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!AMMA CAM&RA ANN)A* P&R,ORMANC& S)R/&0
Sample Site
Report Date:
11/10/15
Sample Address
Survey Date:
11/10/15
Site Name:
Address:
Medical Physicist:
Manufacturer:
Model:
Date of Installation:
SN/Identification:
John Doe, PhD, DABR
SIEC
E Cam
2006
4050502
!"#$%&"'
NMAP:
Soft Copy Display:
Laser Film Printer:
5xxxx-01
AWS
Filmless
Summary of Medical Physicist's QC Tests
1. Intrinsic Uniformity
2. System Uniformity and Collimator Integrity
3 System Spatial Resolution
4. Sensitivity
5. Energy Resolution
6. Count Rate Parameters
7. Overall SPECT Performance
8. Formatter/Video Display
9. System Interlocks and Safety
10. Dose Calibrator Linearity
11. Dose Calibrator Accuracy
Pass/Fail
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
!o##en&' )nd +e,o##end)&-on'.
/er1or#)n,e o1 2)##) ,)#er) -' ),,e3&)45e 1or ,ond6,&-n2 ,5-n-,)5 '&6d-e'
)nd 7-&h-n #)n61),&6rer9 '&)&e o1 :5or-d) )nd ;!+<=J! 26-de5-ne'?
Radiological Physics of South Florida
10691 Kendall Dr, Miami, Fl 33176
Fax: (786) 338 7408 / [email protected]
Page 1
Sample Site
11/10/15
GAMMA CAMERA ANNUAL PERFORMANCE SURVEY
Continuous Gamma Camera Quality Control
1. Extrinsic Uniformity (Daily)
2. Constancy of Dose Calibrator (Daily)
3. Extrinsic Spatial Resolution (Weekly)
Pass/Fail
Pass
Pass
Pass
4. Test of Center of Rotation (Monthly)
Pass
5. High Count Flood Field (Quarterly)
6. Intrinsic Uniformity (Quarterly)
7. Linearity of Dose Calibrator (Quarterly)
8. Overall SPECT Performance (Semi-Annual)
9. System Interlocks and Safety (Semi-Annual)
Pass
Pass
Pass
Pass
Pass
Med-,)5 /hA'-,-'& +e,o##end)&-on' &o !on&-n6o6' B! /ro2r)#.
=e,hno5o2-'& C6)5-&A ,on&ro5 h)' 4een 3er1or#ed 3ro3er5A )nd -n ),,ord)n,e
7-&h ;!+ )nd '&)&e o1 :5or-d) reC6-re#en&'?
Page 2
Date:
11/10/15
Facility: Sample Site
NMAP: 5xxxx-01
Location: Sample Address
Unit #:
1
SN:
Manufacturer: SIEC
4050502
Model: E Cam
Pass/Fail
Pass
Intrinsic Uniformity
Purpose: To verify that the gamma camera detector provides a uniform image in response to a
uniform flux of radiation.
Source:
Activity:
Detector
1
2
Tc99m
0.1
Photopeak:
Window (%):
mCi
UFOV IU
CFOV IU
UFOV DU
CFOV DU
3.11
3.08
2.98
2.63
1.88
1.93
1.22
1.43
Matrix:
kcps:
Total Counts:
140
20
256
18
5M
Visual Inspection
Uniform, no artifacts
Uniform, no artifacts
Action Limits: For SPECT studies integral uniformity equal or less than 5%,
differential uniformity equal or less than 4%; For planar studies integral uniformity
equal or less than 10%, differential uniformity equal or less than 5%.
Page 3
Date: 11/10/2015
NMAP: 5xxxx-01
Unit #:
1
SN:
Manufacturer:
SIEC
4050502
Model: E Cam
Pass/Fail
Pass
System Uniformity and Collimator Integrity
Purpose: To verify that the gamma detector and collimator provide a uniform image
in response to a uniform flux of radiation. To verify integrity of collimator and that
no artifacts are produced by any damage in the collimator.
Source:
Activity:
Detector
1
2
1
2
Co57
5
Photopeak:
Window (%):
mCi
Matrix:
kcps:
Total Counts:
120
10
UFOV IU
CFOV IU
UFOV DU
3.44
3.76
4.24
3.29
3.18
3.84
2.28
2.51
2.45
CFOV DU Collimator
2.02
1.87
2.13
LEHR
LEHR
LEGP
No artifacts
4.52
3.95
2.43
2.08
LEGP
No artifacts
256
6
5M
Collimator Visual Inspection
No artifacts
No artifacts
Action Limits: For SPECT studies integral uniformity equal or less than 5%,
differential uniformity equal or less than 4%; For planar studies integral uniformity
equal or less than 10%, differential uniformity equal or less than 5%.
Page 4
Date:
11/10/15
NMAP: 5xxxx-01
Unit #:
1
SN:
Manufacturer:
SIEC
4050502
Model: E Cam
Pass/Fail
Pass
Spatial Intrinsic or System Resolution
Purpose: To verify the planar spatial resolution of the detector in terms of the minimum bars
space that can be resolved. To detect spatial distortions indicating poor linearity.
Source:
Activity:
Co57
5 mCi
Collimator:
Bar Size
Photopeak:
Window (%):
120
20
kcps:
Total Counts:
Phantom:
3
3M
Bars
LEHR
Visibility of Bars
Linearity Distortion
(mm)
Head 1
Head 2
Head 1
Head 2
4.23
3.18
yes
yes
yes
yes
no
no
no
no
2.54
2.12
yes
yes
yes
yes
no
no
no
no
Comments
Action Limits: Any significant artifact or spatial resolution degradation in reference
to previous images acquired under same conditions.
Page 5
Date:
11/10/15
NMAP: 5xxxx-01
Unit #:
1
SN:
Manufacturer:
SIEC
4050502
Model: E Cam
Pass/Fail
Pass
Extrinsic and Relative Sensitivity (NEMA protocol)
Purpose: To verify that the response of the system to radiation incident on the
collimator expressed in CPM/!Ci is within manufacturer specifications. Verify
!h#! !he d'()re+#n)- 'n de!e)!or( (en('!'/'!- o0 d1#2 he#d 34567 (-(!e8(
is equal or less than 5%.
Radionuclide:
Activity (mCi):
99mTc
0.235
9e0eren)e 7'8e:
;<:;=
Type of Source:
Source Position:
Collimator:
De&e,&or E
Time
;<:=;
De&e,&or F
time (min)
BKG
Counts
ROI
=><
<><
;?<@A=
Counting
Plane/circular
on Collimator
LEHR
Counting
Time
time (min)
BKG
10:32
Sensitivity CPM/!Ci
2.0
0.0
Sensitivity CPM/!Ci
=C?>;
=D;>@
Counts
ROI
131925
+e5)&-Ge Hen'-&-G-&A IJK
B?><
Manufacturer specification:
> 250
CPM/ ! Ci
Page 6
Date:
Group:
11/10/15
0
NMAP: 5xxxx-01
Unit #:
1
SN:
Manufacturer:
SIEC
4050502
Model: E Cam
Pass/Fail
Pass
Energy Resolution
Purpose: To verify the intrinsic energy resolution of the detector expressed in terms of
FWHM (percentage of photopeak position) of the gamma energy of 99mTc.
Radionuclide:
Distance source-to-detector:
Tc99m
5 UFOV
Source:
Window:
Detector 1
Channel
Peak
141
FWHM
16
Point
20%
Activity:
1
mCi
Detector 2
Energy
Resol. %
11.35
Channel
Peak
140
FWHM
16
Energy
Resol. %
11.43
Action limits: Energy resolution should be between 10% and 13%
Page 7
Date:
Group:
11/10/15
0
NMAP: 5xxxx-01
Unit #:
1
SN:
Manufacturer:
SIEC
4050502
Model: E Cam
Pass/Fail
Pass
Count Rate Parameters Iintrinsic)
Purpose: To verify that the intrinsic count rate of the detector expressed in kilo-counts
per second (kcps) is within manufacturer specifications.
Radionuclide:
Tc99m
Source:
Window:
Detector 1
Distance
to detector
15 cm
Point
20%
Activity:
1.5
mCi
Detector 2
Distance
kcps
> 250
to detector
15 cm
Manufacturer Specifications:
kcps
> 250
>250kcps
Page 8
Date:
Group:
11/10/15
NMAP: 5xxxx-01
Unit #:
SN:
Manufacturer:
0
SIEC
1
4050502
Model: E Cam
Pass/Fail
Pass
Overall SPECT Performance
Purpose: To verify that SPECT reconstruction provides satisfactory tomography
resolution, contrast and uniformity.
Phantom
Jazczack
Rotation Angle
180
Last Unif Correction
11/9/15
H/L!= Mn-1or#-&A
N-'6)5 On'3e,&-on
Uniform
Radionuclide
99mTc
Radius of Rot. (cm)
16.0
Recon. Filter
Butterworth
H5-,e' 7-&h )r&-1),&'
None
Activity (mCi)
Collimator
20
LEHR
Time per frame (s)
kcps
16
21
Cutoff Frequency
Order
0.5 Ny
5
No Projections
120
Total Counts
30 M
Attn. Coeff (1/cm)
0.115
=A3e o1 )r&e1),&'
No artifacts
Action Limits: More than two slices with strong ring artifacts or any other artifact
to be clinically significant.
Page 9
Date:
Group:
11/10/15
NMAP: 5xxxx-01
Unit #:
SN:
Manufacturer:
0
SIEC
1
4050502
Model: E Cam
Overall SPECT Performance (Continuation)
H/L!= !on&r)'&
H3here
P?Q ##
N-'-4-5-&A.
no
EF?R ## EQ?P ## EP?E ## FQ?S ## TE?U ##
H/L!= +e'o56&-on
+od'. S?U ##
N-'-4-5-&A.
No
V?S ##
R?P ##
P?Q ##
No
No
some
no
no
yes
yes
yes
Action Limits: At least three spheres (19.1 mm) must be visualized with high contrast.
EE?E ## EF?R ##
yes
yes
Action limits: At least two sets of rods (11.1 mm) must be visualized with low contrast.
Page 10
Date:
Group:
11/10/15
0
NMAP: 5xxxx-01
Unit #:
1
SN:
Manufacturer:
SIEC
4050502
Model: E Cam
Pass/Fail
Pass
Soft- Hard- Copy Display
Purpose: To verify that the dynamic range and spatial resolution of soft- and hard-
)o+- d'(+2#- de/')e( '( 0ree o0 d'(!or!'on( #nd #deE1#!e 0or 'n!er+re!'nF n1)2e#r
medicine images.
Pattern:
Monitor:
Range of Visibility:
SMPTE
AWS
0-100%
Patchs of 5% and 95% are visible
Resolution of bar patterns in V and H directions
Spatial accuracy -lines in monitor are straight to 5 mm
Min Luminance cd/m2
0.08
Max Luminance cd/m2
158
Pass
Pass
Pass
Luminance Uniformity (cd/m2)
Average
Center
UL
UR
LL
LR
4 corners % Diff
155
153
156
153
154
154
< 10%
Each value in the four corners should be within 30% of luminance measured
at the center
Page 11
Date:
Group:
11/10/15
NMAP: 5xxxx-01
Unit #:
SN:
Manufacturer:
SIEC
0
1
4050502
Model: E Cam
System Interlocks and Safety
1. Scanner Housing
2. Gantry Table Controller
3. Patient Table
4. Image Display Screen and Keyboard
5. Electrical Connections and Cables
1. Emergency stop on gantry
2. Override switch Head 1
3. Override switch Head 2
4. Collision detection Head 1
5. Collision detection Head 2
6. Gantry rotation CW
7. Gantry rotation CCV
8. Patient table horizontal motion
9. Patient table vertical motion
10. Patient table lateral motion
11. Hand controller functions
12. Change of collimators
13. Unusual noises
Physical Damages
Pass/Fail
Pass
Pass
Pass
Pass
Pass
Mechanical Motion and Safety
Pass/Fail
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Page 12
LINEARITY OF DOSE CALIBRATOR
Date:
Group:
11/10/15
0
NMAP: 5xxxx-01
Unit #:
1
SN:
Pass/Fail
Pass
Linearity of Dose Calibrator
Manufacturer:
Method:
Tube
0
A
A+B
A+C
A+B+C
A+D
A+B+D
A+C+D
Capintec
Lineator
Activity mCi
35.0000
31.7000
5.8900
3.0000
0.5000
0.1460
0.0300
0.0143
4050502
Model:
SN:
Radionuclide:
Current factor
1.000
1.104
5.942
11.667
70.000
239.726
1166.667
2447.552
CRC 15R
158256
99mTc
Initial Factor
1.0000
1.1600
6.2000
11.9500
73.4000
233.6000
1148.6000
2477.1000
Error (%)
0.00
4.82
4.16
2.37
4.63
-2.62
-1.57
1.19
Action Limit: Linearity error shall be equal or less than 10%
Page 13
ACCURACY OF DOSE CALIBRATOR
Date:
Group:
11/10/15
0
NMAP: 5xxxx-01
Unit #:
1
SN:
Pass/Fail
Pass
Accuracy of Dose Calibrator
Manufacturer:
Capintec
4050502
Model:
SN:
CRC 15R
158256
1044 25
1551-79
137Cs
57Co
0.198
5.360
11/01/06
05/01/13
0.161
0.506
0.162
0.509
0.162
0.509
0.162
0.509
Measured Average (mCi)
0.162
0.509
Accuracy Error(%)
-0.80
-0.60
Action Limit: Accuracy error shall be equal or less than 10%.
NIST Radioactive Source
Radionuclide
Initial Activity (mCi)
Reference Date
Current Activity (mCi)
Measured Activity (mCi)
Page 14

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