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Radiology facilities


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Introduction

Radiodiagnostics uses X-rays to obtain diagnostic information about the patient.

radiodiagnostic

X-rays involve a radiation dose to the patient. And to a lesser degree to personnel who, during exposure, are in its proximity, being mitigated by adequate shielding.

Radiodiagnostic equipment must be correctly adjusted in order to achieve the desired diagnostic information with the lowest possible dose.

+ 2000

Controlled X-ray equipment

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Radioactive
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Specialized in:

Advise client facilities on Radiological Protection (RP) matters. It affects both the patient’s RP and that of exposed workers and the general population.

Radiology facilities

Radiology facilities

At the ACPRO Radiological Facilities Unit, we offer a comprehensive Radiation Protection service, both for patients and for exposed workers and members of the public;

Radiology facilities

In addition, we collaborate in the administrative procedures associated with these facilities:

Registration of both new installations and modifications.

Preparation of the periodic report, with the summary of the annual controls and possible modifications of the installation.

Radiation levels

Radiation levels

Monitoring of radiation levels at working places and in the surrounding areas should be carried out annually, and whenever modifications have been made.

Radiation levels

The Radiology Facilities Unit assumes the tasks related to the control during the operation of such facilities.

The suitability of the shielding, the radiation levels in interventional procedures and the limitation of leakage radiation are checked.

With the results obtained, the corresponding certification is issued.

Based on the results, ACPRO advises on improvements to be made, if necessary.

Quality control

Quality control

The Real Decreto on Quality Control in Radiodiagnosis establishes the quality criteria for both radiodiagnostic equipment and the imaging and visualisation system.

Quality control

The periodic tests to be performed are based on the Spanish Protocol for Quality Control in Radiology, where each of the different modalities is covered (imaging, fluoroscopy, mammography, dental, CT …).

New equipment has to pass acceptance tests based on the purchase specifications and the technical characteristics offered.

Mammographic screening

Mammographic screening

It consists of performing mammograms in order to facilitate the early detection of breast cancer.

Mammographic screening

As a general rule, such screening is performed every two years, for women between the ages of 50 and 70.

ACPRO carries out the monthly control of mammographs dedicated to mammography screening.

The correct adjustment of the equipment allows an adequate compromise between the diagnostic capacity of the system and the minimization of patient dose.

Patient dose

Patient dose

The patient dose estimation is usually of general interest in the case of pregnant patients (dose to embryo or foetus) and specifically in the case of complex examinations in interventional radiology (mainly dose at the entry surface).

patient dose

If a dose estimation associated with a scan is required, it is carried out on the basis of the data provided by the Center on the scan performed and those obtained in the quality control. Depending on the modality, the Center has to complete one of the following forms:

For Conventional Radiology: pdf format / MSWord format;

For Mammography: pdf format / MSWord format;

Quality assurance program

Quality Assurance Programme

The Quality Assurance Program (QAP) is fundamentally designed for patient protection (good diagnostic quality with the lowest possible dose).

Quality assurance program

It is intimately linked to: a) the performance of the examinations according to appropriate protocols and b) a correct condition of the equipment used, guaranteed through its quality control. Such quality control is part of the QMP.

Its content is based on the provisions of Article 2 of Real Decreto 1976/1999.

In addition, in the preparation of the PGC was also taken into account the procedure established in the Spanish Royal Decree 601/2019.

Radiation protection program

Radiation Protection Programme

The Radiation Protection Programme (RPP) is a document that all radiodiagnostic facilities must have and is designed to protect both exposed workers and members of the public.

Radiation protection program

The PPR aims to ensure that the doses they may receive are as low as reasonably achievable (ALARA criterion – As Low As Reasonably Achievable) and which are in any case below the established limits.

The content of the Radiation Protection Programme must comply with the provisions of article 19 of Real Decreto 1085/2009.

The RPP can be available as a stand-alone document or in a joint document that also includes the Quality Assurance Programme (QAP), thus avoiding duplicated content.

Shielding calculation

Shielding calculation

The installations, both in their initial design and in subsequent modifications, must be provided with adequate shielding (complying with ALARA criteria and also without falling into possible oversizing).

Shielding calculation

The shielding to be applied depends mainly on the type of equipment (mode), its workload and the intended use and occupancy of the area to be shielded.

For general radiographic diagnostic equipment, ACPRO uses the methodology of NCRP 147; Alternatively, DIN 6812 can be used.

For the specific case of dental installations ACPRO follows NCRP 145 (in addition to NCRP 133 for mobile equipment and NCRP 148 for veterinary equipment).

Certification

Certification

Based on the provisions of Spanish Royal Decree 1085/2009, for the declaration of radiodiagnostic facilities is required: a) Declaration of the owner, b) Ventra and Technical Assistance Company (EVAT) certification and c) Certification by the Technical Unit for Radiological Protection (UTPR).

Certification

This certification by the UTPR is based on the provisions of Annex III of the aforementioned Spanish Royal Decree 1085/2009;

In addition, during the operation of the installation, it must have a Certificate of Conformity issued by a UTPR, with the content and periodicity foreseen in the article 18 of the aforementioned Spanish Royal Decree 1085/2009.

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