One Year of Experience with Remote Quality Assurance of Digital Mammography Systems in the Flemish Breast Cancer Screening
Program
Jurgen Jacobs1
, Kim Lemmens1, Joris Nens1, Koen Michielsen1, Guy Marchal1 and Hilde Bosmans1
| (1) |
department of radiology, University Hospital of the KU Leuven, 3000 Leuven, Belgium |
Abstract
The European Guidelines on Digital Mammography (EUREF) prescribe that regularly the homogeneity of the used digital systems
should be tested. In a decentralized screening environment with centralized quality control (QC) supervision this can become
a time consuming work. Therefore we developed a novel method to simplify remote QC. Exposures of a homogeneous plate of PMMA
are made daily under clinical conditions and are sent to our locally installed analysis software. Several parameters are calculated
for the complete image, for 6 reference regions of interest (ROIs) and for series of small adjacent ROIs all over the image.
These calculated parameters are summarized in maps that are treated as thumbnail images. Analysis results are sent to the
reference site where they are supervised by a trained physicist and compared with the results of previous tests. Several artifacts
could be traced with the thumbnail images. These include: dirt on phosphor cassettes, scanline artifacts, scratches on the
IP and burned-in markers for CR units. For DR units, increasing ghost image factors, lag images, crystallization of detector
material, defective pixel artifacts and several electrical artifacts were noticed. Our initial experience indicates that failures
with digital mammography devices can be traced remotely via thumbnail images of the above parameters that are electronically
sent to our reference center, instead of the full-size image.
Keywords digital mammography - remote quality control - artifacts
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