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ACR MRI
Phantom Testing
30
Medical
Post-Graduate
07/29/2016

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Cards

Term
What are the dimensions of the ACR MRI Accreditation phantom?
Definition

Length - 148 mm

Diameter - 190 mm

Term
What is the ACR MRI phantom filled with?
Definition
A solution of nickel chloride and sodium chloride.
Term
What is marked on the outside of the ARC MRI phantom?
Definition
CHIN and NOSE
Term
What seven quantitative tests are made using the phantom?
Definition
1. Geometric accuracy, 2. high-contrast spatial resolution, 3. slice-thickness accuracy, 4. slice-position accuracy, 5. image intensity uniformity, 6. percent signal ghosting, 7. low-contrast detectability
Term
Describe the structures used to determine slice position accuracy.
Definition
2 crossed 45° wedges at the top of slices 1 and 11.
Term
Slice position accuracy - the magnitude of the bar length difference is _____ the actual slice displacement.
Definition
twice
Term
What is the limit for the bar-length difference on the slice position accuracy test?
Definition
5 mm
Term
Describe the structures used to measure the slice thickness.
Definition
Two thin horizontal ramps in slice 1.  They have a slope of 10 to 1 wrt to the plane of the slice.
Term
How do you set W/L for slice thickness.
Definition
Place a rectangular ROI over the middle of each ramp.  Take the average signal value of the ROIs.  Set the Level to 1/2 the average signal value.  Set the Window to its minimum.
Term
After measuring the two ramps, how is slice thickness calculated?
Definition
Thickness = 0.2 * (top x bottom) / (top + bottom)
Term
What is the criteria for measured slice thickness?
Definition
5.0 mm ± 0.7 mm
Term
How many geometric accuracy measurements are made and where?
Definition
7 total: 1 end-to-end on the localizer;  top-to-bottom and right-to-left on slice 1; and top-to-bottom, right-to-left and both diagonals on slice 5
Term
How do you set the W/L for the geometric accuracy tests?
Definition
Set the W to its minimum.  Lower the level until the water only regions are all white.  Increase the level until half the water turns dark.  This is the average signal of the water only regions.  Now lower the level to half the mean signal and set the window equal to the mean signal.
Term
What is the criteria for the geometric accuracy tests?
Definition
±2 mm of the true value
Term
Describe the high contrast spatial resolution inserts.
Definition
In slice 1 there are 3 sets of bright dots.  Each set contains a pair of 4 dots by 4 dots.  One square is the upper left (UL) and the other square is the lower right (LR).  The left pair is 1.1 mm hole diameters, center is 1.0 mm, and right is 0.9 mm.
Term
Describe how to assess the high contrast resolution holes.
Definition
Look for a row of distinguishable dots in the UL square and a column of distinguishable dots in the LR square.
Term
What is the pass criteria for the high contrast spatial resolution test.
Definition
Should be able to resolve 1.0 mm dots or better.
Term
What slice is used to measure image intensity uniformity?
Definition
Slice 7
Term
How is the uniformity test performed?
Definition
Place a 200 cm2 circular ROI over slice 7.  Stay within this ROI.  Set the window to its minimum.  Adjust the level to find the area of lowest signal (last dark spot).  Place a 1 cm2 ROI over the area and record the value.  Repeat for the area of highest signal (last white spot).
Term
What is the formula for calculating Percent Integral Uniformity?
Definition
PIU = 100 * (1 - ((high - low) / (high + low))
Term
What is the criteria for PIU?
Definition

PIU > 87.5% for < 3 Tesla

PIU > 82.0% for 3 Tesla

Term
Ghosting occurs in the _______ direction.
Definition
phase encoding
Term
Describe the setup for the Percent-Signal Ghosting measurement.
Definition
Using slice 7, set a 200 cm2 circular ROI over the object.  Place four 10 cm2 elliptical ROI's over the left, right, top, and bottom between the edge and the object.
Term
What is the formula for ghosting ratio?
Definition
ghosting ratio = ((top + btm) - (left + right)) / (2 x (large ROI))
Term
What is the criteria for the ghosting ratio?
Definition
ghosting ratio < 0.025.
Term
Describe the low contrast test tool.
Definition
Low contrast disks are contained in slices 8 through 11.  Each slice contains 10 spokes and each spoke has 3 disks.
Term
What is the requirement for low contrast detectability?
Definition

9 spokes total for < 3 T

37 spokes total for 3 T

Term
What is the minimum frequency of the technologist's QC testing?
Definition
weekly
Term
What are the technologist's QC tests?
Definition
1. Setup, 2. Table position accuracy, 3. Center frequency/transmitter gain, 4. geometirc accuracy, 5. high-constrast, 6. low contrast, 7. artifact evaluation, 8. Visual checklist
Term
What is the action limit for the weekly center frequency test?
Definition

1 or 2 ppm week to week change

For a 3T scanner, that is 128 Hz to 256 Hz

 

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