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AbstractAbstract
[en] Brazilian College of Radiologists (CBR) is concerned about the quality of radiological practices in the country. Actions in direction of accreditation programmes and standardization of the performance in imaging modalities have been implemented. The first accreditation programme was in mammography. In Brazil, computed tomography spread all over the country. Due high radiation dose to the patient and the continuous technological development, an accreditation programme in CT practice is necessary. A pilot programme has been carried out in the area of Rio de Janeiro with the participation of 11 CT facilities with 12 CT units. The background information follows Document EUR 16262 European Guidelines of Quality Criteria for Computed Tomography. Initially practice data were collected through structured interviews using a standardized questionnaire. In regard to the assessment of clinical image quality, two examinations were selected: brain general and abdomen general. Three radiologists specialized in computed tomography evaluated the image quality criteria from a sample of examinations from the participant facilities. Other aspects selected to the assessment of the overall performance are: technical parameters of the examinations; image physical parameters (noise, spatial resolution, sensitivity profile) and radiation dose. Radiation dose and image quality criteria were fulfilled by 7 of 12 brain general examinations analyzed and only 5 of 10 abdomen general examinations analyzed. At the moment, it was not possible to get a conclusion about image quality based on measurements of physical parameters. Other factors affecting overall image quality were: technical limitation of CT units and practitioners are not able to fully handle the technical parameters of the examination. Dose and image quality criteria shall be the basis of an accreditation programme in CT and Brazilian College of Radiology has to use the experience of this work to implement a programme at national level. (author)
Original Title
Qualidade de exames de tomografia computadorizada proposta para um programa de certificacao da qualidade
Primary Subject
Source
1999; 190 p; Diss. (Ph.D.)
Record Type
Miscellaneous
Literature Type
Thesis/Dissertation; Numerical Data
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