Diagnostic imaging practices must provide, as a minimum, the following evidence for:
Angiography, computed tomography (CT)[1] , fluoroscopy, mammography, orthopantomography (OPG) and X-ray equipment
For each piece of equipment, provide evidence that demonstrates:
- An annual review of ionising radiation settings
- The review outcomes
- The actions following the review
- Which qualified person[2] authorised the conduct of the review
- Who is responsible for the outcomes and progressing the actions.
Mammography, OPG and X-ray equipment with manual settings
For each piece of equipment with manual settings, also provide a technique chart that
- Is consistent with the ALARA principle
- Contains a table of recommended settings (mA, time, kVp) that is referred to when selecting exposure factors for different procedures
Angiography and Fluoroscopy Equipment
For each piece of equipment, also provide a log demonstrating:
- The procedure’s name
- The procedure screening times or system-generated radiation dose metrics for each procedure
- An annual review of the log
- The review outcomes
- The actions to optimise equipment settings
- Which qualified person[2] authorised the conduct of the review
- Who is responsible for the outcomes and progressing the actions.
A log of procedure screening times is only acceptable for equipment that does not generate dose metrics.
The information provided in this advisory is summarised below in the section Required evidence for Standard 3.2 – Optimised Radiation Technique Chart.
[1]This includes CT in conjunction with PET and SPECT.
[2]A qualified person can be a radiologist, medical physicist, or senior radiographer and other personnel who have direct authority and responsibility for the imaging performed and can authorise the doses delivered to patients at the practice. It is not an equipment service provider.