuild the uniformity map (for Tc99m only), perform the following:
1. Press [OK].
The Key Parameters screen for Uniformity Maps appears. Verify that
120,000 kcts is set for Stop on counts.
Note The Self-healing procedure only builds a Uniformity Map for Tc99m.
2. Press [Apply].
3. Press [Start].
Performing NM Daily QC
Usage
Note The Uniformity test done during NM Daily QC uses a ROI of 1.55 x 1.55 cm2
for the uniformity calculation. The uniformity value received after this procedure
should be used to monitor the uniformity stability of the system.
To run the Uniformity Test according to the NEMA standard NU-2001, refer to
the Acceptance Test Section of the Ventri Service Manual.
During execution of the procedure, look for instructions in the prompt area
(at the top) of the NM Daily QC screen.
The NM Daily QC Test consists of four tests which are part of the NM
Daily QC flow:
QC Procedure Description
Setup
For Co57
Flood
Source
Double-click
Image QC
Background Test
[Apply]
Go to Gantry
Image
Quality Test The NM Daily QC input dialog opens (see
on left side of Figure 10-6).
screen
[Apply]
Notes:
QC Report
[Close NM
Daily QC] or To be pressed when NM Daily QC is
[Close completed.
Session]
Default
Usage Start Position Detector
Configuration
Acceptable Results
Note In case of high background level use a source with a rate 10 times higher than
the background level but not higher than 45 kc/s.
1. Review all the test results. Results that appear in black are those that
passed the acceptance criteria, i.e. are within the limits indicated in
the right column of the results table. Results that appear in red are
those that failed. The NM Daily QC procedure is successful only if
none of the tests failed.
3. The name that appears in the name field at the top of the screen is
the user login name. To change the name (e.g. if a default logon was
used), type a new name in this field. Click [Save] when done.
The test results can be accessed at any time from the Logs panel. Refer
to Reviewing QC & System Setup Reports on page 10-3.
Note If Daily NM QC was performed for each detector separately, then a separate
report is created for each detector.
If the NM Daily QC test fails, check which test failed and use the recovery
suggested below and repeat the QC procedure.
If the procedure still fails, review the Logs (located in bottom right area of
QC Report Results). If significant error messages appear, contact qualified
GE Service Personnel for assistance.
QC Test Recovery
If the reason for test failure is not found, perform Periodical NM Calibration
& QC on page 10-35.
QC Trend Analysis
Usage
The History Browser allows the user to compare system QC reports for
diagnostic purposes.
Double-click
History
Browser
[Compare
Reports]
[Next]
Optional:
Saves the comparison results in an Excel
[Export Raw format (.csv) file.
Data]
Archiving QC Reports
Usage:
Clean QC
Options are three months, two months, or
data created
one month, or now (clean all data).
prior to:
Restoring QC Data
Usage:
Usage:
Description
z Background Test
The Calibration and Image Quality Test runs automatic functions in the
following sequence:
This procedure can be run with a Tc99m source or with a Co57 source.
Important
However, it is strongly recommended to always use the same isotopes (Tc99m
or Co57) and not to switch between the isotopes.
Note The Source Positioning Acquisition stage can be skipped if the operator is
experienced with the appropriate positioning of the source for achieving a
favorable calibration.
Setup
For Co57
Source
Double-click
Image QC
Background Test
[Apply]
Go to Gantry
Source
Positioning
The system displays the Source position
Acq.
Acq. Parameters Dialog.
on left side of
screen
[Apply]
[Next] at
bottom of Ignore the results of this report.
screen
Calibration
& Image
The system displays the Calibration &
Quality Test
Image Quality Test Parameters Dialog
on left side of
screen
[Next] at
bottom of The [Start] button is enabled.
screen
[Close NM
Daily QC] or To be pressed when Periodical NM
[Close Calibration is completed.
Session]
Review the QC report that appears at the end of the test. The test report
that appears has the same format as the NM Daily QC Test.
Note The tolerance for the Peak Position is different from NM Daily QC tolerance.
C.O.R. Test
Usage:
This test is used to check the Center of Rotation correction of the Gantry
and the detectors.
Source
Positioning
Acq. under
Verify that the correct parameters are
COR Test
selected.
L-mode (left
side of
screen)
COR Test
Acquisition
under COR The Acquisition Key Parameters screen
Test L-mode appears (see Figure 10-12).
(left side of
screen)
[Apply]
COR Test
The C.O.R. Test Processing screen
Processing
appears. Select the appropriate image. The
(left side of
default is the latest acquired image.
screen)
Note The Source Positioning Acquisition stage can be skipped if the operator is
experienced with the appropriate positioning of the source for achieving a
favorable calibration.
z The second page contains the table with measured COR Residual
values, derived by computation from the above graphs.
Usage:
Periodically used to test the system resolution and to verify the image
quality.
Double-click
Image QC
[Bar
Phantom
Test]
[Apply]
Go to Gantry
Replace
Collimator Replace the Bar Phantom with the Imaging
(left side of Collimator
screen)