2019 AAPM Annual Meeting
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Session Title: ACR Updates: Digital Mammography/CT/Fluoroscopy
Question 1: What healthcare personnel are able to submit use cases for review by the ACR Data Science Institute?
Reference:ACR Data Science Institute website: https://www.acrdsi.org/DSI-Services/TOUCH-AI/Proposal-for-Use-Case-in-AI
Choice A:Radiologists
Choice B:Oncologists
Choice C:Medical Physicists
Choice D:Technologists
Choice E:Anyone
Question 2: How much funding is available to ACR members that have their proposed projects selected by the ACR Innovation Fund?
Reference:ACR Innovation Fund Grant Guidelines and Application Instructions: https://www.acr.org/-/media/ACR/Files/Member-Resources/ACR-Innovation-Grant-Guidelines-and-Application-Instructions--updated-JANUARY-2019.pdf?la=en
Choice A:Up to $10,000
Choice B:Up to $25,000
Choice C:Up to $50,000
Choice D:Up to $100,000
Choice E:Up to $200,000
Question 3: An ACR Practice Parameter or Technical Standard is a(n)
Reference:ACR website > Clinical Resources > Practice Parameters > Get an overview of the process: https://www.acr.org/Clinical-Resources/Practice-Parameters-and-Technical-Standards/Overview
Choice A:Educational tool
Choice B:Suggested State Regulation
Choice C:Report written by ACR staff
Choice D:Legal standard for litigation
Question 4: Use of the ACR Digital Mammography QC Manual
Reference:FDA MQSA Alternative Standard #24: Approval of an Alternative Standard for Using the Quality Assurance Program Recommended by the ACR Digital Mammography Quality Control Manual for Full-Field Digital Mammography Systems and Supplement for Digital Breast Tomosynthesis Mammography Systems https://www.fda.gov/Radiation-EmittingProducts/MammographyQualityStandardsActandProgram/Regulations/ucm489348.htm
Choice A:May be applied piecemeal to create a custom QC program
Choice B:Is mandatory for ACR accreditation
Choice C:Is mandated by the FDA
Choice D:Is optional under the current MQSA regulations
Question 5: What is the goal of the ACR Digital Mammography QC Manual?
Reference:Berns EA, Pfeiffer DE, Butler PF, et al. Digital Mammography Quality Control Manual. Reston, Va: American College of Radiology; 2018.
Choice A:Standardize QC tests for all digital mammography manufacturers
Choice B:Standardize test frequencies
Choice C:Standardize QC test performance criteria
Choice D:To make QC tests clinically relevant and operator-friendly
Choice E:All of the above
Question 6: May facilities use the 2018 ACR Digital Mammography QC Manual for mammography units with contrast enhancement capabilities?
Reference:ACR Digital Mammography QC Manual FAQ https://www.acraccreditation.org/-/media/ACRAccreditation/Documents/Resources/DMQC/DMQCFAQs.pdf?la=en
Choice A:No, not under any circumstances
Choice B:Yes, but only for 2D applications
Choice C:Yes, but only for DBT applications
Choice D:Yes, but only for QC of 2D and DBT applications
Question 7: In order to start using the 2018 edition of the manual, what unit QC testing must the medical physicist perform?
Reference:ACR Digital Mammography QC Manual FAQ https://www.acraccreditation.org/-/media/ACRAccreditation/Documents/Resources/DMQC/DMQCFAQs.pdf?la=en
Choice A:All QC tests in the ACR QC manual
Choice B:All QC tests in the ACR QC manual for an annual survey
Choice C:All QC tests in the manufacturer’s QC manual
Choice D:All QC tests in both the manufacturer’s and ACR QC manuals
Question 8: The passing score of the ACR DM phantom is
Reference:Berns EA, Pfeiffer DE, Butler PF, et al. Digital Mammography Quality Control Manual. Reston, Va: American College of Radiology; 2018.
Choice A:2 fibers, 3 speck groups, 2 masses
Choice B:2 fibers, 3 speck groups, 3 masses
Choice C:3 fibers, 3 speck groups, 3 masses
Choice D:4 fibers, 3 speck groups, 3 masses
Question 9: My site clinical protocols use a matrix larger than 512 and consequently fail CTAP CNR requirements. What should I do?
Reference:ACR CT Accreditation Program FAQs (pdf) https://www.acraccreditation.org/-/media/ACRAccreditation/Documents/CT/CT-Accreditation-FAQ.pdf?la=en
Choice A:Submit CDs of images acquired with 1024 matrix
Choice B:Submit CDs of images acquired with 512 matrix
Choice C:Contact the ACR CT Accreditation Program for guidance
Choice D:Upload what you think is best
Question 10: Which of the following is true of the fluoroscopic equipment included in the RAD-IR study?
Reference:Miller DL, et al. Radiation doses in interventional radiology procedures: the RAD-IR study: part I: overall measures of dose. J Vasc Interv Radiol. 2003 Jun;14(6):711-27.
Choice A:Did not use added filtration
Choice B:Included only a single fluoroscope model
Choice C:Used both flat panel receptors and image intensifiers
Choice D:Used only continuous fluoroscopy
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