Medical Physics

  1. Quality Assurance in Medical Physics
    1. Principles of Quality Management
      1. Quality Assurance (QA) vs. Quality Control (QC)
        1. Definitions and Distinctions
          1. QA Program Objectives
            1. QC Testing Procedures
            2. Quality Management Systems
              1. ISO Standards Application
                1. Continuous Improvement
                  1. Risk Management
                  2. Documentation and Record Keeping
                    1. QA Manual Development
                      1. Test Procedures
                        1. Results Documentation
                          1. Trend Analysis
                          2. Regulatory Requirements
                            1. Accreditation Standards
                              1. State and Federal Regulations
                                1. Professional Guidelines
                              2. QA for Diagnostic Imaging
                                1. Radiography and Fluoroscopy QC
                                  1. Equipment Performance Testing
                                    1. Mechanical Checks
                                      1. Collimator Alignment
                                        1. Table and Tube Stand Movement
                                          1. Angulation Indicators
                                          2. Electrical System Checks
                                            1. kVp Accuracy and Reproducibility
                                              1. Timer Accuracy
                                                1. mAs Linearity
                                                2. X-ray Beam Quality
                                                  1. Half-Value Layer Measurement
                                                    1. Filtration Assessment
                                                  2. Image Quality Assessment
                                                    1. Spatial Resolution Testing
                                                      1. Contrast Sensitivity
                                                        1. Noise Evaluation
                                                          1. Artifact Assessment
                                                          2. Dose Measurements
                                                            1. Patient Entrance Dose
                                                              1. Fluoroscopic Dose Rates
                                                                1. Automatic Exposure Control
                                                              2. CT Scanner QC
                                                                1. Daily QC Procedures
                                                                  1. CT Number Accuracy
                                                                    1. Image Noise Assessment
                                                                      1. Artifact Evaluation
                                                                      2. Monthly QC Testing
                                                                        1. Spatial Resolution
                                                                          1. Low-Contrast Resolution
                                                                            1. Slice Thickness Accuracy
                                                                            2. Annual QC Testing
                                                                              1. Geometric Accuracy
                                                                                1. Dose Measurements
                                                                                  1. Safety System Checks
                                                                                  2. Phantom Testing Protocols
                                                                                    1. ACR CT Phantom
                                                                                      1. Specialized Test Phantoms
                                                                                    2. MRI Scanner QC
                                                                                      1. Daily QC Checks
                                                                                        1. System Performance
                                                                                          1. Image Quality Assessment
                                                                                          2. Weekly QC Testing
                                                                                            1. Geometric Accuracy
                                                                                              1. Signal-to-Noise Ratio
                                                                                              2. Monthly QC Procedures
                                                                                                1. Spatial Resolution
                                                                                                  1. Slice Thickness
                                                                                                    1. Image Uniformity
                                                                                                    2. Annual QC Testing
                                                                                                      1. Magnetic Field Mapping
                                                                                                        1. Gradient Performance
                                                                                                          1. RF System Testing
                                                                                                            1. Safety System Verification
                                                                                                          2. Ultrasound QC
                                                                                                            1. Transducer Performance Testing
                                                                                                              1. Sensitivity Measurements
                                                                                                                1. Dead Element Detection
                                                                                                                  1. Beam Profile Assessment
                                                                                                                  2. Image Quality Testing
                                                                                                                    1. Axial and Lateral Resolution
                                                                                                                      1. Contrast Resolution
                                                                                                                        1. Distance Accuracy
                                                                                                                        2. Doppler QC
                                                                                                                          1. Velocity Accuracy
                                                                                                                            1. Sensitivity Testing
                                                                                                                            2. Preventive Maintenance
                                                                                                                              1. Transducer Care
                                                                                                                                1. System Cleaning
                                                                                                                              2. Nuclear Medicine QC
                                                                                                                                1. Gamma Camera QC
                                                                                                                                  1. Daily QC Procedures
                                                                                                                                    1. Uniformity Testing
                                                                                                                                      1. Energy Window Check
                                                                                                                                      2. Weekly QC Testing
                                                                                                                                        1. Spatial Resolution
                                                                                                                                          1. Sensitivity Measurements
                                                                                                                                          2. Monthly QC Procedures
                                                                                                                                            1. Linearity Testing
                                                                                                                                              1. Energy Resolution
                                                                                                                                            2. SPECT QC
                                                                                                                                              1. Center of Rotation
                                                                                                                                                1. Tomographic Uniformity
                                                                                                                                                  1. Spatial Resolution
                                                                                                                                                  2. PET Scanner QC
                                                                                                                                                    1. Daily QC Checks
                                                                                                                                                      1. Normalization Procedures
                                                                                                                                                        1. Detector Performance
                                                                                                                                                        2. Dose Calibrator QC
                                                                                                                                                          1. Accuracy Testing
                                                                                                                                                            1. Precision Testing
                                                                                                                                                              1. Linearity Testing
                                                                                                                                                                1. Geometry Testing
                                                                                                                                                            2. QA for Radiation Therapy
                                                                                                                                                              1. Linear Accelerator QA
                                                                                                                                                                1. Daily QC Procedures
                                                                                                                                                                  1. Output Constancy
                                                                                                                                                                    1. Beam Energy Constancy
                                                                                                                                                                      1. Safety System Checks
                                                                                                                                                                      2. Monthly QC Testing
                                                                                                                                                                        1. Mechanical Accuracy
                                                                                                                                                                          1. Gantry Rotation
                                                                                                                                                                            1. Collimator Rotation
                                                                                                                                                                              1. Couch Movement
                                                                                                                                                                              2. Dosimetric Parameters
                                                                                                                                                                                1. Beam Flatness and Symmetry
                                                                                                                                                                                  1. Output Factors
                                                                                                                                                                                    1. Wedge Factors
                                                                                                                                                                                  2. Annual QC Testing
                                                                                                                                                                                    1. Comprehensive Dosimetric Testing
                                                                                                                                                                                      1. Safety System Testing
                                                                                                                                                                                        1. Mechanical Tolerance Testing
                                                                                                                                                                                        2. After Maintenance QC
                                                                                                                                                                                          1. Post-Repair Testing
                                                                                                                                                                                            1. Acceptance Testing Procedures
                                                                                                                                                                                          2. Treatment Planning System QA
                                                                                                                                                                                            1. Commissioning Procedures
                                                                                                                                                                                              1. Beam Data Acquisition
                                                                                                                                                                                                1. Algorithm Validation
                                                                                                                                                                                                  1. System Configuration
                                                                                                                                                                                                  2. Ongoing QA Testing
                                                                                                                                                                                                    1. Dose Calculation Accuracy
                                                                                                                                                                                                      1. Data Transfer Integrity
                                                                                                                                                                                                        1. Software Updates
                                                                                                                                                                                                        2. End-to-End Testing
                                                                                                                                                                                                          1. Phantom-Based Verification
                                                                                                                                                                                                            1. Multi-Institutional Audits
                                                                                                                                                                                                          2. Patient-Specific QA
                                                                                                                                                                                                            1. IMRT/VMAT QA
                                                                                                                                                                                                              1. Pre-Treatment Verification
                                                                                                                                                                                                                1. Phantom Measurements
                                                                                                                                                                                                                  1. Portal Dosimetry
                                                                                                                                                                                                                    1. Log File Analysis
                                                                                                                                                                                                                    2. Stereotactic QA
                                                                                                                                                                                                                      1. End-to-End Testing
                                                                                                                                                                                                                        1. Small Field Dosimetry
                                                                                                                                                                                                                          1. Image Guidance Verification
                                                                                                                                                                                                                          2. Brachytherapy QA
                                                                                                                                                                                                                            1. Source Strength Verification
                                                                                                                                                                                                                              1. Applicator QA
                                                                                                                                                                                                                                1. Treatment Planning Verification
                                                                                                                                                                                                                              2. Imaging System QA for Radiation Therapy
                                                                                                                                                                                                                                1. Simulator QA
                                                                                                                                                                                                                                  1. Mechanical Accuracy
                                                                                                                                                                                                                                    1. Image Quality
                                                                                                                                                                                                                                      1. Laser Alignment
                                                                                                                                                                                                                                      2. CT Simulator QA
                                                                                                                                                                                                                                        1. Image Quality
                                                                                                                                                                                                                                          1. Geometric Accuracy
                                                                                                                                                                                                                                            1. Laser Alignment
                                                                                                                                                                                                                                            2. Portal Imaging QA
                                                                                                                                                                                                                                              1. Image Quality
                                                                                                                                                                                                                                                1. Geometric Accuracy
                                                                                                                                                                                                                                                  1. Registration Accuracy
                                                                                                                                                                                                                                                  2. CBCT QA
                                                                                                                                                                                                                                                    1. Image Quality
                                                                                                                                                                                                                                                      1. Geometric Accuracy
                                                                                                                                                                                                                                                        1. Dose Assessment
                                                                                                                                                                                                                                                    2. Incident Learning and Risk Management
                                                                                                                                                                                                                                                      1. Incident Reporting Systems
                                                                                                                                                                                                                                                        1. Near-Miss Events
                                                                                                                                                                                                                                                          1. Actual Incidents
                                                                                                                                                                                                                                                            1. Root Cause Analysis
                                                                                                                                                                                                                                                            2. Risk Assessment Methods
                                                                                                                                                                                                                                                              1. Failure Mode and Effects Analysis (FMEA)
                                                                                                                                                                                                                                                                1. Probabilistic Risk Assessment
                                                                                                                                                                                                                                                                  1. Human Factors Analysis
                                                                                                                                                                                                                                                                  2. Corrective and Preventive Actions
                                                                                                                                                                                                                                                                    1. Immediate Corrections
                                                                                                                                                                                                                                                                      1. Long-Term Improvements
                                                                                                                                                                                                                                                                        1. System Modifications
                                                                                                                                                                                                                                                                        2. Performance Improvement
                                                                                                                                                                                                                                                                          1. Benchmarking
                                                                                                                                                                                                                                                                            1. Best Practice Implementation
                                                                                                                                                                                                                                                                              1. Continuous Monitoring

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                                                                                                                                                                                                                                                                          1. Fundamentals of Medical Physics