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Quality assurance in radiology

Published online by Cambridge University Press:  05 December 2011

Adrian K. Dixon ,
Charles E. L. Freer  and
Derek S. Appleton
Adrian K. Dixon
Affiliation:
Departments of Radiology, Addenbrooke's Hospital and the University of Cambridge
Charles E. L. Freer
Affiliation:
Departments of Radiology, Addenbrooke's Hospital and the University of Cambridge
Derek S. Appleton
Affiliation:
Departments of Radiology, Addenbrooke's Hospital and the University of Cambridge
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Synopsis

Most radiology departments have had comprehensive quality assurance programmes up and running for many years. There are several tangible measures of the output of a radiological department in the form of workload, staffing, film quality, film retrieval, accuracy of reports, availability of reports, etc. There are also many less tangible aspects. In this paper, which attempts to cover most of the practical aspects of quality assurance in radiology, the programme is followed through from the initiation of the request for a radiological investigation right up to its possible influence on the outcome of the patient. The educational aspects are also addressed in this rapidly evolving field.

Type
Research Article
Information
Proceedings of the Royal Society of Edinburgh, Section B: Biological Sciences , Volume 101: Quality Assurance in Medical Care , 1993 , pp. 321 - 342
Copyright
Copyright © Royal Society of Edinburgh 1993

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References

Arvanitis, T. N., Parizel, P. M., Degryse, H. R., DeSchepper, A. M. 1991. Reject analysis: a pilot program for image quality management. European Journal of Radiology 12, 171–6.CrossRefGoogle ScholarPubMed
Baldock, C. & Arnold, M. T. 1990. Film cassette for quality assurance of dental X-ray tubes. British Journal of Radiology 63, 720–2.CrossRefGoogle ScholarPubMed
Brindle, M. J. 1978. Radiology workload: a solution. British Medical Journal 2, 514–515.CrossRefGoogle Scholar
British Standards Institute. 1984. A glossary of terms used in quality assurance (including reliability and maintainability terms), BS4778. London: BSI.Google Scholar
British Standards Institute. 1979–1981. Quality systems, part 1–6. BS 5750. London: BSI.Google Scholar
Brown, L. A., Coghill, S. B. & Powis, S. A. J. 1991. Audit of diagnostic accuracy of FNA Cytology specimens taken by the histopathologist in a symptomatic breast clinic. Cytopathology 2, 1–6.Google Scholar
Butler, P. F., Conway, B. J. & Suleiman, O. H. et al. 1989. Chest radiography: a survey of techniques and exposure levels currently used. Radiology 156, 533–6.Google Scholar
Buxton-Thomas, M. S., Dickinson, R. J., Maltby, P., Hunter, J. O., Wraight, E. P. 1984. Evaluation of indium scintigraphy in patients with active inflammatory bowel disease. Gut 25, 1372–5.Google Scholar
Calhoun, J. G., Vydareny, K. H., Ten-Haken, J. D. & Blane, C. E. 1988. Journal publications in radiology education. A review of the literature 1966–1986. Investigative Radiology 23, 62–7.Google ScholarPubMed
Caplen, R. H. 1988. A practical approach to quality control, 5th edn. London: Business Books.Google Scholar
Chappie, C. L., Faulkner, K. & Harrison, R. M. 1990. An investigation into the performance of an automated quality assurance and dosimetry system in diagnostic radiology. British Journal of Radiology 63, 635–9.Google Scholar
Charny, M. C., Roberts, G. M., Beck, P., Webster, D. J. T. & Roberts, C. J. 1990. How good are case notes in the audit of radiological investigations? Clinical Radiology 42, 118–21.CrossRefGoogle ScholarPubMed
Charny, M. C., Roberts, G. M., Roberts, C. J. 1987. Out-of-hours radiology: a suitable case for audit? British Journal of Radiology 60, 553–6.CrossRefGoogle ScholarPubMed
Chassida, M. R. & McCue, S. M. 1986. A randomised trial of medical quality assurance. Improving physicians' use of pelvimetry. Journal American Medical Association 256, 1012–6.CrossRefGoogle Scholar
Chisholm, R. 1991. Guidelines for radiological investigations. British Medical Journal 303, 797–8.Google Scholar
Chu, W. K., Sangster, W. & Dobry, C. A. 1985. Comparison of radiation exposures between conventional and rare-earth screen/film systems. Health Physics 49, 958–61.Google Scholar
Cooper, L. S., Chalmers, T. C., McCally, M., Berrier, J. & Sacks, H. S. 1988. The poor quality of early evaluations of magnetic resonance imaging. Journal of the American Medical Association 259, 3277–80.CrossRefGoogle ScholarPubMed
Coulden, R. A. R. & Dixon, A. K. 1987. Avoidance of ring artefacts in lumbar spine computed tomography in obese patients. British Journal of Radiology 60, 518.Google Scholar
Coulden, R. A. R., Dixon, A. K., Freer, C. E. L., Antoun, N. M., Moore, N. R., Sims, C. & Hall, L. D. 1991. Magnetic resonance imaging: when is one sequence sufficient? Clinical Radiology 44, 393–6.Google Scholar
Council of the European Communities. 1984. EC Directive 84/466/Euratom.Google Scholar
Dawood, R. 1990. Digital Radiology – a realistic prospect? Clinical Radiology 42, 6–11.Google Scholar
Department of Health and Social Security. 1986. Technical requirements for the supply and installation of radiological apparatus. Publication TRS 86. London: HMSO.Google Scholar
Dixon, A. K. 1983. Body CT: A handbook. Edinburgh: Churchill Livingstone.Google Scholar
Dixon, A. K. 1985. Current practice of lymphography in the age of computed tomography. Clinical Radiology 36, 287–90.Google Scholar
Dixon, A. K., Freer, C. E. L. & Antoun, N. M. 1991a. Computed tomography and magnetic resonance imaging in the post-operative lumbar spine. Current Imaging 3, 46–55.Google Scholar
Dixon, A. K., Southern, J. P., Teale, A., Freer, C. E. L., Hall, L. D., Williams, A., Sims, C. 1991b. Magnetic resonance imaging of the head and spine: effective for the clinician or the patient? British Medical Journal 302, 78–82.Google Scholar
Drexler, G., Erikstat, H. & Schibilla, H. 1985. Criteria and methods for quality assurance in medical X-ray diagnosis. British Journal of Radiology: supplement No 18. London: British Institute of Radiology.Google Scholar
Fowkes, F. G. R., Davies, E. R. & Evans, K. T. et al. 1986. Multicentre trial of four strategies to reduce use of a radiological test. Lancet i, 367–70.CrossRefGoogle Scholar
Fry, I. K. 1984. Who needs high technology? British Journal of Radiology 57, 765–72.CrossRefGoogle ScholarPubMed
Gadeholt, G., Geiting, J. T., Gothlin, J. H. & Asp, T. 1989. Continuing reject – repeat film analysis program. European Journal of Radiology 9, 137–141.Google ScholarPubMed
General Medical Council 1990. Circular to medical schools on curriculum matters.Google Scholar
Goodenough, D. J. & Atkins, F. B. 1990. Theoretical and practical aspects of automated quality assurance approaches – particularly for CT. In Bigot, J. M. Moreau, J. F., Nahum, H. & Bellet, M. (Eds) Proceedings of the 17th Int. Congress of Radiology, 47–52. Amsterdam: Elsevier.Google Scholar
Godwin, R. J. 1990. Audit – how we carry it out. Clinical Radiology 42, 12–14.Google Scholar
Guibelalde, E., Vano, E., Llorca, A. L. 1990. Quality assurance of viewing boxes. British Journal Radiology 63, 564–7.Google Scholar
Health and Safety Commission 1985. Approved code of practice. The protection of persons against ionising radiation arising from any work activity. London: HMSO.Google Scholar
Health and Safety Commission 1988. Ionising radiation regulations (Guidance notes for the protection of persons against ionising radiation arising from medical and dental use). London: HMSO.Google Scholar
Heithoff, K. B. & Amster, J. L. 1990. The spine. In Mink, J. H. & Deutsch, A. L. (Eds) MRI of the musculoskeletal system, pp. 177–191. New York: Raven Press.Google Scholar
Hospital Physicists' Association 1980. Measurement of the performance characteristics of diagnostic x-ray systems used in medicine. TGR 32 Parts I–VI. London: Hospital Physicists Association.Google Scholar
Hueftle, M. G., Modic, M. T. & Ross, J. S. et al. 1988. Lumbar spine; post-operative MR imaging with Gd-DTPA. Radiology 167, 817–24.CrossRefGoogle Scholar
Janssen, J. H. A. & Wellens, H. J. J. 1989. What do medical students know about in-hospital radiation hazards? Angiology 40, 36–8.CrossRefGoogle ScholarPubMed
Keats, T. E. 1989. Mandatory recertification: what is the answer? Applied Radiology 18, 7.Google Scholar
Kimme-Smith, C., Hussain, R., Duerinckx, A., Tessler, F. & Grant, E. 1990. Assurance of consistent peak-velocity measurements with a variety of duplex Doppler instruments. Radiology 177, 265–72.Google Scholar
Lamki, L. M., Haynie, T. P., Podoloff, D. A. & Kim, E. E. 1990. Quality assurance in nuclear medicine department. Radiology 177, 609–14.Google Scholar
Leung, D. P. Y., Dixon, A. K. 1992. Clinicoradiological meetings: are they worthwhile. Clinical Radiology, 46, 279–80.Google Scholar
McLachlan, M. S. F., Herzig, M. 1978. The effect of radiology electives on career choice at McMaster University. British Journal of Radiology 51, 503–6.CrossRefGoogle ScholarPubMed
Mini, R. 1989. How much does radiation burden from X-ray examinations depend on irradiation techniques? ROFO-Fortschr 151, 365–70.Google Scholar
Moores, B. M. 1985. Quality assurance in X-ray medical diagnosis. A physicist's point of view. British Journal of Radiology: Supplement No 18: see Drexler, et al. 8–13.Google Scholar
Moores, B. M., Henshaw, E. T., Watkinson, S. A. & Pearcy, B. J. 1987. Practical guide to quality assurance in medical imaging. Chichester: John Wiley.Google Scholar
Moores, B. M., Stieve, F. E., Erikstat, H. & Schibilla, H. 1989. Technical and physical parameters for quality assurance in medical diagnostic radiology. BIR Report No 18. London: British Institute of Radiology.Google Scholar
Moskovic, E., Sinnett, H. D. & Parsons, C. A. 1990. The accuracy of mammographic diagnosis in surgically occult breast lesions. Clinical Radiology 41, 344–6.Google Scholar
Murphy, W. A., Destouet, J. M. & Monsees, B. S. 1990. Professional quality assurance for mammographic screening programs. Radiology 175, 319–20.Google Scholar
National Radiological Protection Board. 1989. Living with radiation. London: HMSO.Google Scholar
Overington, I. 1976. Vision and acquisition. London: Pentech Press.Google Scholar
Padhani, A. R., Watson, C. J. E., Clements, L., Calne, R. Y. & Dixon, A. K. 1992. Computed tomography in abdominal trauma an audit of usage and imaging quality. British Journal of Radiology 65, 397–402.Google Scholar
Padikal, T. N. 1987. Acceptance testing of medical imaging equipment: CT and MRI. Applied Radiology 16, 57–64.Google Scholar
Price, R. R., Axel, L. & Morgan, T. et al. , 1990. Quality assurance methods and phantoms for magnetic resonance imaging: report of AAPM nuclear magnetic resonance task group No 1. Medical Physics 17, 287–295.CrossRefGoogle ScholarPubMed
Quality Assurance Working Group of the Diagnostic Methods Committee of the BIR 1988. Assurance of Quality in the Diagnostic X-ray Department. London: British Institute of Radiology.Google Scholar
Roberts, P. J. & Fischer, K. 1990. Routine quality assurance and results of a diagnostic radiology quality assurance program. Radiobiologia and Radiotherapia 31, 189–92.Google Scholar
Roghair, C. A. 1990. Performance of quality assurance audits by students. Radiology 177, 586.Google Scholar
Royal College of Radiologists 1989. Making the best use of a department of radiology: guidelines for doctors. London: Royal College of Radiologists.Google Scholar
Royal College of Radiologists Working Party, 1991. A multicentre audit of hospital referral for radiological investigation in England and Wales. British Medical Journal 303, 809–12.Google Scholar
Russell, I. & Williams, A. 1983. Evaluation of computerised tomography: a review of research methods. In Culyer, A. J. & Horisberger, B. (Eds) Economic and medical evaluation of health care techniques. Berlin: Springer Verlag.Google Scholar
Sallee, D. S., Cooper, C. & Ravin, C. E. 1989. Medical student perceptions of diagnostic radiology influence of a senior radiology elective. Investigative Radiology 24, 724–8.Google Scholar
Squires, L. F. 1989. On teaching radiology to medical students: challenges for the nineties. American Journal of Roentgenology 152, 457–61.Google Scholar
Teasdale, G. M., Hadley, D. M. & Lawrence, A. et al. , 1990. Comparison of magnetic resonance imaging and computed tomography in suspected lesions in the posterior cranial fossa. British Medical Journal 299, 349–55.Google Scholar
Thorp, D., Owens, R. G., Whitehouse, G. & Dewey, M. E. 1990. Subjective experiences of magnetic resonance imaging. Clinical Radiology 41, 276–8.CrossRefGoogle ScholarPubMed
Troupin, R. H. 1990. The mini-fellowship in teaching, a senior resident elective. Investigative Radiology 25, 751–3.CrossRefGoogle ScholarPubMed
Van-Poppel, B. M., Bakker, A. R. & Wilmink, J. B. M. 1990. A package for cost and critical analysis of picture archiving and communication indicating its true yield. Medical Information 15, 67–75.Google Scholar
Vellacott, K. D. & Virjee, J. 1986. Audit on the use of the barium enema. Gut 27, 182–5.Google Scholar
Watkinson, S. J., Moores, B. M. & Hill, S. J. 1984. Reject analysis: its role in quality assurance. Radiography 50, 189–194.Google Scholar
Wheeler, P. S., 1986. Error management and quality assurance. Applied Radiology 15, 41–5.Google Scholar
WHO 1982. Quality Assurance in diagnostic radiology. Geneva: World Health Organisation.Google Scholar
Wickstram, K. T., 1989. A method of systematic diagnostic follow up: quality assurance in a radiology practice. Journal Medical Practice Management 4, 185–7.Google Scholar
Williams, E. D., Harding, L. K. & McKillop, J. H. 1989. Checklists for quality assurance and audit in nuclear medicine. Nuclear Medicine Communication 20, 595–9.Google Scholar