| Question 1: Which of the following areas may benefit from imaging practice analytic analysis? |
| Reference: | Informatics in radiology: Efficiency metrics for imaging device productivity. Hu M, Pavlicek W, Liu PT, Zhang M, Langer SG, Wang S, Place V, Miranda R, Wu TT. Radiographics. 2011 Mar-Apr;31(2):603-16.
An automated DICOM database capable of arbitrary data mining (including radiation dose indicators) for quality monitoring. Wang S, Pavlicek W, Roberts CC, Langer SG, Zhang M, Hu M, Morin RL, Schueler BA, Wellnitz CV, Wu T. J Digit Imaging. 2011 Apr;24(2):223-33.
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| Choice A: | Practice operational efficiency. |
| Choice B: | Radiation dose optimization. |
| Choice C: | Imaging protocol management. |
| Choice D: | Scanner utilization. |
| Choice E: | All of the above. |
| Question 2: The use of radiology practice analytics systems allows rich retrospective analysis of historical practice data, but NOT real-time data monitoring and personnel notification. |
| Reference: | Informatics in radiology: Efficiency metrics for imaging device productivity. Hu M, Pavlicek W, Liu PT, Zhang M, Langer SG, Wang S, Place V, Miranda R, Wu TT. Radiographics. 2011 Mar-Apr;31(2):603-16.
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| Choice A: | True. |
| Choice B: | False. |
| Question 3: What percentage of errors are detected by medical physicists performing plan and chart review? |
| Reference: | Gopan et al. The effectiveness of pretreatment physics plan review for detecting error in radiation therapy, Med Phys, 43(9), 5181-5187, 2016
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| Choice A: | 2%. |
| Choice B: | 20%. |
| Choice C: | 40%. |
| Choice D: | 80%. |
| Question 4: What parameter most influences the detectability MLC miscalibrations during IMRT QA? |
| Reference: | Carlone, M. et al. ROC Analysis in patient specific quality assurance, Med Phys, 40(4), 0421031-7, 2013.
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| Choice A: | Gamma criterion uses (e.g. 3%/3mm). |
| Choice B: | Gamma threshold value. |
| Choice C: | MLC micalibration magnitude. |
| Choice D: | MLC miscalibration direction. |
| Question 5: Which of the following is true about effective dose in pediatric body CT? |
| Reference: | Li X, Samei E, Segars WP, Sturgeon GM, Colsher JG, Frush DP. Patient-specific radiation dose and cancer risk for pediatric chest CT. Radiology. 2011 Jun; 259(3):862-74.
Tian X, Li X, Segars WP, Frush DP, Paulson EK, Samei E. Dose coefficients in pediatric and adult abdominopelvic CT based on 100 patient models. Physics in medicine and biology. 2013 Dec 4;58(24):8755.
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| Choice A: | When all the scan parameters are held constant, DLP-normalized effective dose decreases linearly with increasing body diameter. |
| Choice B: | When all the scan parameters are held constant, DLP-normalized effective dose decreases exponentially with increasing body diameter. |
| Choice C: | DLP-normalized effective dose depends strongly on scanner model. |
| Choice D: | DLP-normalized effective dose depends strongly on scan parameters. |
| Question 6: For the detection of subtle lung nodules in pediatric chest CT, which of the following is true regarding diagnostic accuracy, physical image quality, and effective dose?
|
| Reference: | Li X, Samei E, Barnhart HX, Gaca AM, Hollingsworth CL, Maxfield CM, Carrico CW, Colsher JG, Frush DP. Lung nodule detection in pediatric chest CT: quantitative relationship between image quality and radiologist performance. Medical physics. 2011 May 1;38(5):2609-18.
Samei E, Li X, Frush DP. A size-based quality-informed framework for quantitative optimization of pediatric CT. Journal of Medical Imaging (In Review).
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| Choice A: | Diagnostic accuracy increases linearly with physical image quality (e.g., CNR). |
| Choice B: | Diagnostic accuracy increases linearly with effective dose. |
| Choice C: | When effective dose is kept constant across pediatric body sizes, diagnostic accuracy is higher for a larger child. |
| Choice D: | To achieve the same diagnostic accuracy, higher effective dose is needed to scan a larger child. |
| Question 7: A higher level of patient distress before and during radiation therapy is associated with:
|
| Reference: | Patient-Reported Distress and Survival Among Patients Receiving Definitive Radiotherapy, Yacob Habboush, MD, et al. Advances in Radiation Oncology, In Press (Accepted 3/2017) |
| Choice A: | A patient frequently missing radiation therapy appointments. |
| Choice B: | A poorer outcome after radiation therapy. |
| Choice C: | A patient choosing an alternative therapy. |
| Choice D: | Nothing of importance. |
| Question 8: Online patient information at academic radiation oncology websites is typically: |
| Reference: | Online patient information from radiation oncology departments is too complex for the general population, Stephen A. Rosenberg MD, et al. Practical Radiation Oncology (2017) 7, 57-62
|
| Choice A: | Uninformative. |
| Choice B: | Too simple for the general population. |
| Choice C: | Too complex for the general population |
| Choice D: | Looks best on Netscape Navigator. |
| Question 9: The Joint Commission, The Commission on Cancer, The American College of Radiology (ACR), The American Society for Radiation Oncology (ASTRO), and The American College of Radiation Oncology (ACRO) all require process improvement. |
| Reference: | http://www.centerfortransforminghealthcare.org/about/rpi.aspx
American College of Surgeons Commission on Cancer, Standards 4.7 and 4.8.
ACR http://www.acraccreditation.org/~/media/ACRAccreditation/Documents/ROPA/Requirements.pdf?la=en
ASTRO Standard 16.
ACRO Standard 9.
|
| Choice A: | True. |
| Choice B: | False. |
| Question 10: What are the steps in DMAIC? |
| Reference: | Quality and Safety in Radiotherapy, Chapter 6, Pawlicki et al, CRC Press, 2011.
|
| Choice A: | Discuss, Measure, Analyze, Improve, Control. |
| Choice B: | Discuss, Measure, Analyze, Improve, Complete. |
| Choice C: | Define, Measure, Analyze, Improve, Control. |
| Choice D: | Define, Measure, Analyze, Improve, Complete. |
