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Radiographic System Evaluation Criteria

This document appears to be an inspection report for a radiographic system. It lists evaluation criteria such as checking that warning labels are present, measuring half-value layer thickness, ensuring proper alignment of x-ray and visual fields, and testing the timer, exposure reproducibility, mA linearity, and kVp accuracy. It records the results of inspecting these criteria and notes whether any deficiencies were serious or non-serious. It concludes by documenting the type of imaging system and other remarks.

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Justin Steele
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108 views1 page

Radiographic System Evaluation Criteria

This document appears to be an inspection report for a radiographic system. It lists evaluation criteria such as checking that warning labels are present, measuring half-value layer thickness, ensuring proper alignment of x-ray and visual fields, and testing the timer, exposure reproducibility, mA linearity, and kVp accuracy. It records the results of inspecting these criteria and notes whether any deficiencies were serious or non-serious. It concludes by documenting the type of imaging system and other remarks.

Uploaded by

Justin Steele
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

OFFICE OF RADIOLOGICAL HEALTH General

P.O. Box 2448 • 7th Floor


Richmond, VA 23218 Radiographic Systems
(804) 864-8150
PAGE
RH-F-22 01/2020 OF

FACILITY ID NO. TUBE REGISTRATION NO: MAKE


FACILITY

NAME PURPOSE

MACHINE
NAME MODEL
INSPECTOR

SIGNATURE SERIAL NO.

DATE MAX. kVp MAX. mA ROOM NO.

OK N/A N/S S EVALUATION CRITERIA

1. Warning label not present (12 VAC 5-481-1601-1). NON-SERIOUS.

2. HVL at ______ kVp is ______mm A1. Minimum is ______mm A1 (12 VAC 5-481-1601-4).
Deficiency of ≤ 0.2mm NON-SERIOUS, deficiency of > 0.2mm SERIOUS.
The length ______ width ______ misalignment between the X-ray and visual fields is ______% of the
3.
SID (12 VAC 5-481-1621-D2a). > 2% to < 5% NON-SERIOUS, ≥ 5% SERIOUS.
Misalignment between center of X-ray field and center of image receptor is ______% of the SID
4.
(12 VAC 5-481-1621-E1). > 2% to < 5% NON-SERIOUS, ≥ 5% SERIOUS.
5. SID not indicated to within 2% of SID (12 VAC 5-481-1621-E1). NON-SERIOUS.

6. The length ___ width ___ dimensions of the X-ray field not indicated to within 2% of the SID
(12 VAC 5-481-1621-E3). NON-SERIOUS.
7. The length ___ width ___ of the X-ray field exceeds that of the image receptor by ______% of the SID (special
purpose system only, 12 VAC 5-481-1621-E1). > 2% to < 5% NON-SERIOUS, ≥ 5% SERIOUS.
8. Radiographic control does not require constant operator pressure or does not terminate the exposure properly
(12 VAC 5-481-1621-P). SERIOUS.
9. Radiographic control switch not permanently located in an appropriate protected area or on a stretch cord of
sufficient length as required (12 VAC 5-481-1621-P3 & 4). SERIOUS.
10. X-ray control not equipped with both visual and audible indication of X-ray production
(12 VAC 5-481-1621-J). SERIOUS.
Timer reproducibility: coefficient of variation is ______% at a technique setting of _____________________
11. (12 VAC 5-481-1621-B). > 10% to < 15% NON-SERIOUS, ≥ 15% SERIOUS.
Exposure reproducibility: coefficient of variation is ______% at a technique setting of _____________________
12.
(12 VAC 5-481-1621-B). > 10% to < 15% NON-SERIOUS, ≥ 15% SERIOUS.
Timer error ± ______% of the indicated time at ______ms. (12 VAC 5-481-1621-A4). 10% to < 15%
13.
NON-SERIOUS, ≥ 15% SERIOUS.
14. mA Linearity: mR/mAs values at ______ mA/mAs and ______ mA/mAs differ by more than 10%
of their sum: ______% (12 VAC 5-481-1621-C). NON-SERIOUS.
15. Light field illuminance is ______ ft. candles. Must be no less than 10 ft. candles at 100 centimeters or at the max.
SID whichever is less (12 VAC 5-481-1621 D2b). NON-SERIOUS.
kVp error is ±______% of indicated kVp at ______ kVp (12 VAC 5-481-1621-A4). > 10% to < 15%
16.
NON-SERIOUS, ≥ 15% SERIOUS.
Exposure data: Projection: ________________________ Technique factors: ______ kVp ______ mA
17. ______ ms/pulse ______ inches/cm SID. Exposure results: ______ mR.

18. Type of Imaging System: ____ Film/Screen, ____ Digital, ____ CR, ____ Other

19. Other/Remarks:

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