Ctqar 1
Ctqar 1
PART-I
Date: Signature
Name
Designation
Company seal
PART-II
SPECIFICATIONS & TECHNICAL DETAILS OF THE SCANNER
A. X-RAY GENERATOR
4. Mains Requirement :
B. X-RAY TUBE
2. Pre-patient/post-patient collimator :
(collimator width)/(detector width)
3. Fan angle of scan beam :
D. GANTRY
: not available
Angular accuracy :
7. Focus-isocentre distance :
8. Focus-detector distance :
1. Maximum movements
(Full out to full in scan table length) : ---------- cm
Minimum table incrementation available: -------- mm
Gantry : Yes/No
Table : Yes/No
Control console : Yes/No
Scan Image : Yes/No
a. If possible
F. DETECTORS
1. Type : Scintillator/Photodiode
Scintillator/PM tube
Other (specify)
Type of scintillator :
2. Number of detectors(Total) :
Number of Reference Detectors :
Number of Measuring Detectors :
Total No. of Detector rows :
Number of measuring channels :
3. Recommended calibration frequency
PART-III
A. MECHANICAL TESTS
Check the congruence between the gantry midline and table midline using plumb
Line.
Tolerance : 5 mm
Result :
Tolerance : 2.0 mm
Result
Tolerance : 30
A.4. Table position /incrementation ( same film can be used for tests A2, A3, and A4)
Load on couch :
Expected
Measured
Tolerance : 2.0 mm
B. COLLIMATION TEST
Tolerance : 2 kVp
Tolerance: Tolerance : 10 %
Xmax – Xmin
Coefficient of linearity (COL) = --------------
Xmax+ Xmin
Tolerance : At 10% contrast difference the size of the bar/hole pattern that could
be resolvable should be 1.6 mm ( 3.12 lp/cm).
Expected high contrast resolution : 0.8 mm ( 6.25 lp/cm)
F. RADIATION DOSE TESTS
: ---------mGy/mAs -----------mGy/mAs
G. Radiation leakage levels from X-ray tube housing at 1 M from the focus
Result: Maximum radiation leakage at 1 meter from the focus for workload of 180
mAmin in one hour is mR.
Leakage radiation level at 1 meter from the focus should be 115 mR in one hour.
Name
Designation
Company
Signature of customer/user
Seal of the institution
Compilation of QA test results of Computed Tomography equipment
Model Name:
Sr. Specific
Parameters tested Measured values Tolerance Remarks
No. values
Alignment of table to
1 ±5 mm
gantry
2 Gantry tilt ±30
Table indexing accuracy
3 ±2 mm
(mm)
4 Slice thickness (mm) ±1 mm
Accuracy of Operating
5 ±2 kV
Potential (kV)
I hereby undertake that all the information provided above is correct and in accordance with the
detailed Quality Assurance report enclosed herewith.
Date: Tested by: Signature
Name
Designation
Company
Signature of customer/user
Seal of the institution