医用数字X射线摄影机验收检测结果分析

Analysis for acceptance test results of quality control in medical digital radiography equipment

  • 摘要:
    目的 分析19台医用数字X射线摄影(DR)机质量控制验收检测的结果,评价其应用质量现状,并为后续检测提供参考。
    方法 选取2018年1月至2019年6月天津市和内蒙古自治区部分医疗机构新安装的17种型号(共19台)DR,根据《医用常规X射线诊断设备质量控制检测规范》(WS 76-2017)和《医用数字X射线摄影(DR)系统质量控制检测规范》(WS 521-2017)对其通用检测项目(如管电压指示的偏离、输出量重复性等)和专用检测项目(如暗噪声、极限空间分辨力和低对比度细节等)进行检测与分析。
    结果 受检DR机的专用检测指标除暗噪声、探测器剂量指示、极限空间分辨力、低对比度细节、自动曝光控制(AEC)灵敏度和AEC管电压变化一致性建立基线值外,其余的验收检测结果均满足WS 76-2017和WS 521-2017的要求。通用检测项目结果:60 kV和80 kV的管电压指示的偏离为−3.61%~2.71%,100、117、120和121 kV的管电压指示的偏离为−2.9~4.9 kV;输出量重复性范围为0.0290%~1.4700%;80 kV和81 kV对应的有用线束半值层为2.5~5.9 mm Al,在设置时间≥100 ms和<100 m时,曝光时间指示的偏离分别为−5.19%~2.40%和−7.15%~2.80%。专用检测项目结果:成像中均不存在残影和伪影;暗噪声检测建立的基线值为14.2~5262.0;探测器剂量指示建立的基线值为188~60 280;AEC灵敏度的基线值为0.67~6.90 mAs;AEC管电压变化一致性的基线值为2.20~6.69 μGy;响应均匀性为0.11%~4.70%;测距误差为−0.40%~1.45%;AEC电离室之间的一致性为−8.70%~5.15%;在水平和垂直方向的极限空间分辨力分别为2.2~3.7 lp/mm和2.2~3.4 lp/mm;信号传递特性的拟合公式的决定系数均>0.98。
    结论 DR机质量控制验收检测的结果符合WS 76-2017和WS 521-2017的要求;清楚、完整的检测条件和验收检测结果可为后续检测提供参考依据。

     

    Abstract:
    Objective To analyze the quality control acceptance test results of partial types of medical digital radiography equipment, evaluate their application quality and provide references for the subsequent detection.
    Methods According to the Specifications of the quality control testing of medical X-ray diagnostic equipment (WS 76-2017) and the Specifications of quality control testing in medical digital radiography (DR) systems (WS 521-2017), 17 types (19 sets in total) of newly installed medical digital radiography equipment in Tianjin and Inner Mongolia from January 2018 to June 2019 were selected as the research objects. General and special test items, such as the deviation of tube voltage indication, output repeatability, dark noise, limited spatial resolution and low contrast details, and so on, were tested. Finally, the test results were recorded and analyzed.
    Results In addition to dark noise, detector dose indication, limited spatial resolution, low contrast detail detection, automatic exposure control (AEC) sensitivity, and AEC tube voltage change consistency to establish the baseline value, the detection results of other medical digital radiography equipment met the requirements of WS 76-2017 and WS 521-2017. The deviations of 60 and 80 kV tube voltage indication ranged from −3.61% to 2.71%, whereas the deviations of 100, 117, 120 and 121 kV tube voltage indication ranged from −2.9 to 4.9 kV. Meanwhile, the repeatability of output ranged from 0.0290% to 1.4700%, and the useful harness half value layers corresponding to 80 and 81 kV were between 2.5 and 5.9 mmAl. The deviations of exposure time indication in the range of ≥100 ms and <100 ms were −5.19% to 2.40% and −7.15% to 2.80%, respectively. There were no residuals and artifacts found in the imaging. The baseline values established by dark noise detection ranged from 14.2 to 5262.0, whereas the baseline values established by the detector dose indication were between 188 and 60,280. The baseline values of AEC sensitivity and those of the AEC tube voltage change consistency ranged from 0.67 to 6.90 mAs and from 2.20 to 6.69 μGy, respectively. The measurement results of response uniformity were between 0.11% and 4.70%. The ranging error were −0.40%−1.45%. The consistency between AEC ionization chambers were −8.70%−5.15%. The results of the limit spatial resolution in the horizontal and vertical directions ranged from 2.2 to 3.7 lp/mm and 2.2 to 3.4 lp/mm, respectively. Finally, the determination coefficients of the fitting formulas of signal transmission characteristics were all greater than 0.98.
    Conclusions The quality control acceptance test results of the medical digital radiography equipment met the requirements of the WS 76-2017 and WS 521-2017 standards. Clear and complete test conditions and acceptance test results can provide reference for the subsequent tests.

     

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