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Simplified Quality Control System in Contrast to Performance Measurements to Assure Minimized Patient Exposure from Diagnostic X-ray Machines
Department: Nuclear Eng'g & Health Physics
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Paper000
Specimen Elements
Pocatello
Unknown to Unknown
Patrick T. Hornsby
Idaho State University
Thesis
No
2/3/2025
digital
City: Pocatello
Master
The US Army has sixty-six Active-Duty Nuclear Medical Science Officers (72A) overseeing medical defense radiology. To address operational challenges like austere environments and personnel shortages, a system focusing on patient dose and reliability matrices for X-ray machines could help. This research provides data and analysis to justify a streamlined process to determine compliance with regulatory standards that maintain patient dose within 1.5% of initially established values for a particular machine. It specifically considers the dose per time integrated filament current (mAs) as a function of the squared applied tube voltage expressed in kVp 2 . The linearity of these parameters has been shown to fluctuate little with repeat measurements in a new device. However, variations in performance can be readily identified considering these parameters. Such variation would serve as a screening tool indicative of further investigation. Analysis of twenty-two machines showed compliance, suggesting Biomedical Equipment Specialists (68A) could conduct annual tests, relieving 72A duties and addressing deployment and personnel issues. This approach offers a comprehensive quality control system, optimizing medical defense capabilities and possibly influencing future Army Radiation Protection Program standards. Further administrative efforts may be needed to refine responsibilities and regulatory documentation for X-ray machine testing audits. Nonetheless, this streamlining process is technically justified. Keywords: Nuclear Medical Science Officer, X-ray machine, patient dose, quality control, regulatory standards

Simplified Quality Control System in Contrast to Performance Measurements to Assure Minimized Patient Exposure from Diagnostic X-ray Machines

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