Symbia Pro.specta™ Quality Control and Assurance Online Training USA

Continue Continue Continue Continue Untitled Scene Master Template HILS2218 | Effective Date: 25-Mar-2022 ? Symbia Pro.specta™ Quality Control and Assurance Online Training Learn how to perform Quality Control on the Symbia Pro.specta™ System Identify the recommended Quality Control QC schedule Access Quality Control Reports Perform daily, weekly, and monthly QC tasks Identify QC techniques and accessories 1 4 5 Execute verifications and calibrations for both SPECT and CT 3 2 Welcome Welcome to the Symbia Pro.specta™ Quality Control and Assurance Online Training. This course will cover the following five learning objectives. Note: This course only covers Quality Control procedures that apply for all systems. Special calibrations, such as Sensitivity Calibration or Cross Calibration, are not covered in this course. Select the question mark icon in the bottom right corner on each slide for navigation help. symbiaprospecta_qc_slide_1.mp3 ? Quality Control and Assurance Quality Control (QC) and Assurance procedures are used to maintain a system’s performance. Quality Assurance (QA) is performed to verify the system is correctly measuring the radiation energy. QC procedures can be performed manually or using the Automated Quality Control (AQC) feature. Quality Control and Assurance The Quality Control (QC) and Assurance procedures are used to maintain the system’s performance. Quality Assurance (QA) is performed to verify that the system is correctly measuring the radiation energy and is continuing to operate within the factory-defined specifications. Quality control procedures can be performed manually or using the AutoQC feature. AutoQC automatically starts the specified QC tasks, which are completed before the first scheduled patient arrives the next day. Please refer to the Symbia Pro.specta Automated Quality Control webpage in this course for more information about the AutoQC feature. symbiaprospecta_qc_slide_1.2.mp3 ? QC Schedule Quality Control procedures are performed on a daily, weekly, monthly or on an as required basis. Note: Local regulations may require additional QC checks in addition to the regularly scheduled checks. Select the tab arrows to learn more about the QC schedule. System Check Open Tasks SPECT QC Schedule CT QC Schedule QC Schedule Base Layer: The QC Schedule includes procedures that are performed on a daily, weekly, monthly, or on an as required basis. Select the tab arrows to learn more about the QC schedule symbiaprospecta_qc_slide_1.3a.mp3 System Check Tile: System Check lets the user know if there is something needing to be done on the system prior to a patient examination. When there is a green check mark, everything is up to date and the system is ready to use. If there is a yellow exclamation point, something is overdue, but the system is still usable. Simply click on the System Check tile from the Home screen to go to the System Check window which will have the list of tasks with a yellow exclamation point showing what needs to be completed. If there is a red X on the System Check tile, the system is not usable. Click on System Check to see what failed and needs to be re-executed. symbiaprospecta_qc_slide_1.3b.mp3 Open Tasks Tile: The Open Tasks tile will appear when there are upcoming tasks needing to be completed on the system. Clicking on the Open Tasks tile shows the list of open tasks. With each task, you can click Open to launch the calibration. If the task becomes due, it will be added to the To Do list in System Check. Additionally, notifications will pop up on the system when calibrations are due or outstanding. symbiaprospecta_qc_slide_1.3c.mp3 SPECT QC Schedule: The QC Schedule for SPECT systems includes daily, weekly, monthly, bi-annual and annual QC procedures. System notifications are generated one week before the due date as reminders to perform these procedures. Additional QC procedures include Peaking Verification, which is recommended to be run with the daily intrinsic QC protocols, and Extrinsic Calibration, which needs to be completed at installation and if collimator damage is suspected. symbiaprospecta_qc_slide_1.3d.mp3 CT QC Schedule: The daily schedule for the CT system includes a CT Checkup, CT Quality and CT Calibration. The CT calibration should be completed 1 hour after the checkup is complete or if ring artifact occurs. A monthly CT Constancy Test is also required. symbiaprospecta_qc_slide_1.3e.mp3 CT QC Schedule Table with 3 columns and 3 rows Schedule Procedure Notifications Daily CT Checkup CT Quality CT Calibration-1 hour after checkup or ring artifact occurs Daily Monthly CT Constancy Test Every 5 weeks Select the X in the upper right corner to continue. SPECT QC Schedule Table with 3 columns and 6 rows Schedule Procedure Notifications Daily Intrinsic Verification or Extrinsic Verification (ideally before starting scans ) Daily Weekly Tuning Every 2 weeks Monthly Intrinsic Calibration with Tc99m Quick Head Alignment Calibration Every 5 weeks Every 6 Months Intrinsic Calibration with alternate isotopes None Annually Head Alignment Calibration for all collimators/configurations Every 53 weeks Note: additional QC procedures include: Peaking verification-available with intrinsic daily QC protocols Extrinsic Calibration-Needs to be completed at installation or if collimator damage is suspected Select the X in the upper right corner to continue. Open Tasks The Open Tasks tile appears when upcoming tasks need to be completed on the system. The Open Task tile appears and shows calibrations one week before they are due. Selecting the Open Tasks tile shows the list of open tasks. Select Open for each task to launch the calibration. If the task becomes due, it will be added to the To Do list in System Check. Additionally, notifications will pop up on the system when calibrations are due or are outstanding. Select the X in the upper right corner to continue. System Check System Check lets the user know if there is something needing to be done on the system prior to a patient examination. Hover over the markers on the images below to learn more about System Check status indicators. Then select the X in the upper right corner to continue. Green Check Mark Indicates that everything is up to date and the system is ready to use Yellow Exclamation Point Something is overdue, but the system is still usable. Click the System Check tile to access the System Check window to view the list of tasks with a yellow exclamation point showing what needs to be completed Red X Indicates the system is not usable. Click on the System Check tile to see what failed and needs to be re-executed ? QC Techniques Prepare a point source to perform various calibrations and verifications. Play Table with 3 columns and 4 rows QC Procedure Number of Sources Activity per Source Intrinsic Calibration 1 10-25 uCi Intrinsic Verification 1 10-25 uCi Head Alignment 3 or 5 1mCi QC Techniques You will need to create a point source to run procedures such as intrinsic calibration and verification. See the table for activity recommendations. Select the Play button to view the procedure for preparing the point source. symbiaprospecta_qc_slide_1.4.mp3 ? QC Accessories QC Accessories include: Integrated Source Holder Extrinsic Sheet Source Holder Head Alignment Source Holder AQC Device (Optional) CT Phantom Select the numbered steps below to learn more about QC Accessories. 1 1 1 2 2 2 3 3 3 4 4 4 5 5 5 QC Accessories Audio Base Layer: The QC Accessories include the Integrated Source Holder, Extrinsic Sheet Source Holder, Head Alignment Source Holder, AQC Device, and CT Phantom. Select the numbered steps below to learn more about the QC Accessories. symbiaprospecta_qc_slide_1.5a.mp3 Audio Integrated Source Holder Layer: The integrated source holder is a retractable rod built into the foot end of the patient table. It is manually pulled out of the patient table for quality assurance procedures. A point source vial is inserted at the end, enabling source positioning for peaking, tuning, and intrinsic verifications and calibrations. When the procedure is complete, remove the source and then push the holder to retract it back into the patient table. Hover your mouse over the markers on the image to identify the integrated source holder components. Then select the numbered steps below to continue. symbiaprospecta_qc_slide_1.5b.mp3 Audio Extrinsic Sheet Source Holder Layer: The extrinsic sheet source holder is placed on top of the patient table near the pallet handle and is used to position the sheet source for the extrinsic verification and calibration procedure. A short set of hook and loop fasteners under the pallet pad are used to attach the sheet source holder to the pallet. Four pins on the sheet source holder will fit into the track that runs the length of the patient table and will help stabilize the sheet source holder. Select the numbered steps below to continue. symbiaprospecta_qc_slide_1.5c.mp3 Audio Head Alignment Source Holder Layer: The head alignment source holder is used during a head alignment calibration. Hook and loop fasteners on the head alignment source holder attach to the pallet to hold it into place. The head alignment source holder has various holes used to position the point source vials during the procedure. There are instructions on the holder to show how many point source vials are needed and where they should be placed depending on which collimator is being calibrated. Select the numbered steps below to continue. symbiaprospecta_qc_slide_1.5d.mp3 Audio AQC Device (Optional) Layer: The Automatic Quality Control, or AQC, device is an automatic solution to completing quality control. This option uses preset dates and times to automatically extend and retract a source from the foot end of the patient table so that verification and calibration can be completed on the system. There are two rods involved with the AQC device, one with a point source on the end, and the other with a line source inside. Select the numbered steps below to continue. symbiaprospecta_qc_slide_1.5e.mp3 Audio CT Phantom Layer: For CT QC procedures, there is a phantom comprised of a water phantom, slice thickness phantom with reference markings, and wire and alignment phantom. This phantom is mounted to the foot end of the patient table using the phantom holder. Hover your mouse over the highlighted areas to learn more about CT Phantom. Then select the X in the upper right corner to continue. symbiaprospecta_qc_slide_1.5f.mp3 3. CT Phantom 2. Phantom holder 1. Patient table CT Phantom For CT QC procedures, there is a phantom comprised of a water phantom, slice thickness phantom, and a wire and alignment phantom. The phantom is mounted to the end of the patient table using the phantom holder. Hover your mouse over the highlighted areas to learn more about CT Phantom. Then select the X in the upper right corner to continue. 5 AQC Device (Optional) The Automatic Quality Control, or AQC device is an automatic solution to completing quality control. This option uses preset dates and times to automatically extend and retract a source from the patient table to complete verifications and/or calibrations on the system. Select the numbered steps below to continue. 4 Head Alignment Source Holder 3 Extrinsic Sheet Source Holder The extrinsic sheet source holder is placed on top of the patient table near the pallet and is used to position the sheet source for extrinsic verification and calibration procedures. Hook and loop fasteners on the pallet are used to attach the sheet source holder. Four pins on the sheet source holder will fit into the track on the patient table to help stabilize the sheet source holder. Select the numbered steps below to continue. 2 Integrated Source Holder The integrated source holder is a retractable rod built into the foot end of the patient table. It is used to hold a point source vial during peaking, tuning, and intrinsic calibration and verification procedures. When the procedure is complete, remove the source and push the holder back into the patient table. Hover your mouse over the markers on the image to identify the integrated source holder components. Then select the numbered steps below to continue. 1 Hinge enables holder to be lifted up if detector is accidentally raised Integrated Source Holder Point Source ? Overview of QC Protocol Layout Overview of QC Protocol Layout To access the MI Quality Control tasks, hover over the Settings icon gear and select Clinical Configuration. Navigate to the Quality Assurance Workspace tab. From the Quality Assurance Workspace, the MI Daily QC, MI Monthly QC, and MI Quality Assurance tasks can be found in the navigation tree on the left side of the screen. The Quality Assurance tasks are where the CT procedures are located. symbiaprospecta_qc_slide1.6a.mp3 Image: QC layout 1 Highlight for Task List. Audio: Each QC protocol comes with the default tasks checked. Optional tasks can be added or removed by checking the box next to the task. Mandatory tasks cannot be unchecked. In addition, the task list shows the last time the task was performed and the status after it was last performed. Highlight for Spectrum. Audio: The spectrum displays the energy spectrum for the selected detectors. The x axis shows the range of energy values, and the y-axis displays the counts. When the spectrum is started, the sources photopeak and numbers of counts detected are displayed in the graph. The stop button suspends the spectrum display, and the restart button starts a stopped display again. Highlight for Instructions. Audio: The instructions for how to execute the selected tasks are shown on the screen as well as images to help understand the steps. Highlight for Buttons. Audio: Lastly, the buttons are displayed at the bottom to start, cancel, and view or hide the spectrum graphs symbiaprospecta_qc_slide1.6b.mp3 Image: QC Layout 2 Audio: Once the acquisition has been started, the time remaining will appear at the bottom of the screen as well as on the Gantry Display. The growing images will appear on the right side of the screen. The system will run through the checked tasks from the Task List. The acquisition can be canceled at any time using the Cancel button at the bottom of the screen. symbiaprospecta_qc_slide1.6c.mp3 Image: QC layout 3 Once all of the tasks have been completed, the results will be displayed. Within the Results table, the Status will be displayed as OK by a green check indicating the results are within tolerance or Failed with a red X indicating the results are out of tolerance. The acquired images will be displayed on the right side of the screen. If there is a failed status, there will be some additional instructions to resolve the failure. symbiaprospecta_qc_slide1.6f.mp3 Image: QC Layout 4 After reviewing the results, select Accept or Cancel at the bottom of the screen. By clicking Accept, you have applied the results to the system. By selecting Cancel, the new results are not applied to the system and the previous results will stay. symbiaprospecta_qc_slide1.6e.mp3 Knowledge Check You have just learned about Quality Control and Assurance. Select Start to test your knowledge of the presented content. Start ? Knowledge Check Questions developed from 1.1 through 1.6 Select the applicable image. ? Which of the following is the Head Alignment Source Holder? Question 1 of 3 Pick One Incorrect This is the integrated source holder. Incorrect This is the extrinsic sheet source holder. Correct Select the best answer. ? Open Tasks Status List Question 2 of 3 Which notification appears when calibrations are due or are outstanding? System Check Quality Assurance Multiple Choice Incorrect A Status List does not appear when calibrations are due or are outstanding. Incorrect The Open Tasks tile appears when upcoming tasks need to be completed on the system. The Open Task tile appears and shows calibrations one week before they are due. Incorrect A Quality Assurance notification does not appear when calibrations are due or are outstanding. Incorrect System Check lets the user know if there is something needing to be done on the system prior to a patient examination. Daily Intrinsic or Extrinsic Verification Weekly Tuning Monthly Intrinsic Calibration and Quick Head Alignment Calibration Every 6 Months Intrinsic Calibration with alternate isotopes Drag each response from the right column to its corresponding item in the left column. What is the correct schedule for each procedure? Annually ? Question 3 of 3 Head Alignment Calibration for all collimators/configurations Matching Incorrect One or more answers are incorrect. Correct Knowledge Check Completion Review Retry Retry Continue Continue ? You have just completed the Knowledge Check. Select Review to assess how your responses compare to the correct answers. Select Retry to test your knowledge again or select Continue to advance through the course. Knowledge Check Completion ? In this video you will learn how to perform an intrinsic verification manually on the Symbia Pro.specta™ System. Select the play button to begin. Intrinsic Verification Intrinsic Verification No audio. ? In this video you will learn how to perform an extrinsic verification manually on the Symbia Pro.specta™ System. Select the play button to begin. Extrinsic Verification Extrinsic Verification No audio. Slides 30-34 ? Intrinsic Verification-AQC The daily intrinsic verification can be completed with optional AQC-Automated Quality Control. Select the tab arrows to learn more about Intrinsic Verification AQC. Intrinsic Verification-AQC Setup Intrinsic Verification-AQC Overview Intrinsic Verification AQC Base Layer Audio-The daily intrinsic verification can also be completed with the optional Automatic Quality Control or AQC. AQC allows the user to kick off the daily quality control to be completed at a certain time. Select the tab arrows to learn more about AQC. symbiaprospecta_qc_slide_1.14a.mp3 Intrinsic Verification AQC Setup Audio: The AQC task can be set up in advance to the specific collimators, system configurations, and daily and monthly times. This way the quality control can be customized to be completed overnight and the system will be ready for use in the morning. To configure AQC, navigate from the Settings menu to Clinical Configuration, MI Clinical Configuration, and select Quality Assurance Configuration. From here, complete setup for MI Daily Quality Schedule, MI Monthly Quality Schedule, Quick Head Alignment Calibration, and the Default Image Display Color LUT for the QC results. symbiaprospecta_qc_slide_1.14b.mp3 Intrinsic Verification AQC Overview Audio: Navigate to Clinical Configuration, MI Daily QC, Intrinsic Flood, Verification - AQC to open the protocol. Verify that the protocol is set up to complete as expected both in the task list and the “End by” time and date. Select Start to begin the countdown to the start of the scan. The system will run through the task list and complete the quality control procedure by the designated time. At the set completion time, the procedure will display the results to be Accepted or Canceled, similar to the manual Intrinsic Verification. Important Note: Upon returning to the system to review the results, do not click System Check to enter the protocol. Instead, click Examination and click the open tab at the top. If you click System Check, a popup will appear asking if you want to cancel the open Examination. If you click “Yes”, the entire quality control scan will be deleted and needs to be re-executed. symbiaprospecta_qc_slide_1.14c.mp3 Intrinsic Verification-AQC Overview Select the X in the upper right corner to continue. Intrinsic Verification-AQC Setup Advance Setup The AQC task can be setup in advance to the specific collimators, system configurations, and daily and monthly times. Quality Control can be customized to be completed overnight and system will be ready for use in the morning. Select the X in the upper right corner to continue. ? Tuning Tuning task runs in normal range and extended range, updating results as task runs. Tuning Tuning can be performed within the Intrinsic Verification protocol using either Tc-99m or Co-57 source. Tuning needs to be run weekly but can also be left as a checked task to be run every time the Intrinsic Verification is run. Tuning will run in both the normal range and the extended range, updating the results as the task runs. ? In this video you will learn how to perform an intrinsic calibration manually on the Symbia Pro.specta™ System. Select the play button to begin. Intrinsic Calibration Intrinsic Calibration No audio. ? In this video you will learn how to perform an extrinsic calibration manually on the Symbia Pro.specta™ System. Select the play button to begin. Extrinsic Calibration Extrinsic Calibration No audio. Slides 45-48 ? In this video you will learn how to perform the quick head alignment calibration. Select the Play button to begin. Head Alignment Head Alignment No audio. Slides 50-57 Knowledge Check You have just learned about Intrinsic and Extrinsic Verification and Calibration, Tuning and Head Alignment. Select Start to test your knowledge of the presented content. Start ? Knowledge Check Questions from 1.9-1.15 Select the best answer. ? View the persistence image on the gantry display Prepare a point source Question 1 of 4 Which of the following does not need to be completed before running the Extrinsic Verification scan? Set up the sheet source holder Install the collimators Multiple Choice Correct Incorrect Incorrect Incorrect Select the best answer. ? Tuning Question 2 of 4 Which protocol can be run every time Intrinsic Verification is run? Extrinsic Verification None-Intrinsic Verification cannot be run with other protocols Multiple Choice Incorrect Incorrect Incorrect Select the best answer. ? Extrinsic Flood Quantitative Head Alignment Head Alignment Head Alignment Question 3 of 4 Under which MI Quality Assurance tab is the Extrinsic Calibration-Manual screen located? Intrinsic Flood Multiple Choice Incorrect Incorrect Incorrect Incorrect Select the best answer. ? Quick Head Alignment Calibration Tuning Question 4 of 4 Which protocol requires installing collimators? Intrinsic Verification Peaking Verification Multiple Choice Incorrect Incorrect Incorrect Incorrect Knowledge Check Completion Review Retry Retry Continue Continue ? You have just completed the Knowledge Check. Select Review to assess how your responses compare to the correct answers. Select Retry to test your knowledge again or select Continue to advance through the course. Knowledge Check Completion ? CT Quality Control Daily CT Quality Control: CT Checkup QA Calibration Monthly CT Quality Control: Constancy CT Quality Control In this section we will discuss CT Quality Control procedures. For daily we will discuss CT check-up, daily QA and calibration. For monthly Quality Control procedures, we will review Constancy. symbiaprospecta_qc_slide1.21.mp3 ? In this video you will learn how to perform the daily CT quality check. Select the play button to begin. CT Daily QC-Quality Assurance CT Daily QC-Quality Assurance NEED the script to be completed for this video. ? Constancy In this section, you will learn how to perform the monthly QC for CT which is the Constancy test. Select the numbered steps below to learn more about Constancy. 1 1 1 2 2 2 Constancy Base Layer audio: In this section, you will learn about the monthly QC for CT which is the Constancy test. The purpose of the constancy reference test is to measure several parameters related to image quality and dose exposure to compare with reference data stored on the system. Detailed instructions are available in the Instructions for Use Manual. Select the numbered steps below to learn about Constancy. symbiaprospecta_qc_slide1.23a.mp3 Navigating to Constancy Audio: To navigate to the Constancy screen, from the Settings Menu, select Administration Portal. Next select the Quality Assurance Tab and then Constancy. symbiaprospecta_qc_slide1.23b.mp3 Constancy Tests Audio: Constancy tests are listed in the Function menu on the Constancy screen. Hover your mouse over each test to learn more about the test, scan position and required equipment. Then select the X in the upper right corner to continue. symbiaprospecta_qc_slide1.23c.mp3 Constancy Tests 2 Calibration Definition: Calibration runs the daily calibration test Scan Position: CT Brain Required Equipment: N/A Phantom Position Check Definition: This test verifies the phantom will be moved into the correct position before starting all the different tests Scan Position: CT Brain Required Equipment: CT Quality Phantom Phantom mounting bracket Lightmarker Definition: This test determines the deviation of the light marker from the current slice plane Scan Position: CT Brain Required Equipment: CT Quality Phantom Phantom mounting bracket Sagittal/Coronal Lightmarker Definition: This test determines the position of the sagittal and the coronal light marker Scan Position: CT Brain Required Equipment: CT Quality Phantom Phantom mounting bracket Topogram Positioning Definition: This test determines the tomographic plane using a preview image Scan Position: CT Brain Required Equipment: CT Quality Phantom Phantom mounting bracket Slice Thickness Definition: For each slice thickness, a tomogram of the phantom is recorded and the real slice thickness is calculated Scan Position: CT Brain Required Equipment: CT Quality Phantom Phantom mounting bracket Homogeneity/Water Definition: This test measures the homogeneity of the CT values in five regions of the water phantom Scan Position: CT Brain Required Equipment: CT Quality Phantom Phantom mounting bracket Noise Definition: The pixel noise is determined from two tomograms of the water phantom using the same method the daily quality measurements use Scan Position: CT Brain Required Equipment: CT Phantom Phantom mounting bracket MTF Definition: This test measures spatial resolution through the MTF, or Modulation Transfer Function, using a single thin wire in air Scan Position: CT Brain Required Equipment: CT Quality Phantom Phantom mounting bracket Contrast Definition: This test measures the contrast scale by measuring in both the air and in water Scan Position: CT Brain Required Equipment: CT Quality Phantom Phantom mounting bracket Patient Table Positioning Definition: This test measures whether the actual table position matches the table position displayed Scan Position: CT Body Required Equipment: Metric Ruler Patient table loaded with weights to equal average patient size (~125 lbs (135 kg) distributed on the bed to mimic human body) CTDI Air Definition: This test measures the dose in the system axis Scan Position: CT Brain Required Equipment: CTDI measurement device (probe, calibrated dose meter, calibrated ion chamber) Tube Voltage Definition: This test compares the actual voltage in the tube to the expected voltage Scan Position: CT Brain Required Equipment: N/A Navigating to Constancy 1 Knowledge Check You have just learned about daily and monthly CT Quality Control. Select Start to test your knowledge of the presented content. Start ? Knowledge Check ? Select three (3) answers. Question 1 of 2 Head Alignment Which of the following are daily CT quality control procedures? CT Checkup Quality Assurance Constancy CT Calibration Multiple Answer Incorrect One or more answers are incorrect. Correct Select the best answer. ? Measures several parameters related to image quality and dose exposure to compare with reference data stored on the system Only verifies that the patient table is in the correct position Question 2 of 2 What is the purpose of the CT Constancy test? Allows the user to kick off the daily quality control to be completed at a certain time Ensure that the image quality for the SPECT system is functioning properly Multiple Choice Incorrect Incorrect Incorrect Incorrect Knowledge Check Completion Review Retry Retry Continue Continue ? You have just completed the Knowledge Check. Select Review to assess how your responses compare to the correct answers. Select Retry to test your knowledge again or select Continue to advance through the course. Knowledge Check Completion ? In this video you will learn how to access the Quality Control reports. Select the Play button to begin. Reports Reports ? Course Review Congratulations. You have completed the Symbia Pro.specta™ Quality Control and Assurance Online Training. Select the numbered buttons below to review the material before proceeding to the final assessment. Perform daily, weekly, and monthly QC tasks Identify QC techniques and accessories Identify the recommended Quality Control QC schedule 1 1 1 3 3 3 2 2 2 4 4 4 5 5 5 Execute verifications and calibrations for both SPECT and CT Access Quality Control Reports Course Review Access Quality Control Reports To access the reports: Navigate to Clinical Configuration. Hover over the Service Reports icon on the toolbar and select Service Reports from the menu. The service report types are listed in the table as well as the report status, function type, function start time and function status. The report list can also be filtered using the filter settings in the bottom left of the window. Select the individual report to view the report details. Review the report details. Example: The Quality Control report includes the system’s demographic. information, result summary, detailed results and images. Convert the report to a PDF for archiving by selecting the Show PDF button, if desired. From here the report will be saved to the H: drive, Site Data folder. To access the report, navigate to the Settings menu and select File Browser to save the report to a local device. Select the X in the upper right corner to continue. Execute verifications and calibrations for both SPECT and CT Daily CT Quality Control: CT Checkup QA Calibration Daily Quality Checks for the CT system: When selecting System Check to start the daily QC for the day, the first in the list is NM Daily Floods. After completing those, the Check up is next. Check up may also be accessed through the Settings menu by selecting Check up from the drop down menu. Move the patient table into CT brain index by pressing the index button once and then press and hold the table up button to move. Select the green GO button on the console to start the check up. This next step will produce radiation. Ensure the room is empty before proceeding. When prompted, press Start on the control box to start the check up. Once completed, the message area will indicate that task completed successfully. Click either the Next button to go to the next task or click close if not within System Check. Daily Quality Checks for the CT system (continued): Complete the Quality check or Daily QA in the daily System Check. This can be directly accessed through the Settings menu and selecting Daily QA. For this task, you will need to attach the phantom bracket and phantom to the patient table. Move the patient table to the CT brain index position. Turn on the laser lights then use the hand controller to position the phantom’s slice thickness etchings until they are aligned with the laser within the bore. Select GO on the console to start the quality check. This next step will produce radiation. Ensure the room is empty before proceeding. When prompted, press Start on the control box to start the check. Once completed, the message area will indicate that the task completed successfully. Click either Next or Close complete the task. The last daily check will be the Calibration which is run 1 hour after the Checkup is completed. To run the Calibration, move the patient table to the CT brain index position. From the Settings menu, select Calibration. Click Go button on the console to start the calibration. When prompted, press Start on the control box to start the check. This will produce radiation so be sure the room is empty before starting. Once completed, the message area will indicate that task completed successfully. Click Next or Close to complete the task. Monthly CT Quality Control: Constancy The purpose of the constancy reference test is to measure several parameters related to image quality and dose exposure to compare with reference data stored on the system. Detailed instructions are available in the Instructions for Use Manual. To navigate to the Constancy screen, from the Settings Menu, select Administration Portal. Next select the Quality Assurance Tab and then Constancy. The list of Constancy tests are listed in the Function menu on the Constancy screen. Select the X in the upper right corner to continue. Perform daily, weekly, and monthly QC tasks Table with 4 columns and 6 rows SPECT QC Schedule Procedure Notifications Daily Intrinsic Verification or Extrinsic Verification (ideally before starting scans ) Daily Review the Intrinsic and Extrinsic Verification Videos in this online training. Weekly Tuning Every 2 weeks Review the Tuning web page in this online training. Monthly Intrinsic Calibration with Tc99m Quick Head Alignment Calibration Every 5 weeks Review the Intrinsic Calibration Video and the Quick Head Alignment Calibration Video in this online training. Every 6 Months Intrinsic Calibration with alternate isotopes None Review the Intrinsic Calibration Video in this online training. Annually Head Alignment Calibration for all collimators/configurations Every 53 weeks Review the Head Alignment Calibration Video in this online training. Table with 3 columns and 3 rows CT QC Schedule Procedure Notifications Daily CT Checkup CT Quality CT Calibration-1 hour after checkup or ring artifact occurs Daily Monthly CT Constancy Test Every 5 weeks Select the X in the upper right corner to continue. AQC Device (Optional) Automatically completes quality control Uses preset dates and times to automatically extend and retract a source from the patient table to complete verifications and/or calibrations Integrated Source Holder A retractable rod built into the foot end of the patient table, used to hold a point source vial during peaking, tuning, and intrinsic calibration and verification procedures When the procedure is complete, remove the source and push the holder back into the patient table CT Phantom For CT QC procedures, there is a phantom comprised of a water phantom, slice thickness phantom, and a wire and alignment phantom. The phantom is mounted to the end of the patient table using the phantom holder. Head Alignment Source Holder Used during a head alignment calibration Features hook and loop fasteners that attach to the pallet to hold it into place Includes various holes used to position point source vials during the procedure Instructions on the holder show how many point source vials are needed and placement, depending on the collimator being calibrated Extrinsic Sheet Source Holder Placed on top of the patient table near the pallet Positions the sheet source for extrinsic verification and calibration procedures Hook and loop fasteners on the pallet are used to attach the sheet source holder Stabilized by four pins that fit into the track on the patient table Identify QC techniques and accessories Prepare a point source to perform various calibrations and verifications: First, place a small piece of tightly rolled cotton in the cone portion of a vial. Drop the recommended amount of activity onto the cotton. Be sure to not over saturate the cotton or splash the activity on the sides of the vial. Place the lid on the vial and press it to close the vial. The point source is now ready to be used for the QC procedure. Table with 3 columns and 4 rows QC Procedure Number of Sources Activity per Source Intrinsic Calibration 1 10-25 uCi Intrinsic Verification 1 10-25 uCi Head Alignment 3 or 5 1mCi Select the marker on each image to review the QC accessory. Select the X in the upper right corner to continue. Identify the recommended Quality Control QC schedule Table with 3 columns and 6 rows SPECT QC Schedule Procedure Notifications Daily Intrinsic Verification or Extrinsic Verification (ideally before starting scans ) Daily Weekly Tuning Every 2 weeks Monthly Intrinsic Calibration with Tc99m Quick Head Alignment Calibration Every 5 weeks Every 6 Months Intrinsic Calibration with alternate isotopes None Annually Head Alignment Calibration for all collimators/configurations Every 53 weeks Note: additional QC procedures include: Peaking verification-available with intrinsic daily QC protocols Extrinsic Calibration-Needs to be completed at installation or if collimator damage is suspected Table with 3 columns and 3 rows CT QC Schedule Procedure Notifications Daily CT Checkup CT Quality CT Calibration-1 hour after checkup or ring artifact occurs Daily Monthly CT Constancy Test Every 5 weeks Select the X in the upper right corner to continue. Disclaimer ? Disclaimer Assessment Start ? This assessment will test your retention of the presented content. A passing score of 80% or higher is required to complete the course and earn your certificate . Assessment questions must be answered completely to receive full credit. Partial credit will not be given for assessment questions that require multiple answers. You may repeat the assessment as many times as needed. Assessment Select the best answer. ? One day before they expire On the expiration day Question 1 of 10 When does the Open Task tile appear indicating that calibrations are due? One week before they expire One month before they expire Multiple Choice Incorrect Incorrect Incorrect Incorrect Select the best answer. ? Daily Every 6 months Annually Annually Annually Question 2 of 10 According to the SPECT QC Schedule, when does the Tuning procedure need to be performed? Weekly Monthly Multiple Choice Incorrect Incorrect Incorrect Incorrect Select the best answer. ? Daily Every 6 months Annually Annually Annually Question 3 of 10 According to the CT QC Schedule, when should the CT Checkup be performed? Weekly Monthly Multiple Choice Incorrect Incorrect Incorrect Incorrect Incorrect ? Select three (3) answers. Question 4 of 10 Head Alignment Head Alignment Head Alignment A point source is needed to perform which of the following? Intrinsic Calibration Extrinsic Calibration Extrinsic Verification Intrinsic Verification Multiple Answer Incorrect One or more answers are incorrect. Correct Select the best answer. ? Extrinsic Sheet Source Holder CT Phantom AQC Device AQC Device AQC Device Question 5 of 10 Which QC accessory needs to be manually pulled out of the patient table to perform intrinsic quality assurance procedures? Integrated Source Holder Head Alignment Source Holder Multiple Choice Incorrect Incorrect Incorrect Incorrect Select the best answer. ? Extrinsic Sheet Source Holder CT Phantom AQC Device AQC Device AQC Device Question 6 of 10 Which QC accessory uses preset dates and times to extend and retract a source from the patient table to complete verifications and/or calibrations on the system? Integrated Source Holder Head Alignment Source Holder Multiple Choice Correct Incorrect Incorrect Incorrect Incorrect Select the best answer. ? MI Daily QC Exam Designer Question 7 of 10 Where are the CT procedures located in the Symbia Pro.specta™ System software? MI Monthly QC Quality Assurance Multiple Choice Incorrect Incorrect Incorrect Incorrect ? Select three (3) answers. Question 8 of 10 Which details are included in the Quality Control report? Results summary Acquisition parameters When next QC is needed Detailed results and images Multiple Answer Incorrect One or more answers are incorrect. Correct Select the best answer. ? Settings Reporting Question 9 of 10 Which icon do you select to access Quality Control reports? Service Reports Quality Control Multiple Choice Incorrect Incorrect Incorrect Incorrect Select the best answer. ? Intrinsic Tuning Question 10 of 10 Which quality assurance procedure must be performed one hour after Checkup? Calibration Constancy Multiple Choice Incorrect Incorrect Incorrect Incorrect Assessment Results YOUR SCORE: PASSING SCORE: Review Retry Retry Continue Continue Continue %Results.ScorePercent%% %Results.PassPercent%% ? Assessment Results You did not pass the course. Take time to review the assessment then select Retry to continue. Congratulations. You passed the course.. Exit To access your Certificate of Completion, select the Certificates tab from the learning activity overview page. You can also access the certificate from your PEPconnect transcript. ? You have completed the Symbia Pro.specta™ Quality Control and Assurance Online Training. Completion Navigation Help Select the icon above to open the table of contents. Click Next to continue. Next Welcome Slide The timeline displays the slide progression. Slide the orange bar backwards to rewind the timeline. Click Next to continue. Next Tmeline Select the CC icon to display closed captioning (subtitles). Click Next to continue. Next Caption Icon Select the buttons to learn more about a topic. Be sure to review all topics before navigating to the next slide. Click Next to continue. Next Tab Arrow Slide Select the X to close the pop-up. Click Next to continue. Next Layer Slide Some images may have a magnifier icon. Select the image to see an enlarged view. Select it again to return to the normal view. Click Next to continue. Next Zoom Slide Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. Select the image again to return to the normal view. Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide Point Source Vid ? Select the play button to begin. Then select the X in the upper right corner to continue. Prepare a Point Source Video Prepare a Point Source Video Question Bank 1 HOOD05162003364915 | Effective Date: 07 Jul 2023 1.1 Welcome 1.2 Quality Control and Assurance 1.3 QC Schedule 1.4 QC Techniques 1.5 QC Accessories 1.6 Overview of QC Protocol Layout 1.7 Knowledge Check 1.12 Intrinsic Verification 1.13 Extrinsic Verification 1.14 Intrinsic Verification AQC 1.15 Tuning 1.16 Intrinsic Calibration 1.17 Extrinsic Calibration 1.18 Head Alignment 1.19 Knowledge Check 1.25 CT Quality Control 1.26 CT Daily QC-Quality Assurance 1.27 Constancy 1.28 Knowledge Check 1.32 Reports 1.33 Course Review 1.34 Disclaimer 1.35 Assessment